A method using gas chromatography coupled to mass spectrometry for the
determination of cocaine (COC) pyrolysis product, anhydroecgonine met
hylester (AEME), in plasma, saliva, urine, sweat and hair is described
. The same procedure allows the simultaneous determination of COC, ben
zoylecgonine (BZE), ecgonine methylester (EME) and cocaethylene (CE).
After suitable sample preparation (desorption of the sweat patch, acid
hydrolysis of the hair) the target drugs were extracted using a 3-ste
ps liquid-liquid extraction (pH 8.4) in presence of deuterated interna
l standards in chloroform-isopropanol-n-heptane (50:17:33, v/v). Deriv
atization was achieved using BSTFA+1% TMCS. Ions for AEME monitoring w
ere m/z 82, 166, 152 and 181. Artifact formation from COC or EME of AE
ME during the injection was less than 0.5%. AEME was never detected in
blood sample although the corresponding urine tested positive. Urine
concentrations, in about 90 positive AEME samples, were in the range 5
to 1477 ng/ml. In one case of crack overdose, AEME in sweat was 53 ng
/patch with a COC concentration of 1231 ng/patch. AEME in saliva range
d from 5 to 18 ng/ml in the same case. Finally, AEME was identified in
32 hair specimens of crack abusers including fetal hair, with concent
rations in the range 0.20 to 21.56 ng/mg. These results suggest that A
EME can be a useful marker for the detection of COC smoking in clinica
l and forensic cases.