Inhibition of tolbutamide metabolism by substituted imidazole drugs in vivo: evidence for a structure‐activity relationship

Article date: May 1985

By: D.J. Back, J.F. Tjia in Volume 85, Issue 1, pages 121-126

Tolbutamide has been used as a model drug for an examination of the effects of eleven substituted imidazole compounds on hepatic metabolism in vivo.

The 1‐substituted compounds 1‐methylimidazole, miconazole, clotrimazole and ketoconazole produced marked alterations in tolbutamide kinetics (increased half‐life, decreased clearance). However, if there was substitution in the 2‐ position, irrespective of a substituent on N‐1, then the compound did not appear to inhibit metabolism (e.g. 2‐methylimidazole, 1,2‐dimethylimidazole, methimazole, metronidazole). The 4‐ substituted compounds, 4‐methylimidazole and cimetidine were inhibitors.

A structure‐activity relationship for the inhibitory actions of the substituted imidazoles is thus evident in vivo.

Tolbutamide has been used as a model drug for an examination of the effects of eleven substituted imidazole compounds on hepatic metabolism in vivo.

The 1‐substituted compounds 1‐methylimidazole, miconazole, clotrimazole and ketoconazole produced marked alterations in tolbutamide kinetics (increased half‐life, decreased clearance). However, if there was substitution in the 2‐ position, irrespective of a substituent on N‐1, then the compound did not appear to inhibit metabolism (e.g. 2‐methylimidazole, 1,2‐dimethylimidazole, methimazole, metronidazole). The 4‐ substituted compounds, 4‐methylimidazole and cimetidine were inhibitors.

A structure‐activity relationship for the inhibitory actions of the substituted imidazoles is thus evident in vivo.

DOI: 10.1111/j.1476-5381.1985.tb08838.x

View this article