Simultaneous analysis of eight benzodiazepines in blood and urine matrix by gas chromatography–mass spectrometry: Implications for air crash investigation

Introduction: Benzodiazepines are the most commonly prescribed class of drugs in India and are capable of impairing the performance of an aviator in therapeutic to subtherapeutic levels. Detection of benzodiazepines, particularly in blood, is not easy, since the concentrations present, especially following prescribed medical use, can be very low. Several publications have addressed estimation of benzodiazepines in plasma or serum; however, few have attempted their detection in whole blood. Urine, although a better specimen, benzodiazepines due to their extensive metabolism, its metabolites are excreted in urine instead of the parent compounds. Materials and Methods: In our laboratory, a method was developed for simultaneous detection and quantification of eight benzodiazepines in whole blood and urine matrix by gas chromatography–mass spectrometry selective ion monitoring (SIM) method. Chromatographic separation was optimized and achieved for separation of all 8 compounds using Agilent DB-5MS column. Retention time, selectivity and sensitivity were achieved by measuring each analyte in SIM mode. The developed method was tested and validated on actual biological samples for lorazepam, temazepam, diazepam, clonazepam, and nitrazepam. Conclusion: A single method was developed for the detection and quantification of eight benzodiazepines in whole blood and urine matrix by GC–MS SIM method. The method was also tested on limited number of actual biological samples for the lorazepam, temazepam, diazepam, clonazepam, and nitrazepam.