RT Journal Article SR Electronic T1 In vitro digitoxin metabolism. Rate-limiting step and alteration following spironolactone pretreatment. JF Drug Metabolism and Disposition JO Drug Metab Dispos FD American Society for Pharmacology and Experimental Therapeutics SP 635 OP 639 VO 13 IS 6 A1 W C Kershaw A1 P Campbell A1 G L Lage YR 1985 UL http://dmd.aspetjournals.org/content/13/6/635.abstract AB The biotransformation of digitoxin was considered as a linear transformation comprised of dual deoxy sugar cleavages culminating with product conjugation to glucuronic acid. Digitoxin and two metabolites, digitoxigenin bisdigitoxoside and digitoxigenin monodigitoxoside, were each incubated for 1 hr with rat liver slices. Measurements of amounts of various metabolites allowed determination of rate constants, showing the cleavage of the terminal sugar from digitoxigenin bisdigitoxoside to be the rate-limiting step. The inductive action of spironolactone predominately affected the rate-limiting step.