fluorescein ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
fluorescent imaging agents, fluorescein derivatives 1207 518-47-8

Description:

MoleculeDescription

Synonyms:

  • fluorescein
  • fluorescein acid
  • resorcinolphthalein
  • yellow fluorescein
  • fluorescein sodium
A phthalic indicator dye that appears yellow-green in normal tear film and bright green in a more alkaline medium such as the aqueous humor.
  • Molecular weight: 376.28
  • Formula: C20H10Na2O5
  • CLOGP:
  • LIPINSKI: None
  • HAC: None
  • HDO: None
  • TPSA: 89.49
  • ALOGS:
  • ROTB: None

Drug dosage:

None

ADMET properties:

PropertyValueReference
MRTD (Maximum Recommended Therapeutic Daily Dose) 23.17 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 99 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 0.14 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 1.30 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.11 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 1.60 hours Lombardo F, Berellini G, Obach RS
S (Water solubility) 500 mg/mL Bocci G, Oprea TI, Benet LZ
BDDCS (Biopharmaceutical Drug Disposition Classification System) 1 Bocci G, Oprea TI, Benet LZ

Approvals:

DateAgencyCompanyOrphan
March 9, 2020 FDA BAUSCH

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
Anaphylactic shock 94.59 56.31 24 452 23609 63464937
Haemangioma congenital 78.07 56.31 11 465 441 63488105

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
Anaphylactic shock 165.11 63.67 41 573 15900 34940417

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
Anaphylactic shock 234.25 56.69 60 963 35936 79707429
Anaphylactic reaction 81.60 56.69 33 990 83710 79659655
Chest discomfort 59.93 56.69 31 992 138013 79605352

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC S01JA01 SENSORY ORGANS
OPHTHALMOLOGICALS
DIAGNOSTIC AGENTS
Colouring agents
ATC S01JA51 SENSORY ORGANS
OPHTHALMOLOGICALS
DIAGNOSTIC AGENTS
Colouring agents
FDA MoA N0000175533 Dyes
FDA EPC N0000175536 Diagnostic Dye
CHEBI has role CHEBI:37338 contrast media
CHEBI has role CHEBI:51121 fluorescent dyes
MeSH PA D004396 Coloring Agents
MeSH PA D003287 Contrast Media
MeSH PA D064907 Diagnostic Uses of Chemicals
MeSH PA D005456 Fluorescent Dyes
MeSH PA D007202 Indicators and Reagents
MeSH PA D049408 Luminescent Agents

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

DiseaseRelationSNOMED_IDDOID
Fluorescein staining of eye indication 414273009
Administration of Corneal Anesthesia off-label use
Local Anesthesia for Ophthalmologic Procedure off-label use




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

None

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
0.4%;0.3% FLUORESCEIN SODIUM AND BENOXINATE HYDROCHLORIDE BAUSCH LOMB IRELAND N211039 March 9, 2020 RX SOLUTION/DROPS OPHTHALMIC 10293047 Nov. 15, 2037 OCULAR EXAMINATION, INTRAOCULAR PRESSURE MEASUREMENT, OR REMOVAL OF FOREIGN BODIES OR SUTURES, IN ADULT AND PEDIATRIC PATIENTS REQUIRING A DISCLOSING AGENT IN COMBINATION WITH A TOPICAL OPHTHALMIC ANESTHETIC
0.4%;0.3% FLUORESCEIN SODIUM AND BENOXINATE HYDROCHLORIDE BAUSCH LOMB IRELAND N211039 March 9, 2020 RX SOLUTION/DROPS OPHTHALMIC 10632197 Nov. 15, 2037 OCULAR EXAMINATION, INTRAOCULAR PRESSURE MEASUREMENT, OR REMOVAL OF FOREIGN BODIES OR SUTURES, IN ADULT AND PEDIATRIC PATIENTS REQUIRING A DISCLOSING AGENT IN COMBINATION WITH A TOPICAL OPHTHALMIC ANESTHETIC
0.4%;0.3% FLUORESCEIN SODIUM AND BENOXINATE HYDROCHLORIDE BAUSCH LOMB IRELAND N211039 March 9, 2020 RX SOLUTION/DROPS OPHTHALMIC 10842872 Nov. 15, 2037 PROCEDURES IN ADULT AND PEDIATRIC PATIENTS REQUIRING A DISCLOSING AGENT IN COMBINATION WITH A TOPICAL OPHTHALMIC ANESTHETIC.

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Cytochrome P450 2C19 Enzyme IC50 6.04 DRUG MATRIX
Protein arginine N-methyltransferase 1 Enzyme IC50 4.12 CHEMBL
Solute carrier family 22 member 6 Transporter Ki 5.53 CHEMBL
Solute carrier family 22 member 20 Transporter Ki 4 CHEMBL

External reference:

IDSource
4019760 VUID
N0000147851 NUI
D01261 KEGG_DRUG
4018582 VANDF
4019760 VANDF
C0060520 UMLSCUI
CHEBI:172923 CHEBI
FLU PDB_CHEM_ID
CHEMBL4297067 ChEMBL_ID
CHEMBL177756 ChEMBL_ID
DB00693 DRUGBANK_ID
CHEMBL1628233 ChEMBL_ID
D019793 MESH_DESCRIPTOR_UI
16850 PUBCHEM_CID
TPY09G7XIR UNII
25138 RXNORM
149 MMSL
20713 MMSL
4740 MMSL
80888 MMSL
82367 MMSL
NOCODE MMSL
d05815 MMSL
002214 NDDF
004884 NDDF
010152 NDDF
25351006 SNOMEDCT_US
350086004 SNOMEDCT_US
85596006 SNOMEDCT_US
2321-07-5 SECONDARY_CAS_RN

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
FLUORESCITE HUMAN PRESCRIPTION DRUG LABEL 1 0065-0092 INJECTION, SOLUTION 100 mg OPHTHALMIC NDA 19 sections
FLUORESCITE HUMAN PRESCRIPTION DRUG LABEL 1 0065-0092 INJECTION, SOLUTION 100 mg OPHTHALMIC NDA 19 sections
BioGlo HUMAN PRESCRIPTION DRUG LABEL 1 17238-900 STRIP 1 mg OPHTHALMIC unapproved drug other 6 sections
BioGlo HUMAN PRESCRIPTION DRUG LABEL 1 17238-900 STRIP 1 mg OPHTHALMIC unapproved drug other 6 sections
AK-FLUOR HUMAN PRESCRIPTION DRUG LABEL 1 17478-250 INJECTION 250 mg INTRAVENOUS NDA 22 sections
AK-FLUOR HUMAN PRESCRIPTION DRUG LABEL 1 17478-250 INJECTION 250 mg INTRAVENOUS NDA 22 sections
AK-FLUOR HUMAN PRESCRIPTION DRUG LABEL 1 17478-253 INJECTION 100 mg INTRAVENOUS NDA 22 sections
AK-FLUOR HUMAN PRESCRIPTION DRUG LABEL 1 17478-253 INJECTION 100 mg INTRAVENOUS NDA 22 sections
FUL-GLO HUMAN PRESCRIPTION DRUG LABEL 1 17478-403 STRIP 0.60 mg OPHTHALMIC unapproved drug other 5 sections
FUL-GLO HUMAN PRESCRIPTION DRUG LABEL 1 17478-403 STRIP 0.60 mg OPHTHALMIC unapproved drug other 5 sections
FUL-GLO HUMAN PRESCRIPTION DRUG LABEL 1 17478-404 STRIP 1 mg OPHTHALMIC Unapproved drug other 6 sections
FUL-GLO HUMAN PRESCRIPTION DRUG LABEL 1 17478-404 STRIP 1 mg OPHTHALMIC Unapproved drug other 6 sections
FLURESS HUMAN PRESCRIPTION DRUG LABEL 2 17478-640 SOLUTION/ DROPS 2.50 mg OPHTHALMIC unapproved drug other 15 sections
Fluorescein Sodium and Benoxinate Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 2 24208-734 SOLUTION/ DROPS 2.60 mg OPHTHALMIC NDA 21 sections
Fluorescein Sodium and Benoxinate Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 2 24208-734 SOLUTION/ DROPS 2.60 mg OPHTHALMIC NDA 21 sections
AK-FLUOR HUMAN PRESCRIPTION DRUG LABEL 1 50090-4535 INJECTION 100 mg INTRAVENOUS NDA 22 sections
FLUORESCEIN HUMAN PRESCRIPTION DRUG LABEL 1 51662-1533 INJECTION 100 mg INTRAVENOUS NDA 14 sections
GloStrips HUMAN PRESCRIPTION DRUG LABEL 1 51801-003 STRIP 0.60 mg OPHTHALMIC UNAPPROVED DRUG OTHER 5 sections
Dry Eye Test HUMAN PRESCRIPTION DRUG LABEL 1 51801-008 STRIP 0.12 mg OPHTHALMIC UNAPPROVED DRUG OTHER 7 sections
GloStrips HUMAN PRESCRIPTION DRUG LABEL 1 51801-009 STRIP 1 mg OPHTHALMIC UNAPPROVED DRUG OTHER 6 sections
Flurox HUMAN PRESCRIPTION DRUG LABEL 2 54799-508 SOLUTION 2.50 mg OPHTHALMIC unapproved drug other 12 sections
Fluorescein Sodium and Proparacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 2 59390-205 SOLUTION/ DROPS 2.50 mg OPHTHALMIC UNAPPROVED DRUG OTHER 10 sections
Fluorescein Sodium and Proparacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 2 59390-205 SOLUTION/ DROPS 2.50 mg OPHTHALMIC UNAPPROVED DRUG OTHER 10 sections
ALTAFLUOR HUMAN PRESCRIPTION DRUG LABEL 2 59390-218 SOLUTION 2.50 mg OPHTHALMIC NDA 21 sections
ALTAFLUOR HUMAN PRESCRIPTION DRUG LABEL 2 59390-218 SOLUTION 2.50 mg OPHTHALMIC NDA 21 sections
Fluorescein Sodium and Benoxinate Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 2 68682-732 SOLUTION/ DROPS 2.60 mg OPHTHALMIC NDA authorized generic 21 sections
Fluorescein Sodium and Benoxinate Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 2 82260-734 SOLUTION/ DROPS 2.60 mg OPHTHALMIC NDA authorized generic 21 sections