Extra-hepatic metabolism of midazolam.

Abstract:

:Six patients received 10 mg of midazolam intravenously during the anhepatic period of liver transplantation. Arterial blood was sampled during this time and for a similar period following revascularisation. The plasma was analysed using gas chromatography and electron capture detection (GC-ECD) for midazolam alpha-hydroxymidazolam and alpha-hydroxymidazolam glucuronide. Five of the six patients had small but significant concentrations of metabolites detected during the anhepatic period, demonstrating the presence of extra-hepatic sites of metabolism for this drug. The remaining patient had plasma concentrations of metabolites below the lower limit of detection (2 micrograms l-1). This may represent a pharmacogenetic abnormality or a temporary failure of midazolam metabolism secondary to the patients illness affecting the extra-hepatic sites of metabolism.

journal_name

Br J Clin Pharmacol

authors

Park GR,Manara AR,Dawling S

doi

10.1111/j.1365-2125.1989.tb03429.x

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

634-7

issue

5

eissn

0306-5251

issn

1365-2125

journal_volume

27

pub_type

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