Thirteen metabolites of the dissociative drug 2-fluoro-deschloroketamine (2F-DCK) were produced in vitro using human liver microsomes and HepaRG liver cells. Seven additional metabolites, including three Phase II conjugates, were identified in post-mortem bile and urine from a fatal case. Molecular networking helped compare the two in vitro models, which proved complementary. The authors propose that nor-2F-DCK (mass-to-charge 208.1137) and a hydrogenated metabolite (224.1443) are reliable markers for detecting 2F-DCK use in high-resolution mass spectrometry libraries.
A 37-year-old man with a history of drug abuse was found unconscious with bags of powder labeled as research chemicals and traces of powder on his nose. He was rehydrated, intubated, and admitted to the intensive care unit. Urine analysis identified several new psychoactive substances, including high concentrations of 3-OH-PCP (12,085 mg/L) and 3-MeO-PCP (1,100 mg/L), along with 2F-DCK, N-ethylhexedrone, and CMC. Molecular networking, a bioinformatic approach, confirmed that the powders in the bags matched the substances found in the patient's urine. This case demonstrates how molecular networking can aid in sample comparison, target quantification methods, and support treatment decisions for intoxications involving arylcyclohexylamine compounds.