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Article history: In order to evaluate the pharmacokinetics of metamizol in the presence of morphine in arthritic
Received 21 February 2012 rats, after subcutaneous administration of the drugs, an easy, rapid, sensitive and selective analytical
Received in revised form 25 May 2012 method was proposed and validated. The four main metamizol metabolites (4-methylaminoantipyrine,
Accepted 26 July 2012
4-aminoantipyrine, 4-acetylaminoantipyrine and 4-formylaminoantipyrine) were extracted from plasma
Available online 4 August 2012
samples (50–100 l) by a single solid-phase extraction method prior to reverse-phase high performance
liquid chromatography with diode-array detection. Standard calibration graphs for all metabolites were
Keywords:
linear within a range of 1–100 g/ml (r2 ≥ 0.99). The intra-day coefficients of variation (CV) were in the
Metamizol metabolites
Morphine
range of 1.3–8.4% and the inter-day CV ranged from 1.5 to 8.4%. The intra-day assay accuracy was in the
Pharmacokinetics range of 0.6–9.6% and the inter-day assay accuracy ranged from 0.9 to 7.5% of relative error. The lower
Rats limit of quantification was 1 g/ml for all metabolites using a plasma sample of 100 l. Plasma samples
HPLC-method were stable at least for 4 weeks at −20 ◦ C. This method was found to be suitable for studying metami-
zol metabolites pharmacokinetics in arthritic rats, after simultaneous administration of metamizol and
morphine, in single dose.
© 2012 Elsevier B.V. All rights reserved.
1. Introduction empirically on the basis of the doses commonly used when the
drugs are given alone. In this sense, our group has extensively stud-
Metamizol sodium (MET) is a non-steroidal anti-inflammatory ied (preclinical studies) the combination of low doses of MET and
analgesic drug (NSAID) with antipyretic and antispasmodic prop- MOR in a model of arthritic pain in rats and has found that the com-
erties which belongs to the group of pyrazolones. MET is a pro-drug bination that resulted in a maximal antinociceptive potentiation,
which is rapidly hydrolyzed by a non-enzymatic mechanism to the between 24 different combinations, was composed of 177.8 mg/kg
active moiety 4-methylaminoantipyrine (MAA). The MAA is metab- of MET and 3.2 mg/kg of MOR [2]. This combination also delays
olized in the liver by demethylation to 4-aminoantipyrine (AA), the development of tolerance to the antinociceptive effect of MOR
the other active metabolite and by oxidation to form the inactive without producing an increase in constipation effect [3]. We have
metabolite 4-formylaminoantipyrine (FAA). AA is acetylated to 4- also demonstrated that the optimal MOR and MET combination
acetylaminoantipyrine (AAA), which is also an inactive compound is able to produce potentiation of antinociceptive effects during
(Fig. 1). intense pain [4].
The therapeutic benefits of the co-administration of MET and Several pharmacodynamic mechanisms appeared to be involved
morphine (MOR) have been previously demonstrated. MET has in the effects produced by the combination of MET and MOR, as
reduced the frequency of administration of MOR after major well, they can also be explained as a result of pharmacokinetic
abdominal surgery [1] and in the treatment of chronic pain in interactions [4]. The effect of MET on the pharmacokinetics and
cancer patients in Spain and Mexico (data not published). How- pharmacodynamics of MOR in arthritic rats was previously studied
ever, the high doses used in combination have been selected [5]. It was demonstrated that MET significantly increases plasma
concentrations of MOR and that the antinociceptive effect of the
combination MET+MOR can be related to MOR pharmacokinetics.
However, the pharmacokinetics of MET in the presence of MOR and
∗ Corresponding author. Tel.: +52 55 5483 7254; fax: +52 55 5483 7237. the role that it plays in the effect produced by the combination has
E-mail address: adoming@correo.xoc.uam.mx (A.M. Domínguez-Ramírez). not been studied.
0731-7085/$ – see front matter © 2012 Elsevier B.V. All rights reserved.
http://dx.doi.org/10.1016/j.jpba.2012.07.029
174 A.M. Domínguez-Ramírez et al. / Journal of Pharmaceutical and Biomedical Analysis 71 (2012) 173–178
Fig. 1. Structure and biotransformation of metamizol in man and in rat. MET: metamizol; MAA: 4-methylaminoantipyrine; AA: 4-aminoantipyrine; FAA: 4-formylamino-
antipyrine; AAA: 4-acetylaminoantipyrine.
There are several methods for the quantification of MET and/or México. Methanol for the mobile phase was chromatographic grade
its metabolites in biological fluids and/or tissues. These include (J.T.Baker, México). All other reagents were analytical grade (E.
thin-layer chromatography [6] spectrophotometric [7], gas chro- Merck KGaA, Darmstadt, Germany). HPLC grade water (18 ) was
matographic [8] and high-performance liquid chromatographic obtained by purifying distilled water in a Milli-Q filtration system
(HPLC) methods with UV detection [9–12]. However, some of this (Millipore, Bedford, MA, USA). Mobile phase was filtered through
methods only quantify MAA or MAA and AA [9,13,14], while others 0.45 m pore size nylon membranes (Millipore, Bedford MA, USA)
use large plasma samples, multiple liquid–liquid extraction steps and degassed in an ultrasonic bath (Branson Ultrasonic Corp., Dan-
[9,12,15], short concentration intervals [15,16] or long analysis bury CT, USA).
time (≥60 min). Sep-Pak C18 cartridges (Waters Milford, MA, USA) and a vacuum
As repeated blood sampling is required in pharmacokinetic device (Spe-ed Mate-10, Applied Separations, Allentown, PA, USA)
studies in small species (rats), it is necessary to utilize a sensi- were used for solid-phase extraction.
tive and selective method and reduce the total volume of plasma The chromatographic system consisted of a Knauer high-
extracted from the animals in order to avoid serious impairment performance liquid cromatograph (Berlin, Germany) equipped
to its physiological state. When studying the interaction of highly with a Smartline pump 100, a Smartline PDA detector 2800 and
metabolized drugs, as is the case of MET, the determination of most a Smartline autosampler 3950. The chromatographic station Clari-
of the main metabolites is required. tyChrom V2.6.xx software, was used for acquisition and processing
In this study we propose an easy, selective and reliable of data.
chromatographic method for the quantification of MET main
metabolites, MAA, AA, AAA and FAA, from a small volume of rat
2.2. Preparation of calibration standards and quality control
plasma (50–100 l). The potential importance of the assay was
samples
demonstrated by the application of this method to a pharmacoki-
netic study of MET administered in combination with MOR in single
Primary stock solutions of MAA, AA, AAA, FAA (1 mg/ml) and
dose, to arthritic rats.
FUR(400 g/ml), were prepared in methanol and stored at −4 ◦ C.
Rat plasma calibration standards of metamizol metabolites were
prepared by spiking appropriate aliquots of the stock solutions of
2. Experimental
each metabolite to drug-free rat plasma to give final concentrations
ranging from 1 to 100 g/ml. Quality control (QC) samples at con-
2.1. Chemicals, materials and instrumentation
centrations of 5, 15, 30 and 100 g/ml were prepared by adding the
appropriate aliquots of the stock solutions to drug-free rat plasma.
Metamizol sodium was kindly supplied by RETECMA, S.A. de
The QC samples were aliquoted (100 l) into polypropylene tubes
C.V., México. The metabolites, 4-methylaminoantipyrine (MAA), 4-
and stored at −20 ◦ C until analysis.
acetylaminoantipyrine (AAA) and 4-formylaminoantypyrine (FAA)
were synthesized at the Autonomous Metropolitan University
(Xochimilco) by Dr. Olivia Soria. 4-Aminoantipyrine (AA), triethy- 2.3. Sample preparation
lamine and furosemide (FUR), from Sigma Chem. Co. (St. Louis,
MO, USA), were used. Morphine hydrochloride (MOR) was gen- Cartridges were preconditioned by flushing with 6 ml of
erously supplied by the Mexican Secretary of Health, México City, methanol and 6 ml of distilled water. 50–100 l of sample
A.M. Domínguez-Ramírez et al. / Journal of Pharmaceutical and Biomedical Analysis 71 (2012) 173–178 175
Table 2
Stability of metamizol metabolites in plasma samples stored at −20 ◦ C.
Table 1
Intra- and inter-day precision and accuracy for analysis of metamizol metabolites spiked to rat plasma.
Addeda (g/ml) Recovered (g/ml) CV (%) REb (%) Addeda (g/ml) Recovered (g/ml) CV (%) REb (%)
Table 3
Pharmacokinetic parameters for MAA, AA, AAA obtained after s.c. administration of a single dose of metamizol 177.8 mg/kg alone (MET) and in combination with 3.2 mg/kg
of morphine (MET + MOR) in arthritic rats.
Cmax (g/ml) a
95.8 ± 8.3 105.23 ± 10.0 ns
21.9 ± 2.2 23.4 ± 1.3ns
11.8 ± 1.1 12.7 ± 2.6ns
tmax (h)b 0.25 (0.25) 0.25 (0.0)ns 2.0 (2.0) 3.0 (2.5)ns 4.0 (4.5) 4.0 (4.5)ns
ABC0–∞ (g h/ml)a 198.2 ± 22.5 185.5 ± 17.9ns 126.9 ± 17.3 156.2 ± 9.0ns ND ND
ABC0−4 h (g h/ml)a 162.8 ± 18.9 153.7 ± 14.9ns 66.8 ± 5.3 74.1 ± 3.4ns 23.5 ± 1.9 25.2 ± 2.4ns
ke (h−1 ) 0.55 ± 0.05 0.51 ± 0.04ns 0.32 ± 0.04 0.2 ± 0.02ns ND ND
t1/2 (h) 1.3 ± 0.1 1.4 ± 0.1ns 2.4 ± 0.3 2.9 ± 0.21ns ND ND
Vd/F (l/kg) 1.7 ± 0.1 2.0 ± 0.2ns 4.7 ± 0.4 4.8 ± 0.45ns ND ND
Cl/F (l/h/kg) 0.9 ± 0.1 1.0 ± 0.1ns 1.4 ± 0.2 1.1 ± 0.06ns ND ND
Cmax , maximum plasma concentration; tmax , time to Cmax ; AUC0–∞ , area under the curve from time 0 to infinite; AUC0–4 , area under the curve from time 0 to 4 h; ke , elimination
constant; t1/2 , half-life time; Vd/F, volume of distribution; Cl/F, plasma clearance; ns, p > 0.05 compared MET vs. MET + MOR; ND = not determined because experiment was
finalized before beginning of elimination phase.
a
Geometric mean ± SEM (n = 6).
b
Median (range); all other data expressed as arithmetic mean ± SEM (n = 6).
3.2. Method validation elution with methanol. The final solvent volume used to elute the
compounds was 3 ml, without sacrificing the recovery of the ana-
3.2.1. Selectivity lytes. Absolute recoveries, calculated by comparing peak areas from
The extraction method allowed the adequate separation of MET, extracted samples with peak areas of unextracted standards, were
MET metabolites and FUR from possible endogenous plasma com- between 99.7 and 108.1% for MAA, 89.1 and 100.2% for AA 97.6 and
pounds (Fig. 2). Neither MOR nor MOR metabolites were detectable 102% for AAA, and 97.4 and 103.2% for FAA, with a good precision
in samples of rats treated with a single dose of MOR. (CV < 8%), independently of the concentration studied. The recov-
MOR concentrations expected after administration of a sin- ery of the method was higher than other methods that use larger
gle dose of 3.2 mg/kg, s.c., are below detectable concentrations plasma samples or at least two-step LLE [9,12,14,19]. One of the
by HPLC–UV methods. Even more, pH conditions used with SPE advantages of SPE is that it allows a better recovery of the analytes,
method are unfavorable for the extraction of MOR from plasma from the biological matrix, than LLE, and allows multiple samples
samples. Consequently, this method can measure MET and its to be processed at the same time.
metabolites in low plasma volume with clean chromatogram and
sufficient limit of quantification without interference from MOR 3.2.5. Stability
due to its specific extraction procedure. From the stability study, it was found that plasma samples con-
taining 15 g/ml of all metabolites were stable for at least 4 weeks
3.2.2. Calibration curves and linearity at −20 ◦ C (Table 2). Furthermore, stock solutions of metabolites
A linear relationship was found when the peak area in methanol, stored at −4 ◦ C, were stable for at least two weeks.
ratio of the metabolite/IS was plotted against metabolite Reconstituted extracted samples in mobile phase were stable for
plasma concentration. Regression lines for metabolites data 24 h at room temperature (data not shown).
were: y = 0.069x − 0.058 (r2 = 0.999) for MAA; y = 0.076x − 0.0036
(r2 = 0.999) for AA; y = 0.064x + 0.037 (r2 = 0.999) for AAA and 3.3. Pharmacokinetic studies
y = 0.051x + 0.02 (r2 = 0.999) for FAA. Linear regression of the data
was significant for the range of concentrations studied (p < 0.001) The validated HPLC method was used to analyse plasma MET
with an intercept equal to zero at 95% confidence level. pharmacokinetics in rats after single administration of 177.8 mg/kg
of the drug alone and after simultaneous administration of MET
3.2.3. Precision, accuracy and lower limit of quantification and MOR (177.8 + 3.2 mg/kg, s.c.). QC samples in each analytical
Table 1 shows a summary of intra-day and inter-day precision run were within 15% of the nominal value. No interfering peaks
and accuracy of the method. CV values ranged from 1.3 to 8.4% and were found during the analysis of the samples obtained for the
from 1.5 to 8.4% respectively, for all metabolites demonstrating the pharmacokinetic study.
good precision of the method. Precision of the method is compara- Pharmacokinetic parameters were calculated by non-
ble to published methods that use higher volume of plasma sample compartmental analysis from metabolites concentration data
[14,15]. found in rat plasma samples. Results are summarized in Table 3.
The intra-day RE values assessed by quintuplicate analysis of QC No differences in the pharmacokinetic parameters for MAA, AA,
samples ranged from 0.6 to 9.6%. Inter-day accuracy, assessed by and AAA between both treatments were found (p > 0.05), demon-
the triplicate analysis of QC samples at four concentrations, in three strating that MOR does not modifies the pharmacokinetics of MET
different days, gave RE values from 0.9 to7.5% (<15%). These results when administered together in single dose, under the conditions
demonstrate the accuracy of the method (Table 1). studied. FAA pharmacokinetic parameters were not calculated
The LLQ was 1 g/ml for all metabolites. Plasma concentrations because plasma concentrations of this metabolite were under the
of MET metabolites can be accurately quantified up to 1 g/ml LLQ.
(20 ng injected) with a CV ranged from 2.3 to 5.6% and RE from The present method proved to be useful for the determination of
3.5 to 9.6%. The sensitivity of this method is equivalent to methods plasma levels of the main MET metabolites (MAA, AA, AAA and FAA)
previously employed in other pharmacokinetic studies in humans, in rats, in a small sample volume (50–100 l). So, a sufficient num-
using 1 ml of plasma sample [11,12,19]. ber of samples can be obtained from the same animal in order to
define the pharmacokinetics of MET, without any impairment to its
3.2.4. Recovery physiological state. The selectivity, sensitivity, precision, and accu-
An adequate recovery after the one-step SPE was obtained racy obtained with this method make it suitable for the purpose of
by washing samples with 0.4 ml of water, previously to the the present study. In conclusion, the proposed method is easy and
178 A.M. Domínguez-Ramírez et al. / Journal of Pharmaceutical and Biomedical Analysis 71 (2012) 173–178
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