Benzodiazepine EXPERT Reveals Liver Metabolism Secrets

Discover the fascinating world of benzodiazepines as we break down their metabolism, kinetics, and clinical impact. In this episode, we explore how the liver processes these commonly prescribed medications, highlighting the critical role of the cytochrome P4503A4 system. Learn why some benzodiazepines bypass phase 1 oxidation and how this affects their safety in elderly patients or those with liver disease. We also dive into the science of drug interactions, detailing how inhibitors and inducers of the SIP 3A4 enzyme can significantly alter plasma concentrations of benzodiazepines like diazepam. Plus, find out why tolerance develops, including uncoupling, receptor internalisation, and receptor insensitivity at the GABAA site. Whether you're a clinician or curious learner, this video equips you with essential knowledge on selecting the right benzodiazepine for specific conditions like anxiety, insomnia, or epilepsy. Don’t miss our insights into the dangers of long-term use and the development of tolerance.