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Drugs and Poisons in Humans
A Handbook of Practical Analysis
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Osamu Suzuki and Kanako Watanabe
Drugs and Poisons
in Humans
A Handbook of Practical Analysis
With 236 Figures and 90 Tables
123
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Prof. Osamu Suzuki
Assoc. Prof. Kanako Watanabe
Department of Legal Medicine
Hamamatsu University School of Medicine
Hamamatsu City 431-3192
Japan
This is a translation of “Yaku-Doku Butsu Bunseki Jissen Handobukku” originally
published in Japanese in 2002 by Jiho, Inc. 2-6-3, Hitotsubashi, Chiyoda-ku,
Tokyo 101-8421 Japan
ISBN 3-540-22277-4 Springer-Verlag Berlin Heidelberg New York
Library of Congress Control Number: 2005921910
This work is subject to copyright. All rights are reserved, whether the whole or part of the
material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations,
recitation, broadcasting, reproduction on microfi lm or in any other way, and storage in
data banks. Duplication of this publication or parts thereof is permitted only under the
provisions of the German Copyright Law of September 9, 1965, in its current version, and
permission for use must always be obtained from Springer. Violations are liable to
prosecution under the German Copyright Law.
Springer is a part of Springer Science+Business Media
springeronline.com
© Springer-Verlag Berlin Heidelberg 2005
Printed in the European Union
The use of registered names, trademarks, etc. in this publication does not imply, even in the
absence of a specifi c statement, that such names are exempt from the relevant protective
laws and regulations and therefore free for general use.
Product liability: The publishers cannot guarantee the accuracy of any information about
the application of operative techniques and medications contained in this book. In every
individual case the user must check such information by consulting the relevant
literature.
Editor: Thomas Mager, Heidelberg
Development Editor: Andrew Spencer, Heidelberg
Production Editor: Frank Krabbes, Heidelberg
Typesetting: Fotosatz-Service Köhler GmbH, Würzburg
Cover design: Martina Winkler, Heidelberg
SPIN: 10959534
14/2109 fk – 5 4 3 2 1 0 – Printed on acid-free paper
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Foreword
It was with great pleasure that I accepted the invitation to write the foreword for Drugs
and Poisons in Humans. A Handbook of Practical Analysis . Dr. Osamu Suzuki and Dr. Mikio
Yashiki, two outstanding Japanese scientists, rst published the Handbook in Japanese in 2002.
Specialists throughout Japan contributed analytical methods for a wide variety of therapeutic
and illicit drugs, pesticides, and natural toxins and alkaloids. In fact, rarely has such a wide
spectrum of analytes and metabolites been addressed within a single reference manual.
At the beginning of the book, general topics are addressed, including instructions on han-
dling biological materials, measurement of drugs in alternative specimens, and guidance on
resolving analytical problems that may occur. ere are discussions of extraction modalities
and detection methodologies and how to select these appropriately based on the physiochemi-
cal characteristics of the drug. Analysis of speci c classes of drugs and relevant metabolites are
covered in subsequent chapters. Clinical, analytical and forensic toxicology and clinical chem-
istry laboratories will nd the volume informative and useful. Toxicologists are o en faced
with developing methods for new drugs and metabolites with little information available in the
literature. is book provides a great starting point for method development providing proce-
dures that have been utilized in real life situations. In addition, toxicologists developing new
methodologies may use this volume as a guide to selecting the most appropriate instrumenta-
tion to handle the breadth of their analytical workload.
One of the most valuable aspects of the Handbook is the inclusion of speci c case studies.
Useful also are the discussions on suggested analyte concentration ranges and troubleshooting
tips. e 2002 version of the Handbook in Japanese was judged to be highly valuable and led to
the production of an English version. is Handbook also has been updated to include addi-
tional methods and procedures for this edition.
Despite the value of these methodologies, it is essential for laboratorians to validate fully a
method within their own laboratory. Di erences in instrumentation, sample size, extraction pro-
cedures (such as di erent solid-phase extraction columns) and experience level of personnel may
vary markedly between laboratories. erefore, these methods provide help and guidance in initi-
ating a new analysis, but do not take the place of independently determining limits of detection,
quanti cation and linearity, and the selectivity and precision of the assay in their own hands. Inter-
nal standardization is always the preferred approach, although use of external standard addition
may be necessary with di cult matrices, such as decomposed postmortem specimens. Quality
assurance and quality control procedures are essential components of accurate and reliable me-
thods and should be included in the analysis of each batch of specimens. Quality control samples
should span the linear range of the assay. e issue of method validation cannot be emphasized too
strongly and is necessary for the accurate application of these diverse analytical methods.
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