Esters are metabolized by what process?

Prepare for the CRDTS Local Anesthesia Test with our quiz. Use flashcards and multiple-choice questions, each with hints and explanations, to ensure you're ready for your exam!

Multiple Choice

Esters are metabolized by what process?

Explanation:
Esters are broken down mainly by hydrolysis in the bloodstream, carried out by the enzyme pseudocholinesterase (butyrylcholinesterase). This plasma-mediated cleavage destabilizes the ester bond, yielding inactive products and causing ester local anesthetics to have a relatively short duration. In contrast, amide local anesthetics are mainly metabolized in the liver by microsomal enzymes, which is why they often last longer. Renal excretion is a route of elimination rather than metabolism, and nerve membrane hydrolysis is not a recognized mechanism for metabolizing these drugs. So the best answer is that esters are metabolized by hydrolysis via pseudocholinesterase in blood.

Esters are broken down mainly by hydrolysis in the bloodstream, carried out by the enzyme pseudocholinesterase (butyrylcholinesterase). This plasma-mediated cleavage destabilizes the ester bond, yielding inactive products and causing ester local anesthetics to have a relatively short duration. In contrast, amide local anesthetics are mainly metabolized in the liver by microsomal enzymes, which is why they often last longer. Renal excretion is a route of elimination rather than metabolism, and nerve membrane hydrolysis is not a recognized mechanism for metabolizing these drugs. So the best answer is that esters are metabolized by hydrolysis via pseudocholinesterase in blood.

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