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Published:
Journal of Analytical Toxicology,
ISSN 0146-4760,
Volume 32, Number 3, April,
pp.227-231
Development
and Clinical Application of an LC–MS–MS Method for
Mescaline in Urine
Kristian Björnstad1,
Anders Helander1, and Olof Beck2,
Departments of 1Clinical Neuroscience and 2Medicine, Karolinska
Institute and Karolinska University Hospital, Stockholm, Sweden
Mescaline (3,4,5-trimethoxyphenylethylamine) is
an hallucinogenic psychoactive substance present in several species
of cacti. Mescaline has a documented use dating back 5700 years.
In more recent years, the interest in hallucinogenic designer
drugs such as ecstasy has also triggered interest in the naturally
occurring mescaline. This study was undertaken to develop a liquid
chromatography–tandem mass spectrometry (LC–MS–MS)
method for the screening and confirmation of mescaline in human
urine samples and to apply this method to routine testing in
patient samples. For the screening procedure, chromatographic
separation was achieved on a 5-µm HyPURITY C18 column,
using a methanol gradient in ammonium acetate buffer. The MS–MS
analysis was performed using selected reaction monitoring; the
transitions monitored were m/z 212.3 → m/z 180.3
for mescaline and m/z 221.3 → m/z 186.3
for the deuterated internal standard (mescaline-d9).
The detection limit for mescaline in urine matrix was 3–5 µg/L,
the upper limit of quantification was 10,000 µg/L, and
the total coefficient of variation for spiked samples containing
10 to 1025 µg/L was < 8.5%.
The confirmation procedure included a sample clean-up by solid-phase
extraction on a C18 cartridge, and one extra transition
for mescaline (m/z 212.3 → m/z 195.2)
was monitored. The LC–MS–MS
method was found to be sensitive and specific for the routine
detection of mescaline in urine. Among 462 urine samples collected
from young people with alcohol or drug problems, 32% were positive
for illicit drugs, but none for mescaline.
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