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Rosendo LM, Rosado T, Zandonai T, Rincon K, Peiró AM, Barroso M, Gallardo E. Opioid Monitoring in Clinical Settings: Strategies and Implications of Tailored Approaches for Therapy. Int J Mol Sci 2024; 25:5925. [PMID: 38892112 PMCID: PMC11173075 DOI: 10.3390/ijms25115925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2024] [Revised: 05/25/2024] [Accepted: 05/27/2024] [Indexed: 06/21/2024] Open
Abstract
This review emphasises the importance of opioid monitoring in clinical practice and advocates for a personalised approach based on pharmacogenetics. Beyond effectively managing pain, meticulous oversight is required to address concerns about side effects, specially due to opioid-crisis-related abuse and dependence. Various monitoring techniques, along with pharmacogenetic considerations, are critical for personalising treatment and optimising pain relief while reducing misuse and addiction risks. Future perspectives reveal both opportunities and challenges, with advances in analytical technologies holding promise for increasing monitoring efficiency. The integration of pharmacogenetics has the potential to transform pain management by allowing for a precise prediction of drug responses. Nevertheless, challenges such as prominent pharmacogenetic testing and guideline standardisation persist. Collaborative efforts are critical for transforming scientific advances into tangible improvements in patient care. Standardised protocols and interdisciplinary collaboration are required to ensure consistent and evidence-based opioid monitoring. Future research should look into the long-term effects of opioid therapy, as well as the impact of genetic factors on individual responses, to help guide personalised treatment plans and reduce adverse events. Lastly, embracing innovation and collaboration can improve the standard of care in chronic pain management by striking a balance between pain relief and patient safety.
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Affiliation(s)
- Luana M. Rosendo
- Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior (CICS-UBI), 6200-506 Covilhã, Portugal;
- Laboratório de Fármaco-Toxicologia, UBIMedical, Universidade da Beira Interior, EM506, 6200-000 Covilhã, Portugal
| | - Tiago Rosado
- Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior (CICS-UBI), 6200-506 Covilhã, Portugal;
- Laboratório de Fármaco-Toxicologia, UBIMedical, Universidade da Beira Interior, EM506, 6200-000 Covilhã, Portugal
- Centro Académico Clínico das Beiras (CACB), Grupo de Problemas Relacionados com Toxicofilias, 6200-000 Covilhã, Portugal
| | - Thomas Zandonai
- Pharmacogenetic Unit, Clinical Pharmacology Department, Alicante Institute for Health and Biomedical Research (ISABIAL), Dr. Balmis General University Hospital, 03010 Alicante, Spain; (T.Z.); (K.R.); (A.M.P.)
- Addiction Science Lab, Department of Psychology and Cognitive Science, University of Trento, 38060 Trento, Italy
- Department of Pharmacology, Paediatrics and Organic Chemistry, Miguel Hernandez University of Elche, 03550 Alicante, Spain
| | - Karem Rincon
- Pharmacogenetic Unit, Clinical Pharmacology Department, Alicante Institute for Health and Biomedical Research (ISABIAL), Dr. Balmis General University Hospital, 03010 Alicante, Spain; (T.Z.); (K.R.); (A.M.P.)
- Clinical Pharmacology Unit, Department of Health of Alicante, University General Hospital Dr. Balmis, 03010 Alicante, Spain
| | - Ana M. Peiró
- Pharmacogenetic Unit, Clinical Pharmacology Department, Alicante Institute for Health and Biomedical Research (ISABIAL), Dr. Balmis General University Hospital, 03010 Alicante, Spain; (T.Z.); (K.R.); (A.M.P.)
- Department of Pharmacology, Paediatrics and Organic Chemistry, Miguel Hernandez University of Elche, 03550 Alicante, Spain
- Clinical Pharmacology Unit, Department of Health of Alicante, University General Hospital Dr. Balmis, 03010 Alicante, Spain
| | - Mário Barroso
- Serviço de Química e Toxicologia Forenses, Instituto Nacional de Medicina Legal e Ciências Forenses-Delegação do Sul, 1169-201 Lisboa, Portugal;
| | - Eugenia Gallardo
- Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior (CICS-UBI), 6200-506 Covilhã, Portugal;
- Laboratório de Fármaco-Toxicologia, UBIMedical, Universidade da Beira Interior, EM506, 6200-000 Covilhã, Portugal
- Centro Académico Clínico das Beiras (CACB), Grupo de Problemas Relacionados com Toxicofilias, 6200-000 Covilhã, Portugal
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Abdi K, Ezoddin M, Adlnasab L, Kabiri BA, Karimi MA, Behnamipour S, Alimoradi H. Effervescent tablet-assisted deep eutectic solvent based on magnetic nanofluid for liquid phase microextraction of tyrosine kinase inhibitors in plasma samples by high-performance liquid chromatography. Pharmacol Rep 2023; 75:1265-1275. [PMID: 37717246 DOI: 10.1007/s43440-023-00524-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 08/23/2023] [Accepted: 08/23/2023] [Indexed: 09/19/2023]
Abstract
BACKGROUND Tyrosine kinase inhibitors (TKIs) are efficient anti-cancer drugs. The analysis of TKIs in the treatment of cancer is important to achieve the highest anti-cancer effects with minimal toxicities. Herein, we report an efficient effervescent tablet-assisted deep eutectic solvent based on nanofluid (ETA-DES-NF) combined with HPLC-UV for the determination of three anti-cancer drugs (erlotinib, imatinib, and nilotinib) in human plasma samples. METHODS In this method, a magnetic nanofluid composed of deep eutectic solvent (DES) and Fe3O4@SiO2 nanoparticles was used as an extraction solvent. The deep eutectic solvent acted as a carrier and stabilizer for Fe3O4@SiO2 nanoparticles. A tablet was used in the nanofluid for dispersion. The effervescent tablet was implemented to generate in situ CO2 and provide the effective dispersion of the sorbent into the sample solution for diminishing the extraction time and improving the extraction efficiency. Moreover, the magnetic nanofluid enhanced phase separation efficiency without centrifugation to collect the organic solvent. RESULTS The synthesized nanofluid was characterized by Fourier transform infrared (FT-IR) spectroscopy, X-ray diffraction (XRD), energy-dispersive X-ray spectroscopy (EDX), scanning electron microscopy (SEM), and vibrating sample magnetometry (VSM). The impact of main parameters, including the type and volume of DES, the composition of the tablet, the composition of the nanofluid and the composition of eluent, were optimized. According to the optimized conditions, the limits of detection (LODs) and the limits of quantitation (LOQs) were from 0.5-0.8 to 1.5-2.4 μg L-1 for imatinib, erlotinib, and nilotinib, respectively. The intra-day and inter-day relative standard deviations (RSD% n = 5) were determined to be 3.1-5% and 6.4-7.5%, respectively. CONCLUSIONS The developed method displayed high sensitivity, low consumption of solvent, low cost, simplicity, high recoveries, short extraction time, and good repeatability for determination of three anti-cancer drugs in human plasma samples.
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Affiliation(s)
- Khosrou Abdi
- Department of Radiopharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
- Iranian National Center for Addiction Studies (INCAS), Tehran University of Medical Sciences, Tehran, Iran
| | - Maryam Ezoddin
- Department of Chemistry, Payame Noor University(PNU), P.O. BOX, Tehran, 19395-4697, Iran.
| | - Laleh Adlnasab
- Chemistry Research Group, Chemistry, and Petrochemistry Research Center, Standard Research Institute, P.O. Box, Karaj, 31745-139, Iran
| | - Bahar Aziz Kabiri
- Department of Chemistry, Payame Noor University(PNU), P.O. BOX, Tehran, 19395-4697, Iran
| | - Mohammad Ali Karimi
- Department of Chemistry, Payame Noor University(PNU), P.O. BOX, Tehran, 19395-4697, Iran
| | - Somaye Behnamipour
- Research Center of Environmental Pollutants, Qom University of Medical Sciences, Qom, Iran
| | - Houman Alimoradi
- School of Biomedical Sciences, University of Otago, Dunedin, 9054, New Zealand
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Ago KA, Kitte SA, Chirfa G, Gure A. Effervescent powder-assisted floating organic solvent-based dispersive liquid-liquid microextraction for determination of organochlorine pesticides in water by GC-MS. Heliyon 2023; 9:e12954. [PMID: 36704271 PMCID: PMC9871210 DOI: 10.1016/j.heliyon.2023.e12954] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 01/09/2023] [Accepted: 01/10/2023] [Indexed: 01/15/2023] Open
Abstract
An effervescent powder-assisted floating organic solvent-based dispersive liquid-liquid microextraction was introduced for determination of 13 organochlorine pesticides in water samples. In this method, a less toxic low-density organic solvent was used as extraction solvent. The extraction solvent was dispersed in to the aqueous sample via CO2 bubbles, in-situ generated up on addition of water to a falcon tube containing the mixture of effervescent powder precursors as well as the extraction solvent. Various experimental parameters such as effervescent and its weight fractions, extraction solvent type and its volume, the total mass of effervescent precursors, and the effect of salt were investigated and the optimal conditions were established. Under the optimum conditions, the proposed method exhibited good linearity for all target pesticides with the coefficient of determinations varying from 0.9981 to 0.9997. The limits of detection and quantification were within the range of 0.03-0.24 and 0.26-0.75 μg/L, respectively. The intra- and inter-day precisions which were expressed in terms of the relative standard deviation ranged from 0.33 to 4.47 and 0.51-5.52%, respectively. The enrichment factors and recoveries ranged from 24 to 293 and 76-116%, respectively. The proposed method could be used simple, cheap, fast, and environmentally friendly alternative for analysis of organochlorine pesticides from environmental water and other similar matrices.
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Magnetic effervescent tablet-assisted ionic liquid dispersive liquid–liquid microextraction employing the response surface method for the preconcentration of basic pharmaceutical drugs: Characterization, method development, and green profile assessment. J Mol Liq 2022. [DOI: 10.1016/j.molliq.2022.120411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Shan X, Cao C, Yang B. Analytical Approaches for the Determination of Buprenorphine, Methadone and Their Metabolites in Biological Matrices. Molecules 2022; 27:molecules27165211. [PMID: 36014451 PMCID: PMC9415157 DOI: 10.3390/molecules27165211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 08/08/2022] [Accepted: 08/08/2022] [Indexed: 11/16/2022] Open
Abstract
The abuse of buprenorphine and methadone has grown into a rising worldwide issue. After their consumption, buprenorphine, methadone and their metabolites can be found in the human organism. Due to the difficulty in the assessment of these compounds by routine drug screening, the importance of developing highly sensitive analytical approaches is undeniable. Liquid chromatography tandem mass spectrometry is the preferable technique for the determination of buprenorphine, methadone and their metabolites in biological matrices including urine, plasma, nails or oral fluids. This research aims to review a critical discussion of the latest trends for the monitoring of buprenorphine, methadone and their metabolites in various biological specimens.
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Pang B, Jiang Y. Progress in pretreatment of methadone: an update since 2015. Prep Biochem Biotechnol 2022; 53:109-119. [PMID: 35369846 DOI: 10.1080/10826068.2022.2056900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Methadone, a µ-opioid receptor agonist, is widely used in pain-relieving and treating opioid dependence. If not strictly controlled, as an opioid substitute, it can lead to abuse and cause more severe withdrawal responses than heroin. Also, overdose or abuse of this drug in clinical use may provide severe side effects such as apnea, circulatory collapse, cardiac arrest, and even death. For these reasons, simple, rapid, and efficient methods have been developed for the pretreatment of methadone. This review presents a comprehensive conclusion of the pretreatment methods used for methadone in various sample matrices, focusing on the developments since 2015. Traditionally used pretreatment methods like solid-phase extraction and liquid-liquid extraction are discussed and newly developed methods like solid-phase microextraction and liquid-liquid microextraction along with new materials applied are focused.
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Affiliation(s)
- Bo Pang
- China Medical University-The Queen's University of Belfast Joint College, China Medical University, Shen Yang, China
| | - Yinru Jiang
- China Medical University-The Queen's University of Belfast Joint College, China Medical University, Shen Yang, China
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Development of in-situ produced CO2 switchable fatty acid microextraction based solidification of floating organic droplet for quantification of morin and quercetin in tea, vegetable and fruit juice samples by HPLC. Microchem J 2022. [DOI: 10.1016/j.microc.2022.107197] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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Yakupova ZR, Lebedinets SA, Vakh KS, Garmonov SY, Bulatov AV. Microextraction of 17-β-Estradiol from Medicinal Preparations for the Subsequent Determination by HPLC-UV. JOURNAL OF ANALYTICAL CHEMISTRY 2022. [DOI: 10.1134/s1061934822010154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Rajendran S, Loh SH, Ariffin MM, Khalik WMAWM. CO2-Effervescence in Liquid Phase Microextraction for the Determination of Micropollutants in Environmental Water: a Review. JOURNAL OF ANALYTICAL CHEMISTRY 2021. [DOI: 10.1134/s1061934821120091] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Shan X, Zhang L, Yang B. Review of LC techniques for determination of methadone and its metabolite in the biological samples. Prep Biochem Biotechnol 2021; 51:953-960. [PMID: 34365899 DOI: 10.1080/10826068.2021.1952598] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Methadone (MTD) is a synthetic analgesic drug used for treating opioid dependence and effectively used clinically for patients with severe pain. The abuse of MTD may lead to poisoning, disorder in the central nervous system and even death. The regular monitoring of MTD in biological matrices including serum, plasma and urine samples is an effective way to control abuse of MTD. In this manner, the selection of analytical monitoring of MTD in biological matrices is of paramount importance. This study was conducted to review high-performance liquid chromatography (HPLC) techniques carried out on MTD and its main metabolite 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) in the biological samples during 2015-June 2021.
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Affiliation(s)
- Xiaoyue Shan
- Hangzhou Occupational Disease Prevention and Control Hospital, Hangzhou, China
| | - Lei Zhang
- Hangzhou Occupational Disease Prevention and Control Hospital, Hangzhou, China
| | - Bingsheng Yang
- Hangzhou Occupational Disease Prevention and Control Hospital, Hangzhou, China
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An Effervescence-assisted Centrifuge-less Dispersive Liquid-Phase Microextraction Based on Solidification of Switchable Hydrophilicity Solvents for Detection of Alkylphenols in Drinks. CHINESE JOURNAL OF ANALYTICAL CHEMISTRY 2021. [DOI: 10.1016/s1872-2040(21)60100-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Assadi F, Afshar Mogaddam MR, Farajzadeh MA, Shayanfar A, Nemati M. Development of derivatization/air‐assisted liquid‐liquid microextraction procedure for analyzing short‐chain fatty acids; assessment of the analytes in fruit juice samples. SEPARATION SCIENCE PLUS 2021. [DOI: 10.1002/sscp.202000057] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Fatemeh Assadi
- Food and Drug Safety Research Tabriz University of Medical Sciences Tabriz Iran
| | - Mohammad Reza Afshar Mogaddam
- Food and Drug Safety Research Tabriz University of Medical Sciences Tabriz Iran
- Pharmaceutical Analysis Research Center Tabriz University of Medical Sciences Tabriz Iran
| | - Mir Ali Farajzadeh
- Department of Analytical Chemistry Faculty of Chemistry University of Tabriz Tabriz Iran
- Engineering Faculty Near East University North Cyprus Turkey
| | - Ali Shayanfar
- Pharmaceutical Analysis Research Center Tabriz University of Medical Sciences Tabriz Iran
| | - Mahboob Nemati
- Food and Drug Safety Research Tabriz University of Medical Sciences Tabriz Iran
- Drug Applied Research Center Tabriz University of Medical Sciences Tabriz Iran
- Halal Research Center Ministry of Health and Medical Education Tehran Iran
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Abedi H. Solid-phase microextraction of methadone by using a chitosan nanocomposite incorporated with Polyoxomolibdate nanocluster/Graphene oxide. J Sep Sci 2021; 44:1969-1977. [PMID: 33594820 DOI: 10.1002/jssc.202100095] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 02/13/2021] [Indexed: 12/19/2022]
Abstract
In the present study, we report on the simple sol-gel preparation of a nanocomposite composed of chitosan/ polyoxometalate /graphene oxide, and its application in the headspace solid-phase microextraction combined with the ion mobility spectrometry for the analysis of methadone in biological matrices. The developed nanocomposite was characterized through the infrared spectroscopy and thermogravimetric analyses. The ternary nanocomposite coating offers good mechanical and thermal stability and high extraction efficiency thanks to its large specific surface. A central composite statistical design was used to study the main variables affecting the extraction efficiency. Afterward, to study the relationship between different input and output variables as well as to identify the optimal operating conditions, response surface methodology was used, whereby a second-order polynomial equation was fit to the experimental data. The optimized extraction conditions were as follows: temperature, 70°C; extraction time, 15 min; and concentration of NaCl, 5%w/v. The detection limit of 0.12 ng/mL was obtained at the optimized extraction conditions, and the calibration plot was linear in the concentration range of 0.30-200 ng/mL. With relatively low limit of detection and good precisions, the proposed method has the potential for the extraction and determination of methadone in biological samples.
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Affiliation(s)
- Hamid Abedi
- Department of Police Equipment and Technologies, Police Sciences and Social Studies Institute, Tehran, Iran
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Wu L, Li Z. Continuous‐flow microwave‐assisted extraction coupled with online single drop microextraction prior to GC‐MS for determination of amide herbicides in rice samples. J Sep Sci 2021; 44:870-878. [DOI: 10.1002/jssc.202001092] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 12/02/2020] [Accepted: 12/06/2020] [Indexed: 12/20/2022]
Affiliation(s)
- Lijie Wu
- College of Chinese Materia Medica Tianjin University of Traditional Chinese Medicine Jinghai District Tianjin P. R. China
| | - Zhanchao Li
- College of Food Science and Technology Henan Agricultural University Zhengzhou P. R. China
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Lasarte-Aragonés G, Lucena R, Cárdenas S. Effervescence-Assisted Microextraction-One Decade of Developments. Molecules 2020; 25:molecules25246053. [PMID: 33371453 PMCID: PMC7767422 DOI: 10.3390/molecules25246053] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 12/16/2020] [Accepted: 12/17/2020] [Indexed: 11/16/2022] Open
Abstract
Dispersive microextraction techniques are key in the analytical sample treatment context as they combine a favored thermodynamics and kinetics isolation of the target analytes from the sample matrix. The dispersion of the extractant in the form of tiny particles or drops, depending on the technique, into the sample enlarges the contact surface area between phases, thus enhancing the mass transference. This dispersion can be achieved by applying external energy sources, the use of chemicals, or the combination of both strategies. Effervescence-assisted microextraction emerged in 2011 as a new alternative in this context. The technique uses in situ-generated carbon dioxide as the disperser, and it has been successfully applied in the solid-phase and liquid-phase microextraction fields. This minireview explains the main fundamentals of the technique, its potential and the main developments reported.
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