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Published:
Journal of Analytical Toxicology,
ISSN 0146-4760,
Volume 24,
Number 4, May/June 2000, pp.300-304
Quetiapine (Seroquel®)
Concentrations in Seven Postmortem Cases
Quetiapine
is a new antipsychotic drug that has been available in the United States since
September 1997. It belongs to a new chemical class of drugs called the dibenzothiazepine
derivatives and is easily detected with a basic drug screen. The Los Angeles
County Department of Coroner Toxicology Laboratory has encountered quetiapine
in seven postmortem cases. Tissue distributions were determined in each of the
seven cases. The analysis of quetiapine from postmortem specimens consisted
of an n-butylchloride basic extraction with presumptive identification and quantitation
on a gas chromatographnitrogen-phosphorus detector. Linearity was achieved
from 0.10 to 3.0 mg/L with a limit of quantitation of 0.10 mg/L. Confirmation
of quetiapine was performed on a gas chromatographmass spectrometer by
comparison with a pure analytical standard. The tissue distribution of quetiapine
was as follows: heart blood present, but less than (+<) 0.1049 mg/L
(seven cases); femoral blood +< 0.101.4 mg/L (five cases); liver +<
0.10112 mg/kg (five cases); spleen 4.0 mg/kg (one case); urine 03.0
mg/L (two cases); bile 0.607.5 mg/L (three cases); and gastric contents
+< 0.0118 mg total (five cases). To our knowledge, this is the first
report of the presence of quetiapine in postmortem specimens.Daniel
T. Anderson and Kristina L. Fritz
Los Angeles County Department of Coroner, 1104 North Mission Road, Los Angeles,
California 90033 Reproduction
of editorial content of this journal is prohibited without publishers
permission.
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