Solid Phase-Based Microextraction Techniques in Therapeutic Drug Monitoring

Therapeutic drug monitoring is an established practice for a small group of drugs, particularly those presenting narrow therapeutic windows, for which there is a direct relationship between concentration and pharmacological effects at the site of action. Drug concentrations in biological fluids are...

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Main Authors: Sofia Soares, Tiago Rosado, Mário Barroso, Eugenia Gallardo
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/15/4/1055
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author Sofia Soares
Tiago Rosado
Mário Barroso
Eugenia Gallardo
author_facet Sofia Soares
Tiago Rosado
Mário Barroso
Eugenia Gallardo
author_sort Sofia Soares
collection DOAJ
description Therapeutic drug monitoring is an established practice for a small group of drugs, particularly those presenting narrow therapeutic windows, for which there is a direct relationship between concentration and pharmacological effects at the site of action. Drug concentrations in biological fluids are used, in addition to other clinical observation measures, to assess the patient’s status, since they are the support for therapy individualization and allow assessing adherence to therapy. Monitoring these drug classes is of great importance, as it minimizes the risk of medical interactions, as well as toxic effects. In addition, the quantification of these drugs through routine toxicological tests and the development of new monitoring methodologies are extremely relevant for public health and for the well-being of the patient, and it has implications in clinical and forensic situations. In this sense, the use of new extraction procedures that employ smaller volumes of sample and organic solvents, therefore considered miniaturized and green techniques, is of great interest in this field. From these, the use of fabric-phase extractions seems appealing. Noteworthy is the fact that SPME, which was the first of these miniaturized approaches to be used in the early ‘90s, is still the most used solventless procedure, providing solid and sound results. The main goal of this paper is to perform a critical review of sample preparation techniques based on solid-phase microextraction for drug detection in therapeutic monitoring situations.
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spelling doaj.art-7831f6cca28e4bf9b55072fef66c73a72023-11-17T20:52:04ZengMDPI AGPharmaceutics1999-49232023-03-01154105510.3390/pharmaceutics15041055Solid Phase-Based Microextraction Techniques in Therapeutic Drug MonitoringSofia Soares0Tiago Rosado1Mário Barroso2Eugenia Gallardo3Centro de Investigação em Ciências da Saúde, Faculdade de Ciências da Saúde, Universidade da Beira Interior (CICS-UBI), 6200-506 Covilhã, PortugalCentro de Investigação em Ciências da Saúde, Faculdade de Ciências da Saúde, Universidade da Beira Interior (CICS-UBI), 6200-506 Covilhã, PortugalServiço de Química e Toxicologia Forenses, Instituto de Medicina Legal e Ciências Forenses—Delegação do Sul, 1169-201 Lisboa, PortugalCentro de Investigação em Ciências da Saúde, Faculdade de Ciências da Saúde, Universidade da Beira Interior (CICS-UBI), 6200-506 Covilhã, PortugalTherapeutic drug monitoring is an established practice for a small group of drugs, particularly those presenting narrow therapeutic windows, for which there is a direct relationship between concentration and pharmacological effects at the site of action. Drug concentrations in biological fluids are used, in addition to other clinical observation measures, to assess the patient’s status, since they are the support for therapy individualization and allow assessing adherence to therapy. Monitoring these drug classes is of great importance, as it minimizes the risk of medical interactions, as well as toxic effects. In addition, the quantification of these drugs through routine toxicological tests and the development of new monitoring methodologies are extremely relevant for public health and for the well-being of the patient, and it has implications in clinical and forensic situations. In this sense, the use of new extraction procedures that employ smaller volumes of sample and organic solvents, therefore considered miniaturized and green techniques, is of great interest in this field. From these, the use of fabric-phase extractions seems appealing. Noteworthy is the fact that SPME, which was the first of these miniaturized approaches to be used in the early ‘90s, is still the most used solventless procedure, providing solid and sound results. The main goal of this paper is to perform a critical review of sample preparation techniques based on solid-phase microextraction for drug detection in therapeutic monitoring situations.https://www.mdpi.com/1999-4923/15/4/1055sample pretreatmentsolid phase-based microextraction techniqueshuman biological specimenstherapeutic drug monitoring
spellingShingle Sofia Soares
Tiago Rosado
Mário Barroso
Eugenia Gallardo
Solid Phase-Based Microextraction Techniques in Therapeutic Drug Monitoring
Pharmaceutics
sample pretreatment
solid phase-based microextraction techniques
human biological specimens
therapeutic drug monitoring
title Solid Phase-Based Microextraction Techniques in Therapeutic Drug Monitoring
title_full Solid Phase-Based Microextraction Techniques in Therapeutic Drug Monitoring
title_fullStr Solid Phase-Based Microextraction Techniques in Therapeutic Drug Monitoring
title_full_unstemmed Solid Phase-Based Microextraction Techniques in Therapeutic Drug Monitoring
title_short Solid Phase-Based Microextraction Techniques in Therapeutic Drug Monitoring
title_sort solid phase based microextraction techniques in therapeutic drug monitoring
topic sample pretreatment
solid phase-based microextraction techniques
human biological specimens
therapeutic drug monitoring
url https://www.mdpi.com/1999-4923/15/4/1055
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AT tiagorosado solidphasebasedmicroextractiontechniquesintherapeuticdrugmonitoring
AT mariobarroso solidphasebasedmicroextractiontechniquesintherapeuticdrugmonitoring
AT eugeniagallardo solidphasebasedmicroextractiontechniquesintherapeuticdrugmonitoring