Desmethylimipramine overdose: nonlinear kinetics in a slow hydroxylator.

Abstract:

:A case of desmethylimipramine (DMI) overdose is described. The analysis of DMI and its main metabolite, 2-hydroxydesmethylimipramine (2-OH-DMI), in plasma was performed by high performance liquid chromatography with fluorescence detection. Characterization of the elimination kinetics of DMI by using the SAAM 25 computer program indicated Michaelis-Menten kinetics. The patient was phenotyped with respect to debrisoquine hydroxylation and classified as a slow hydroxylator. Both nonlinear kinetics and slow hydroxylation might have contributed to the marked difference between the concentration of DMI and 2-OH-DMI in plasma in this patient.

journal_name

Ther Drug Monit

authors

Spina E,Henthorn TK,Eleborg L,Nordin C,Säwe J

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

239-41

issue

2

eissn

0163-4356

issn

1536-3694

journal_volume

7

pub_type

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