Supporting Information 1 Method Validation The method for the quantitative determination of etilefrine and oxilofrine in equine plasma and urine were validated. The method was validated without enzyme hydrolysis in plasma whereas in urine it was validated with enzyme hydrolysis. 1.1 Selectivity The selectivity is the ability to determine and to differentiate the analyte unequivocally in the presence of matrix components. The selectivity of the method is established by investigating six different blank plasma and blank urine samples collected from six different horses for peaks interfering with the detection of the analytes or the IS by the procedure described previously. The chromatograms were evaluated for the absence of etilefrine, oxilofrine and phenylephrineD3 (IS). 1.2 Linearity The linearity was determined through the analysis of series of matrix fortified calibration standards. The plasma calibration standards were prepared in the range of 0.1 to 20 ng/mL and the urine calibration standards were prepared in the range of 1 to 200 ng/mL for both etilefrine and oxilofrine. The linearity was assessed by applying weighted least squares models such as the inverse of the concentration (1/x) or the inverse of the squared concentration (1/x 2) to adequately compensate the heteroscedasticity. 1.3 Intra-day and inter-day precision and accuracy Intra-day precision and accuracy were evaluated by analyzing six replicate matrix spiked samples at three different concentrations levels for etilefrine and oxilofrine on the same day. For inter-day precision and accuracy, three batches of six replicates matrix spiked samples at the same concentrations levels as intra-day were analyzed on three different days. The matrix spikes were prepared at 0.4, 4 and 16 ng/mL levels for plasma and at 4, 16 and 60 ng/mL levels for urine. 1.4 Limit of detection (LOD) The LOD of the method is the lowest concentration of an analyte in a sample that the method can reliably distinguish from background noise. For LOD signal-to-noise (S/N) equal to or greater than five is chosen (S/N ≥ 5). 1.5 Matrix effects (ion suppression/enhancement) Suppression or enhancement of analyte ionisation by co-eluting compounds is a well characterized phenomenon in HPLC-MS-MS analysis. It depends on the sample matrix, the sample preparation procedure, chromatographic resolution and condition, mobile phase additives and ionisation type. The matrix effect was determined by comparing peak areas of neat standard solutions prepared in methanol with those ones prepared in blank matrix extracts. For plasma 0.4 ng/mL and 16 ng/mL levels were used and for urine 4 ng/mL and 60 ng/mL levels were used for both etilefrine and oxilofrine. 2 Stability 2.1 Stability of etilefrine and oxilofrine in equine Plasma and Urine To evaluate the stability of etilefrine and oxilofrine in matrix at different storage conditions, equine plasma and urine were spiked with etilefrine and oxilofrine in triplicates and stored at room temperature (~25C), refrigerator (2-8C) and in a freezer (-20C). The plasma spikes were prepared at 1 and 15 ng/mL levels whereas the urine spikes were prepared at 10 and 80 ng/mL levels. Stability of etilefrine and oxilofrine in equine plasma and urine under different storage condition Storage condition Matrix Analyte At 25C for 24 hours Plasma Etilefrine Oxilofrine Urine Etilefrine Oxilofrine Nominal Concentration (ng/mL) 1 15 1 15 10 80 10 Calculated Mean Value (n=3) 0.97 12.2 0.77 13.3 13.5 69.2 10.2 % Nominal 97% 81% 77% 88% 135% 87% 102% At 4C for 72 hours Plasma Etilefrine Oxilofrine Urine Etilefrine Oxilofrine At -20C for Plasma 7 days Etilefrine Oxilofrine Urine Etilefrine Oxilofrine At -20C for Plasma 30 days Etilefrine Oxilofrine Urine Etilefrine Oxilofrine 2.2 80 1 15 1 15 10 80 10 80 1 15 1 15 10 80 10 80 1 15 1 15 10 80 10 80 72.7 1.03 10.7 0.97 12.2 9.5 63.7 11.2 68.9 1.4 12.6 0.95 12.7 11.8 76.8 9.8 76.4 1.1 14.8 1.03 14.8 12.1 86 13.1 100 91% 103% 71% 97% 81% 95% 80% 112% 86% 140% 84% 95% 85% 118% 96% 98% 96% 110% 99% 103% 99% 121% 108% 131% 125% Stability of etilefrine and oxilofrine standard solutions Stability of etilefrine and oxilofrine standard solutions at different storage conditions was determined by keeping 10 ng/mL and 100 ng/mL standard solutions prepared in duplicates at room temperature (25C), refrigerator (4C) and in freezer (-20C) for 24 hours, 4 days and 7 days respectively. The working standard solutions of etilefrine and oxilofrine are very stable at all storage conditions studied. 3 Dilution accuracy and precision To demonstrate the ability to dilute and analyze samples with etilefrine and oxilofrine concentrations above the upper limit of quantitation, plasma samples spiked with etilefrine and oxilofrine (60 ng/mL) in triplicates were diluted ten times with blank plasma (to 6 ng/mL) and urine samples spiked with etilefrine and oxilofrine (15 µg/mL) in triplicates were diluted hundred times with blank urine (to 150 ng/mL) prior to sample preparation described in this paper. The calculated mean concentrations from the analysis were further converted to the original sample concentrations to compare with nominal concentration (60 ng/mL for plasma and 15 µg/mL for urine) for dilution accuracy and precision. Dilution accuracy and precision of etilefrine and oxilofrine spikes in equine plasma (15 µg/mL) and urine (60 ng/mL) Original Concentration Nominal Concentration After Dilution Calculated Concentration Conversion to Original Concentration Plasma- 6 ng/mL 5.75 ng/mL 57.5 ng/mL Etilefrine (10 times 5.52 ng/mL 55.2 ng/mL 60 ng/mL dilution) 5.75 ng/mL 57.5 ng/mL Plasma- 6 ng/mL 6.00 ng/mL 60.0 ng/mL Oxilofrine (10 times 5.74 ng/mL 57.4 ng/mL 60 ng/mL dilution) 6.10 ng/mL 61.0 ng/mL Urine- 150 ng/mL 155.60 ng/mL 15.56 µg/mL Etilefrine (100 times 151.85 ng/mL 15.19 µg/mL 15 µg/mL dilution) 146.94 ng/mL 14.69 µg/mL Urine- 150 ng/mL 157.32 ng/mL 15.73 µg/mL Oxilofrine (100 times 155.20 ng/mL 15.52 µg/mL 15 µg/mL dilution) 143.61 ng/mL 14.36 µg/mL 4 Mean Concentration % Accuracy Precision (%RSD) 56.7 ng/mL 95% 2.30% 61.0 ng/mL 102% 3.11% 15.1 µg/mL 101% 2.65% 15.2 101% 4.61% Product ion mass spectra The enhanced product ion mass spectra of etilefrine and oxilofrine are shown below. The source and compound dependent mass spectrometric parameters were optimized for the three most intense product ions. For etilefrine product ions having m/z 135, 109 and 91 were optimized whereas for oxilofrine product ions having m/z 149.1, 105.2 and 133.1 were optimized. These optimized transitions were used to develop the MRM method to detect and quantify etilefrine and oxilofrine in equine plasma and urine. The product ions arising from the loss of non-specific fragments such as water and ammonia were avoided in the MRM method. 5 EPI scan mass spectrometric parameters used for the identification of etilefrine metabolites in equine plasma and urine samples Metabolite Name Positive Mode ionization m/z Collision Energy (CE) (V) Etilefrine glucuronides 358 Etilefrine sulfates Tetrahydroisoquinoline Negative Mode ionization m/z Collision Energy (CE) (V) 30 Collision Energy Spread (CES) (V) 15 356 -30 Collision Energy Spread (CES) (V) -15 262 30 15 260 -30 -15 194 30 15 370 30 15 368 -30 -15 Metabolites Tetrahydroisoquinoline glucuronide Metabolites Tetrahydroisoquinoline 274 30 15 182 30 5 sulfate Metabolites Etilefrine (Parent) 272 -30 -15