A procainamide-selective electrode was constructed and applied for the
determination of procainamide concentration in blood serum. The detec
tion limit was 1.5 mu g ml(-1), but determination down to 0.5 mu g ml(
-1) was possible with an appropriate calibration. The results correlat
ed well with those obtained by a fluorescence polarization immunoassay
which is widely used for the determination of serum procainamide conc
entration. The present method is simple, rapid, economical and is unaf
fected by common cations present in blood and only slightly by N-acety
lprocainamide, a metabolite of the drug. It is therefore useful for th
erapeutic drug monitoring in a clinical setting.