1
|
Wang LL, Ren XX, He Y, Cui GF, Liu JJ, Jia J, Cao J, Liu Y, Cong B, Wei ZW, Yun KM. Pharmacokinetics of Diazepam and Its Metabolites in Urine of Chinese Participants. Drugs R D 2022; 22:43-50. [PMID: 35099786 PMCID: PMC8885946 DOI: 10.1007/s40268-021-00375-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/28/2021] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND Urine is conventionally used as a specimen to document diazepam-related crimes; however, few reports have described the pharmacokinetics of diazepam and its metabolites in urine. OBJECTIVE This study aimed to investigate the pharmacokinetics of diazepam and its metabolites, including glucuronide compounds, in the urine of Chinese participants. METHODS A total of 28 volunteers were recruited and each participant ingested 5 mg of diazepam orally. Ten milliliters of urine were collected from each participant at post-consumption timepoints of prior (zero), 1, 2, 4, 8, 12, and 24 h and 2, 3, 6, 12, and 15 days. All samples were extracted by solid-phase extraction and analyzed using high-performance liquid chromatography-tandem mass spectrometry. Diazepam and its main metabolites, except for temazepam, were detected in the urine of volunteers. Pharmacokinetic parameters were analyzed using the pharmacokinetic software DAS according to the non-compartment model. RESULTS Urinary diazepam peaked at 2.38 ng/mL (Cmax) and 1.93 h (Tmax). The urinary metabolite nordiazepam peaked at 1.17 ng/mL and 100.21 h; temazepam glucuronide (TG) peaked at 145.61 ng/mL and 41.14 h; and oxazepam glucuronide (OG) peaked at 101.57 ng/mL and 165.86 h. The elimination half-life (t½z) and clearance (CLz/F) for diazepam were 119.58 h and 65.77 L/h, respectively. The t½z of the metabolites nordiazepam, TG, and OG was 310.58 h, 200.17 h, and 536.44 h, respectively. Finally, this study found that both diazepam and its main metabolites in urine were detectable for at least 15 days, although there were individual differences. CONCLUSION The results regarding diazepam pharmacokinetics in urine would be of great help in forensic science and drug screening.
Collapse
Affiliation(s)
- Le-le Wang
- School of Forensic Medicine, Shanxi Medical University, Jinzhong, 030600, Shanxi, China
- Key Laboratory of Forensic Toxicology of Ministry of Public Security, Jinzhong, 030600, Shanxi, China
| | - Xin-Xin Ren
- Institute of Forensic Science, Ministry of Public Security, Beijing, 100038, China
| | - Yi He
- Institute of Forensic Science, Ministry of Public Security, Beijing, 100038, China
| | - Guan-Feng Cui
- Institute of Forensic Science, Ministry of Public Security, Beijing, 100038, China
| | - Jia-Jia Liu
- School of Forensic Medicine, Shanxi Medical University, Jinzhong, 030600, Shanxi, China
- Key Laboratory of Forensic Toxicology of Ministry of Public Security, Jinzhong, 030600, Shanxi, China
| | - Juan Jia
- School of Forensic Medicine, Shanxi Medical University, Jinzhong, 030600, Shanxi, China
- Key Laboratory of Forensic Toxicology of Ministry of Public Security, Jinzhong, 030600, Shanxi, China
| | - Jie Cao
- School of Forensic Medicine, Shanxi Medical University, Jinzhong, 030600, Shanxi, China
- Key Laboratory of Forensic Toxicology of Ministry of Public Security, Jinzhong, 030600, Shanxi, China
| | - Yao Liu
- School of Forensic Medicine, Shanxi Medical University, Jinzhong, 030600, Shanxi, China
- Institute of Forensic Science, Ministry of Public Security, Beijing, 100038, China
| | - Bin Cong
- School of Forensic Medicine, Shanxi Medical University, Jinzhong, 030600, Shanxi, China
- Department of Forensic Medicine, Hebei Medical University, Shijiazhuang, 050017, China
| | - Zhi-Wen Wei
- School of Forensic Medicine, Shanxi Medical University, Jinzhong, 030600, Shanxi, China.
- Key Laboratory of Forensic Toxicology of Ministry of Public Security, Jinzhong, 030600, Shanxi, China.
| | - Ke-Ming Yun
- School of Forensic Medicine, Shanxi Medical University, Jinzhong, 030600, Shanxi, China.
- Key Laboratory of Forensic Toxicology of Ministry of Public Security, Jinzhong, 030600, Shanxi, China.
| |
Collapse
|