Skip to main content
Log in

Detection and identification of atypical quetiapine metabolite in urine

  • Research Article
  • Published:
Central European Journal of Medicine

Abstract

Quetiapine fumarate (Seroquel®) is an atypical antipsychotic dibenzothiazepine derivative. Due to its extensive hepatic metabolism and low level of unchanged excretion (< 1%) the routine toxicological drug-screening analyses of urine often leads to false negative results. In the present study, we report that a newly identified metabolite of quetiapine, N-desalkylquetiapine, can be used as an indicative marker of quetiapine-intake in urine using common GC-MS screening procedure. The structure of the mentioned metabolite was solved from the mass-spectrum obtained and the quetiapine presence was proved by consequent HPLC plasma analysis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Goldstein J., Arvanitis L. A., ICI 204,636 (Seroquel): A dibenzothiazepine atypical antipsychotic, Review of preclinical pharmacology and highlights of Phase II clinical trials, CNS Drug Rev., 1995, 1, 50–73

    Article  CAS  Google Scholar 

  2. Arvanitis L. A., Miller B. G., Multiple fixed doses of ’seroquel’ (quetiapine) in patients with acute exacerbation of schizophrenia: a comparison with haloperidol and placebo. The Seroquel Trial 13 study Group, Biol. Psychiatry, 1997, 2, 233–46

    Article  Google Scholar 

  3. Caccia S., New antipsychotic agents for schizophrenia: Pharmacokinetics and metabolism update, Curr. Opin. Invest. Drugs, 2002, 3, 1073–1080

    CAS  Google Scholar 

  4. De Vane C. L., Nemeroff C. B., Clinical Pharmacokinetics of Quetiapine: An Atypical Antipsychotic, Clin. Pharmacokinet., 2001, 40, 509–522

    Article  Google Scholar 

  5. Hasselstrom J., Linnet K., In vitro studies on quetiapine metabolism using the substrate depletion approach with focus on drug-drug interactions, Drug Metabol. Drug Interact., 2006, 21, 187–211

    PubMed  Google Scholar 

  6. Flammia D. D., Valouch T., Venuti S., Tissue distribution of quetiapine in 20 cases in Virginia, J. Anal. Toxicol., 2006, 30, 287–292

    PubMed  CAS  Google Scholar 

  7. Hopenwasser J., Mozayani A., Danielson T. J., Harbin J., Narula H. S., Posey D. H., et al., Postmortem Distribution of the Novel Antipsychotic Drug Quetiapine, J. Anal. Toxicol., 2004, 28, 264–268

    PubMed  CAS  Google Scholar 

  8. Langman L. J., Kaliciak H. A., Carlyle S., Fatal overdoses associated with quetiapine, J. Anal. Toxicol., 2004, 28, 520–525

    PubMed  CAS  Google Scholar 

  9. Saracino M. A., Mercolini L., Flotta G., Albers L. J., Merli R., Raggi M. A., Simultaneous determination of fluvoxamine isomers and quetiapine in human plasma by means of high-performance liquid chromatography, J. Chromatogr. B, 2006, 843, 227–233

    Article  CAS  Google Scholar 

  10. Mandrioli R., Fanali S., Ferranti A., Raggi M. A., HPLC analysis of the novel antipsychotic drug quetiapine in human plasma, J. Pharm. Biomed. Anal., 2002, 30, 969–977

    Article  PubMed  CAS  Google Scholar 

  11. Anderson D.T., Fritz K.L..Quetiapine (Seroquel®) concentrations in seven postmortem cases, J. Anal. Toxicol., 2000, 24, 300–304

    PubMed  CAS  Google Scholar 

  12. Davis P. C., Wong J., Gefvert O., Analysis and pharmacokinetics of quetiapine and two metabolites in human plasma using reversed-phase HPLC with ultraviolet and electrochemical detection, J. Pharm. Biomed. Anal., 1999, 20, 271–282

    Article  PubMed  CAS  Google Scholar 

  13. Schulz M., Schmoldt A., Therapeutic and toxic blood concentrations of more than 800 drugs and other xenobiotics, Pharmazie, 2003, 58, 437–474

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mariana Io. Mitewa.

About this article

Cite this article

Atanasov, V.N., Kanev, K.P. & Mitewa, M.I. Detection and identification of atypical quetiapine metabolite in urine. cent.eur.j.med 3, 327–331 (2008). https://doi.org/10.2478/s11536-008-0015-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2478/s11536-008-0015-0

Keywords

Navigation