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Current Drug Metabolism
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Current Drug Metabolism
Article . 2008 . Peer-reviewed
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Benzodiazepine Metabolism: An Analytical Perspective

Authors: MANDRIOLI, ROBERTO; MERCOLINI, LAURA; RAGGI, MARIA AUGUSTA;

Benzodiazepine Metabolism: An Analytical Perspective

Abstract

Benzodiazepines are currently among the most frequently prescribed drugs all over the world. They act as anxiolytics, sedatives, hypnotics, amnesics, antiepileptics and muscle relaxants. Despite their common chemical scaffold, these drugs differ in their pharmacokinetic and metabolic properties. In particular, they are biotransformed by different cytochrome P450 isoforms and also by different UDP-glucuronosyltransferase subtypes. The most important studies on the metabolic characteristics of several 1,4-benzodiazepines, carried out from 1998 onwards, are reported and briefly discussed in this review. Moreover, the analytical methods related to these studies are also described and commented upon and their most important characteristics are highlighted. Most methods are based on liquid chromatography, which provides wide applicability and good analytical performance granting high precision, accuracy and feasibility. Mass spectrometry is gaining widespread acceptance, particularly if the matrix is very complex and variable, such as human or animal blood. However, spectrophotometric detection is still used for this purpose and can grant sufficient selectivity and sensitivity when coupled to suitable sample pre-treatment procedures. A monograph is included for each of the following benzodiazepines: alprazolam, bromazepam, brotizolam, clotiazepam, diazepam, etizolam, flunitrazepam, lorazepam, midazolam, oxazepam and triazolam.

Country
Italy
Keywords

Diazepam, Alprazolam, BENZODIAZEPINES; TDM; ANALYSIS; BIOLOGICAL FLUIDS; METABOLISM, Midazolam, Triazolam, Azepines, Lorazepam, BENZODIAZEPINES; ANALYTICAL METHODS; CYTOCHROME P450; UDP-GLUCURONOSYLTRANSFERASE; SAMPLE PRE-TREATMENT, Mass Spectrometry, Benzodiazepines, Anti-Anxiety Agents, Animals, Humans, Bromazepam, Chromatography, High Pressure Liquid

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
views
OpenAIRE UsageCountsViews provided by UsageCounts
downloads
OpenAIRE UsageCountsDownloads provided by UsageCounts
134
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Top 10%
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145
96
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