Molecular Dx Significance 5/10

LC-MS/MS method enables simultaneous quantification of zolpidem, zopiclone and metabolites in urine

Investigators developed and validated an LC-MS/MS method coupled with dispersive liquid-liquid microextraction for the simultaneous quantification of zolpidem, zopiclone, and 18 metabolites in human urine. The assay satisfied ICH validation parameters, demonstrating linearity (R² > 0.999), accuracy between 96.29% and 99.56%, and precision with RSD ≤ 3.12%. Pharmacokinetic evaluation in five healthy volunteers revealed that hydroxylated and carboxylated metabolites peaked at 2 to 12 hours and remained detectable for up to 84 hours. The method offers a solvent-efficient, sensitive screening platform for retrospective z-drug exposure in clinical and forensic toxicology laboratories.

The original study

LC-MS/MS Method for Simultaneous Quantification of Zolpidem, Zopiclone, and Their Metabolites in Human Urine and Its Pharmacokinetic Application.

Authors
Chauhan V, Sharma M, Taha M, Kumar M, Srivastava S, Shahzad N, et al.
Journal
Biomedical chromatography : BMC
Type
Journal Article
PMID
42714029
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Original abstract

Zolpidem (Z1) and zopiclone (Z2) are widely prescribed for insomnia; but their misuse in drug-facilitated crimes presents significant forensic and clinical challenges. This study aimed to develop and validate a simple and sensitive LC-MS/MS method, coupled with dispersive liquid-liquid microextraction (DLLME), for the simultaneous determination of Z1, Z2, and 18 phase I and phase II metabolites (20 species) in human urine. DLLME employed 1 mL of dichloromethane as extractant and 2 mL of acetonitrile as disperser per 2 mL of urine, reducing halogenated-solvent use compared with conventional liquid-liquid extraction. Chromatographic separation was achieved on a HyPURITY C18 column with water-acetonitrile (70:30, v/v) containing 0.2% formic acid. Z1 and Z2 were validated according to ICH guidelines over 0.1-200 ng/mL, showing linearity (R2 > 0.999), accuracy (96.29%-99.56%), precision (RSD ≤ 3.12%), and recovery (96.12%-98.74%). Because authentic metabolite standards were unavailable, metabolite concentrations were estimated using parent-drug calibration curves and are considered semi-quantitative. In five healthy volunteers, hydroxylated and carboxylated metabolites peaked at 2-12 h and remained detectable up to 84 h. These findings support the method's potential for retrospective urinary screening of Z-drug exposure in forensic and clinical toxicology.