Lamotrigine is an anticonvulsant drug recently approved in Italy for clinic
al use. Therapeutic monitoring of lamotrigine is relevant for patient manag
ement and avoidance of toxicity. The authors describe a simple, sensitive,
and highly selective high-performance liquid chromatography method that doe
s not involved extraction for analysis of serum lamotrigine. Serum (20 muL)
with internal standard (BW 725 C) was injected directly into a column (25
cm x 4.6 mm) with an internal surface reversed phase (ISRP). The mobile pha
se consisted of 0.01 mol/L potassium phosphate bibasic (pH 6.0) and acetoni
trile (82:18), the flow rate was 1.0 mL/min, and UV detection was optimized
at 330 nm. The overall between-run coefficient of variance ranged from 1.8
9% to 3.25% and the lowest limit of detection was 0.05 mg/L. High linearity
(r = 0.9996) in a wide range of concentrations (0.1-20.0 mg/L) and no inte
rference with other antiepileptic drugs, benzodiazepines, and tricyclic ant
idepressants were the other characteristics of the method. The innovation o
f this method is the use of ISRP column and the choice of detection wavelen
gth, which allow a shorter analysis time (5-6 minutes). The possibility of
direct injection of plasma samples into the column permits a reduction in r
eagent consumption and in analytic steps, and hence in analytic error.