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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/02/11 21:57:40」(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 |
Clinical data |
AHFS/Drugs.com |
Micromedex Detailed Consumer Information |
MedlinePlus |
a606003 |
Pregnancy
category
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Legal status |
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Identifiers |
CAS number |
82034-46-6 Y |
ATC code |
S01BA14 |
PubChem |
CID 444025 |
DrugBank |
DB00873 |
ChemSpider |
392049 N |
UNII |
Z8CBU6KR16 N |
KEGG |
D01689 Y |
ChEMBL |
CHEMBL1201389 N |
Chemical data |
Formula |
C24H31ClO7 |
Molecular mass |
466.951 g/mol |
N (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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Agonists |
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
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Antagonists /
SGRMs |
- Antagonists: 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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Description |
- Glands
- Hormones
- Physiology
- Development
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Disease |
- Diabetes
- Congenital
- Neoplasms and cancer
- Other
- Symptoms and signs
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Treatment |
- Procedures
- Drugs
- calcium balance
- corticosteroids
- oral hypoglycemics
- pituitary and hypothalamic
- thyroid
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Glucocorticoidics
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Receptor
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Enzyme
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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
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- Precursors/prohormones: Cholesterol
- 22R-Hydroxycholesterol
- 20α,22R-Dihydroxycholesterol
- Pregnenolone
- Pregnenolone sulfate
- 17-Hydroxypregnenolone
- Progesterone
- 17-Hydroxyprogesterone
- 11-Deoxycorticosterone
- Indirect: ACTH (corticotropin)
- CRH
- DHEA
- DHEA sulfate
- Plasma proteins (albumin, transcortin)
- Vasopressin
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See also: Androgenics • Estrogenics • Mineralocorticoidics • Progestogenics
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UpToDate Contents
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English Journal
- Topical loteprednol etabonate 0.5 % for treatment of vernal keratoconjunctivitis: efficacy and safety.
- Oner V, Türkcü FM, Taş M, Alakuş MF, Işcan Y.SourceDepartment of Ophthalmology, Batman State Hospital, Batman, Turkey, veysioner@gmail.com.
- Japanese journal of ophthalmology.Jpn J Ophthalmol.2012 Jul;56(4):312-8. Epub 2012 May 25.
- PURPOSE: To evaluate the efficacy and safety of loteprednol etabonate (LE) 0.5 % in vernal keratoconjunctivitis (VKC) patients compared to prednisolone and fluorometholone.METHODS: The patients were randomized into three groups: the loteprednol group, prednisolone group and fluorometholone group. M
- PMID 22622345
- Loteprednol etabonate ophthalmic suspension 0.5 %: efficacy and safety for postoperative anti-inflammatory use.
- Amon M, Busin M.SourceDepartment of Ophthalmology, Hospital of the Brothers of Charity, Johannes von Gott Platz 1, 1020, Vienna, Austria, michael.amon@bbwien.at.
- International ophthalmology.Int Ophthalmol.2012 Jun 16. [Epub ahead of print]
- Topical corticosteroids are routinely used as postoperative ocular anti-inflammatory drugs; however, adverse effects such as increased intraocular pressure (IOP) are observed with their use. While older corticosteroids such as dexamethasone and prednisolone acetate offer good anti-inflammatory effic
- PMID 22707339
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 allergic rhinitis assessed by allergen challenge in an environmental exposure unit
Related Links
- Loteprednol Etabonate reference guide for safe and effective use from the American Society of Health-System Pharmacists (AHFS DI). ... Cautions for Loteprednol Etabonate Contraindications Viral diseases of the cornea and ...
- Contains Nonbinding Recommendations Draft Guidance on Loteprednol Etabonate This draft guidance, once finalized, will represent the Food and Drug Administration's (FDA's) current thinking on this topic. It does not create or ...
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