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ABSTRACT: The accurate determination of prilocaine HCl levels in plasma is important in both clinical and pharmacological/
toxicological studies. Prilocaine HCl is quickly hydrolyzed to o-toluidine, causing methemoglobinemia. For this, the present work
describes the methodology and validation of a GC-MS assay for determination of prilocaine HCl with lidocaine HCl as internal
standard in plasma. The validation parameters of linearity, precision, accuracy, recovery, specificity, limit of detection and limit of
quantification were studied. The range of quantification for the GC-MS was 20–250 ng/mL in plasma. Within-day and between-
day precision, expressed as the relative standard deviation (RSD) were less than 6.0%, and accuracy (relative error) was better
than 9.0% (n = 6). The analytical recovery of prilocaine HCl and IS from plasma has averaged 94.79 and 96.8%, respectively.
LOQ and LOD values for plasma were found to be 20 and 10 ng/mL, respectively. The GC-MS method can be used for determi-
nation from plasma of prilocaine HCl in routine measurement as well as in pharmacokinetic studies for clinical use. Copyright ©
2007 John Wiley & Sons, Ltd.
INTRODUCTION
Copyright © 2007 John Wiley & Sons, Ltd. Biomed. Chromatogr. 21: 1077–1082 (2007)
DOI: 10.1002/bmc
1078 ORIGINAL RESEARCH Y. Kadioglu and A. Atila
An LC-MS-MS method for the simultaneous determi- 3 µL. The injector and detector temperatures were 280°C. The
nation of the local anesthetics bupivacine, mepivacine, oven temperature programs were: initial temperature 90°C,
prilocaine and ropivacine in human serum has been re- ramped at 10°C/min to a final temperature of 200°C and held
ported (Koehler et al., 2005). Also, a stability-indicating at this final temperature for 7 min. The MS detector para-
meters were: transfer line temperature 280°C; solvent delay
RP-HPLC method for determination of several procaine
3 min; electron energy 70 eV; the MS was run in electron
hydrochloride and prilocaine hydrochloride combina-
impact mode with selected ion monitoring (SIM) for quantita-
tions has been reported (Storms and Stewart, 2002). tive analysis [m/z 81 for both prilocaine HCl and internal
Watanabe et al. (1998) have analyzed five local anes- standard (lidocaine HCl)].
thetics (lidocaine, dibucaine, mepivacaine, prilocaine
and bupivacaine) in human blood with headspace solid- Preparations of stock and standard working solutions.
phase microextraction (HS-SPME) and gas chromato- Separate stock solution of prilocaine HCl and internal stand-
graphy–mass spectrometry–electron impact ionization ard were prepared at a concentration of 100 µg/mL in metha-
selected ion monitoring (GC-MS-EI-SIM) methods. nol and stored at −20°C when not in use. Prilocaine HCl
The determination of the binary mixture of prilocaine working solutions were daily prepared from stock solution up
and lidocaine in plasma, serum and pharmaceutical for- to final concentrations of 20, 50, 100, 150, 200 and 250 ng/mL.
mulations has been done with HPLC (Adams et al., Internal standard working solution was prepared at the final
concentration of 500 ng/mL.
1989; Klein et al., 1994; Taddio et al., 1997; Wieberg
and Jacobbssen, 2004; Wiberg et al., 2004) and a se- Preparation of plasma samples. The plasma samples were
quential injection chromatography method with a Franz stored at −20°C and allowed to thaw at room temperature
cell (Klimundova et al., 2006). Both drugs served as before processing. A suitable amount of working solution of
internal standards for each other. Several studies with prilocaine HCl to a final concentrations from 20 to 250 ng/mL
GC methods have been reported for determination of and 0.2 mL of working solutions of IS was spiked in 0.5 mL of
local anesthetics in biological samples (Keenaghan, blank plasma and then extracted with liquid–liquid extraction
1967; Cameron, 1974; Asada, 1979; Prat and Brugerolle, method. The concentrations of the plasma standards (prilo-
1986; Bjork et al., 1990). Prilocaine HCl has been caine HCl–IS mixtures) at respective points on the concentra-
generally analyzed by combinations of several of local tion graphs produced for plasma were 20, 50, 100, 150, 200
anesthetic substances in biological materials. Therefore, and 250 ng/mL prilocaine HCl together with 100 ng/mL IS at
each calibration level.
the purpose of this study was to develop and validate
a new GC-MS method for the determination of prilo- Quality control samples. Quality control (QC) samples
caine HCl with a simple sample preparation without were prepared by adding aliquots of standard working solu-
derivatization in human plasma. The GC-MS method tion of prilocaine HCl to a final concentrations of 40, 120 and
has the advantage of specificity, simplicity, reproducibil- 220 ng/mL, 0.2 mL of IS (100 ng/mL) and 0.5 mL of plasma
ity and a wide range of linearity. blank. The QC was prepared, spiked in plasma and extracted
following the procedure described below. These samples were
used in the analysis of plasma samples as quality controls for
EXPERIMENTAL the purpose of checking recovery of analyte in the daily
analyses of plasma samples.
Reagents and chemicals. Prilocaine HCl reference standard
and lidocaine HCl as internal standard (IS) was kindly sup- Sample extraction. Prilocaine HCl was extracted from
plied by Novagenix Company and by the Turkish Doping plasma by developed liquid–liquid extraction. In 10 mL six
Control Center. The purity of these substances was checked clean tubes were placed in 0.5 mL of plasma. Suitable
by standard methods (melting point, infrared and NMR spec- amounts of prilocaine HCl (20, 50, 100, 150, 200 and 250 ng/
tra) and no impurities were found. The high-purity grade mL) and 0.2 mL IS were then spiked into the plasma. The
methanol and all other reagents were purchased from Merck solutions were alkalinized by shaking on a vortex mixer,
(Germany) and were used without further purification. All followed by addition of 1 mL of 1 M NaOH. A 5 mL aliquot
gases were supplied by Havas (Ankara, Turkey). All solutions of diethylether solvent was added to the mixture, vortexed
were prepared daily. for 5 min and then centrifuged at 4000g for 8 min. The or-
ganic layer was transferred into another tube and evaporated
Equipment. The GC/MS system Agilent 6890 series II gas to dryness at room temperature under nitrogen gas. The resi-
chromatograph, with an Agilent 7673 Autosampler, electronic due was reconstituted with 100 µL methanol and vortexed for
pressure control, an Agilent 7673 Autosampler and an Agilent 30 s. A 3 µL aliquot was injected onto the GC-MS system.
5972 series mass selective detector with electronic impact was
used. GC operating conditions were as follows: 5% methyl Method validation. The validation of the method was carried
phenyl silicone ultra 2 capillary column (12.5 m long, 0.2 mm out by establishing specifity, linearity, recovery values, limits
internal diameter and 0.33 µm film thickness, Hewlett Packard, of detection (LOD), limit of quantification, within- and
Waldbronn, Germany); the split mode (10:1) was used with between-day precision and accuracy according to Interna-
helium carrier gas and the flow rate of carrier gas was kept tional Conference on Harmonization guidelines for validation
constant during runs at 1.6 mL/min. The injector volume was of analytical procedures (ICH, 1996).
Copyright © 2007 John Wiley & Sons, Ltd. Biomed. Chromatogr. 21: 1077–1082 (2007)
DOI: 10.1002/bmc
GC-MS method for determination of prilocaine HCl in human plasma ORIGINAL RESEARCH 1079
Figure 4. GC-MS chromatograms of prilocaine HCl with lidocaine HCl as internal standard in
extracted plasma samples.
Copyright © 2007 John Wiley & Sons, Ltd. Biomed. Chromatogr. 21: 1077–1082 (2007)
DOI: 10.1002/bmc
1080 ORIGINAL RESEARCH Y. Kadioglu and A. Atila
Based on six calibration curves. LR, linear regression equation; Sa, standard deviation of intercept of regression line; Sb, standard
deviation of slope of regression line; r, correlation coefficient.
Table 2. Precision and accuracy of prilocaine HCl from six independent sets of spikes plasma samples
Within-day Between-day
Added Found ± SD Precision, Accuracy Found ± SD Precision, Accuracy
(ng/mL) (n = 6) %RSD (%) (n = 6) %RSD (%)
Plasma poolsa
40 38.7 ± 1.5 3.87 −3.25 36.4 ± 2.1 5.77 −9.00
120 115.9 ± 2.2 1.90 −3.42 113.5 ± 2.7 2.38 −5.42
220 214.7 ± 2.5 1.16 −2.41 210.5 ± 3.8 1.81 −4.32
SD, standard deviation of six replicate determinations; RSD, relative standard deviation.
a
Plasma volume, 0.5 mL.
Accuracy = %relative error = (found − added/added)100.
Copyright © 2007 John Wiley & Sons, Ltd. Biomed. Chromatogr. 21: 1077–1082 (2007)
DOI: 10.1002/bmc
GC-MS method for determination of prilocaine HCl in human plasma ORIGINAL RESEARCH 1081
Table 3. Accuracy and recovery data of prilocaine HCl which were obtained from
assay for added concentrations (n = 6)
25.8 mg phosphorus, 10 mg Fe, 50 mg Ca, 36.2 mg Mg, derivatization in human plasma. A liquid–liquid extrac-
0.5 mg Mn, 1 mg Cu, 0.5 mg Zn and 0.1 mg Mo), we tion method developed from drug-spiked plasma
spiked solutions of these drugs (100 ng/mL) together samples of prilocaine HCl was used. Under the used
with 100 ng/mL prilocaine HCl solution in plasma, conditions one single peak was present in the GC
mixed and then extracted them. The peak areas of the chromatogram identified on the basis of two character-
extracted sample solutions were measured. The toler- istic ions at m/z 86 (base ion) and 107, shown in the
ance was defined as the concentration of the added mass spectrum. This procedure was simple. Only a
substance causing a relative error less than 3%. In the small sample volume of 0.5 mL plasma was necessary
case of solutions of these drugs we did not notice any to achieve a limit of quantification of 20 ng/mL. The
interference. proposed method can be conveniently used for the rou-
tine measurements of prilocaine HCl in plasma samples
and quality control laboratories, where economy and
DISCUSSION time are essential.
Copyright © 2007 John Wiley & Sons, Ltd. Biomed. Chromatogr. 21: 1077–1082 (2007)
DOI: 10.1002/bmc
1082 ORIGINAL RESEARCH Y. Kadioglu and A. Atila
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Copyright © 2007 John Wiley & Sons, Ltd. Biomed. Chromatogr. 21: 1077–1082 (2007)
DOI: 10.1002/bmc