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13 protocols using morphine

1

Extraction and Analysis of Opioids

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Meconin-d3 and meconin were purchased from Cayman Chemical (Ann Arbor, MI) as solids and codeine, codeine-d3, morphine, morphine-d3, 6-monoacetylmorphine-d3 (MAM-d3), and 6MAM were purchased from Cerilliant (Round Rock, TX) as 1 mg/mL ampoules. All reagents (ACS grade) and all solvents (HPLC grade) were purchased from Thermo-Fisher Scientific (Hanover Park, IL). Solid-phase extraction (SPE) cartridges (ZSDAU020, 200-mg bed, 10 mL reservoir) were purchased from United Chemical Technologies (Bristol, PA). Extracts were evaporated in a TurboVap LV II purchased from Biotage (Charlotte, NC) under a stream of nitrogen at 60°C. Umbilical cord tissue aliquots were homogenized in a Next Advance Bullet Blender (Averill Park, NY) using 3 stainless steel wood screws.
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2

Quantification of Illicit Drugs in Cough Syrups

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Carbinoxamine, chlorpheniramine, and chlorpheniramine-d6 were purchased from TRC (North York, Canada). Individual solutions of 6-AM, 7-aminonitrazepam, 7-aminonimetazepam, amphetamine, benzoylecgonine, C6G, codeine, codeine-d6, ketamine, methamphetamine, mephedrone, 4-methylephedrine, 3,4-methylenedioxymethamphetamine hydrochloride, M3G, M6G, morphine, morphine-d6, and norketamine (each with a concentration of 1 mg mL−1) were purchased from Cerilliant (Round Rock, TX, USA). Three brands of cold syrups (Consrine, ssBuron, and Pabron) manufactured in Taiwan were purchased from local pharmacies. Consrine contains codeine phosphate (0.48 mg mL−1), chlorpheniramine (0.25 mg mL−1), dl-methyl ephedrine HCl (1.6 mg mL−1), and glycyrrhizic acid (0.25 mg mL−1), ssBuron contains codeine phosphate (0.5 mg mL−1), guaifenesin (3.33 mg mL−1), chlorpheniramine maleate (0.14 mg mL−1), and caffeine (1.33 mg mL−1), Pabron contains codeine phosphate (0.48 mg mL−1), dl-methyl ephedrine HCl (2.5 mg mL−1), and carbinoxamine maleate (0.4 mg mL−1). Formic acid and methanol (high-performance LC grade) (≥ 98%) were purchased from J.T. Baker (Pittsburgh, PA, USA). Ultrapure water (18.2 mΩ·cm) obtained from a Milli-Q ultrapure water system (Millipore, Billerica, MA, USA) was used in this study.
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3

Quantification of Opioids and Cannabinoids in Wastewater

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Morphine, oxycodone, hydrocodone, oxymorphone, hydromorphone, Δ9-tetrahydrocannabinol (THC) and its metabolites 11-nor-9-carboxy-tetrahydrocannabinol (THCCOOH) and THCCOOH-glucuronide were purchased from Cerilliant (Round Rock, TX, USA). The deuterated analogs THC-d3, THCCOOH-d3, THCCOOH-glucuronide-d3, Morphine-d3, oxycodone-d6, hydrocodone-d6, oxymorphone-d3 and hydromorphone-d6 were also purchased from Cerilliant. Strata XC 33 µm polymeric strong cation exchange cartridges of 3 mL/60 mg for calibrators and 6 mL/200 mg for quality control (QC) and authentic wastewater samples were purchased from Phenomenex (Torrance, CA, USA). Ultra-high performance liquid chromatography (UHPLC) grade methanol, dichloromethane and ammonium hydroxide were purchased from Pharmco-Aaper (Brookfield, CT). Isopropanol, liquid chromatography mass spectrometry grade acetonitrile, and Whatman glass microfiber filters (outside diameter 4.7 cm, particle retention 1.6 μm, and thickness 0.26 mm) were from Thermo Fisher Scientific (Waltham, MA, USA).
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4

TSNA Analysis via SPE and HPLC

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SupelMIP™ TSNA (50 mg/3 ml) SPE cartridges were purchased from Sigma Aldrich. Oasis hydrophilic–lipophilic balance (HLB, 30 mg/1 ml) and mixed‐mode cation exchange (MCX, 30 mg/1 ml) SPE cartridges were purchased from Waters (Milford, MA, USA). The NIP material was bought from Biotage (Uppsala, Sweden).
HPLC grade acetonitrile, dichloromethane (DCM), heptane, methanol (MeOH), tetrahydrofuran (THF) and water (H2O) were purchased from VWR International (Radnor, PA). Ammonium formate (97%) and orthophosphoric acid (85% wt.) were purchased from Sigma Aldrich (St Louis, MO, USA) and ammonium acetate and triethyl amine (TEA) were purchased from Fisher Scientific (Waltham, MA, USA). Methyl tert‐butyrl ether (MtBE) was purchased from Honeywell (Charlotte, NC, USA). Cotinine (99.7%), Cotinine‐d3 (99.8%), morphine (99.7%), nicotine (99.6%) and NNN (99,8%) were purchased from Cerilliant (Round Rock, TX, USA).
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5

Opioid Receptor Binding Assay

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Morphine, hydromorphone, oxymorphone, butorphanol, levorphanol, nalbuphine, nalorphine, naltrexone, 6β-naltrexol, buprenorphine, pentazocine, and naloxone, were purchased from Cerilliant. Adenosine 5’-triphosphate (ATP), sodium dodecyl sulfate (SDS), dithiothreitol (DTT), dimethyl sulfoxide (DMSO), 3-(N-morpholino)propanesulfonic acid (Mops), Trizma base (Tris), isopropyl-β-D-thiogalactopyranoside (IPTG), and silica gel thin-layer chromatography (TLC) plates were from Sigma Chemical Company. Polyethyleneimine (PEI) cellulose TLC plates were from Brinkmann. Ecolume scintillation cocktail was purchased from MP Biomedical. Carrier-free sodium [35S]sulfate was from PerkinElmer. HepG2 human hepatoma cell line (ATCC HB-8065) was obtained from American Type Culture Collection. Pooled human lung S9 fraction, liver cytosol, small intestine (duodenum and jejunum) S9 fraction, and kidney S9 fraction were purchased from XenoTech, LLC. All other chemicals were of the highest grade commercially available.
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6

Comprehensive Opioid Quantification Protocol

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Midazolam, Midazolam-d4 maleate, alpha-hydoxyMidazolam, alpha-hydroxyMidazolam-d4, morphine, morphine-d3, morphine-3-beta-d-glucuronide, morphine-3-beta-d-glucuronide-d3, morphine-6-beta-d-glucuronide, morphine-6-beta-d-glucuronide-d3, hydromorphone, hydromorphone-d6, fentanyl, fentanyl-d5, norfentanyl, and norfentanyl-d5-oxalate were all purchased from Cerilliant (Round Rock, Texas). Dexmedetomidine HCl was purchased from Athenex Pharmaceuticals (Buffalo, New York) and dexmedetomidine-d4-L tartrate was purchased from Toronto Research Chemical (Toronto, Ontario). LC-MS grade reagents; methanol, acetonitrile, formic acid and water were purchased from Fisher Scientific (Pittsburgh, PA, USA). Six lots of human plasma was purchased from Lampire Biological Laboratories (Pipersville, Pa).
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7

Quantitative Analysis of Illicit Drugs and Novel Psychoactive Substances

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LC–MS-grade methanol (purity, ≥99.9%) was purchased from Merk (Darmstadt, Germany). HPLC-grade acetonitrile (purity, ≥99.9%) was purchased from J.T. Baker (Phillipsburg, NJ, USA). Ten standards of illicit drugs, methamphetamine (1 mg/mL), amphetamine (1 mg/mL), ketamine (1 mg/mL), norketamine (1 mg/mL), morphine (0.1 mg/mL), codeine (1 mg/mL), Tetrahydrocannabinol (THC, 1 mg/mL), 11-nor-9-carboxy-THC (THC-COOH, 0.1 mg/mL), 3,4-methylenedioxymethamphetamine (MDMA, 1 mg/mL), mephedrone (1 mg/mL), flunitrazepam (1 mg/mL), 7-aminoflunitrazepam (1 mg/mL), nimetazepam (1 mg/mL), 7-aminonimetazepam (1 mg/mL), and zopiclone (1 mg/mL) were purchased from Cerilliant (Round Rock, TX, USA). Three standards of NPSs, 4′-chloro-alpha-pyrrolidinopropiophenone (4-Cl-α-PPP, 1 mg, purity, ≥98%), 4′-Fluoro-α-pyrrolidinopentiophenone (4-F-α-PVP, 1 mg, purity, ≥98%), and 1-pentyl-3-(2-bromophenylacetyl)indole (JWH-249, 1 mg, purity, ≥98%) were purchased from Cayman Chemicals (Ann Arbor, MI, USA). Sodium azide (500 mg, purity, ≥99%) was purchased from Sigma-Aldrich (St. Louis, MO, USA).
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8

Analytical Standards for Opioid Quantification

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The analytical reference standards for codeine, C6G, norcodeine, morphine, M3G, M6G and the internal standards d6-morphine, d6-codeine and d3-M6G were obtained from Cerilliant Corporation, TX, USA. High performance liquid chromatography grade or better solvents were purchased from the following manufacturers: acetonitrile (ACN) and water from Burdick & Jackson, MI, USA; methanol and buffer reagents from Thermo Fisher Scientific, NJ, USA; and formic Acid, 98%, from Sigma-Aldrich, MO, USA.
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9

UHPLC-MS/MS Quantification of Morphine

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Methanol, acetonitrile (both ULC/MS grade) and formic acid (ULC/MS, 99%) were purchased from Biosolve (Dieuze, France). Ammonium solution 25%, di-sodium hydrogen phosphate, phosphoric acid 85% (all practical grade) and ammonium carbonate (99% purity) were supplied by Merck (Darmstadt, Germany). Acetone (pico grade) was purchased from LGC Standards (Manchester, USA). Morphine and Morphine-D3 were obtained from Cerilliant (Rock Round, USA). The mobile phase consisted of Methanol (A) and a 10 mM ammonium carbonate pH 10 buffer solution (B).
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10

Comprehensive Analytical Reference Standards

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Certified reference materials of amitriptyline, bupropion, citalopram, desipramine, desmethylcitalopram, duloxetine, fluoxetine, imipramine, mirtazapine, nortriptyline, paroxetine, sertraline and trazodone were purchased from LGC Standards (Teddington, London, UK); certified reference materials of clomipramine, desmethylvenlafaxine, doxepin, hydroxybupropion, norfluoxetine, norsertraline, trimipramine, venlafaxine, 7-aminoclonazepam, 7-aminoflunitrazepam, alprazolam, bromazepam, clonazepam, diazepam, flunitrazepam, lorazepam, midazolam, nitrazepam, nordiazepam, oxazepam, temazepam, zolpidem, 6-monoacetylmorphine, N-desmethyltramadol, buprenorphine, codeine, fentanyl, hydrocodone, hydromorphone, meperidine, methadone, morphine, naloxone, naltrexone, oxycodone, oxymorphone, tramadol, bupropion-d 9 , citalopram-d 6 , clonazepam-d 4 , codeine-d 3 , diazepam-d 5 , duloxetine-d 3 and morphine-d 3 from Cerilliant (Round Rock, TX, USA); methanol, acetonitrile, ammonium formate and formic acid from Merck (Darmstadt, Germany); ultrapure deionized water was purified by Milli-Q from Millipore (Billerica, MA, USA). All solvents used in the extraction procedure were HPLC grade. Quantisal™ oral fluid collection devices and elution buffer were purchased from Immunalysis (Pomona, CA, USA).
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