代谢
丁酰芬太尼可以通过CYP3A4和CYP2D6去烷基化成为诺丁酰芬太尼,通过CYP3A4羟基化成为(ω-1)-羟基-丁酰芬太尼,4'-位羟基化成为4'-羟基-丁酰芬太尼,通过CYP2D6或CYP3A4羟基化成为ω-羟基-丁酰芬太尼,或者通过CYP3A4羟基化成为β-羟基-丁酰芬太尼。ω-羟基-丁酰芬太尼进一步代谢成为ω-羧基-丁酰芬太尼,而4'-羟基-丁酰芬太尼进一步代谢成为4'-羟基-3'-甲氧基-丁酰芬太尼。这些代谢物中的许多可能会与葡萄糖醛酸或硫酸进一步发生共轭反应。
Butyrfentanyl can be N-dealkylated to nor-butyrfentanyl by CYP3A4 and CYP2D6, hydroxylated to (ω-1)-hydroxy-butyrfentanyl by CYP3A4, 4'-hydroxylated to 4'-hydroxy-butyrfentanyl, hydroxylated to ω-hydroxy-butyrfentanyl bye CYP2D6 or CYP3A4, or hydroxylated to β-hydroxy-butyrfentanyl by CYP3A4. ω-hydroxy-butyrfentanyl is further metabolized to ω-carboxy-butyrfentanyl while 4'-hydroxy-butyrfentanyl is further metabolized to 4'-hydroxy-3'-methoxy-butyrfentanyl. Many of these metabolites may undergo further conjugation reactions with glucuronic acid or sulfate.
来源:DrugBank