TY - JOUR PY - 2003// TI - Analysis of metformin in antemortem serum and postmortem specimens by a novel HPLC method and application to an intoxication case JO - Journal of analytical toxicology A1 - Moore, Karla A. A1 - Levine, Barry A1 - Titus, Jack M. A1 - Fowler, David R. SP - 592 EP - 594 VL - 27 IS - 8 N2 - A case of intoxication from the oral hypoglycemic drug metformin is presented. A number of published liquid chromatographic methods were combined to enable a simplified analysis of metformin in both antemortem and postmortem specimens. The method involved direct injection of a protein-free filtrate into the liquid chromatograph. The method was sufficiently sensitive to detect therapeutic use of metformin; no common therapeutic or abused drugs interfered with the assay. In the presented case, the hospital admission serum metformin concentration was 141 mg/L, or approximately two orders of magnitude above therapeutic concentrations. The medical examiner concluded that the cause of death in this case was metformin intoxication, and the manner of death was suicide.

Language: en

LA - en SN - 0146-4760 UR - http://dx.doi.org/10.1093/jat/27.8.592 ID - ref1 ER -