TY - JOUR PY - 1997// TI - A fatality due to alprazolam intoxication JO - Journal of analytical toxicology A1 - Jenkins, A. J. A1 - Levine, B. A1 - Locke, J. L. A1 - Smialek, John E. SP - 218 EP - 220 VL - 21 IS - 3 N2 - Alprazolam is one of the most widely prescribed benzodiazepines in the United States. It is generally considered a safe and effective drug for the treatment of anxiety disorders and panic attacks. Few overdoses that are due to the sole ingestion of alprazolam have been reported. This paper documents a fatality due to alprazolam intoxication and describes the distribution of alprazolam and an active metabolite, alpha-hydroxyalprazolam, in tissues obtained at autopsy. Qualitative identification of the drugs was achieved by full-scan gas chromatography-mass spectrometry, and quantitative analysis was performed by high-performance liquid chromatography. High concentrations of alprazolam were found in all specimens analyzed, but the metabolite was detected only in subclavian blood, urine, bile, and liver. A postmortem heart blood alprazolam concentration of 2.1 mg/L is the highest reported in the literature to date.
Language: en
LA - en SN - 0146-4760 UR - http://dx.doi.org/ ID - ref1 ER -