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4

LC/MS/MS Research Method for 14 Antidepressants Utilizing Dried Blood Spots

mode and equipped with a Thermo

50 mm cleanup column and a

o Scientific™

Accucore

aQ analytical

s a TSQ Endura triple quadrupole mass

ionization (HESI-II) probe in positive

software version 3.1 was used for

flow path is found in Figure 3.

m formate, 0.05% formic acid in water;

rmic acid in methanol; and (C)

e. The LC method is shown in Table 1.

alifier selected-reaction monitoring

The method range for all the analytes

Add200µL of IS inmethanol

Vortex for20 minutes

ter

Placepunchedhole into96wellplate

ried blood spot for LC/MS

nalytic separation flow path

TABLE 2. SRM transitions

Step Start

Sec

Flow

%A

%B

%C

Tee

Loo

p

Flow Grad

%A

%B

1

0.00

40

1.5

100.0

-

-

====

out

0.50

100

-

2

0.67

65

0.20

-

100

-

T

in

0.50

100

-

3

1.75

5

0.20

-

100

-

====

in

0.50

40

60

4

1.83

120

1.20

-

-

100

====

out

0.50

25

75

5

3.83

30

1.10

-

-

100

====

out

0.50

-

100

6

4.33

60

1.50

100

-

-

====

out

0.50

100

-

Analyte

Precurs

or Ion

(Q1)

Product Ions

(Q3)

Collision

Energy

S-lens

Amitriptyline

278.1

233.2

15

61

191.1

15

61

Doxepin

280.2

235.0

26

61

Imipramine

281.0

86.3

25

88

208.0

25

88

Fluvoxamine

319.1

200.0

19

70

228.0

19

70

Clomipramine

314.9

86.2

20

55

242.1

20

55

Fluoxetine

310.1

117.1

10

83

148.0

10

83

Paroxetine

330.1

192.0

28

94

151.0

28

94

Citalopram

325.1

109.1

25

120

262.0

25

120

Nortiptyline

264.1

233.0

20

50

191.0

20

50

Desipramine

267.1

208.1

20

48

236.1

20

48

Venlafaxine

278.2

147.1

15

61

121.1

15

61

Sertraline

306.0

275.0

13

80

158.9

13

80

Duloxetine

298.0

154.0

8

55

-

Bupropion

241.0

167.0

15

61

185.0

15

61

Amitriptyline-d

3

281.1

233.2

24

90

Doxepin-d

3

283.2

235.1

24

106

Fluoxetine-d

6

316.1

154.0

16

79

Paroxetine-d

6

336.1

198.1

20

125

Nortiptyline-d

3

267.1

233.1

18

97

Sertraline-d

3

309.0

275.0

12

69

TABLE 1. LC method parameters

Results

One day of accuracy and precision measu

each of the following analytes: amitriptyli

clomipramine, fluoxetine, paroxetine, cita

sertraline, duloxeine, and bupropion. The

were tested from 10

750 ng/mL for each

Table 3. The assay precision had RSD val

tested; LOQ compounds had values less t

the theoretical value for all assays. The co

ranged from 0.9900 to 0.9950, showing li

All analytes passed carryover, recovery, a

autosampler stability criteria. Recoveries

Example SRM chromatograms at the LO

calibration curves are shown in Figure 5.

TABLE 3. Quality control accuracy

Analyte

Expected

Conc

Amitriptylin

Doxepin

Impiramine

Fluvoxamine

Clomipramine

Level

Low

20

AVG

17.6

18.0

19.9

19.6

19.3

%RSD

12.25

10.25

0.20

2.00

3.70

Mid

110

AVG

113

98

115

125

116

%RSD

3.14

11.18

4.29

8.87

5.82

High

380

AVG

399

336

409

423

411

%RSD

4.95

11.36

7.58

11.26

8.05

FIGURE 4. Representative chromat

0

250

500

0

1

2

3

0

300

600

0

1

0

250

500

750

0

1

2

3

0

500

1000

0

1

2

3

0

1000

2000

0

0

1500

3000

0

1

2

3

0

500

1000

1500

0

Amitriptylin

Fluvoxamine

Paroxetine

Desipramine

Duloxetine

0

400

800

0

1

0

200

400

0

1

2

3

0

600

1200

0