flunisolide ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | PK/Tox | Related Drugs | BioActivity |

Stem definitionDrug idCAS RN
1201 3385-03-3

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • flunisolide
  • nasalide
  • bronalide
corticosteroid prescribed as treatment for allergic rhinitis
  • Molecular weight: 434.50
  • Formula: C24H31FO6
  • CLOGP: 2.41
  • LIPINSKI: 0
  • HAC: 6
  • HDO: 2
  • TPSA: 93.06
  • ALOGS: -4.07
  • ROTB: 2

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

DoseUnitRoute
0.15 mg N
1 mg Inhal.aerosol

ADMET properties:

PropertyValueReference
MRTD (Maximum Recommended Therapeutic Daily Dose) 0.07 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 8 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 1.08 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 9.50 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.24 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 1.68 hours Lombardo F, Berellini G, Obach RS

Predicted pharmacokinetic/toxicological properties (PK-AZ):

PropertyDescriptionValueUnitConfidenceSimilarity
azlogd74 LogD at pH 7.4 2.007 High 1
caco2-efflux Caco-2 efflux ratio (BA/AB) 3.342 High 1
caco2-intrinsic-papp Caco-2 intrinsic apparent permeability 43.954 10^-6 cm/s High 1
dh-clint Dog hepatocyte intrinsic clearance 8.610 uL/min/10^6 cells High 1
dppb Dog plasma protein binding (% unbound) 29.330 % High 1
fcs-ppb Fetal calf serum protein binding (% unbound) 37.280 % High 1
herg hERG pIC50 4.367 pIC50 High 1
hh-clint Human hepatocyte intrinsic clearance 6.026 uL/min/10^6 cells High 1
hlm-clint Human liver microsomal intrinsic clearance 19.679 uL/min/mg protein High 1
hppb Human plasma protein binding (% unbound) 24.530 % High 1
kinase-safety-class ACVR2B,CAMK2D,CDK5,EIF2AK3,GRK2,ITK,MAPK10,NTRK2,PDK1,PDK2,PDK4,PRKDC 12
kinase-selectivity-class GRK2,MAP2K6 2
mdck-mdr1-efflux MDCK-MDR1 efflux ratio 7.362 High 1
mh-clint Mouse hepatocyte intrinsic clearance 27.353 High 1
mppb Mouse plasma protein binding (% unbound) 28.470 High 1
nih-mdck-mdr1-efflux NIH MDCK-MDR1 efflux ratio 16.558 High 1
pfas-class PFAS structural alert (1 = True, 0 = False) 0
pppb Pig plasma protein binding (% unbound) 37.550 % High 1
rh-clint Rat hepatocyte intrinsic clearance 34.754 uL/min/10^6 cells High 1
rh-fuinc Rat hepatocyte fraction unbound in incubation 74.870 % High 1
rppb Rat plasma protein binding (% unbound) 19.170 % High 1
solubility-dd Solubility at pH 7.4 in DMSO 613.762 uM High 1

Approvals:

DateAgencyCompanyOrphan
Sept. 24, 1981 FDA

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Nasal discomfort 61.08 28.43 12 439 5536 90622460

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Nasal discomfort 56.70 24.19 13 1645 1569 42618108
International normalised ratio increased 29.33 24.19 20 1638 48148 42571529

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Nasal discomfort 104.26 23.31 23 1622 6158 110581496
Dehydration 33.65 23.31 30 1615 279481 110308173
International normalised ratio increased 25.64 23.31 16 1629 86756 110500898

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC R01AD04 RESPIRATORY SYSTEM
NASAL PREPARATIONS
DECONGESTANTS AND OTHER NASAL PREPARATIONS FOR TOPICAL USE
Corticosteroids
ATC R03BA03 RESPIRATORY SYSTEM
DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES, INHALANTS
Glucocorticoids
MeSH PA D000893 Anti-Inflammatory Agents
MeSH PA D018927 Anti-Asthmatic Agents
MeSH PA D019141 Respiratory System Agents
CHEBI has role CHEBI:35472 anti-inflammatory drug
CHEBI has role CHEBI:35705 immunosuppressive agent
CHEBI has role CHEBI:49167 anti-asthmatic drug
CHEBI has role CHEBI:50857 anti-allergic agent
CHEBI has role CHEBI:65023 anti-asthmatic agent
CHEBI has role CHEBI:77715 nasal decongestant

Related Drugs by ATC class:

R01AD Corticosteroids 12 drugs
R03BA Glucocorticoids 8 drugs

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Allergic rhinitis indication 61582004
Asthma indication 195967001 DOID:2841
Asthma management indication 406162001
Allergic Rhinitis Prevention indication
Chronic Non-Allergic Rhinitis indication
Severe chronic obstructive pulmonary disease off-label use 313299006
Mycosis contraindication 3218000 DOID:1564
Inactive tuberculosis contraindication 11999007
Epistaxis contraindication 12441001
Measles contraindication 14189004 DOID:8622
Disease caused by parasite contraindication 17322007
Glaucoma contraindication 23986001 DOID:1686
Acute tuberculosis contraindication 25629007
Perforation of nasal septum contraindication 80142000
Bacterial infectious disease contraindication 87628006
Operation on nose contraindication 88733004
Bilateral cataracts contraindication 95722004
Ophthalmic herpes simplex contraindication 186542001
Disease of liver contraindication 235856003 DOID:409
Varicella-zoster virus infection contraindication 309465005
Adrenal cortical hypofunction contraindication 386584007 DOID:10493
Exposure to varicella contraindication 444453009
Oropharyngeal Candidiasis contraindication
Nasal Septal Ulcers contraindication
Nasal Trauma contraindication
Uncontrolled Bacterial Infections contraindication
Nasal Candidiasis contraindication
Untreated Fungal Infection contraindication




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 11.78 acidic
pKa2 12.78 acidic

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Glucocorticoid receptor Nuclear hormone receptor AGONIST EC50 9.10 WOMBAT-PK CHEMBL
Progesterone receptor Transcription factor Ki 7.33 DRUG MATRIX

External reference:

IDSource
4018433 VUID
N0000146759 NUI
D00324 KEGG_DRUG
77326-96-6 SECONDARY_CAS_RN
4018433 VANDF
C0060501 UMLSCUI
CHEBI:5106 CHEBI
CHEMBL1512 ChEMBL_ID
DB00180 DRUGBANK_ID
C007734 MESH_SUPPLEMENTAL_RECORD_UI
7076 IUPHAR_LIGAND_ID
QK4DYS664X UNII
82153 PUBCHEM_CID
218620 RXNORM
2119 MMSL
43033 MMSL
4737 MMSL
d00761 MMSL
002195 NDDF
116588001 SNOMEDCT_US
43879000 SNOMEDCT_US
QK4DYS664X INXIGHT DRUGS

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Flunisolide HUMAN PRESCRIPTION DRUG LABEL 1 24208-344 SOLUTION 0.25 mg NASAL ANDA 13 sections
Flunisolide HUMAN PRESCRIPTION DRUG LABEL 1 24208-344 SOLUTION 0.25 mg NASAL ANDA 13 sections
Flunisolide HUMAN PRESCRIPTION DRUG LABEL 1 50742-317 SOLUTION 0.25 mg NASAL ANDA 20 sections
Flunisolide HUMAN PRESCRIPTION DRUG LABEL 1 54868-4799 SOLUTION 0.25 mg NASAL ANDA 18 sections
Flunisolide HUMAN PRESCRIPTION DRUG LABEL 1 68682-344 SOLUTION 0.25 mg NASAL ANDA 12 sections