Proposed indapamide metabolic pathways catalyzed by human liver microsomes
or CYP3A4 (M1–M5) in the presence of microsomal epoxide hydrolase (M6)
or glutathione (M7). To simplify the figure, single regioisomers are shown for
the epoxide, phenol, diol, and glutathione adduct structures. However, the
sites of substitution on the phenyl or cyclohexadiene rings were not
established. The putative epoxide reactive intermediate is shown with
brackets. EH, microsomal epoxide hydrolase; GSH, glutathione.