S. Ren et al., DETERMINATION OF LAMOTRIGINE IN BIOLOGIC MATERIALS BY A SIMPLE AND RAPID LIQUID-CHROMATOGRAPHIC METHOD, Therapeutic drug monitoring, 20(2), 1998, pp. 209-214
Lamotrigine (LTG), a newly introduced antiepileptic drug, appears to h
ave potential therapeutic advantages for the treatment of patients wit
h partial-onset seizures. Increasing clinical application and research
of LTG demand a simpler and more rapid analytical procedure to determ
ine LTG concentration in body fluids and tissues. The authors have dev
eloped an effective one-step procedure for sample preparation followed
by high-performance liquid chromatography (HPLC) to quantitate LTG in
plasma, urine, and brain tissues. Body fluids and brain homogenates w
ere treated with cold acetonitrile to precipitate protein. The samples
were fractionated on a 250 x 4.6 mm C-18 reversed-phase column with a
n isocratic mobile system consisting of potassium phosphate buffer, ac
etonitrile, and methanol (70:16:14). The method had a LTG detection li
mit of 0.02 mu g/ml in plasma and 0.03 mu g/ml in urine. The coefficie
nts of variation were <2.7% for intraday and 4.2% for interday analyse
s. The recovery of LTG added to plasma, urine, and brain homogenate ra
nged from 98% to 100%. The method was applied to a clinical study to d
etermine plasma and urine concentrations of LTG in subjects receiving
a single oral dose of LTG. The calculated pharmacokinetic parameters w
ere comparable to those previously reported. The method proved to be s
imple, fast, reproducible, and useful in clinical investigation and mo
nitoring of LTG concentrations.