{Reference Type}: Journal Article {Title}: Determination of carbamazepine in fingerprints: a feasibility study to evaluate adherence in epilepsy patients. {Author}: Müller IR;Grandi VT;Santos Paulino SG;Villa B;Zembruski BM;Forcelini CM;Hahn SR;Antunes MV;Linden R; {Journal}: Bioanalysis {Volume}: 16 {Issue}: 9 {Year}: 2024 Mar 18 {Factor}: 2.695 {DOI}: 10.4155/bio-2023-0265 {Abstract}: Background: Fingerprint drug concentrations can be used as a noninvasive and convenient alternative to evaluate adherence to pharmacotherapy. Methods: Fingerprints were applied over glass slides, extracted and analyzed by ultra-high performance LC-MS/MS. The assay and drug adherence questionnaires were applied to 30 epilepsy patients. Results: The assay had linearity in the range 0.05-10 ng fingerprint-1, with precision of 2.16-7.9% and accuracy of 95.0-102.8%. Carbamazepine (CBZ) levels in fingerprints were stable at 45°C for 15 days. Concentrations in patient samples were 0.06-9.28 ng fingerprint-1. A significant difference (p = 0.003) was found between CBZ concentrations in fingerprints between patient groups divided as low and medium/high adherence. Conclusion: This method can potentially be applied to the identification of epilepsy patients with low adherence to CBZ pharmacotherapy.
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