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Stability of Serotonin-Selective Antidepressants in Sterile and Decomposing Liver Tissue

NCJ Number
243691
Journal
Journal of Forensic Sciences Volume: 58 Issue: S 1 Dated: January 2013 Pages: S 117-S 125
Author(s)
Danielle M. Butzbach, Ph.D.; Peter C. Stockham, B.Sc.; Hilton J. Kobus, Ph.D.; Noel Sims, B.Sc.; Roger W. Byard, M.D.; Robert J. Lokan, M.Sc.; G. Stewart Walker, Ph.D.
Date Published
January 2013
Length
9 pages
Annotation
This study investigated the stability of several serotonin-selective reuptake inhibitor antidepressants and venlafaxine during putrefaction in porcine liver macerate inoculated with porcine cecal contents rich in bacteria.
Abstract
It is well established that bacteria are capable of degrading selected drugs during decomposition. The aim of this study was to investigate the stability of several serotonin-selective reuptake inhibitor antidepressants and venlafaxine during putrefaction in porcine liver macerate inoculated with porcine cecal contents rich in bacteria. Blank liver matrices, sterile liver macerates, and sterile aqueous controls were included with the experiment performed for 57 days at 20 degrees C under anaerobic conditions. A liquid chromatography/mass spectrometry method was developed for quantitative determination of the drugs investigated in both sterile and decomposed liver matrices. The method was found to encounter matrix effects not detected during the validation stage. Citalopram, paroxetine, sertraline, venlafaxine, and fluoxetine were found to be stable under the experimental conditions; however, fluvoxamine was found to be decreased by c. 50 percent over 57 days in bacterially inoculated liver macerate. This study suggests that fluvoxamine concentrations in cases with evidence of decomposition/putrefaction should be interpreted with extra caution. Abstract published by arrangement with John Wiley & Sons.