The metabolism and disposition of moxonidine (4-chloro-5-(imidazolidin-2-yl
idenimino)-6-methoxy-2-methylpyrimidine), a potent central-acting antihyper
tensive agent, were investigated in F344 rats. After an i.v. or oral admini
stration of 0.3 mg/kg of [C-14]moxonidine, the maximum plasma concentration
s of moxonidine were determined to be 146.0 and 4.0 ng/ml, respectively, an
d the elimination half-lives were 0.9 and 1.1 h, respectively. The oral bio
availability of moxonidine was determined to be 5.1%. The metabolic and eli
mination profiles of moxonidine were determined after an oral administratio
n of 5 mg/kg of [C-14]moxonidine. More than fifteen phase I and phase II me
tabolites of moxonidine were identified in the different biological matrice
s (urine, plasma, and bile). Oxidative metabolism of moxonidine leads to th
e formation of hydroxymethyl moxonidine and a carboxylic acid metabolite as
the major metabolites. Several GSH conjugates, cysteinylglycine conjugates
, cysteine conjugates, and a glucuronide conjugate were also identified in
rat bile samples. The radiocarbon was eliminated primarily by urinary excre
tion in rats, with 59.5% of total radioactivity recovered in the urine and
38.4% recovered in the feces within 120 h. In bile duct-cannulated rats, ab
out 39.7% of the radiolabeled dose was excreted in the urine, 32.6% excrete
d in the bile, and approximately 2% remained in the feces. The results from
a quantitative whole body autoradiography study indicate that radiocarbon
associated with [C-14]moxonidine and/or its metabolites was widely distribu
ted to tissues, with the highest levels of radioactivity observed in the ki
dney and liver. In summary, moxonidine is well absorbed, extensively metabo
lized, widely distributed into tissues, and rapidly eliminated in rats afte
r oral administration.