代谢
主要通过肝脏CYP3A4酶代谢
Primarily hepatic via CYP3A4
来源:DrugBank
醋酸氢化可的松(11β、17α、21-三羟基孕甾-4烯-3,20-二酮-21-醋酸酯)是一种肾上腺皮质激素药物,具有抗炎、免疫抑制、抗毒和抗休克等多种药理作用。其结构中的17α-羟基黄体酮是合成原料。熔点为216~222℃,呈右旋光性。微溶于乙醇、乙醚、氯仿、丙酮,不溶于水。
合成方法以17α-羟基黄体酮为原料合成。主要通过以下步骤制备:
制剂有注射液、片剂、软膏和滴眼液。在一些化妆品中添加少量醋酸氢化可的松能增加抗过敏疗效并提高嫩白皮肤的程度,但长期使用该类物质可能引起皮肤激素依赖症。我国化妆品规范中禁止添加此类物质。
适应证用于过敏性、非感染性皮肤病和一些增生性皮肤疾患,如皮炎、湿疹、神经性皮炎、脂溢性皮炎及瘙痒症等。
禁忌证长期使用可引起局部皮肤萎缩,毛细血管扩张、色素沉着、毛囊炎、口周皮炎以及继发感染。
注意事项图1为醋酸氢化可的松的结构式。有关醋酸氢化可的松的肾上腺皮质激素类药物、适应症、禁忌症、不良反应、注意事项是由Chemicalbook的东方编辑整理。(2016-03-11)
中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
氢化可的松 | HYDROCORTISONE | 50-23-7 | C21H30O5 | 362.466 |
醋酸可的松 | Cortisone acetate | 50-04-4 | C23H30O6 | 402.488 |
醋酸阿奈可他 | anecortave | 7753-60-8 | C23H30O5 | 386.488 |
—— | 21-acetoxy-9-chloro-11β,17-dihydroxy-pregn-4-ene-3,20-dione | 29042-01-1 | C23H31ClO6 | 438.949 |
5beta-二氢皮质醇21-乙酸酯 | 5β-dihydrocortisol 21-acetate | 64313-94-6 | C23H34O6 | 406.519 |
—— | 21-acetoxy-11β-hydroxy-pregna-4,17(20)t-dien-3-one | 119180-68-6 | C23H32O4 | 372.505 |
黄体酮 | Progesterone | 57-83-0 | C21H30O2 | 314.468 |
中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
氢化可的松 | HYDROCORTISONE | 50-23-7 | C21H30O5 | 362.466 |
醋酸泼尼松龙 | prednisolone 21-acetate | 52-21-1 | C23H30O6 | 402.488 |
—— | 21-acetoxy-17α-hydroxy-11β-trifluoroacetoxy-4-pregnene-3,20-dione | 565-83-3 | C25H31F3O7 | 500.512 |
醋丙氢可的松 | Hydrocortisone aceponate | 74050-20-7 | C26H36O7 | 460.568 |
氢化可的松17-丙酸酯 | hydrocortisone 17-propionate | 65980-97-4 | C24H34O6 | 418.53 |
醋酸可的松 | Cortisone acetate | 50-04-4 | C23H30O6 | 402.488 |
醋酸阿奈可他 | anecortave | 7753-60-8 | C23H30O5 | 386.488 |
—— | 2-((10S,13S,17R)-17-hydroxy-10,13-dimethyl-3-oxo-2,3,6,7,8,10,12,13,14,15,16,17-dodecahydro-1H-cyclopenta[a]phenanthren-17-yl)-2-oxoethyl acetate | 7753-60-8 | C23H30O5 | 386.488 |
6,7-去氢泼尼松龙21-乙酸酯 | 21-acetoxy-11β,17α-dihydroxypregna-1,4,6-triene-3,20-dione | 2427-45-4 | C23H28O6 | 400.472 |
泼尼松龙 | prednisolon | 50-24-8 | C21H28O5 | 360.45 |
皮质醇-17beta-酸 | 11β,17-dihydroxy-3-oxo-androst-4-ene-17α-carboxylic acid | 100188-36-1 | C20H28O5 | 348.439 |
醋酸泼尼松 | prednisone acetate | 125-10-0 | C23H28O6 | 400.472 |
(11beta)-21-(乙酰氧基)-3-乙氧基-11,17-二羟基-孕甾-3,5-二烯-20-酮 | 2-((8S,9S,10R,11S,13S,14S,17R)-3-ethoxy-11,17-dihydroxy-10,13-dimethyl-2,7,8,9,10,11,12,13,14,15,16,17-dodecahydro-1H-cyclopenta[a]phenanthren-17-yl)-2-oxoethyl acetate | 56736-68-6 | C25H36O6 | 432.557 |
四氢可的索21-乙酸酯 | tetrahydrocortisol 21-acetate | 4004-80-2 | C23H36O6 | 408.535 |
6-去氢泼尼松龙 | 6,7-dehydroprednisolone | 2427-64-7 | C21H26O5 | 358.434 |
5beta-二氢皮质醇21-乙酸酯 | 5β-dihydrocortisol 21-acetate | 64313-94-6 | C23H34O6 | 406.519 |
—— | 21-acetoxy-6α,7α-difluoro-11β,17α-dihydroxypregna-1,4-diene-3,20-dione | 82423-40-3 | C23H28F2O6 | 438.469 |
4-雄烯-11β-醇-3,17-二酮 | (8S,9S,10R,11S,13S,14S)-11-Hydroxy-10,13-dimethyl-1,6,7,8,9,10,11,12,13,14,15,16-dodecahydro-2H-cyclopenta[a]phenanthrene-3,17-dione | 382-44-5 | C19H26O3 | 302.414 |
泼尼松 | Prednison | 53-03-2 | C21H26O5 | 358.434 |
(8S,9R,10S,11S,13S,14S,16R,17S)-9-氟-11,16,17-三羟基-17-(2-羟基乙酰基)-10,13-二甲基-1,2,6,7,8,11,12,14,15,16-十氢环戊烯并[a]菲-3-酮 | 9α-fluoro-11β,16α,17α,21-tetrahydroxypregn-4-ene-3,20-dione | 337-02-0 | C21H29FO6 | 396.456 |
3alpha,17,21-三羟基-5beta-孕甾烷-11,20-二酮 21-乙酸酯 | 3α,17,21-trihydroxy-5β-pregnane-11,20-dione 21-acetate | 17736-20-8 | C23H34O6 | 406.519 |
(3alpha,5beta)-O-叔-丁基二甲基硅烷基21-乙酰氧基四氢皮质醇 | 21-acetoxy-3α,11β,17α-trihydroxy-5β-pregnan-20-one 3-tert-butyldimethylsilyl ether | 83274-68-4 | C29H50O6Si | 522.798 |
11-Beta,17-alpha,21-三羟基-5-beta-孕烯-3,20-二酮 | 5β-pregnane-11β,17α,21-triol-3,20-dione | 1482-50-4 | C21H32O5 | 364.482 |
11-Beta,17-alpha,21-三羟基-5-alpha-孕烯-3,20-二酮 | 11β,17α,21-trihydroxy-5α-pregnane-3,20-dione | 516-41-6 | C21H32O5 | 364.482 |
氢化曲安奈德 | 16α-17-[(1-methylethylidene)bis(oxy)]-11β,21-dihydroxy-9-fluoro-4-ene-pregna-3,20-dione | 1524-86-3 | C24H33FO6 | 436.521 |
3alpha-O-叔-丁基二甲基硅烷基21-乙酰氧基四氢可的松 | 21-acetoxy-3α,17α-dihydroxy-5β-pregnan-11,20-dione 3-tert-butyldimethylsilyl ether | 83274-72-0 | C29H48O6Si | 520.782 |
3H-吡喃并[3,2-f]喹啉-8(7H)-酮,7-甲基- | (8S,9R,10S,11S,13S,14S)-9-Fluoro-11-hydroxy-17-(2-hydroxy-acetyl)-10,13-dimethyl-1,2,6,7,8,9,10,11,12,13,14,15-dodecahydro-cyclopenta[a]phenanthren-3-one | 802-71-1 | C21H27FO4 | 362.441 |
21-羟基孕甾-4,9(11),16-三烯-3,20-二酮 21-乙酸酯 | 21-acetoxy-pregna-4,9(11),16-triene-3,20-dinone | 23460-76-6 | C23H28O4 | 368.473 |
—— | 3α-hydroxy-5α-androst-9(11)-en-17-one | 14043-47-1 | C19H28O2 | 288.43 |