Pre-cleaned bare wooden toothpicks for the determination of drugs in oral fluid by mass spectrometry

This article deepens the potential of pre-cleaned bare wooden toothpicks (pb-WTs) for extracting drugs (antidepressants and acetaminophen) from oral fluid samples. The leaching of the intrinsic compounds from the wood matrix is identified as the main challenge for the final determination of the targets, even when a very selective instrumental technique, such as mass spectrometry, is employed. The pre-cleaning of the WTs is proposed for improving the analytical performance. The number of cleaning cycles depends on the injection mode (direct infusion or chromatography) into the mass spectrometer. The different variables affecting the extraction of selected antidepressant drugs were studied in detail, and the optimum procedure was validated using the two mentioned injection modes. The limits of detection were in the ranges 0.1-0.5 ng/mL and 0.1-0.3 ng/mL for direct infusion and liquid chromatography, respectively. The intra-day precision (expressed as relative standard deviation) was better than 12.1% and 8.6%, for direct infusion and liquid chromatography, respectively. Single-blind samples were used to study the applicability of the method. Finally, as a proof-of-concept, the potential of pb-WTs for in vivo sampling was outlined.

Automated summary

This article explores the potential of pre-cleaned bare wooden toothpicks (pb-WTs) for drug extraction from oral fluid samples and proposes a method to improve the analytical performance. The study investigates the variables affecting the extraction of antidepressant drugs and validates the optimized procedure. The results demonstrate good detection limits and precision. Furthermore, the potential of pb-WTs for in vivo sampling is outlined.