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                                    preparation is more effective due to similar chemical features of the com-
                                    pounds involved.

                                    2.6.1  Group Screening for Pharmacologically Related Substances
                                                  188
                                    Finnish authors  described an automated LC/ESI/MS/MS screening/confir-
                                    mation method for 16 beta-blocking agents in urine samples. The drugs were
                                                                                             +
                                    tentatively identified on the base of retention time and (M + H)  value. For
                                    confirmation, any qualified compounds were automatically subjected to frag-
                                    mentation. The product ions were compared with the library data. The limits
                                    of identification ranged from 0.02 to 1.2 mg/l.
                                       The same group developed a LC/ESI/MS/MS procedure for screening
                                                                                      189
                                    and quantitation of 18 antihistamine drugs in blood.  Since the drugs
                                    belong to acidic and basic compounds, two solvent extractions were per-
                                    formed at pH 3 and 11, and the extracts were combined. The chromatography
                                    was done in 5 min in an acetonitrile–ammonium acetate gradient. For pre-
                                    liminary identification, protonated quasi-molecular ion, the most intensive
                                    fragment, and retention time of each peak were used. The confirmation was
                                    done in second run, using the whole product ion spectrum. The limits of
                                    identification for each drug were below the lowest therapeutic concentration.
                                       Rittner et al.  established a library of mass spectra of 70 various psy-
                                                   190
                                    choactive drugs and metabolites with LC-ESI-MS. In the preliminary study,
                                    the efficiency of various solid-phase extraction methods and various HPLC
                                    columns was tested. The best results were obtained with C18 SPE cartridges
                                    and C18 columns. Chromatographic separation was performed in
                                    ACN–water–methanol–formic acid gradient. Mass spectra of drugs  were
                                    recorded at two levels of fragmentation energy in full scan mode (m/z 100
                                    to 650, positive ions). For many drugs, sodium, potassium, and ACN adducts
                                    were observed. The usefulness of the screening procedure was checked on
                                    140 serum samples taken from road traffic offenders. In 9.8% of the cases
                                    various drugs, mostly benzodiazepines, were detected.
                                       Thieme et al.  established a method for screening and quantitation of
                                                   191
                                    32 diuretic compounds and their metabolites in urine. The method was
                                    developed for doping control and was based on LC/ESI/MS/MS. The drugs
                                    were extracted from urine using XAD columns and separated on C8 columns
                                    in gradient of ACN–ammonium acetate. The library of mass spectra was
                                    developed using positive or negative ionization and optimized fragmentation
                                    conditions for particular compounds. Since diuretics may belong to acidic
                                    and basic drugs, the authors recommended two subsequent chromatographic
                                    runs (in positive and negative mode) in the screening procedure. This was
                                    superior to the polarity switching in one run.
                                                   192
                                       Lacassie et al.  published a procedure for the determination of 61 pes-
                                    ticides of various classes (organophosphates, carbamates, organochlorines,

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