ジフルプレドナート
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2016/05/22 02:28:57」(JST)
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Difluprednate
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Systematic (IUPAC) name |
[(6S,8S,9R,10S,11S,13S,14S,17R)-17-(2-acetyloxyacetyl)-6,9-difluoro-11-hydroxy-10,13-dimethyl-3-oxo-6,7,8,11,12,14,15,16-octahydrocyclopenta[a]phenanthren-17-yl] butanoate
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Clinical data |
AHFS/Drugs.com |
monograph |
MedlinePlus |
a609025 |
License |
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Administration |
topical dermatologic |
Legal status |
Legal status |
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Identifiers |
CASRN |
23674-86-4 Y |
ATC code |
D07AC19 (WHO) |
PubChem |
CID 32037 |
DrugBank |
DB06781 N |
ChemSpider |
391990 N |
UNII |
S8A06QG2QE N |
KEGG |
D01266 Y |
ChEMBL |
CHEMBL1201749 N |
Chemical data |
Formula |
C27H34F2O7 |
Molar mass |
508.551 |
NY (what is this?) (verify) |
Difluprednate is a corticosteroid, It is chemically a butyrate ester of 6(alpha),9(alpha)-difluoro prednisolone acetate. Accordingly, difluprednate is sometimes abbreviated DFBA, for difluoroprednisolone butyrate acetate.
Approval
On June 24, 2008, the US Food and Drug Administration (FDA) approved difluprednate for the treatment of post-operative ocular inflammation and pain.[1] It is marketed by Alcon under the tradename Durezol.
Clinical trials
Difluprednate ophthalmic emulsion 0.05% is also being studied in other ocular inflammatory diseases, including a U.S. Phase 3 study evaluating difluprednate for the treatment of anterior uveitis.[2]
References
- ^ "Sirion Therapeutics Announces FDA Approval of Durezol for Treatment of Postoperative Ocular Inflammation and Pain" (Press release). Sirion Therapeutics, Inc. 2008-06-24. Retrieved 2008-06-30.
- ^ ClinicalTrials.gov
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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UpToDate Contents
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English Journal
- Bioavailability of generic 0.05% difluprednate emulsion in the aqueous humor, cornea, and conjunctiva of New Zealand rabbits after a single dose compared with commercial difluprednate.
- Mercado-Sesma A1,2, Contreras-Rubio A3, Baiza-Durán L3, Olvera-Montaño O3, Miranda-Robles M3, Bonilla-García J3.
- Journal of ophthalmic inflammation and infection.J Ophthalmic Inflamm Infect.2017 Dec;7(1):10. doi: 10.1186/s12348-017-0127-2. Epub 2017 Mar 21.
- PMID 28324274
- INCIDENCE OF ACUTE EXUDATIVE MACULOPATHY AFTER REDUCED-FLUENCE PHOTODYNAMIC THERAPY.
- Mammo Z1, Forooghian F.
- Retinal cases & brief reports.Retin Cases Brief Rep.2017 Summer;11(3):217-220. doi: 10.1097/ICB.0000000000000356.
- PMID 27380223
- Nonclinical Development of ENV905 (Difluprednate) Ophthalmic Implant for the Treatment of Inflammation and Pain Associated with Ocular Surgery.
- Verhoeven RS1, Garcia A1, Robeson R1, Gilger BC2, Culp D2, Struble C3, Hamm L4, Navratil T1, Yerxa B1.
- Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics.J Ocul Pharmacol Ther.2017 Jun 26. doi: 10.1089/jop.2016.0195. [Epub ahead of print]
- PMID 28650720
Japanese Journal
- 犬の前部ぶどう膜炎における0.05%ジフルプレドナート乳濁点眼液と0.1%ベタメタゾン配合点眼薬の有効性に関する調査
- 印牧 信行,市川 陽一朗,木下 徹,住吉 俊夫,浦野 岩雄,田中 一則,藤野 和彦
- 動物臨床医学 = Journal of Animal Clinical Research Foundation 21(3), 103-108, 2012-10-20
- NAID 10031129795
- 犬のブドウ膜炎に対する0.05%ジフルプレドナート点眼薬の治療効果
- 高島 一昭,山形 静夫,山根 義久
- 動物臨床医学 = Journal of Animal Clinical Research Foundation 21(1), 12-17, 2012-03-31
- NAID 10030539790
- 犬の外眼部炎症性疾患に対する0.05%ジフルプレドナート点眼薬の治療効果
- 高島 一昭,山形 静夫,山根 義久
- 動物臨床医学 = Journal of Animal Clinical Research Foundation 20(3), 83-88, 2011-09-30
- NAID 10029806714
Related Links
- ジフルプレドナート(Difluprednate)の検索ならお薬検索QLife(キューライフ)。お医者さんが処方する処方薬と、薬局で買える市販薬(OTC)、の効果と副作用、写真、添付文書、保管方法等を掲載。商品名だけでなく一般名や剤形、色などから ...
- The latest Tweets from ジフル.avi (@difluprednate). 【my favorite】。。。趣味アカウント。。。。楽器、ギター、バイク、MHF、MH4(G)、PSO2、 パズドラ、モンスト、 ダーツ、GTA5その時ハマってる物以外つぶやきません. The fool
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