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药品详细

Ciclopirox(环吡酮)

化学结构式图
中文名
环吡酮
英文名
Ciclopirox
分子式
C12H17NO2
化学名
6-cyclohexyl-1-hydroxy-4-methyl-1,2-dihydropyridin-2-one
分子量
Average: 207.2689
Monoisotopic: 207.125928793
CAS号
29342-05-0
ATC分类
D01A 未知;G01A 未知
药物类型
small molecule
阶段
approved
商品名
同义名
基本介绍

Ciclopirox (also called Loprox®, Penlac® and Stieprox®) is a synthetic antifungal agent for topical dermatologic use. [Wikipedia]

生产厂家
  • Actavis mid atlantic llc
  • Altana inc
  • Apotex corp
  • G and w laboratories inc
  • Glenmark pharmaceuticals inc usa
  • Hi tech pharmacal co inc
  • Medicis pharmaceutical corp
  • Nycomed us inc
  • Paddock laboratories inc
  • Perrigo co
  • Perrigo new york inc
  • Sanofi aventis us llc
  • Synerx pharma llc
  • Taro pharmaceutical industries ltd
  • Taro pharmaceuticals usa inc
  • Teva pharmaceuticals usa
  • Tolmar inc
  • Versapharm inc
  • Watson laboratories inc
封装厂家
参考
Synthesis Reference Not Available
General Reference
  1. Niewerth M, Kunze D, Seibold M, Schaller M, Korting HC, Hube B: Ciclopirox olamine treatment affects the expression pattern of Candida albicans genes encoding virulence factors, iron metabolism proteins, and drug resistance factors. Antimicrob Agents Chemother. 2003 Jun;47(6):1805-17. Pubmed
  2. Sigle HC, Thewes S, Niewerth M, Korting HC, Schafer-Korting M, Hube B: Oxygen accessibility and iron levels are critical factors for the antifungal action of ciclopirox against Candida albicans. J Antimicrob Chemother. 2005 May;55(5):663-73. Epub 2005 Mar 24. Pubmed
剂型
规格
化合物类型
Type small molecule
Classes
  • Pyridines and Derivatives
  • Pyridines
Substructures
  • Hydroxy Compounds
  • Hydroxamic Acids
  • Pyridines and Derivatives
  • Pyridines
  • Heterocyclic compounds
  • Aromatic compounds
  • Imines
适应症
药理
Indication Used as a topical treatment in immunocompetent patients with mild to moderate onychomycosis of fingernails and toenails without lunula involvement, due to Trichophyton rubrum.
Pharmacodynamics Ciclopirox is a broad-spectrum antifungal medication that also has antibacterial and anti-inflammatory properties. Its main mode of action is thought to be its high affinity for trivalent cations, which inhibit essential co-factors in enzymes. Ciclopirox exhibits either fungistatic or fungicidal activity in vitro against a broad spectrum of fungal organisms, such as dermatophytes, yeasts, dimorphic fungi, eumycetes, and actinomycetes. In addition to its broad spectrum of action, ciclopirox also exerts antibacterial activity against many Gram-positive and Gram-negative bacteria. Furthermore, the anti-inflammatory effects of ciclopirox have been demonstrated in human polymorphonuclear cells, where ciclopirox has inhibited the synthesis of prostaglandin and leukotriene. Ciclopirox can also exhibit its anti-inflammatory effects by inhibiting the formation of 5-lipoxygenase and cyclooxygenase.
Mechanism of action Unlike antifungals such as itraconazole and terbinafine, which affect sterol synthesis, ciclopirox is thought to act through the chelation of polyvalent metal cations, such as Fe3+ and Al3+. These cations inhibit many enzymes, including cytochromes, thus disrupting cellular activities such as mitochondrial electron transport processes and energy production. Ciclopirox also appears to modify the plasma membrane of fungi, resulting in the disorganization of internal structures. The anti-inflammatory action of ciclopirox is most likely due to inhibition of 5-lipoxygenase and cyclooxygenase. ciclopirox may exert its effect by disrupting DNA repair, cell division signals and structures (mitotic spindles) as well as some elements of intracellular transport.
Absorption Rapidly absorbed after oral administration. Mean absorption of ciclopirox after application to nails of all twenty digits and adjacent 5 millimeters of skin once daily for 6 months in patients with dermatophytic onychomycoses was less than 5% of the applied dose. Ciclopirox olamine also penetrates into hair and through the epidermis and hair follicles into sebaceous glands and dermis.
Volume of distribution Not Available
Protein binding Protein binding is 94-97% following topical administration.
Metabolism
Glucuronidation is the main metabolic pathway of ciclopirox.
Route of elimination Most of the compound is excreted either unchanged or as glucuronide. After oral administration of 10 mg of radiolabeled drug (14C-ciclopirox) to healthy volunteers, approximately 96% of the radioactivity was excreted renally within 12 hours of administration. Ninety-four percent of the renally excreted radioactivity was in the form of glucuronides.
Half life 1.7 hours for 1% topical solution.
Clearance Not Available
Toxicity Oral LD50 in rat is >10 ml/kg. Symptoms of overexposure include drowsiness and headache.
Affected organisms
  • Humans and other mammals
  • Yeast and other fungi
Pathways Not Available
理化性质
Properties
State solid
Experimental Properties
Property Value Source
melting point 144 °C PhysProp
logP 2.3 Not Available
Predicted Properties
Property Value Source
water solubility 1.41e+00 g/l ALOGPS
logP 2.15 ALOGPS
logP 2.22 ChemAxon
logS -2.2 ALOGPS
pKa (strongest acidic) 6.84 ChemAxon
pKa (strongest basic) -6.2 ChemAxon
physiological charge -1 ChemAxon
hydrogen acceptor count 2 ChemAxon
hydrogen donor count 1 ChemAxon
polar surface area 40.54 ChemAxon
rotatable bond count 1 ChemAxon
refractivity 60.91 ChemAxon
polarizability 23.12 ChemAxon
药物相互作用
食物相互作用
Not Available

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