When topical application of cytochrome C is not absorbed into the systemic circulation, the body is metabolized completely. The disintegration of cytochrome C proceeds along the same metabolic pathways as the cleavage of amino acids, and the heme, digested to bilirubin, is excreted with bile.
Adenosine freely passes through the cornea. The half-life of adenosine from the plasma is less than one minute, it is metabolized in virtually all tissues with the formation of inosine, xanthine and urate freely released in the urine. Ribose, which is a constituent element of adenosine, is metabolized to glyceraldehyde-3-phosphate, then to pyruvate and burned in the Krebs cycle.
Nicotinamide is partially metabolized to nicotinic acid. Both these compounds are methylated in N-methyl nicotinamide, which subsequently decomposes in the liver. Metabolites and unchanged nicotinamide excreted by urine.