Summary
Of the existing techniques, HPLC analysis of pentamidine allows for the most sensitive and rapid screening of clinical samples. However, it is important to test several extraction and chromatographic procedures to determine which system works consistently well for the particular samples being routinely analysed. Importantly, pentamidine is metabolised in rats and may be metabolised in humans, so an HPLC assay should separate pentamidine and its metabolites adequately. Capillary zone electrophoresis shows promise as a technique that may surpass HPLC for analysing pentamidine, but remains, at this point, unsuitable for routine work due to insufficient validation.
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References
Berger BJ, Hall JE, Tidwell RR. A high performance liquid chromatographic method for the quantification of several diamidine compounds with potential chemotherapeutic value. Journal of Chromatography 494: 191–200, 1989
Berger BJ, Lombardy RJ, Marbury GD, Bell CA, Dykstra CC, et al. Metabolic N-hydroxylation of pentamidine in vitro. Antimicrobial Agents and Chemotherapy 34: 1678–1684, 1990
Berger BJ, Reddy VV, Le ST, Lombardy RJ, Hall JE, et al. Hydroxylation of pentamidine by rat liver microsomes. Journal of Pharmacology and Experimental Therapeutics 256: 883–889, 1991
Bernard EM, Donnelly HJ, Maher MP, Armstrong D. Use of a new bioassay to study pentamidine pharmacokinetics. Journal of Infectious Disease 152: 750–754, 1985
Dickinson CM, Navin TR, Churchill FC. High performance liquid chromatographic method for quantification of pentamidine in blood serum. Journal of Chromatography 345: 91–97, 1985
Donnelly HJ, Bernard EM, Rothkotter H, Gold JWM, Armstrong D. Distribution of pentamidine in patients with AIDS. Journal of Infectious Disease 157: 985–989, 1988
Dusci LJ, Hackett LP, Forbes AM, Ilett KF. High-performance liquid chromatographic method for the measurement of pentamidine in plasma and its application in an immunosuppressed patient with renal dysfunction. Therapeutic Drug Monitoring 9: 422–425, 1987
Ekely JB, Ronzio AR. The action of aromatic aldehydes upon the addition products obtained from aromatic diamidines and glyoxal. Journal of the American Chemical Society 57: 1353–1356, 1935
Ericsson E, Rais M. Determination of pentamidine in whole blood, plasma, and urine by high-performance liquid chromatography. Therapeutic Drug Monitoring 12: 362–365, 1990
Jackson DP, Kuhl WJ, Irvan JL. The determination of aromatic amidines in plasma and urine. Journal of Biological Chemistry 167: 377–386, 1947
Kapusnik JE, Mills J. Pentamidine. In Peterson & Verhoef (Eds) Antimicrobial agents annual/3, Elsevier, New York, 1988
Lin JM-H, Shi RJ, Lin ET. High performance liquid chromatographic determination of pentamidine in plasma. Journal of Liquid Chromatography 9: 2035–2046, 1988
Mount DL, Miles JW, Churchill FC. Liquid chromatographic and spectroscopic characterization of pentamidine isethionate and impurities in bulk drug and injectables. Association of Official Analytical Chemists 69: 624–629, 1986
Osek O, Jaroszewska-Manaj J, Krawczyk W, Oszczapowicz J. Gas chromatographic analysis of tautomerizing amidines. Retention indices of N,N’-diphenylfromamidines on a nonpolar column. Journal of Chromatography 369: 398–402, 1986
Oszczapowicz J, Ciszkowski K, Osek J. Amidines XXVI: retention of N1N1dimethylpropionamidines, isobutyramidines, pivalamidines and phenylacetamidines on a non-polar column. Journal of Chromatography 362: 383–389, 1986
Schoenbach EB, Greenspan IM. The pharmacology, mode of action and therapeutic potentialities of stilbamidine, pentamidine, propamidine and other aromatic diamidines: a review. Medicine 27: 327–377, 1948
Waalkes TP, DeVita VT. The determination of pentamidine (4,4′diamidinophenoxypentane) in plasma, urine, and tissues. Journal of Laboratory and Clinical Medicine 75: 871–878, 1970
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Berger, B.J., Henry, L., Hall, J.E. et al. Problems and Pitfalls in the Assay of Pentamidine. Clin. Pharmacokinet. 22, 163–168 (1992). https://doi.org/10.2165/00003088-199222030-00001
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DOI: https://doi.org/10.2165/00003088-199222030-00001