1968
DOI: 10.1016/0006-2952(68)90134-2
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Metabolism of diazepam in vitro

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Cited by 47 publications
(15 citation statements)
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“…After recovery from acute viral hepatitis, the diazepam half-life returned almost to normal values; No statistically significant correlation was noted between the diazepam ti (a) in patients with cirrhosis or hepatitis (and drug clearance in cirrhosis) and any of the standard liver function tests. The reduced clearance of diazepam in patients with acute and chronic parenchymal liver disease suggests that this drug should be used with caution, especially on a prolonged basis, in (1)(2)(3)(4)(5). In man, the major biotransformation pathways include demethylation to Ni-desmethyldiazepam, the major metabolite detectable in the plasma, and, to a lesser extent, hydroxylation to form Ni-methyloxazepam.…”
mentioning
confidence: 99%
See 1 more Smart Citation
“…After recovery from acute viral hepatitis, the diazepam half-life returned almost to normal values; No statistically significant correlation was noted between the diazepam ti (a) in patients with cirrhosis or hepatitis (and drug clearance in cirrhosis) and any of the standard liver function tests. The reduced clearance of diazepam in patients with acute and chronic parenchymal liver disease suggests that this drug should be used with caution, especially on a prolonged basis, in (1)(2)(3)(4)(5). In man, the major biotransformation pathways include demethylation to Ni-desmethyldiazepam, the major metabolite detectable in the plasma, and, to a lesser extent, hydroxylation to form Ni-methyloxazepam.…”
mentioning
confidence: 99%
“…These two metabolites are hydroxylated and N-demethylated, respectively, to form oxazepam. The hydroxylated metabolites are then conjugated to their respective glucuronides, with oxazepam glucuronide as the major urinary product (1)(2)(3)(4)(5). Most studies of the plasma elimination of diazepam have been limited to data obtained after oral administration of the drug, particularly after prolonged therapy.…”
mentioning
confidence: 99%
“…16,19,20,[26][27][28][29] In contrast, it has been reported that diazepam is not metabolized in the brain. 29 If 2'-IDZ was metabolized in a manner similar to diazepam, it would be transformed to 3-hydroxylated and N-demethylated analogs in the liver (Fig. 3).…”
Section: Liver Kidney Heartmentioning
confidence: 99%
“…The metabolism of diazepam by mammalian systems involves N-demethylation to produce ND and 3-hydroxylation to produce TZ; both metabolites can then be converted to the 3-hydroxy-N-desmethyl metabolite OZ as shown in Fig. le. In addition to the above, aromatic hydroxylation at the 4' position of DZ and metabolites is common, particularly in the rat (Schwartz and Postma 1968;Rahman et al 1986;Inaba et al 1988). Standard ND, TZ and OZ metabolites were co-chromatographed with sampes from incubations with rat liver microsomes (TLC) and screening experiments (TLC and HPLC).…”
Section: Metabolism Of Probe Substratesmentioning
confidence: 99%