An analytical strategy for designer benzodiazepines and Z-hypnotics determination in plasma samples using ultra-high performance liquid chromatography/tandem mass spectrometry after microextraction by packed sorbent

J Pharm Biomed Anal. 2021 Feb 5:194:113779. doi: 10.1016/j.jpba.2020.113779. Epub 2020 Nov 21.

Abstract

The illicit market for new psychoactive substances (NPS) is continuously growing. Designer benzodiazepines (DBZD) and Z-hypnotics are increasingly being used for self-medication or recreational purposes. The limited regulation and little biological information available about NPS have raised the need for analytical methods capable of extracting and quantifying them in human biological fluids. In this work, a procedure based on microextraction by packed sorbent (MEPS) in combination with ultra-high performance liquid chromatography and tandem mass spectrometry (UHPLC-MS/MS) has been developed to determine the designer benzodiazepines (clonazolam, deschloroetizolam, nifoxipam, flubromazolam and meclonazepam), and the Z-hypnotics (zolpidem, zaleplon and zopiclone) in plasma. A 3342//16 asymmetric screening design was used to study extraction variables such as the type and volume of eluent, pH, number of extraction cycles, volume of washing solvent and type of sorbent. The ensuing analytical method was validated in terms of linearity by standard addition calibration curves at eight different analyte concentration levels from 0.5-500 ng mL-1. R2 values, limits of detection (LOD) and limits of quantification (LOQ) fell in the ranges 0.9900-0.9988, 0.5-5 ng mL-1 and 1-10 ng mL-1. Intra and interday precision expressed as relative standard deviations, were < 10.6 % and process efficiency ranged from 63 to 117 % for the quality control samples. The proposed method detected zolpidem and various other benzodiazepines in plasma samples from overdoses cases.

Keywords: Designer benzodiazepine; Microextraction by packed sorbent; Plasma; Ultra-high performance liquid chromatography-tandem mass spectrometry; Z- hypnotic.

MeSH terms

  • Benzodiazepines / analysis
  • Chromatography, High Pressure Liquid
  • Designer Drugs
  • Humans
  • Hypnotics and Sedatives*
  • Limit of Detection
  • Solid Phase Microextraction
  • Tandem Mass Spectrometry*

Substances

  • Designer Drugs
  • Hypnotics and Sedatives
  • Benzodiazepines
  • clonazolam