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DOCUMENTATION OF A DOXYLAMINE OVERDOSE DEATH: QUANTITATION BY STANDARD ADDITION AND USE OF THREE INSTRUMENTAL TECHNIQUES

NCJ Number
143000
Journal
Journal of Forensic Sciences Volume: 38 Issue: 3 Dated: (May 1993) Pages: 713-720
Author(s)
T J Siek; W A Dunn
Date Published
1993
Length
8 pages
Annotation
This forensic case study describes the methods used to determine whether the death was a result of an overdose of doxylamine, caused by an ingestion of sleeping pills.
Abstract
To ascertain an overdose, pathologists must be able to unequivocally identify the drug and determine a reliable blood concentration. The approach used here combined a standard addition technique and three different chromatographic techniques, i.e., high performance liquid chromatography (HPLC), high performance thin-layer chromatography (HP-TLC), and gas chromatography/mass spectrometry (GC/MS). Each type of chromatography was carried out on the same extract by splitting the residue in thirds. HLPC provided a quantitative result of 1.2 mg/L in blood; this result was confirmed by quantitative data derived from HP-TLC and GC/MS. In addition, these techniques provided information about two metabolites (nordoxylamine and dinordoxylamine) and conclusive identification. Blood nordoxylamine was 0.52 mg/L and doxylamine plus metabolites in urine was 25 mg/L. 5 tables, 3 figures, and 6 references

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