Study on Stability of Remifentanil, Sufentanil, and Their Metabolites in Human Whole Blood and Urine

Remifentanil exhibited significant instability in whole blood, degrading over 50% within 6 h at 4 °C, whereas stability was markedly improved at -80 °C and in sodium citrate-containing samples. Remifentanil acid remained stable for up to 35 days at -80 °C. Sufentanil was generally more stable, particularly at -80 °C in both blood and urine, while norsufentanil remained stable for 7 days at -20 °C in citrate-anticoagulated blood but degraded rapidly at 4 °C. These findings support specific recommendations for sample preservation, including storage at -80 °C and the use of sodium citrate as an anticoagulant, to enhance detection reliability in toxicological and pharmacokinetic studies.

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Publication Details

Journal
Metabolites
Published
2025-12-18
DOI
https://doi.org/10.3390/metabo15120804
Primary Topic
Anesthesia and Sedative Agents
Type
article
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article

Study on Stability of Remifentanil, Sufentanil, and Their Metabolites in Human Whole Blood and Urine

Keming Yun, Zhuoyi Wang, Xian Ju, Xiaoxi Mu et al.
Metabolites
Anesthesia and Sedative Agents
article

Study on Stability of Remifentanil, Sufentanil, and Their Metabolites in Human Whole Blood and Urine

Keming Yun, Zhuoyi Wang, Xian Ju, Xiaoxi Mu, Kaili Du, Xiaoli Zhang, Tao Wang, Zhe Chen, Yingwen Xu, Dan Zhang, Huan Gao, Jianguo Li, Dong Zhang, Zhiwen Wei, D. T. W. Liang
article en

Abstract

Remifentanil exhibited significant instability in whole blood, degrading over 50% within 6 h at 4 °C, whereas stability was markedly improved at -80 °C and in sodium citrate-containing samples. Remifentanil acid remained stable for up to 35 days at -80 °C. Sufentanil was generally more stable, particularly at -80 °C in both blood and urine, while norsufentanil remained stable for 7 days at -20 °C in citrate-anticoagulated blood but degraded rapidly at 4 °C. These findings support specific recommendations for sample preservation, including storage at -80 °C and the use of sodium citrate as an anticoagulant, to enhance detection reliability in toxicological and pharmacokinetic studies.

MetabolitesVol. 15(12)
Ministry of Public Security of the People's Republic of China (CN), Shanxi Medical University (CN), Shanghai Public Security Bureau (CN), National Institute for Radiological Protection (CN)
Openalex Percentile: Top 40%
Anesthesia and Sedative Agents
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