Modern chromatographic and electrophoretic measurements of antidepressants and their metabolites in biofluids.

Depression is one of the most frequently occurring psychiatric conditions affecting the economic and social functioning of people all over the world. There are a few classes of drugs commonly used to treat patients with depression disorders. Therapeutic drug monitoring of antidepressants provides the possibility to reduce side effects and optimize the treatment of patients with depression. Hence, there is a need to develop reliable analytical methods for the determination of these agents in biological fluids. Moreover, an important part of understanding the mechanisms of action of these medicines is also associated with the recognition of the metabolites' function because of their potential influence on therapeutic benefits and/or adverse effects. Some of them possess the same primary activity as their parent compounds and may contribute to the therapeutic efficacy whereas the biochemical actions of other metabolites may be different from that of the parent drug. In this review, several validated high-performance liquid chromatographic, gas chromatographic and capillary electrophoretic methods for quantification of antidepressants and their metabolites in biofluids are compared. In addition, the review covers areas such as mechanism of actions, structure-activity relationships and metabolism of the cited antidepressants.