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Flualprazolam distribution in postmortem samples.

Helen H Ha1, Dani C Mata1

  • 1Toxicology Section, Orange County Crime Laboratory, Santa Ana, California, USA.

Journal of Forensic Sciences
|September 29, 2021
PubMed
Summary
This summary is machine-generated.

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Novel psychoactive substances like flualprazolam pose public health risks. This study quantifies flualprazolam in postmortem samples, finding it in 22 of 24 cases and identifying it as a factor in 13 deaths.

Area of Science:

  • Forensic Toxicology
  • Pharmacology
  • Public Health

Background:

  • Novel psychoactive substances (NPS) present challenges for public health and law enforcement.
  • Flualprazolam, a triazolobenzodiazepine, has emerged as a sedative with potential adverse effects similar to alprazolam.
  • Rapid data collection on NPS is crucial but often time-consuming.

Purpose of the Study:

  • To determine the distribution and concentration of flualprazolam in various postmortem biological matrices.
  • To establish quantitative data for flualprazolam in death investigation cases.
  • To assess the contribution of flualprazolam to mortality.

Main Methods:

  • Samples from death investigations (central blood, vitreous humor, liver, brain, gastric contents, urine) were analyzed.
Keywords:
benzodiazepineflualprazolamforensicnovel psychoactive substancespostmortemtoxicology

Related Experiment Videos

  • Screening was performed using liquid chromatography quadrupole time-of-flight (LC-QTOF).
  • Quantification utilized liquid chromatography tandem mass spectrometry (LC-MS/MS) with detection limits at 4 ng/ml.
  • Main Results:

    • Flualprazolam was quantified in 22 out of 24 central blood samples (average 16.3 ng/ml).
    • Detected concentrations in other matrices included urine (avg 14.4 ng/ml), brain (avg 23.2 ng/g), liver (avg 50.7 ng/g), vitreous humor (avg 7.70 ng/ml), and gastric contents (avg 0.36 mg).
    • Flualprazolam was listed as a contributing factor in the cause of death for 13 of the 24 cases.

    Conclusions:

    • Flualprazolam is frequently detected in postmortem samples from individuals involved in death investigations.
    • Quantitative data on flualprazolam distribution in various matrices is now available.
    • The presence of flualprazolam is a significant factor in a substantial portion of these cases, highlighting its public health impact.