Drugs of Abuse Monitoring in Blood for Control of Driving Under the Influence of Drugs
Therapeutic Drug Monitoring – April 01, 2002
Source: OpenAlex
Summary
Driving under the influence is a critical public safety issue; forensic toxicology is crucial for detection. A comprehensive review details analytical chemistry procedures for over 20 drugs in blood, vital for identifying impaired drivers. Covered are stimulants like Amphetamine, Methamphetamine, MDMA; opiates such as Codeine, Morphine, Methadone; and hallucinogens including Lysergic acid diethylamide, Psilocybin. Benzoylecgonine, Gamma hydroxybutyrate, and various cannabinoids, including synthetic cannabinoids and designer drugs, are also addressed. Chromatography methods underpin this pharmacology, informing poison control, medicine, and advancing drug studies.
Abstract
Driving under the influence of drugs is an issue of growing concern in the industrialized countries as a risk and a cause for road accidents. In forensic toxicology, the increasing number of samples for determination of drugs in blood is mainly due to zero-tolerance laws in several countries and well-trained police officers who can better recognize drivers under the influence of drugs of abuse. This review describes procedures for detection of the following drugs of abuse in whole blood, plasma, and serum: amphetamine, methamphetamine, 3,4-methylenedioxy methamphetamine (MDMA), N-ethyl-3, 4-methylenedioxyamphetamine (MDEA), 3,4-methylenedioxyamphetamine (MDA), cannabinoids (delta-9-tetrahydrocannabinol [THC], 11-hydroxy-delta-9-THC, 11-nor-9-carboxy-delta-9-THC), cocaine, benzoylecgonine, ecgonine methyl ester, cocaethylene, the opiates (heroin, 6-monoacetylmorphine, morphine, or codeine), and methadone as well as gamma-hydroxybutyric acid (GHB), lysergic acid diethylamide (LSD), phencyclidine (PCP), and psilocybin/psilocin. For many of the analytes, sensitive immunologic methods for screening are available. Gas chromatography-mass spectrometry (GC-MS) is still the state-of-the-art method for confirmatory analysis or for screening and confirmation in one step. Liquid chromatography-mass spectrometry (LC-MS) procedures for such purposes are also included in this review. Basic data about the biosample assayed, internal standard, workup, GC or LC column and mobile phase, detection mode, reference data, and validation data of each procedure are summarized in two tables.