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April 1, 1996Therapeutic Drug Monitoring

A Systematic Review and Critical Comparison of Internal Standards for the Routine Liquid Chromatographic Assay of Amiodarone and Desethylamiodarone

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Key result

Tamoxifen was identified as the most acceptable alternative internal standard for amiodarone assay, yielding linear standard curves and low within-run (5.3%) and between-run (4.5%) CVs.

Population

Laboratory assay development for amiodarone and desethylamiodarone

Comparison

Tamoxifen as an internal standard for… vs L8040 and other potential alternative substances

Design

Other

Authors

PPP. Timothy PollakDalhousie University

Discussion

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Implication

Supports uninterrupted amiodarone therapeutic drug monitoring; extends assay methods by validating tamoxifen as an accessible internal standard.

Study Design

Type

Systematic Review

Structured PICO

P
Population
Laboratory assay development for amiodarone and desethylamiodarone
I
Intervention
Tamoxifen as an internal standard for high-performance liquid chromatographic assay
C
Comparator
L8040 and other potential alternative substances
O
Outcome
Assay performance characteristics (linearity, resolution, coefficient of variation)surrogate

Tamoxifen serves as an effective internal standard for the routine liquid chromatographic assay of amiodarone and its metabolite, replacing the no longer available L8040.

Limitations

  • No commercially available substances were able to duplicate all the advantages of L8040

Cite This Study

P. Timothy Pollak (1996) conducted a systematic review in Arrhythmias (Amiodarone assay development). Tamoxifen as an internal standard vs. L8040 and other alternatives was evaluated on Assay performance (linearity and coefficients of variation). Tamoxifen was identified as the most acceptable alternative internal standard for amiodarone assay, yielding linear standard curves and low within-run (5.3%) and between-run (4.5%) CVs.

synapsesocial.com/papers/6a94deeea35b9ad7aee61383https://doi.org/10.1097/00007691-199604000-00011
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Rapid high-performance liquid chromatographic analysis of amiodarone and N-desethyl-amiodarone in serum1983 · 30 citations
  2. 2Steady-State Serum Amiodarone Concentrations: Relationships with Antiarrhythmic Efficacy and Toxicity1984 · 201 citations
  3. 3Quinidine-related mortality in the short-to-medium-term treatment of ventricular arrhythmias. A meta-analysis.1991 · 172 citations
  4. 4Mortality and Morbidity in Patients Receiving Encainide, Flecainide, or Placebo1991 · 3,276 citations
  5. 5High-performance liquid chromatographic isolation and fast atom bombardment mass spectrometric identification of di-N-desethylamiodarone, a new metabolite of amiodarone in the dog1984 · 26 citations