A new approach with dried plasma spots: a rapid determination of antidepressants and antipsychotics by fast GC-MS

Bioanalysis. 2023 Aug;15(16):1021-1032. doi: 10.4155/bio-2023-0077. Epub 2023 Jul 11.

Abstract

Background: The increasing prevalence of poisoning cases related to antidepressants and antipsychotics has raised concerns. Methods: To address this issue, a new adaptation of the dried plasma spot technique was developed using a 24-well plate and fast gas chromatography-mass spectrometry. The method involves the optimization of extraction variables and sample preparation, and was successfully validated. Results: The limits of quantitation ranged from 20 to 60 ng/ml, and accuracy ranged from 87.8% to 112.2%. The technique was applied to 102 human plasma samples from suspected poisoning cases, with positivity of 90.2%. Conclusion: This method provides a cheap, easy to implement and fast approach, making it ideal for toxicological emergency laboratories and promoting valuable support for healthcare professionals managing poisoning cases involving antidepressants and antipsychotics.

Keywords: antidepressants; antipsychotics; dried plasma spot; fast gas chromatography-mass spectrometry.

Publication types

  • Review

MeSH terms

  • Antidepressive Agents
  • Antipsychotic Agents*
  • Dried Blood Spot Testing / methods
  • Gas Chromatography-Mass Spectrometry / methods
  • Humans
  • Plasma
  • Reproducibility of Results
  • Tandem Mass Spectrometry / methods

Substances

  • Antipsychotic Agents
  • Antidepressive Agents