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 Encyclopedia of Physical Science and Technology  EN016H-959  August 1, 2001  11:6







              Toxicology in Forensic Science                                                              907

                    TABLE II  Drugs Commonly Targeted in Forensic Toxicology Investigations
                    Most common drugs  Alcohol
                                       Amphetamines, benzodiazepines, cannabis, cocaine and opiates
                    Common ethical drugs  Antidepressants including tricyclics, serotonin reuptake inhibitors, and monoamine oxidase inhibitors
                                       Antipsychotics drugs such as phenothiazines, haloperidol, olanzapine, or clozapine
                                       Other analgesics and anti-inflammatory agents
                                       Digoxin, anti-arrhythmic drugs, anti-hypertensive drugs, and many other cardiovascular drugs
                    Less common drugs  GHB, LSD, and other hallucinogens
                                       Anabolic steroids and other performance-enhancing drugs
                                       Barbiturates and older sedatives and hypnotics such as methaqualone
                                       Volatile substances such as butane, or gasoline
                                       Various domestic, industrial, and agricultural poisons such as organophosphates, or solvents


              IV.  WHAT CHEMICALS SHOULD                        niques such as high-performance liquid chromatography
                 BE TARGETED?                                   (HPLC), gas chromatography (GC), and capillary elec-
                                                                trophoresis (CE). Mass spectrometry (MS) is the defini-
              It is common to find a variety of ethical and illicit drugs  tive technique used to establish proof of structure of an
              or unusual poisons. Worldwide experience also shows that  unknown substance and can be linked to GC, HPLC, and
              forensic cases often involve more than one drug substance.  more recently to CE.
              High rates of multiple drug use are found in deaths from  The use of appropriate extraction techniques is criti-
              misuse of drugs and also in perpetrators of violent crimes.  cal to all analytical methods. Three main types of extrac-
                It is also well known by forensic toxicologists that the  tions are used: liquid–liquid, solid-phase, and direct injec-
              information provided to the laboratory concerning pos-  tion. Traditionally, liquid techniques have been favored in
              sibledrugusemaynotagreewithwhatisactuallydetected.  which a blood or urine specimen is treated with a buffer of
              It is therefore strongly recommended that laboratories pro-  an appropriate pH followed by a solvent capable of parti-
              vide a systematic approach to their analyses and include  tioning the drug out of the matrix. Solvents used include
              as wide a range of common ethical and illicit drugs as fea-  chloroform, diethyl ether, ethyl acetate, toluene, hexane,
              sible. A laboratory using this approach would normally  various alcohols, and butyl chloride and mixtures thereof.
              include a range of screening methods often incorporat-  The solvent is then isolated from the mixture and either
              ing both chromatographic and immunological techniques.  cleaned up by another extraction process or evaporated to
              Drug classes such as alcohol, analgesics, opioid and non-  dryness.
              opioid narcotics, amphetamines, antidepressants, benzo-  Solid-phase techniques are becoming increasingly fa-
              diazepines,  barbiturates,  cannabis,  cocaine,  major  tran-  vored, as they offer the ability to extract substances of
              quilizers (antipsychotic drugs), and other CNS-depressant  widely differing polarity more readily than with liquid
              drugs should be included (Table II).              techniques.
                The incorporation of a reasonably complete range of  Direct-injection techniques into either GC or HPLC
              drugs  in  any  testing  protocol  is  important,  as  many  of  instruments bypass the extraction step and can offer a
              these drugs are mood altering and can therefore affect be-  very rapid analytical process. In GC, solid-phase micro-
              havior as well as the health of an individual. Persons using  extraction (SPE) can be used, while HPLC tends to require
              benzodiazepines, for example, will be further affected by  use of pre-columns that are backflushed with the use of
              alcohol and other CNS-active drugs. The toxic concen-  column-switching valves.
              trations of drugs are also influenced by the presence of
              other potentially toxic drugs. For example, the toxicity of
              heroin is affected by the concomitant use of alcohol and  VI. INITIAL TESTS AND CONFIRMATION
              other CNS-depressant drugs.
                                                                The process of conducting toxicology in forensic science
                                                                is similar to other analytical disciplines, in that sufficiently
              V.  TECHNIQUES USED                               suitable analytical techniques need to be employed that
                                                                are appropriately validated. The foremost goal is the need
              The  range  of  techniques  available  to  detect  drugs  in  to provide a substantial proof of the presence of a sub-
              specimens or physical exhibits varies from commer-  stance(s). The use of conventional GC, TLC, or HPLC by
              cial kit-based immunoassays and traditional thin-layer  themselves would not normally be sufficient to accept un-
              chromatography (TLC) to instrumental separation tech-  equivocal proof of the presence of a chemical substance.
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