Mesh : Adult Antimanic Agents / therapeutic use Antipsychotic Agents / therapeutic use Banisteriopsis / chemistry Chromatography, Liquid Hallucinogens / toxicity urine Harmala Alkaloids / urine Humans Male Mass Spectrometry N,N-Dimethyltryptamine / toxicity urine Olanzapine / therapeutic use Plant Extracts / urine Psychoses, Substance-Induced / drug therapy Substance Abuse Detection / methods Substance-Related Disorders / urine Treatment Outcome Valproic Acid / therapeutic use

来  源:   DOI:10.1093/jat/bky105   PDF(Sci-hub)

Abstract:
BACKGROUND: Ayahausca is an ethnobotanical drink of South America and the compound dimethyltryptamine (DMT) is primarily responsible for the hallucinogenic effects. DMT has a short half-life and its detection in urinary drug screens is challenging. We investigate a simple alternate approach to detect ayahuasca consumption by relying on other constituents of the drink, the β-carboline harmala alkaloids.
METHODS: Three commercially sourced harmala alkaloids were characterized and added to a non-targeted high-resolution mass spectrometry urine drug screening method. All analyses were performed on a Waters Xevo G2-XS LC-QTof, in positive electrospray ionization mode. The mass detector was operated in MSE mode and data processed with UNIFI™ software. A urine specimen from a patient suspected to have consumed ayahuasca was analyzed by a non-targeted drug screen.
RESULTS: The harmala alkaloids: harmine, harmaline and tetrohydroharmaline (THH) were characterized and their detection data added to the toxicology screening library. Harmaline and THH were detected in the patient\'s urine specimen.
CONCLUSIONS: The inclusion of the harmala alkaloids into the drug screen method library may enable the detection of ayahuasca use in patients that undergo non-targeted drug screen.
摘要:
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