TABLE 1

Kinetic parameters for methadone N-demethylation

ParameterSingle Enantiomer MetabolismRacemate Metabolism
CYP2B6.1CYP2B6.6CYP2B6.1CYP2B6.6
R-EDDP FormationS-EDDP FormationR-EDDP FormationS-EDDP FormationR-EDDP FormationS-EDDP FormationR-EDDP FormationS-EDDP Formation
Ks (µM)75 ± 1825 ± 597 ± 740 ± 740 ± 2013 ± 357 ± 620 ± 3
Vmax (nmol/nmol P450/min)20.8 ± 0.614.6 ± 1.05.7 ± 0.33.5 ± 0.318.9 ± 7.48.7 ± 0.24.7 ± 0.65.1 ± 0.2
Clint (ml/min/nmol)0.3 ± 0.10.6 ± 0.10.06 ± 0.010.09 ± 0.020.5 ± 0.30.7 ± 0.20.08 ± 0.010.3 ± 0.1
  • Clint, intrinsic clearance; EDDP, 2-ethyl-1,5-dimethyl-3,3-diphenylpyrrolidine; Ks, equilibrium dissociation constant for the enzyme-substrate complex; P450, cytochrome P450.