Sulfonamides · Pharmacology

Sulfonamides are primarily metabolized in the liver by which process?

  1. Glucuronidation
  2. N-acetylation
  3. Sulfation
  4. Oxidation via CYP3A4
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Correct answer: N-acetylation

The major metabolic pathway for sulfonamides is N-acetylation. The acetylated metabolites have no antimicrobial activity but retain the potential for toxicity, particularly crystalluria.

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