Amlodipine is a calcium channel antagonist of the dihydropyridine group. It
is effective for treating hypertension, chronic stable angina, and vasospa
stic angina. However, it is difficult clinically to pinpoint the maximum do
sage for antihypertensive activity of the drug without having parallel data
on the plasma drug concentrations. The methods for assaying amlodipine are
either gas chromatography with electron capture detector or liquid chromat
ography coupled with tandem mass spectrometry (or with an electrochemical d
etector), which needs tedious derivatization, and is expensive and time con
suming. Therefore, in this study we developed an enzyme immunoassay for det
ermining amlodipine in plasma. Anti-amlodipine antibodies were produced fol
lowing immunization of bovine serum albumin-amlodipine conjugate. These spe
cific antibodies were used in a competitive biotin-avidin-based enzyme-link
ed immunosorbent assay to measure amlodipine in plasma. Biotin was linked t
o the antibodies in order to enhance the sensitivity of the assay. The assa
y was specific for the free form of amlodipine with a detection limit of 0.
1 ng/ml and the intra- and interassay coefficient of variation ranged from
1.6-10.2%. This immunoassay provides a sensitive, reliable, rapid, and accu
rate method for determination of amlodipine in plasma, which can be used in
therapeutic drug monitoring pharmacokinetic studies and pharmaceutical ana
lysis. J. Clin. Lab. Anal. 15:47-53, 2001. (C) 2001 Wiley-Liss, Inc.