difluprednate 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
prednisone and prednisolone derivatives 3142 23674-86-4

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • difluprednate
  • durezol
  • Molecular weight: 508.56
  • Formula: C27H34F2O7
  • CLOGP: 3.44
  • LIPINSKI: 1
  • HAC: 7
  • HDO: 1
  • TPSA: 106.97
  • ALOGS: -4.72
  • ROTB: 8

  • Status: OFP

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

Drug dosage:

None

ADMET properties:

None

Approvals:

DateAgencyCompanyOrphan
June 23, 2008 FDA ALCON PHARMS LTD

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
Cataract 117.54 25.53 51 2138 57002 63429831
Eye pain 99.34 25.53 39 2150 33815 63453018
Endophthalmitis 92.19 25.53 22 2167 3570 63483263
Uveitis 85.19 25.53 27 2162 12526 63474307
Vision blurred 70.05 25.53 42 2147 91882 63394951
Eye irritation 66.83 25.53 26 2163 21945 63464888
Visual impairment 62.81 25.53 38 2151 84408 63402425
Intraocular pressure increased 62.44 25.53 18 2171 6060 63480773
Eye inflammation 59.39 25.53 17 2172 5582 63481251
Corneal oedema 53.50 25.53 12 2177 1481 63485352
Ocular discomfort 45.55 25.53 13 2176 4220 63482613
Multiple use of single-use product 42.77 25.53 10 2179 1482 63485351
Anterior chamber fibrin 42.05 25.53 6 2183 52 63486781
Anterior chamber cell 40.48 25.53 8 2181 536 63486297
Product delivery mechanism issue 37.14 25.53 7 2182 365 63486468
Visual acuity reduced 36.81 25.53 17 2172 21809 63465024
Blindness unilateral 36.50 25.53 12 2177 6229 63480604
Toxic anterior segment syndrome 36.02 25.53 9 2180 1762 63485071
Glaucoma 35.92 25.53 16 2173 18889 63467944
Product container issue 35.91 25.53 9 2180 1784 63485049
Ocular hyperaemia 34.52 25.53 17 2172 25127 63461706
Vitreous floaters 29.07 25.53 10 2179 5956 63480877
Product quality issue 28.85 25.53 17 2172 35848 63450985
Hypopyon 26.86 25.53 6 2183 726 63486107
Corneal disorder 26.10 25.53 7 2182 1807 63485026

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
Intraocular pressure increased 102.14 27.05 26 1218 5357 34950330
Corneal oedema 77.07 27.05 16 1228 1335 34954352
Toxic anterior segment syndrome 61.79 27.05 13 1231 1156 34954531
Eye pain 55.27 27.05 20 1224 13442 34942245
Eye irritation 49.74 27.05 16 1228 7545 34948142
Anterior chamber cell 49.67 27.05 9 1235 366 34955321
Cataract 48.67 27.05 22 1222 26164 34929523
Visual impairment 47.94 27.05 24 1220 35778 34919909
Product quality issue 40.39 27.05 17 1227 17018 34938669
Eye inflammation 38.54 27.05 10 1234 2208 34953479
Endophthalmitis 38.44 27.05 11 1233 3497 34952190
Vision blurred 34.39 27.05 21 1223 45942 34909745
Retinal occlusive vasculitis 30.75 27.05 4 1240 15 34955672

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
Intraocular pressure increased 131.17 23.41 35 2635 9170 79732548
Cataract 114.71 23.41 51 2619 62069 79679649
Endophthalmitis 113.57 23.41 29 2641 6399 79735319
Corneal oedema 110.87 23.41 24 2646 2596 79739122
Anterior chamber cell 89.89 23.41 17 2653 932 79740786
Toxic anterior segment syndrome 87.68 23.41 20 2650 2744 79738974
Visual impairment 65.84 23.41 40 2630 92091 79649627
Anterior chamber fibrin 64.39 23.41 10 2660 166 79741552
Eye inflammation 57.59 23.41 17 2653 6396 79735322
Uveitis 48.47 23.41 19 2651 16811 79724907
Eye pain 48.12 23.41 24 2646 37554 79704164
Multiple use of single-use product 47.83 23.41 10 2660 914 79740804
Corneal disorder 38.80 23.41 10 2660 2281 79739437
Vision blurred 37.74 23.41 30 2640 105868 79635850
Hypopyon 34.80 23.41 8 2662 1134 79740584
Paronychia 34.21 23.41 12 2658 7796 79733922
Aqueous fibrin 29.94 23.41 5 2665 133 79741585
Ulcerative keratitis 29.74 23.41 9 2661 3680 79738038
Visual acuity reduced 26.85 23.41 15 2655 29454 79712264
Vitritis 26.38 23.41 7 2663 1787 79739931
Infective keratitis 26.33 23.41 4 2666 57 79741661
Blindness unilateral 26.31 23.41 10 2660 8136 79733582
Retinal occlusive vasculitis 25.50 23.41 4 2666 71 79741647
Granulocytosis 25.49 23.41 5 2665 332 79741386
Vitreal cells 25.34 23.41 4 2666 74 79741644

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC D07AC19 DERMATOLOGICALS
CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS
CORTICOSTEROIDS, PLAIN
Corticosteroids, potent (group III)
MeSH PA D005938 Glucocorticoids
MeSH PA D006728 Hormones

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

DiseaseRelationSNOMED_IDDOID
Post-Op Ocular Inflammation indication
Postoperative Ocular Pain indication
Cyclitis off-label use 17657000
Iritis off-label use 65074000 DOID:1406
Iridocyclitis off-label use 77971008
Uveitis off-label use 128473001 DOID:13141
Allergic conjunctivitis off-label use 473460002 DOID:11204
Ocular hypertension contraindication 4210003 DOID:9282
Herpes simplex dendritic keratitis contraindication 29943008
Tuberculosis of eye contraindication 49107007
Bacterial keratitis contraindication 314557000
Fungal keratitis contraindication 314558005
Vaccinia keratitis contraindication 397552005
Herpes zoster keratitis contraindication 397573005




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 11.49 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 CHEMBL CHEMBL

External reference:

IDSource
4027694 VUID
N0000179107 NUI
D01266 KEGG_DRUG
4027694 VANDF
C0058004 UMLSCUI
CHEBI:31485 CHEBI
CHEMBL1201749 ChEMBL_ID
DB06781 DRUGBANK_ID
C015808 MESH_SUPPLEMENTAL_RECORD_UI
7474 IUPHAR_LIGAND_ID
2652 INN_ID
S8A06QG2QE UNII
443936 PUBCHEM_CID
23043 RXNORM
146969 MMSL
22956 MMSL
350413 MMSL
005778 NDDF
438200007 SNOMEDCT_US
440063000 SNOMEDCT_US

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
DUREZOL HUMAN PRESCRIPTION DRUG LABEL 1 0065-9240 EMULSION 0.50 mg OPHTHALMIC NDA 23 sections
DUREZOL HUMAN PRESCRIPTION DRUG LABEL 1 0065-9240 EMULSION 0.50 mg OPHTHALMIC NDA 23 sections
DUREZOL HUMAN PRESCRIPTION DRUG LABEL 1 0078-0862 EMULSION 0.50 mg OPHTHALMIC NDA 23 sections
DUREZOL HUMAN PRESCRIPTION DRUG LABEL 1 0078-0862 EMULSION 0.50 mg OPHTHALMIC NDA 23 sections
Difluprednate Ophthalmic HUMAN PRESCRIPTION DRUG LABEL 1 0781-6000 EMULSION 0.50 mg OPHTHALMIC NDA authorized generic 21 sections
Difluprednate Ophthalmic HUMAN PRESCRIPTION DRUG LABEL 1 0781-6000 EMULSION 0.50 mg OPHTHALMIC NDA authorized generic 21 sections
Difluprednate Ophthalmic Emulsion HUMAN PRESCRIPTION DRUG LABEL 1 43598-588 EMULSION 0.50 mg OPHTHALMIC ANDA 23 sections
DUREZOL HUMAN PRESCRIPTION DRUG LABEL 1 54868-6296 EMULSION 0.50 mg OPHTHALMIC NDA 23 sections
DIFLUPREDNATE HUMAN PRESCRIPTION DRUG LABEL 1 69097-341 EMULSION 0.50 mg OPHTHALMIC ANDA 20 sections
Difluprednate HUMAN PRESCRIPTION DRUG LABEL 1 69238-1380 EMULSION 0.50 mg OPHTHALMIC ANDA 23 sections
Difluprednate HUMAN PRESCRIPTION DRUG LABEL 1 69238-1380 EMULSION 0.50 mg OPHTHALMIC ANDA 23 sections
DIFLUPREDNATE HUMAN PRESCRIPTION DRUG LABEL 1 76282-708 EMULSION 0.50 mg OPHTHALMIC ANDA 20 sections