代谢
醋酸艾司利卡唑是迅速且广泛地通过水解首过代谢转化为其主要活性代谢物艾司利卡唑。艾司利卡唑大约占系统暴露的92%。次要活性代谢物(R)-利卡唑和氧卡唑占系统暴露的不到5%。活性代谢物随后转化为无活性的葡萄糖苷酸,这些葡萄糖苷酸大约占系统暴露的3%。在研究人类肝脏微粒体时,艾司利卡唑对CYP2C19有中等抑制作用,并对UGT1A1介导的葡萄糖苷酸化有轻微激活作用。已经证明艾司利卡唑在体内可诱导CYP3A4酶。
Eslicarbazepine acetate is rapidly and extensively metabolized to its major active metabolite, eslicarbazepine, via hydrolytic first-pass metabolism. Eslicarbazepine corresponds to about 92% of systemic exposure. Minor active metabolites (R)-licarbazepine and oxcarbazepine consist of <5% of systemic exposure. Active metabolites are then metabolized to inactive glucuronides that correspond to about 3% of systemic exposure. Eslicarbazepine had a moderate inhibitory effect on CYP2C19 and a mild activation of UGT1A1-mediated glucuronidation when studied in human hepatic microsomes. It has been shown to induce CYP3A4 enzymes in vivo.
来源:DrugBank