Fentanyl and sufentanil are potent narcotic analgesics used only in ho
spitals as anaesthetic agents. The dependence potential of fentanyl is
known. As they are given in doses at the microgram level and their el
imination half-life is in the order of a few hours, detection in body
fluids is possible only for a short time after administration. Radioim
munological methods are the only ones capable of detecting fentanyl in
hair, as normal GC/MS methods for hair analysis are not sensitive eno
ugh to detect the drugs after doses in the order of micrograms. We the
refore chose GC/MS/MS to analyse fentanyl and sufentanil in two cases
where the drugs were given under controlled conditions over several da
ys. The concentration was in the order of less than 100 pg/mg hair.