Pharmacology · single question

Which benzodiazepine is well known for forming a pharmacologically active metabolite?

  1. Midazolam
  2. Diazepam (forms desmethyldiazepam, an active long-acting metabolite)
  3. Triazolam
  4. Lorazepam
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Correct answer: B. Diazepam (forms desmethyldiazepam, an active long-acting metabolite)

Diazepam is metabolized via hepatic CYP450 oxidation into active metabolites, most notably desmethyldiazepam (nordiazepam), which has a long half-life and contributes to diazepam's prolonged sedative effects. Lorazepam, by contrast, is metabolized by glucuronidation directly to inactive metabolites — a reason it's often preferred in patients with hepatic impairment.

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