67-73-2CC1(C)O[C@@H]2C[C@H]3[C@@H]4C[C@H](F)C5=CC(=O)C=C[C@]5(C)[C@@]4(F)[C@@H](O)C[C@]3(C)[C@]2(C(=O)CO)O1FEBLZLNTKCEFIT-VSXGLTOVSA-NFluocinolone acetonide is a fluorinated steroid that is flunisolide in which the hydrogen at position 9 is replaced by fluorine. A corticosteroid with glucocorticoid activity, it is used (both as the anhydrous form and as the dihydrate) in creams, gels and ointments for the treatment of various skin disorders. It has a role as an anti-inflammatory drug and an antipruritic drug. It is a primary alpha-hydroxy ketone, a glucocorticoid, a 21-hydroxy steroid, an 11beta-hydroxy steroid, a 20-oxo steroid, an organic heteropentacyclic compound, a fluorinated steroid, a cyclic ketal and a 3-oxo-Delta(1),Delta(4)-steroid.
67-73-2DTXSID0040674CHEMBL989CHEBI:31623Pharmaceuticals -> Dermatologicals -> Corticosteroids, dermatological preparations
Pharmaceuticals -> Antibiotics
Pharmaceuticals -> Listed in ZINC15
Pharmaceuticals -> Analgesics and anti-inflammatories
CRYSTALS FROM ACETONE & HEXANE
WHITE, CRYSTALLINE POWDER
Insoluble
SOL IN ALC, ACETONE, & METHANOL; INSOL IN WATER; SLIGHTLY SOL IN CHLOROFORM
Breast Feeding; Lactation; Milk, Human; Corticosteroids, Topical; Glucocorticoids; Anti-Inflammatory Agents
FDA approved drugs -> Active ingredient
FDA approved drugs -> Active ingredient
Pharmaceuticals
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Warning
H315 (40.8%): Causes skin irritation [Warning Skin corrosion/irritation]
P203, P261, P264, P264+P265, P271, P280, P302+P352, P304+P340, P305+P351+P338, P318, P319, P321, P332+P317, P337+P317, P362+P364, P403+P233, P405, and P501 (click each P-code to see the statement)
Aggregated GHS information provided per 98 reports by companies from 8 notifications to the ECHA C&L Inventory. Each notification may be associated with multiple companies.
...FOLLICULITIS OR STRIAE IS FREQUENT COMPLICATION, ESP IF OCCLUSIVE DRESSINGS ARE USED.
PHARMACOLOGICAL DOSES OF GLUCOCORTICOIDS RETARD OR INTERRUPT GROWTH OF CHILDREN, INDICATING ADVERSE EFFECT ON EPIPHYSEAL CARTILAGE. INHIBITION OF GROWTH IS RATHER WIDESPREAD EFFECT... /GLUCOCORTICOIDS/
PROLONGED THERAPY WITH CORTICOSTEROIDS MAY RESULT IN SUPPRESSION OF PITUITARY-ADRENAL FUNCTION THAT CAN BE SLOW IN RETURNING TO NORMAL. /CORTICOSTEROIDS/
...PRINCIPAL COMPLICATIONS RESULTING FROM PROLONGED THERAPY...ARE FLUID & ELECTROLYTE DISTURBANCES; HYPERGLYCEMIA & GLYCOSURIA; INCR SUSCEPTIBILITY TO INFECTIONS, INCL TUBERCULOSIS; PEPTIC ULCERS, WHICH MAY BLEED OR PERFORATE; OSTEOPOROSIS; CHARACTERISTIC MYOPATHY; BEHAVIORAL DISTURBANCES... /CORTICOSTEROIDS/
C - Cardiovascular system
S - Sensory organs
S - Sensory organs
D - Dermatologicals
QS - Sensory organs
QC - Cardiovascular system
Fluocinolone acetonide is a synthetic anti-inflammatory corticosteroid and thus, the effect of its interaction with the body produces vasoconstriction and suppression of membrane permeability, mitotic activity, immune response and release of inflammatory mediators. For its ophthalmic indications, fluocinolone acetonide is administered as intravitreal micro-insert. This preparation was observed in clinical trials to reduce the recurrence of uveitis flares by 2 fold when compared with the non treated patients even after six months after initial administration. As well the intraocular pressure seemed to increase slightly with the presence of the fluocinolone implant but it is important to monitor intraocular pressure.
Fluocinolone acetonide is a corticosteroid and thus, it can be inferred that it acts by inhibiting the edema, fibrin deposition, capillary dilation, leukocyte migration, capillary proliferation, fibroblast proliferation, collagen deposition, and scar formation. Some reports have indicated that fluocinolone acetonide presents a high binding affinity for the glucocorticoid receptor. After binding the receptor, the newly formed receptor-ligand complex translocates itself into the cell nucleus, where it binds to many glucocorticoid response elements in the promoter region of the target genes. This effect promotes the induction of phospholipase A2 inhibitory proteins (lipocortins). Through this mechanism of action, it is thought that fluocinolone induces mainly one of the lipocortins, annexin 1, which will later mediate the synthesis of inflammatory mediators such as prostaglandins and leukotrienes by inhibiting the release of arachidonic acid which is the precursor of all these inflammatory mediators. Hence, the induction of these proteins will prevent the release of arachidonic acid by phospholipase A2.
CORTICOSTEROIDS...ARE THOUGHT TO ACT BY CONTROLLING RATE OF SYNTH OF PROTEINS. ...CORTICOSTEROIDS REACT WITH RECEPTOR PROTEINS IN CYTOPLASM OF SENSITIVE CELLS TO FORM STEROID-RECEPTOR COMPLEX. ... STEROID HORMONES APPEAR TO STIMULATE TRANSCRIPTION & ULTIMATELY SYNTH OF SPECIFIC PROTEINS. /CORTICOSTEROIDS/
Keine Reaktionsaufzeichnungen unter den aktuellen Filterkriterien.
Wird geladen…
266-268
266 °C
226.8 Ų [M+Na]+ [CCS Type: DT; Buffer gas: N2; Ionization: ESI+; Dataset: TOXCAST; Source Identifier: DTXSID0040674]
199.7 Ų [M+H]+ [CCS Type: TW; Method: calibrated with polyalanine and drug standards]
...PRINCIPAL COMPLICATIONS...POSTERIOR SUBCAPSULAR CATARACTS; & CUSHING'S HABITUS, CONSISTING OF "MOON FACE," "BUFFALO HUMP," SUPRACLAVICULAR FAT PADS, "CENTRAL OBESITY," STRIAE, ECCHYMOSES, ACNE, & HIRSUTISM. /CORTICOSTEROIDS/
IN YOUNG GROWING ANIMALS THERE IS...ADVERSE EFFECT UPON GROWTH APPARATUS, RESULTING IN SLOWING OF GROWTH. RETARDATION OF HEALING OF EXPTL FRACTURES IN ANIMALS FROM ADMIN OF GLUCOCORTICOIDS IS ATTRIBUTED TO DEPRESSION OF OSTEOBLASTIC ACTIVITY. /ADRENOCORTICOSTEROIDS/
SINGLE DOSES OF GLUCOCORTICOIDS (0.5-8.0 G/KG) CAN SUPPRESS IMMUNE RESPONSE IN MICE TO EXTENT THAT HIGH MORTALITY OCCURS AS RESULT OF INTERCURRENT INFECTIONS OVER 1-3 WK. RATS ARE 10-20 TIMES MORE SENSITIVE THAN MICE TO THIS EFFECT. /CORTICOSTEROIDS/
LARGE SINGLE DOSES OF SOME STEROIDS GIVEN PARENTERALLY TO ANIMALS PRODUCE SEDATION, WHEREAS OTHERS INDUCE SIGNS OF CENTRAL STIMULATION. TO SOME EXTENT THESE PHENOMENA MAY BE DOSE-RELATED. /CORTICOSTEROIDS/
Fifteen pregnant New Zealand rabbits were given 125 ug/kg fluocinolone acetonide subcutaneously on days 6-18 of gestation. The same number of controls were given the vehicle. Fluocinolone acetonide decreased the body weight of dams compared with controls and caused 100% abortions before day 29 of gestation.
...CORTICOSTEROIDS...INFLUENCE CARBOHYDRATE, PROTEIN, FAT, & PURINE METABOLISM; ELECTROLYTE & WATER BALANCE; & FUNCTIONS OF CVS, KIDNEY, SKELETAL MUSCLE, NERVOUS SYSTEM, & OTHER ORGANS & TISSUES. ...CORTICOSTEROIDS ENDOW ORGANISM WITH CAPACITY TO RESIST MANY TYPES OF NOXIOUS STIMULI & ENVIRONMENTAL CHANGE. /CORTICOSTEROIDS/
Following absorption, fluocinolone acetonide metabolism is primarily hepatic. It is important to mention that the systemically absorbed dose is very minimal.
...IT IS GENERALLY ASSUMED THAT METAB OF /CORTISOL &/ ITS CONGENERS & SYNTH DERIV IS QUALITATIVELY SIMILAR. ...METABOLIZED PRINCIPALLY BY REDN OF RING A, REDN OF KETONE AT C 20, & CLEAVAGE OF SIDE CHAIN. METABOLITES ARE EXCRETED...AS GLUCURONIDES, SULFATES, & UNCONJUGATED COMPOUNDS. /CORTICOSTEROIDS/
0CD5FD6S2M
FLUOCINOLONE ACETONIDE
Established Pharmacologic Class [EPC] - Corticosteroid
Mechanisms of Action [MoA] - Corticosteroid Hormone Receptor Agonists
Fluocinolone acetonide is a Corticosteroid. The mechanism of action of fluocinolone acetonide is as a Corticosteroid Hormone Receptor Agonist.
FLUOCINOLONE ACETONIDE
Substances that reduce or suppress INFLAMMATION.
A group of CORTICOSTEROIDS that affect carbohydrate metabolism (GLUCONEOGENESIS, liver glycogen deposition, elevation of BLOOD SUGAR), inhibit ADRENOCORTICOTROPIC HORMONE secretion, and possess pronounced anti-inflammatory activity. They also play a role in fat and protein metabolism, maintenance of arterial blood pressure, alteration of the connective tissue response to injury, reduction in the number of circulating lymphocytes, and functioning of the central nervous system.
When administered as an eye implant, fluocinolone acetonide presents a sustained delivery for even 12 months in which there can be observed a sustained release. The concentration of fluocinolone acetonide are generally higher in the vitreous and retina with a little dispersion to the aqueous humor. There are reports indicating that topical administration of fluocinolone acetonide produces a percutaneous absorption which is determined by the vehicle, integrity of the epidermal barrier and the use of occlusive dressing. Independently of the route of administration, the systemic absorption of fluocinolone acetonide is below 0.1 ng/ml which indicates that the systemic distribution is very minimal and the effect of fluocinolone is mainly local.
Fluocinolone acetonide is mainly excreted by the kidneys. It is important to mention that the systemically absorbed dose is very minimal.
This pharmacokinetic parameter is not relevant as the systemic absorption of fluocinolone acetonide is very minimal.
This pharmacokinetic parameter is not relevant as the systemic absorption of fluocinolone acetonide is very minimal and the concentration in urine is lower than the minimum quantitation limit.
METABOLISM OF CORTICOSTEROIDS IS GREATLY SLOWED BY INTRODUCTION OF THE 1,2 DOUBLE BOND OR A FLUORINE ATOM INTO MOLECULE, & HALF-LIFE IS CORRESPONDINGLY PROLONGED. /CORTICOSTEROIDS/
(14)C WAS RAPIDLY & MAINLY EXCRETED IN 48-HR FECES (90%), VIA BILE (70% IN 24 HR), & IN URINE (8%). AFTER DERMAL APPLICATION OF CREAM CONTAINING [(14)C]FLUOCINOLONE ACETONIDE TO MICE, GREATER THAN 7% OF (14)C WAS ABSORBED.
MEDICATION (VET)
MEDICATION
FLUOCINOLONE ACETONIDE, USP (FLUONID, SYNALAR); TOPICAL FORMS: 0.01, 0.025, 0.2% CREAM; 0.025% OINTMENT; 0.01% TOPICAL SOLN. /FROM TABLE/
NEOMYCIN IS OFTEN INCL IN TOPICAL PREPN OF FLUOCINOLONE ACETONIDE TO SUPPRESS INFECTIONS SECONDARY TO INFLAMMATORY PROCESS OR WHICH RESULT FROM USE OF THE GLUCOCORTICOID.
VerwendenFluocinolone acetonide (Derma-Smoothe/FS, Flurosyn, Capex, Synalar) is a synthetic fluorinated corticosteroid.
DefinitionChEBI: Fluocinolone acetonide is a fluorinated steroid that is flunisolide in which the hydrogen at position 9 is replaced by fluorine. A corticosteroid with glucocorticoid activity, it is used (both as the anhydrous form and as the dihydrate) in creams, gels and ointments for the treatment of various skin disorders. It has a role as an anti-inflammatory drug and an antipruritic drug. It is an 11beta-hydroxy steroid, a 21-hydroxy steroid, a 20-oxo steroid, a cyclic ketal, a glucocorticoid, a fluorinated steroid, a 3-oxo-Delta(1),Delta(4)-steroid, an organic heteropentacyclic compound and a primary alpha-hydroxy ketone.