All samples were handled under proper chain-of-custody protocols and stored at room temperature in a dark place to preserve sample integrity for analytical testing. Moreover, the prevalence of non-medical use of PGL is expected due to its affordable price (Buttram and Kurtz, 2020). During the year 2018, in England, more than 14 million PGL prescriptions were issued. In April 2019, the United Kingdom reported significant gabapentinoid-related deaths due to misuse, highlighting their abuse potential (Mathieson et al., 2020). In this context, it is worth mentioning the definition of the term abuse, which is defined as “the substance that is used for nontherapeutic purposes to obtain psychotropic (e.g., euphoric, sedative, or anxiolytic) effects” (Smith et al., 2013).
- For epilepsy patients, if they cannot resume their usual oral medication post-operatively, the advice of a neurologist should be sought to determine the most appropriate antiepileptic preparation, dose, route and frequency to be used.
- Thus, through utilizing MRM-LC-MS/MS and targeted analyte transitions, seized drug samples were successfully profiled, impurities were detected, and adulteration trends were uncovered – providing valuable data on the illegal market and risks to public health.
- Of these, 18.4% (25/136) of patients had a history of substance abuse compared with 14.0% (1884/13,480) in the full population.
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HPLC-grade acetonitrile, formic acid, and ammonium formate were purchased from Sigma-Aldrich (Germany), while potassium dihydrogen orthophosphate and sodium hydroxide were sourced from Fisher Scientific (United Kingdom). Purified water was prepared using a Duo™ water purification system from Avidity Science™ (United States). Pregabalin is a painkiller which is used to treat lyrica for sale various conditions, including nerve pain, seizures, and anxiety disorders.