Determination of 13 antidepressants in blood by UPLC-MS/MS with supported liquid extraction pretreatment

Antidepressants are widely used nowadays. Due to the potential detrimental consequences and involvement in forensic cases, therapeutic drug monitoring of antidepressants is desired. Herein we report a method for sensitive determination of 13 commonly used antidepressants in blood. An ultra-high performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) method with supported liquid extraction (SLE) was developed for analysis of imipramine, desipramine, fluoxetine, norfluoxetine, paroxetine, maprotiline, sertraline, citalopram, clomipramine, trazodone, doxepin, clozapine and amitriptyline in this study. The limits of detection (LODs) are in the range of 0.0003-0.003 ng/mL, which are lower than other reported methods by several orders of magnitude. The linear ranges are 0.01-200 ng/mL for norfluoxetine, paroxetine and doxepin, while the linear ranges are 0.001-200 ng/mL for the rest antidepressants. The correlation coefficients are over 0.99. Extraction recoveries (ER) ranging in 82.4-101.5% were obtained for the target analytes. The intra-day relative standard deviations (RSDs) range in 4.5-10.3% and inter-day RSDs range in 5.1-12.7%. Reasonable values of matrix effect (ME) ranging in 82.5-110.4% were obtained for quality control samples. The present methodology was used for the analysis of antidepressants in real cases and is expected to have a wide usage for analysis of antidepressants in biomedical area and forensic practice.