Literature DB >> 20138857

Therapeutic drug monitoring of topiramate by liquid chromatography-tandem mass spectrometry.

Kamal M Matar1.   

Abstract

BACKGROUND: Topiramate (TPM) is a new antiepileptic drug (AED) used worldwide in patients with various types of epilepsies and also for prophylaxis of migraine. A rapid, selective, reliable, precise, accurate, and reproducible tandem mass spectrometric (MS/MS) method for quantification of TPM in human plasma using topiramate-d12 as an internal standard (IS) has been developed and validated to be used routinely for TDM of TPM.
METHODS: The drug and IS were extracted by ether and analyzed on Symmetry C18 column. Quantitation was achieved using ESI-interface employing MRM mode.
RESULTS: The method was validated over the concentration range of 0.5-30 microg/ml (r>0.99). Intra- and inter-run precisions of TPM assay at three concentrations ranged from 0.7 to 7.8% with accuracy (bias) varied from -10.0 to 2.1% indicating good precision and accuracy. Analytical recoveries of TPM and IS from spiked human plasma were in the range of 84.1 to 90.0% and 90.0 to 111.0%, respectively. Stability of TPM in human plasma samples at different conditions showed that the drug was stable under the studied conditions. Matrix effect study showed a lack of matrix effect on mass ions of TPM and IS.
CONCLUSION: The described method compared well when assessed by Heathcontrol TDM theme program (r>0.99). The suitability of the developed method for TDM was demonstrated by measuring TPM in human plasma samples of epileptic patients treated with TPM. The proposed method is appropriate for routine TDM of TPM. Copyright 2010 Elsevier B.V. All rights reserved.

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Year:  2010        PMID: 20138857     DOI: 10.1016/j.cca.2010.02.003

Source DB:  PubMed          Journal:  Clin Chim Acta        ISSN: 0009-8981            Impact factor:   3.786


  3 in total

1.  A sensitive capillary GC-MS method for analysis of topiramate from plasma obtained from single-dose studies.

Authors:  Jeannine M Conway; Angela K Birnbaum; Susan E Marino; James C Cloyd; Rory P Remmel
Journal:  Biomed Chromatogr       Date:  2012-01-04       Impact factor: 1.902

2.  Probable topiramate-induced diarrhea in a 2-month-old breast-fed child - A case report.

Authors:  Tone Westergren; Knut Hjelmeland; Bjørg Kristoffersen; Svein Ivar Johannessen; Betty Kalikstad
Journal:  Epilepsy Behav Case Rep       Date:  2014-01-20

3.  Effect of experimentally induced hepatic and renal failure on the pharmacokinetics of topiramate in rats.

Authors:  Kamal M Matar; Yasin I Tayem
Journal:  Biomed Res Int       Date:  2014-06-09       Impact factor: 3.411

  3 in total

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