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Published:
Journal of Analytical Toxicology,
ISSN 0146-4760,
Volume 25,
Number 4, May/June 2001, pp. 258-269
Here is where the title stuff goes
Profiles
of Urine Samples Taken from Ecstasy Users at Rave Parties: Analysis by Immunoassays,
HPLC, and GCMS0
Huiru Zhao1, Rudolf Brenneisen2, Andre Scholer3, A.J. McNally1, Mahmoud
A. ElSohly4, Timothy P. Murphy4, and Salvatore J. Salamone1
1 Roche Diagnostics Corporation, 9115 Hague Road, Indianapolis, Indiana 46250;
2 University of Bern, Department of Clinical Research, CH-3010 Bern, Switzerland;
3 Cantonal Hospital Basel, CH-4031 Basel, Switzerland; and
4 ElSohly Laboratories, Inc., 5 Industrial Park Drive, Oxford, Mississippi 38655
The abuse of the designer amphetamines such as 3,4-methylenedioxymethamphetamine
(MDMA, Ecstasy) is increasing throughout the world. They have become popular
drugs, especially at all-night techno dance parties (Raves), and their detection
is becoming an important issue. Presently, there are no MDMA- or MDA-specific
immunoassays on the market, and detection of the designer amphetamines is dependent
upon the use of commercially available amphetamine assays. The success of this
approach has been difficult to assess because of the general unavailability
of significant numbers of samples from known drug users. The objectives of the
present study are to characterize the drug content of urine samples from admitted
Ecstasy users by chromatographic methods and to assess the ability of the available
amphetamine/methamphetamine immunoassays to detect methylenedioxyamphetamines.We
found that, when analyzed by high-performance liquid chromatography with diode-array
detection (HPLCDAD), 64% of 70 urine samples (by gas chromatographymass
spectrometry [GCMS]: 88% of 64 urine samples) obtained from Rave attendees
contained MDMA and/or 3,4-methylenedioxyamphetamine (MDA) alone or in combination
with amphetamine, methamphetamine, or other designer amphetamines such as 3,4-methylenedioxyethylamphetamine
(MDEA). This suggests that the majority of the Ravers are multi-drug users.
At the manufacturers suggested cutoffs, the Abbott TDx Amphetamine/Methamphetamine
II and the new Roche HS Amphetamine/MDMA assays demonstrated greater detection
sensitivity for MDMA than the other amphetamine immunoassays tested (Abuscreen
OnLine Hitachi AMPS, Abuscreen OnLine Integra AMPS, Abuscreen OnLine Integra
AMPSX, CEDIA AMPS, and EMIT II AMPS). There is 100% agreement between each of
the two immunoassays with the reference chromatographic methods, HPLCDAD
and GCMS, for the detection of methylenedioxyamphetamines.
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