Is Precipitation with Sulphosalicylic Acid Valid for Obtaining Free Valproic Acid and Phenytoin

A. Sánchez, R. García, J. A. Duran, J. A. Abadín
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Abstract

The aim of this study was to compare ultrafiltration with protein precipitation with sulphosalicylic acid in the separation of free and protein-bound serum phenytoin and valproic acid. Blood samples from 49 epileptic patients chronically treated with phenytoin (27) and valproic acid (22) were assayed. Free phenytoin or valproic acid were determined by fluorescent polarization immunoanalysis. The results showed that the free serum concentrations obtained by protein precipitation (24.9 ± 8.3 and 2.55 ± 1.61 mg L−1 for valproic acid and diphenylhydantoin, respectively) were almost three-fold those from ultrafiltration (7.5 ± 6.2 and 0.86 ± 0.6 mg L−1, respectively). Protein separation using sulphosalicylic acid is not a valid technique for obtaining the free serum concentration of phenytoin or valproic acid.
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磺胺水杨酸沉淀法可以得到游离丙戊酸和苯妥英吗
本研究的目的是比较超滤-蛋白质沉淀-巯基水杨酸分离游离和蛋白结合血清苯妥英和丙戊酸的效果。对49例长期应用苯妥英(27)和丙戊酸(22)治疗的癫痫患者的血液进行了分析。荧光极化免疫分析法测定游离苯妥英或丙戊酸。结果表明,丙戊酸和二苯基海因蛋白沉淀法得到的游离血清浓度(分别为24.9±8.3和2.55±1.61 mg L−1)是超滤法(分别为7.5±6.2和0.86±0.6 mg L−1)的近3倍。用磺胺水杨酸分离蛋白质不是获得苯妥英或丙戊酸游离血清浓度的有效方法。
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