Etomidate - 3

Metabolism

In the liver:

etomidate
etomidate
--->
ester hydrolysis
(MAJOR)
carboxylic acid of etomidate
carboxylic acid of etomidate
--->
N-dealkylation
(minor)
ethyl-imidazole-5-carbolylate
ethyl-imidazole-5-carbolylate

The major metabolite, the carboxylic acid of etomidate, is inactive. Etomidate metabolites are excreted in the urine (85%) and bile (15%).



Greg Gordon MD
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