Answers are grounded in this paper and cite their sources.
The systemic availability of orally administered imipramine (IP) varied from 29 to 77% in 4 subjects. The decrease in availability was due to an excess in metabolism after oral administration. This first-pass metabolism did not correlate with plasma half-life, apparent clearance, or the rate of metabolite excretion in urine. There was close correlation with the excess in formation of demethylated metabolites after oral administration, which suggests that the first-pass metabolism is mediated by demethylation, but does not correlate to the total rate of demethylation.
No takes yet. Share an insight, caveat, or question.
Gram et al. (1975) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: