Sophie C. Turfus, Robin A Braithwaite, David A. Cowan, Mark C. Parkin, Norman W. Smith and Andrew T. Kicman

Following lorazepam administration (2 mg, oral) to volunteers, metabolites were identified in urine by LC-MS/MS, aided by the use of deuterated analogues generated by microsomal incubation for use as internal chromatographic and mass spectrometric markers. Metabolites present were lorazepam glucuronide, a quinazolinone, a quinazoline carboxylic acid, and two hydroxylorazepam isomers, one of which is novel, having the hydroxyl group located on the fused chlorobenzene ring. The quinazolinone and particularly the quinazoline carboxylic acid provided longer detection windows than lorazepam in urine extracts not subjected to enzymatic hydrolysis, a finding that is highly relevant to toxicology laboratories that omit hydrolysis to rapidly reduce the time spent on analysis.