Many recent studies in this regard have used highly sensitive instruments, such as liquid chromatography-tandem mass spectrometry (LC–MS/MS). However, these efforts held risks of carry-over due to high drug concentrations in abusers’ urine. Gas chromatography–MS (GC–MS) is a widely used technique for analyzing MA, MDMA, and KET; compared to LC–MS/MS, GC–MS is less susceptible to matrix effects and instrument contamination from highly concentrated biological samples. However, GC–MS still requires extensive sample preparation and derivatization to enhance sensitivity, which can be time-consuming and labor-intensive.
In this study, headspace solid-phase microextraction (HS-SPME) was coupled with GC–MS to simultaneously detect MA, MDMA, KET, and their metabolites in urine. The method was optimized to enhance extract efficiency while minimizing risk of carry-over. It was also applied to 95 urine samples from suspected narcotics abusers, providing insights into the extent of poly-drug abuse in South Korea. Further validation showed excellent linearity (R2 > 0.99), acceptable limits of detection (5–20 ng/mL) and quantitation (10–50 ng/mL), satisfactory precision and accuracy. Analysis of 95 authentic urine samples revealed widespread polydrug use, with 32 of 72 MDMA- or KET-positive cases testing positive for both substances. The metabolite-to-parent drug ratio of NKET/KET was significantly higher than that of AM/MA and MDA/MDMA, suggesting faster metabolism of KET.
The validated HS-SPME-GC–MS method provided a reliable, solvent-free, and high-throughput approach for detecting MA, MDMA, and KET in forensic urine analysis. The findings highlight the prevalence of MDMA-KET co-ingestion in South Korea’s club scene, emphasizing the need for improved monitoring of polydrug abuse.
References
(1) Sim, J.; Kyung, S. Y.; Jo, J.; et al. Simultaneous Determination of Methamphetamine, MDMA, and Ketamine and Their Metabolites in Urine Using a Rapid and Simple HS-SPME-GC–MS Method: A Forensic Study on Drug Abuse Patterns in South Korea. J. Chromatogr. B 2025, 1264, 124720. DOI: 10.1016/j.jchromb.2025.124720
(2) Kim, G. Understanding the Drug Crisis in South Korea: The Social and Regulatory Causes of the Problem. NHSJS 2025. https://nhsjs.com/2024/understanding-the-drug-crisis-in-south-korea-the-social-and-regulatory-causes-of-the-problem/ (accessed 2025-7-30)
(3) Im, C.; Kim, Y. Methamphetamine Spread in the Seoul Metropolitan Area: Geographical Random Forest Modeling Approach. Appl. Geogr. Stud. 2025, 174, 103470. DOI: 10.1016/j.apgeog.2024.103470