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
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
- Actavis Group
- Apotex Inc.
- A-S Medication Solutions LLC
- Brookstone Pharmaceuticals
- Cipla Ltd.
- Contract Pharm
- Dermik Labs
- DispenseXpress Inc.
- Dispensing Solutions
- Diversified Healthcare Services Inc.
- E. Fougera and Co.
- G & W Labs
- Glenmark Generics Ltd.
- Groupe Parima Inc.
- Harris Pharmaceutical Inc.
- Hi Tech Pharmacal Co. Inc.
- JSJ Pharmaceuticals Inc.
- Medicis Pharmaceutical Co.
- Medisca Inc.
- Nycomed Inc.
- Paddock Labs
- Patheon Inc.
- Perrigo Co.
- Pharmedix
- Physicians Total Care Inc.
- Rebel Distributors Corp.
- Sandoz
- Sanofi-Aventis Inc.
- Taro Pharmaceuticals USA
- Teva Pharmaceutical Industries Ltd.
- Tolmar Inc.
参考
Synthesis Reference | Not Available |
General Reference |
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剂型
规格
化合物类型
Type | small molecule |
Classes |
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Substructures |
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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.
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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 |
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Pathways | Not Available |
理化性质
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State | solid | ||||||||||||||||||||||||||||||||||||||||||
Experimental Properties |
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Predicted Properties |
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药物相互作用
食物相互作用
Not Available