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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2016/02/18 23:01:45」(JST)
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Loteprednol etabonate
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Systematic (IUPAC) name |
Chloromethyl 17-ethoxycarbonyloxy-11-hydroxy-10,13-dimethyl-3-oxo-7,8,9,11,12,14,15,16-octahydro-6H-cyclopenta[a]phenanthrene-17-carboxylate
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Clinical data |
AHFS/Drugs.com |
Micromedex Detailed Consumer Information |
MedlinePlus |
a606003 |
Pregnancy
category |
- US: C (Risk not ruled out)
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Legal status |
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Identifiers |
CAS Number |
82034-46-6 Y |
ATC code |
S01BA14 |
PubChem |
CID 444025 |
IUPHAR/BPS |
7085 |
DrugBank |
DB00873 N |
ChemSpider |
392049 N |
UNII |
Z8CBU6KR16 N |
KEGG |
D01689 Y |
ChEMBL |
CHEMBL1201389 N |
Chemical data |
Formula |
C24H31ClO7 |
Molar mass |
466.951 g/mol |
NY (what is this?) (verify) |
Loteprednol (as the ester loteprednol etabonate) is a corticosteroid used in ophthalmology. Marketed by Bausch and Lomb as Lotemax in the U.S., ocular applications for this drug include the treatment of inflammation of the eye due to allergies (according to the prescription information sheet), as well as chronic forms of keratitis (e.g.: adenoviral and Thygeson’s keratitis), vernal keratoconjunctivitis, pingueculitis, and episcleritis. The drug has little or no effect on intraocular pressure.
See also
- Etabonate
- Retrometabolic drug design
References
- Steward, R; et al. (November 1998). "Double-masked, placebo-controlled evaluation of loteprednol etabonate 0.5% for postoperative inflammation". J Cataract Surg 24: 1480–1489.
- Pavesio, CE; Decory, HH (2008). "Treatment of ocular inflammatory conditions with loteprednol etabonate". Br J Ophthalmol 92 (4): 455–459. doi:10.1136/bjo.2007.132621. PMID 18245274.
Glucocorticoids and antiglucocorticoids (H02)
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Glucocorticoids |
Pregnene |
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Pregnenedione |
- Hydrocortisone (cortisol)# (Hydrocortisone aceponate
- Hydrocortisone buteprate
- Hydrocortisone butyrate)
- Budesonide
- Ciclesonide
- Deflazacort
- Medrysone
- Tixocortol
- Halogenated at 6: Cloprednol
- Halogenated, with FG at 16: Halcinonide
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Pregnadiene |
- Rimexolone
- Halogenated, with FG at 16: Flunisolide
- Triamcinolone
- Amcinonide
- Fluocinolone acetonide (Fluocinonide)
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Pregnadienediol |
- Prednisone (Meprednisone)
- Halogenated at 9: Fluorometholone
- Halogenated, with FG at 16: Fluocortolone (Clocortolone
- Diflucortolone
- Fluocortin)
- Desoximetasone
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Pregnadienetriol |
- Prednisolone# (Methylprednisolone
- Methylprednisolone aceponate
- Prednicarbate
- Prednylidene)
- Desonide
- Halogenated: Fluprednisolone (Difluprednate
- Fluperolone)
- Halogenated, with FG at 16: Dexamethasone#
- Betamethasone (Clobetasol
- Clobetasone
- Diflorasone
- Halometasone
- Ulobetasol)
- Beclometasone
- Paramethasone
- Alclometasone
- Fluclorolone acetonide
- Flumetasone
- Fluprednidene
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Pregnatriene |
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Androstene |
- Halogenated, with FG at 16: Fluticasone (Fluticasone propionate
- Fluticasone furoate)
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Others/unsorted |
- Halogenated: Loteprednol
- Halogenated, with FG at 16: Fludroxycortide
- Formocortal
- Mometasone furoate
- Promestriene
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Antiglucocorticoids |
- SGRMs: Dagrocorat§
- Fosdagrocorat§
- Mapracorat†
- Antagonists: Ketoconazole
- Mifepristone
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Synthesis modifiers |
- Acetoxolone
- Aminoglutethimide
- Carbenoxolone
- Enoxolone
- Ketoconazole
- Metyrapone
- Mitotane
- Trilostane
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- #WHO-EM
- ‡Withdrawn from market
- Clinical trials:
- †Phase III
- §Never to phase III
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Glucocorticoid signaling
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Receptor
(ligands) |
GR
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Agonists
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Mixed (SEGRAs)
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- Dagrocorat
- Fosdagrocorat
- Mapracorat
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Antagonists
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- 3α-Hydroxytibolone
- 3β-Hydroxytibolone
- Aglepristone
- Asoprisnil
- C108297
- C113176
- CORT-108297
- Cyproterone acetate
- Guggulsterone
- Ketoconazole
- Lilopristone
- LLY-2707
- Miconazole
- Mifepristone
- Onapristone
- ORG-34116
- ORG-34517 (SCH-900636)
- ORG-34850
- Pregnenolone 16α-carbonitrile
- Spironolactone
- Telapristone
- Tibolone
- Toripristone
- Ulipristal acetate
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Enzyme |
Modulators
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- See here instead (modulators of 20,22-desmolase, 17α-hydroxylase/17,20-lyase, 3β-HSD, 11β-HSD, 21-hydroxylase, 11β-hydroxylase, and 18-hydroxylase).
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Others |
Precursors
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- Cholesterol
- 22R-Hydroxycholesterol
- 20α,22R-Dihydroxycholesterol
- Pregnenolone
- Pregnenolone sulfate
- 17-Hydroxypregnenolone
- Progesterone
- 17-Hydroxyprogesterone
- 11-Deoxycorticosterone
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Indirect
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- ACTH (corticotropin)
- CRH
- DHEA
- DHEA sulfate
- Plasma proteins (albumin, transcortin)
- Vasopressin
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See also: Androgenics • Estrogenics • Mineralocorticoids • Progestogenics
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Español
UpToDate Contents
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English Journal
- Expert opinion in the management of aqueous Deficient Dry Eye Disease (DED).
- Sy A1,2, O'Brien KS3, Liu MP4, Cuddapah PA5, Acharya NR6,7, Lietman TM8,9, Rose-Nussbaumer J10,11.
- BMC ophthalmology.BMC Ophthalmol.2015 Oct 13;15(1):133. doi: 10.1186/s12886-015-0122-z.
- BACKGROUND: Dry eye disease (DED) affects millions of people worldwide. There are a variety of new treatments beyond traditional therapies such as preservative free artificial tears. Here, we conduct a survey to identify the most common treatments used among specialists and assess their interest in
- PMID 26462481
- Design, characterization and in vitro evaluation of novel shell crosslinked poly(butylene adipate)-co-N-succinyl chitosan nanogels containing loteprednol etabonate: A new system for therapeutic effect enhancement via controlled drug delivery.
- Nasr FH1, Khoee S2.
- European journal of medicinal chemistry.Eur J Med Chem.2015 Sep 18;102:132-42. doi: 10.1016/j.ejmech.2015.07.045. Epub 2015 Aug 1.
- This study reports on the development of a novel mucoadhesive and biocompatible shell-crosslinked nanogel system based on poly(butylene adipate) (PBA) and N-succinyl chitosan (S-Cs) by coupling reaction with a new formulation method. For this purpose, two different molecular weights of dendrimerized
- PMID 26263245
- Corneal Confocal Microscopy in Dry Eye Treated with Corticosteroids.
- Villani E1, Garoli E, Termine V, Pichi F, Ratiglia R, Nucci P.
- Optometry and vision science : official publication of the American Academy of Optometry.Optom Vis Sci.2015 Sep;92(9):e290-5. doi: 10.1097/OPX.0000000000000600.
- PURPOSE: To evaluate, by in vivo laser scanning confocal microscopy (LSCM), the corneal findings in moderate-to-severe dry eye patients before and after treatment with topical corticosteroid and to associate the confocal findings to the clinical response.METHODS: Fifty eyes of 50 patients with moder
- PMID 25909241
Japanese Journal
- Topical loteprednol etabonate 0.5% for treatment of vernal keratoconjunctivitis : efficacy and safety
- Oner Veysi,Turkcu Fatih Mehmet,Tas Mehmet [他],ALAKUS Mehmet Fuat,ISCAN Yalcm
- Japanese journal of ophthalmology 56(4), 312-318, 2012-07-01
- NAID 10030951915
- Effect of loteprednol etabonate nasal spray suspension on seasonal allegic rhinitis assessed by allergen challenge in an environmental exposure unit
Related Links
- Loteprednol, Loteprednol Manufacturers & Suppliers Directory - Find here Loteprednol Traders, Loteprednol Producers, Loteprednol Exporters, Loteprednol Wholesalers, Loteprednol Production Centers, Loteprednol Companies for ...
- i m having numullar keratitis problem after adenoviral conjuctivitis ( 2010 yr) , its 3rd time keratitis re occured , doc give me loteprednol for 1 month and it ... ... Respected Sir/Madam, I am suffering from Eye redness with multiple ...
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