Determination of Pharmaceuticals in Water by SPE and LC/MS/MS in Both Positive and Negative Ion Modes Application

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Determination of Pharmaceuticals in Water by SPE and LC/MS/MS in Both Positive and Negative Ion Modes Application Environmental Authors Chin-Kai Meng Agilent Technologies, Inc. 85 Centerville Road Wilmington, DE 988-6 USA Stephen L. Werner and Edward T. Furlong National Water Quality Laboratory U.S. Geological Survey PO Box 56, MS 7, Building 95, Denver Federal Center Denver, CO 85 USA Abstract Using solid phase extraction (SPE) and liquid chromatography/tandem mass spectrometry (LC/MS/MS), 9 pharmaceuticals in positive ion mode and pharmaceuticals in negative ion mode were analyzed at low picogram level on column without any derivatization. Good linearity was observed for analytes from pg to ng on column. Repeatability from six injections of analytes at 5 pg on column showed RSDs below 5%, for all target compounds except for fluoxetine at 3%. Introduction Many articles in leading medical journals and newspapers reported sexual development and reproductive problems in animals and humans, for example, low sperm counts, genital deformities, male fish making eggs, and others. Scientists suggested that man-made chemicals (for example, pesticides and pharmaceuticals) are disrupting the endocrine system. Compounds like antibiotics, over-the-counter medicines, and caffeine drain through the sewage system largely unaltered into rivers and streams, and even get into the drinking water supply in very small amounts. In order to monitor the trace pharmaceuticals in surface and ground water, an effective sample preparation and analysis method is required. In 999, the US Geological Survey National Water Quality Laboratory (NWQL) developed and implemented an OASIS HLB, solid-phase extraction (SPE), and a high-performance liquid chromatography (HPLC)-mass spectrometry (MS) method to analyze pharmaceuticals. Using the Multiple Reaction Monitoring (MRM) technique, any interference and matrix signal from organic matters in the water can be minimized from the target compound signals for better confirmation and quantitation. In this application, SPE and LC/MS/MS methods are described to analyze 9 pharmaceuticals in positive ion mode and pharmaceuticals in negative ion mode.

Experimental Sample Preparation Procedure See Reference for more information.. Filter water samples in the field or laboratory using.7-µm glass fiber filters.. Pump L of the filtered water sample, at a flow rate of ml/min, through an Oasis HLB (SPE) cartridge containing.5 g of sorbent. 3. Elute the HLB column with 6 ml of methanol followed by ml of.% TFA (trifluoroacetic acid) in methanol. Instrumentation Positive Ion Mode LC: LC Column: ZORBAX Extend-C-8, RRHT,. mm mm,.8 µm Column temperature: C Mobile phases: A:.% formic acid in water, add NH OH buffer to ph 5.5 B: Acetonitrile (ACN) Flow rate:.3 ml/min Gradient: Time %B 5.5 Injection volume:. µl MS: G6A QQQ Ionization: ESI (+) Mass range: 5 to 8 amu Scan time: 3 ms Capillary: 35 V Nebulizer P: psi Drying gas: 9 L/min Gas temperature: 35 C Skimmer: 35 V. The resulting solvent extract is then concentrated to approximately µl. 5. Add internal standard (ISTD). The extract is reconstituted to ml. Calibration Standards For positive ion mode, nine calibration solutions were prepared:, 5,,,,,,, and, pg/µl. For negative ion mode, six levels were used:,,, 8,, and 8 pg/µl. Negative Ion Mode LC: LC Column: ZORBAX Extend-C-8, RRHT,. mm mm,.8 µm Column temperature: 6 C Mobile phases: A:.% Glacial acetic acid in water B: Acetonitrile (ACN) Flow rate:.3 ml/min Gradient: Time %B 5 3 7 6 3 Injection volume:. µl MS: G6A QQQ Ionization: ESI ( ) Mass range: 8 amu Scan time: 3 ms Capillary: 35 V Nebulizer P: psi Drying gas: 9 L/min Gas temperature: C Skimmer: 35 V

The MRM parameters for positive ion mode and negative ion mode are listed in Tables and, respectively. Table. Positive Ion Mode MRM Method Parameters Name RT MW Precursor Quant ion Collision V Dwell Segment Metformin HCI.856 9 3. 7.5 5 3 Acetaminophen.59 5 5.3.3 8 3 Salbutamol.77 39. 8. 5 3 Cimetidine.85 5 53. 9.9 7 3,7,-Dimethylxanthine.89 8 8.3 3.9 3 Cotinine 5. 76 77.3 8.3 9 3 Codeine 5.3 99 3. 6.9 3 3 Caffeine 5.93 9 95.3 37.9 3 Trimethoprim 5.935 9 9..8 5 3 Thiabendazole 7.9.3 3.3 35 3 Sulfamethoxazole 7.39 53 5.3 56. 5 3 Azithromycin 7.36 79 375.5 57.9 6 3 Diphenhydramine 8.6 55 56.5 67. 5 Diltiazem HCI 8.693 5. 77.6 8 Carbamazepine 8.9 36 37. 9. Fluoxetine HCI 9.7 39 3. 8.5 5 Dehydronifedipine.635 3 35. 83.9 7 5 Warfarin.5 38 39. 63.3 5 5 Miconazole nitrate salt.865 6 7. 59.3 3 3 6 Table. Negative Ion Mode MRM Method Parameters Name RT MW Precursor Quant ion Frag. V Collision V Dwell Segment Hydrochlorothiazide 3. 97 96 69 7 Aspirin 3.9 8 79 5 7 Enalaprilat 3.7 38 37 7 Furosemide.5 33 39 85 5 7 Ketoprofen 5.7 5 53 9 8 5 7 Clofibric acid 5. 3 7 8 7 Napoxen 5. 3 9 7 8 7 Diclofenac sodium salt 5.8 9 9 5 3 Ibuprofen 6.3 6 5 6 8 3 Ibuprofen-d3 6.3 9 8 6 8 3 Gemfibrozil 6.9 5 9 5 5 Triclocarban 6.66 3 33 6 5 5 3

Results and Discussion The total ion chromatogram (TIC) in negative ion mode is shown in Figure. The analysis time in negative ion mode is less than 7 minutes for the analytes. Their peak widths are about. minute, using a.8-µm particle size column. The narrower peak width gives a higher signal-tonoise (s/n) ratio compared to a 3.5-µm or larger particle size column. 6 Triclocarban 5 Clofibric acid Naproxen Ketpprofen Ibuprofen Ibuprofen - d3 Gemfibrozil 3 Diclofenac sodium salt Hydrochlorothiazide Aspirin Enalaprilat Furosemide 3. 3. 3.6 3.8...6.8 5 5. 5. 5.6 5.8 6 6. 6. 6.6 6.8 7 7. Abundance vs. acquisition time (min) Figure. Negative ion mode TIC of pharmaceuticals.

A few compounds, for example, ketoprofen (Figure ), are sensitive to heat from the drying gas. Higher drying gas temperature (35 C) lowers the intensity of the precursor ions. Therefore, in the negative ion mode, the drying gas temperature was set to C. Ketoprofen 35V, C 5.5..3...9.8.7.6.5..3.. 8.8.7.6 8.7 Precursor = 53 5.7 35V, 35 C 5.5..3...9.8.7.6.5..3.. 8.7.7 5.6.6 5 5 5 3 35 5 5 55 6 Abundance vs. mass-to-charge (m/z) Figure. Higher drying gas temperature lowers precursor intensity for certain compounds. 5

In Figure 3, it was interesting to see that the fragment ion actually had a higher m/z value than the precursor ion. For azithromycin, the doubly charged ion showed higher intensity than the singly charged ion and was chosen as the precursor. Therefore, depending on the precursor chosen, it is sometimes necessary to set the upper mass of the product ion scan to be higher than the precursor ion. Figure shows the overlaid chromatograms of 9 pharmaceuticals, each at 5 pg on column, from the positive ion mode MRM analysis. 37.9 3 Doubly charged azithromycin (precursor) Singly charged fragment 59.8.7 58.3 8 6 3 3 38 6 5 5 58 6 Abundance vs. mass-to-charge (m/z) Figure 3. Doubly charged precursor results in a fragment at higher m/z. 6 5.5 5.5 3.5 3.5.5.5 5 pg on column Metformin Salbutamol Acetaminophen Cimetidine,7-dimethylxanthine Cotinine Codeine Caffeine Trimethoprim Diphenhydramine Cabamazepine Sulfamethoxazole Azithromycin Thiabendazole.5.5 3 3.5.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5.5.5.5 3 Abundance vs. acquisition time (min) Diltiazem Fluoxetine Dehydronifedipine Warfarin Miconazole nitrate salt Figure. Overlaid MRM chromatograms of the 9 pharmaceuticals in positive ion mode. 6

Figure 5 shows the overlaid chromatograms of pharmaceuticals, each at pg on column, from the negative ion mode MRM analysis. In both Figures and 5, the analysis times were relatively short and s/n ratios were high. x 5 -BPC (69. m/z) MRM (96. m/z); from USGS_pharma_neg_ppb.d Smooth () 3.7 Hydrochlorothiazide pg on column x x 3.5 -BPC (. m/z) MRM (79. m/z); from USGS_pharma_neg_ppb.d Smooth () 3.55 Aspirin -BPC (85. m/z) MRM (39. m/z); from USGS_pharma_neg_ppb.d Smooth ().5 Furosemide x 3.5 -BPC (9. m/z) MRM (53. m/z); from USGS_pharma_neg_ppb.d Smooth () 5.6 Ketoprofen x 3.5 -BPC (7. m/z) MRM (3. m/z); from USGS_pharma_neg_ppb.d Smooth () 5.5 Clofibric acid x x x 3.5 -B P C( 7. m/z) MRM ( 9. m/z); fro m US GS _pha rma_n eg_ ppb.d S mooth () 5.33 Naproxen -BPC (5. m/z) MRM (9. m/z); from USGS_pharma_neg_ppb.d Smooth () 5.876 Diclofenac Na salt -BPC (6. m/z) MRM (5. m/z); from USGS_pharma_neg_ppb.d Smooth () 6.5 Ibuprofen x 3 -BPC (. m/z) MRM (9. m/z); from USGS_pharma_neg_ppb.d Smooth () Gemfibrozil 6. 9 x.5 -BPC (6. m/z) MRM (33. m/z); from USGS_pharma_neg_ppb.d Smooth () 6.65 3 Triclocarban 3 3. 3. 3.6 3.8...6.8 5 5. 5. 5.6 5.8 6 6. 6. 6.6 6.8 7 7. Abundance vs. acquisition time (min) Figure 5. Overlay of MRM results from the pharmaceuticals in negative ion mode. 7

Table 3 shows the linearity results of all 9 pharmaceuticals (ESI+) over the range of, 5,,,,,,, and, pg on column. Two calibration models were used: a linear model and a quadratic model that both included origin with no weighting. Some of the compounds showed significant fitting improvement from the linear model to the quadratic model. This is the nature of these compounds. Table 3. Linearity:, 5,,,,,,, and, pg on Column (ESI+), Origin Included, No Weighting Compound R R (linear fit) (quadratic fit) Metformin HCl.9975.9999,7,-Dimethylxanthine.9998.9998 Acetaminophen.985.9999 Caffeine.999.9997 Cimetidine.9968.9998 Codeine.9989.9997 Cotinine.997.9998 Salbutamol.985.999 Trimethoprim.998.9999 Azithromycin.9633.9998 Sulfamethoxazole.9998.9999 Thiabendazole.9997.9998 Carbamazepine.996.9999 Diltiazem HCl.9997.9997 Diphenhydramine.9975.9998 Dehydronifedipine.9985.9993 Fluoxetine HCl.998.9997 Warfarin.9989.9997 Miconazole nitrate salt.9989.9995 Table shows the repeatability results from six injections of 5 pg of each analyte on column. In general, the RSDs are below 5%, except for fluoxetine, which was at 3%. Table. Repeatability from Six Injections at 5 pg/µl (5 pg on column), ESI(+) Compound %RSD Metformin HCl.,7,-Dimethylxanthine 8.6 Acetaminophen 6. Caffeine 5.7 Cimetidine. Codeine 6. Cotinine.5 Salbutamol 3.7 Trimethoprim 3.6 Azithromycin 9. Sulfamethoxazole.7 Thiabendazole 5.3 Carbamazepine.8 Diltiazem HCl.7 Diphenhydramine 3.7 Dehydronifedipine 5. Fluoxetine HCl 3. Warfarin. Miconazole nitrate salt.9 Table 5 shows the linearity results of all pharmaceuticals (ESI ) over the range of,,, 8,, and 8 pg on column. All the R values were above.99, except triclocarban, which was about.97. Table 5. Linearity:,,, 8,, and 8 pg on Column (ESI ), Origin Included, No Weighting Compound R (linear fit) Hydrochlorothiazide.9999 Aspirin.9977 Enalaprilat.998 Furosemide.9997 Ketoprofen.9988 Clofibric acid.9997 Naproxen.999 Diclofenac Na salt.9993 Ibuprofen.9997 Ibuprofen-d3.9998 Gemfibrozil.9993 Triclocarban.9655 8

Once the method is established, one can screen and quantitate target analytes in water. Figures 6, 7, and 8 are MRM analyses of actual water sample extracts in positive and negative ion modes. Diphenhydramine 693 6 693 3 699 5 Acetaminophen Trimethoprim and sulfamethoxazole 69 3 69 3 69 5 693 3 69 5.5 6 6.5 7 7.5 8 8.5 9 9.5.5.5 Abundance vs. acquisition time (min) Figure 6. Pharmaceuticals screening in positive ion mode. 9

3.5 693.5 Hydrochlorothiazide (for high blood pressure) Gemfibrazil (for cholesterol) 5.75 693.5 3 6 699 Furosemide (for high blood pressure) 3 69. 5 69 3 69 5.75 693.5. 5 69 3. 3.6 3.8...6.8 5 5. 5. 5.6 5.8 6 6. 6. 6.6 6.8 7 7. 7. 7.6 Abundance vs. acquisition time (min) Figure 7. Pharmaceuticals screening in negative ion mode.

78 Gemfibrozil (for cholesterol) 88 Hydrochlorothiazide (for high blood pressure) 5 693 Ibuprofen 3 683 3 69 6 696 6 697 5 698 3. 3.6 3.8...6.8 5 5. 5. 5.6 5.8 6 6. 6. 6.6 6.8 7 7. 7. 7.6 Abundance vs. acquisition time (min) Figure 8. Pharmaceuticals screening in negative ion mode.

www.agilent.com/chem Figure 6 shows several of the pharmaceuticals, for example, diphenhydramine and acetaminophen, that were common to several of the water samples. Some of the antibiotics were also found in the samples. Interestingly enough, in Figures 7 and 8, the most common pharmaceuticals in the water samples were related to high blood pressure and cholesterol medications. Conclusion Using SPE and LC/MS/MS, 9 pharmaceuticals in positive ion mode and pharmaceuticals in negative ion mode were analyzed at low picogram level on column without any derivatization. Good linearity was observed for analytes from pg to ng on column. Repeatability study from six injections of target analytes at 5 pg on column showed RSDs below 5%, except for fluoxetine at 3%. This method was applied to water sample extracts, finding that several target pharmaceutical drugs were commonly found among the analyzed samples. Reference. USGS SOP: Instrumental Analysis for Determination of Human Health Pharmaceuticals in Water by Chemically Modified Styrene-Divinylbenzene Resin-Based Solid-Phase Extraction and High-Performance Liguid Chromatography/Mass Spectrometry, by Steve Werner, 6. For More Information For more information on our products and services, visit our Web site at www.agilent.com/chem. Agilent shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material. Information, descriptions, and specifications in this publication are subject to change without notice. Agilent Technologies, Inc. 6 Printed in the USA July 5, 6 5989-539EN