Pharmacokinetics of diazepam in epileptic patients and normal volunteers following intravenous administration

Br J Clin Pharmacol. 1981 Dec;12(6):841-4. doi: 10.1111/j.1365-2125.1981.tb01317.x.

Abstract

1 The pharmacokinetics of diazepam following intravenous administration have been investigated in six normal volunteers and nine epileptic patients receiving chronic antiepileptic drug therapy. 2 After intravenous administration, serum diazepam levels declined biexponentially in all subjects. The elimination half-life was significantly shorter and the plasma clearance significantly higher in the patients than in the normal volunteers. 3 Serum N-desmethyldiazepam levels were higher and the time to peak serum concentration was earlier in the epileptic patients than in the controls. 4 It is suggested that the metabolism of diazepam is induced in patients treated with enzyme inducing antiepileptic drugs, although a protein binding interaction between valproic acid and diazepam may contribute to the higher plasma clearance in the epileptic patients taking sodium valproate.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Diazepam / administration & dosage
  • Diazepam / metabolism*
  • Diazepam / therapeutic use
  • Epilepsy / drug therapy
  • Epilepsy / metabolism*
  • Half-Life
  • Humans
  • Injections, Intravenous
  • Male
  • Nordazepam / blood

Substances

  • Nordazepam
  • Diazepam