Development of a Validated Liquid Chromatography Method for the Simultaneous Determination of Ethinyl Estradiol, Cyproterone Acetate, and Norgestrel in Breast Milk Following Solid‐Phase Extraction

Drugs in Human Milk Part 1: Practical and Analytical Considerations in Measuring Drugs and Metabolites in Human Milk

Human milk is a remarkable biofluid that provides essential nutrients and immune protection to newborns. Breastfeeding women consuming medications could pass the drug through their milk to neonates. Drugs can be transferred to human milk by passive diffusion or active transport. The physicochemical properties of the drug largely impact the extent of drug transfer into human milk. A comprehensive understanding of the physiology of human milk formation, composition of milk, mechanisms of drug transfer, and factors influencing drug transfer into human milk is critical for appropriate selection and use of medications in lactating women. Quantification of drugs in the milk is essential for assessing the safety of pharmacotherapy during lactation. This can be achieved by developing specific, sensitive, and reproducible analytical methods using techniques such as liquid chromatography coupled with mass spectrometry. The present review briefly discusses the physiology of human milk formation, composition of human milk, mechanisms of drug transfer into human milk, and factors influencing transfer of drugs from blood to milk. We further expand upon and critically evaluate the existing analytical approaches/assays used for the quantification of drugs in human milk.

A new approach of magnetic field application in miniaturized pipette-tip extraction for trace analysis of four synthetic hormones in breast milk samples

Herein, a novel homemade electrical device was designed, including two pieces of external neodymium magnets, providing a reciprocating magnetic field to introduce a magnetic-assisted dispersive pipette-tip micro solid-phase extraction. To evaluate the performance efficiency of the proposed method, a novel magnetic calcined GO/SiO₂@Co-Fe nanocube sorbent was synthesized, filled into the pipette-tip, exposed to the reciprocating magnetic field, and applied for the preconcentration of some hormone therapy drugs in human biological matrices. The effective adsorption and desorption parameters were optimized using a rotatable central composite design and one-variable-at-a-time approaches. Under the optimized conditions, the target analytes' detection limits were found to be below 0.02 ng mL^-1. Moreover, the calibration curves were linear in the range of 0.03-500.00 ng mL^-1 (R² > 0.9966), with RSDs% less than 7.8 %. Eventually, the established method was applied to extract the analytes from breast milk samples, followed by LC-ESI-MS/MS analysis.

Application of ZIF-8–graphene oxide sponge to a solid phase extraction method for the analysis of sex hormones in milk and milk products by high-performance liquid chromatography

A zeolitic imidazolate framework-8 (ZIF-8) incorporating a graphene oxide sponge (GOS) nanocomposite (ZIF-8–GOS) was synthesized successfully by a simple one-pot preparation method.

Reproductive drugs and environmental contamination: quantum, impact assessment and control strategies

Industrial and municipal solid wastes, noise, pesticides, fertilizers and vehicular emission are visible pollutants responsible for environmental contamination and ill-effects on health of all living systems. But, environmental contamination due to drugs or medicines used for different purposes in humans and animals goes unseen largely and can affect the health of living system severely. During the last few decades, the usage of drugs has increased drastically, resulting in increased drug load in soil and water. Contraceptive and fertility drugs are extensively and effectively used in humans as well as animals for different purposes. Usage of these reproductive drugs in humans is increased manifold to manage reproductive problems and/or for birth control with changing lifestyles. These drugs are excreted in urine and faeces as metabolite or conjugated forms, leading to contamination of water, milk and animal produce, which are consumed directly by humans as well as animals. These drugs are not eliminated even by water treatment plant. Consumption of such contaminated water, milk, meat and poultry products results in reproductive disorders such as fertility loss in men and increase risk of different types of cancers in humans. Therefore, assessment of impact of environmental contamination by these drugs on living system is of paramount importance. The purpose of this review article is to provide a comprehensive analysis of various research and review reports on different contraceptive and fertility drugs used in human and animals, their occurrence in the environment and their ill-effects on living systems. The approaches to control this invisible menace have also been proposed.

Bioanalytical challenge: A review of environmental and pharmaceuticals contaminants in human milk

An overview of bioanalytical methods for the determination of environmental and pharmaceutical contaminants in human milk is presented. The exposure of children to these contaminants through lactation has been widely investigated. The human milk contains diverse proteins, lipids, and carbohydrates and the concentration of these components is drastically altered during the lactation period providing a high degree of an analytical challenge. Sample collection and pretreatment are still considered the Achilles' heel. This review presents liquid chromatographic methods developed in the last 10 years for this complex matrix with focuses in the extraction and quantification steps. Green sample preparation protocols have been emphasized.