2011
DOI: 10.1002/bmc.1616
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Determination of free and total warfarin concentrations in plasma using UPLC MS/MS and its application to a patient samples

Abstract: Warfarin is routinely monitored by assessing its pharmacologic effects on the international normalized ratio. However, having a patient with INR not responding to increasing warfarin dose mandates a direct measurement of warfarin concentrations (total and free) for better patient clinical management of warfarin therapy. Therefore, a new fully validated specific, precise and accurate ultra-performance liquid chromatography tandem mass spectrometry was developed for the determination of free and total warfarin i… Show more

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Cited by 33 publications
(22 citation statements)
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“…Although a 100  μ L [6, 7] or 1 mL aliquot of plasma [8] was used, such an analytical method was questionable due to low specificity and sensitivity of UV detection. Therefore, several methods of HPLC with mass spectrometry (MS) and HPLC with tandem mass spectrometry (MS/MS) have been developed for warfarin quantification in single-reaction monitoring mode [5, 9, 10] or multiple-reaction monitoring mode [4, 1113]. Warfarin has been isolated by solid-phase extraction [9, 12], liquid/liquid extraction [4, 5, 10, 13], or simple protein precipitation with ZnSO 4 [11].…”
Section: Introductionmentioning
confidence: 99%
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“…Although a 100  μ L [6, 7] or 1 mL aliquot of plasma [8] was used, such an analytical method was questionable due to low specificity and sensitivity of UV detection. Therefore, several methods of HPLC with mass spectrometry (MS) and HPLC with tandem mass spectrometry (MS/MS) have been developed for warfarin quantification in single-reaction monitoring mode [5, 9, 10] or multiple-reaction monitoring mode [4, 1113]. Warfarin has been isolated by solid-phase extraction [9, 12], liquid/liquid extraction [4, 5, 10, 13], or simple protein precipitation with ZnSO 4 [11].…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, several methods of HPLC with mass spectrometry (MS) and HPLC with tandem mass spectrometry (MS/MS) have been developed for warfarin quantification in single-reaction monitoring mode [5, 9, 10] or multiple-reaction monitoring mode [4, 1113]. Warfarin has been isolated by solid-phase extraction [9, 12], liquid/liquid extraction [4, 5, 10, 13], or simple protein precipitation with ZnSO 4 [11]. Nevertheless, the volume of plasma required for one analysis has been rather high: 50  μ L [10], 200  μ L [4, 12, 13], 300  μ L [9], or even 1 mL [4].…”
Section: Introductionmentioning
confidence: 99%
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“…It was administrated orally in the form of racemic mixture R-and S-WAR as treatment and prophylaxis of Venous Thromboembolism [1][2][3]. S-WAR is 3-5 times potent that Renantiomer, metabolised by P450 (CYP) 2C9 to form inactive S-7-hydroxy metabolite (7-OH-WAR) [4,5].…”
Section: Introductionmentioning
confidence: 99%
“…Although some of them used for chiral separation of warfarin and hydroxylated metabolites, they used non-specific detectors as UV and florescence [16][17][18]. Reported LC/MS methods for WAR were use either achiral separation or chiral separation with only limited consideration of metabolites [3,15,19]. The novelty of my method comes from it used for separation of enantiomers of WAR and three of its metabolites.…”
Section: Introductionmentioning
confidence: 99%