醋酸肤轻松
又称醋酸氟轻松、氟西奈德、氟去炎舒松、肤轻松、氟轻松、仙乃乐、丙酮化氟新龙,是目前我国外用皮质激素中疗效显著且副作用较小的一种。它可通过使真皮毛细血管收缩,抑制结缔组织细胞增殖或再生;稳定细胞内溶酶体膜,防止组胺释放而造成组织损伤。其抗炎作用是氢化可的松的100倍,使用最低浓度(0.025%)即可产生明显疗效,并能迅速奏效,在数日内显著减轻或痊愈症状,止痒效果较好。
醋酸肤轻松主要用于治疗对糖皮质激素有效的皮肤病,如接触性皮炎、特应性皮炎、脂溢性皮炎、神经性皮炎、日光性皮炎、湿疹(特别是婴儿湿疹)、皮肤瘙痒症、银屑病、盘状红斑狼疮、扁平苔藓及外耳炎。与新霉素等抗菌素配伍可用于治疗化脓性皮肤病。
理化性质白色或类白色的结晶性粉末,无味无臭。[α]D20+80—+88°(二氧六环)。溶于丙酮,略溶于乙醇、二氧六环,不溶于水和石油醚。由11α-羟基 -16α, 17α-环氧孕甾烷-4-烯-3,20-二酮经磺酯化、开环等16步反应而得。
药理作用醋酸氟轻松是一种含氟的糖皮质激素。外用制剂中,0.01%为中效,0.025%为强效。它能收缩真皮毛细血管,抑制表皮细胞增殖或再生,抑制结缔组织内纤维细胞新生,稳定溶酶体膜,并减少炎性渗出和抑制组胺及其他炎症介质的形成与释放,具有抗过敏、抗炎及止痒的作用。
适应症用于接触性皮炎、过敏性皮炎、脂溢性皮炎、神经性皮炎、日光性皮炎、湿疹、银屑病、扁平苔癣及皮肤瘙痒症等。
醋酸肤轻松醋酸肤轻松是一种合成的含氟强效类固醇。外用可使真皮毛细血管收缩,抑制表皮细胞增殖或再生,抑制结缔组织内纤维细胞新生,稳定溶酶体膜,并具有抗炎、止痒的作用。外用后可通过完整的皮肤吸收,在肝脏代谢并经肾脏排出。
醋酸肤轻松适用于治疗湿疹(特别是婴儿湿疹)、神经性皮炎、皮肤瘙痒症、接触性皮炎、牛皮癣、盘状红斑狼疮、扁平苔藓及外耳炎等,但需注意长期或大面积使用可能引起的皮肤萎缩、毛细血管扩张、痤疮样皮炎、口周皮炎和增加感染易感性等问题。
不良反应长期或大面积应用可导致全身不良反应,如库欣综合征、高血糖症、糖尿等;也可引起皮肤萎缩、毛细血管扩张、痤疮样皮炎、口周皮炎及感染等症状。因此,在面部或皮肤皱褶部位使用需谨慎,并须同时考虑抗感染治疗。
注意事项Fluocinolone Acetonide(Flucort-N)是一种皮质类固醇,与胞浆中的糖皮质激素受体结合。
靶点Target | Value |
---|---|
Glucocorticoid receptor | () |
该药物适用于治疗过敏性皮炎、接触性皮炎、脂溢性皮炎及湿疹等多种皮肤病。
中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
醋酸氟轻松 | fluocinonide | 356-12-7 | C26H32F2O7 | 494.533 |
6alpha,9-二氟-11beta,21-二羟基-16alpha,17-(异亚丙基二氧基)孕甾-4-烯-3,20-二酮 21-乙酸酯 | 21-acetoxy-6α,9α-difluoro-11β-hydroxy-16α,17-[(1-methylethylidene)bis(oxy)]pregn-4-ene-3,20-dione | 3932-49-8 | C26H34F2O7 | 496.549 |
6α,9-二氟-11β,17,21-三羟基孕-1,4-二烯-3,20-二酮17,21-二(乙酸酯) | 17α,21-diacetyloxy-11β-hydroxy-6α, 9α-difluoro-1,4-diene-3,20-dione | 23641-05-6 | C25H30F2O7 | 480.506 |
醋酸氟轻松杂质 | 9beta,11beta-Epoxy-6alpha-fluoro-21-hydroxy-16alpha,17-(isopropylidenedioxy)pregna-1,4-diene-3,20-dione 21-acetate | 6598-95-4 | C26H31FO7 | 474.526 |
21-乙酰氧基-6Alpha,9Alpha二氟-11Β-羟基孕甾-1,4,16-三烯-3,20-二酮 | acetic acid 2-((6S,8S,9R,10S,11S,13S,14S)-6,9-difluoro-11-hydroxy-10,13-dimethyl-3-oxo-6,7,8,9,10,11,12,13,14,15-decahydro-3H-cyclopenta[a]phenanthren-17-yl)-2-oxo-ethyl ester | 2326-26-3 | C23H26F2O5 | 420.453 |
醋酸泼尼松龙环氧 | 21-acetate-9,11-epoxy-17α-hydroxypregna-1,4-diene-3,20-dione | 38680-83-0 | C23H28O6 | 400.472 |
delta皮质素烯乙酸酯 | pregna-1,4,9(11)-triene-17α,21-diol-3,20-dione 21-acetate | 4380-55-6 | C23H28O5 | 384.472 |
醋酸阿奈可他 | anecortave | 7753-60-8 | C23H30O5 | 386.488 |
中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
醋酸氟轻松 | fluocinonide | 356-12-7 | C26H32F2O7 | 494.533 |
(6alpha,11beta,16alpha,17alpha)-6,9-二氟-11-羟基-16,17-[(1-甲基亚乙基)二(氧基)]-3,20-二氧代孕甾-1,4-二烯-21-酸 | 21-oic acid of Fluocinolone Acetonide | 106931-78-6 | C24H28F2O7 | 466.479 |
氟轻松-21-醛 | 2-((2S,6aS,6bR,7S,8aS,8bS,11aR,12aS,12bS)-2,6b-difluoro-7-hydroxy-6a,8a,10,10-tetramethyl-4-oxo-2,4,6a,6b,7,8,8a,8b,11a,12,12a,12b-dodecahydro-1H-naphtho[2',1':4,5]indeno[1,2-d][1,3]dioxol-8b-yl)-2-oxoacetaldehyde | 13242-30-3 | C24H28F2O6 | 450.48 |
6alpha,9-二氟-11beta,21-二羟基-16alpha,17-(异亚丙基二氧基)孕甾-4-烯-3,20-二酮 21-乙酸酯 | 21-acetoxy-6α,9α-difluoro-11β-hydroxy-16α,17-[(1-methylethylidene)bis(oxy)]pregn-4-ene-3,20-dione | 3932-49-8 | C26H34F2O7 | 496.549 |
罗氟奈德 | rofleponide | 144459-70-1 | C25H34F2O6 | 468.538 |
(6alpha,11beta,16alpha,17alpha)-6,9-二氟-11-羟基-16,17-[(1-甲基乙亚基)二(氧基)]-3-氧代雄甾-1,4-二烯-17-羧酸 | 11β-hydroxy-16α,17α-isopropylidenedioxy-3-oxo-6α,9α-difluoroandrosta-1,4-diene-17β-carboxylic acid | 65751-34-0 | C23H28F2O6 | 438.469 |
—— | 21-ethoxycarbonylmethylthio-6α,9α-difluoro-11β-hydroxy-16α,17α-isopropylidenedioxy-1,4-pregnadiene-3,20-dione | 125380-46-3 | C28H36F2O7S | 554.652 |
—— | 2-[(1S,2S,4R,8S,9S,11S,12R,13S,19S)-12,19-difluoro-11-hydroxy-9,13-dimethyl-16-oxo-6-propyl-5,7-dioxapentacyclo[10.8.0.02,9.04,8.013,18]icosa-14,17-dien-8-yl]-2-oxoethyl N-[2-(pyridin-2-yldisulfanyl)ethyl]carbamate | —— | C33H40F2N2O7S2 | 678.819 |
—— | (4aS,4bR,5S,6aS,6bS,8R,9aR,10aS,10bS,12S)-8-(4-benzylphenyl)-4b,12-difluoro-6b-glycoloyl-5-hydroxy-4a,6a-dimethyl-4a,4b,5,6,6a,6b,9a,10,10a,10b,11,12-dodecahydro-2H-naphtho[2',1':4,5]indeno[1,2-d][1,3]dioxol-2-one | 1159113-30-0 | C35H36F2O6 | 590.664 |
—— | (1S,2S,4R,6R,8S,9S,11S,12R,13S,19S)-12,19-difluoro-11-hydroxy-8-(2-hydroxyacetyl)-9,13-dimethyl-6-(4-phenoxyphenyl)-5,7-dioxapentacyclo[10.8.0.02,9.04,8.013,18]icosa-14,17-dien-16-one | 1337894-70-8 | C34H34F2O7 | 592.637 |
—— | (1S,2S,4R,6R,8S,9S,11S,12R,13S,19S)-12,19-difluoro-11-hydroxy-8-(2-hydroxyacetyl)-9,13-dimethyl-6-(4-phenylphenyl)-5,7-dioxapentacyclo[10.8.0.02,9.04,8.013,18]icosa-14,17-dien-16-one | 1337894-71-9 | C34H34F2O6 | 576.637 |
6-alpha,9-alpha-二氟-11-beta,16-alpha,17-alpha,21-四羟基孕甾-1,4-二烯-3,20-二酮 | 6α,9α-difluoro-11β,16α,17α,21-tetra-hydroxypregna-1,4-diene-3,20-dione | 807-38-5 | C21H26F2O6 | 412.431 |
—— | (1S,2S,4R,6R,8S,9S,11S,12R,13S,19S)-12,19-difluoro-11-hydroxy-8-(2-hydroxyacetyl)-6-[4-[(4-hydroxyphenyl)methyl]phenyl]-9,13-dimethyl-5,7-dioxapentacyclo[10.8.0.02,9.04,8.013,18]icosa-14,17-dien-16-one | 1337894-73-1 | C35H36F2O7 | 606.663 |
地索奈德 | desonide | 638-94-8 | C24H32O6 | 416.514 |
—— | (2S,6aS,6bR,7S,8aS,8bS,10R,11aR,12aS,12bS)-10-(4-((4-aminophenyl)thio)phenyl)-2,6b-difluoro-7-hydroxy-8b-(2-hydroxyethanoyl)-6a,8a,10-trimethyl-6a,6b,7,8,8a,8b,11a,12,12a,12b-decahydro-1H-naphtho[2',1':4,5]indeno[1,2-d][1,3]dioxole-4(2H)-one | —— | C35H37F2NO6S | 637.745 |
—— | (1S,2S,4R,6R,8S,9S,11S,12R,13S,19S)-12,19-difluoro-11-hydroxy-8-(2-hydroxyacetyl)-9,13-dimethyl-6-[4-(phenylsulfanylmethyl)phenyl]-5,7-dioxapentacyclo[10.8.0.02,9.04,8.013,18]icosa-14,17-dien-16-one | 1337894-76-4 | C35H36F2O6S | 622.73 |
—— | (1S,2S,4R,6R,8S,9S,11S,12R,13S,19S)-6-(4-benzylsulfanylphenyl)-12,19-difluoro-11-hydroxy-8-(2-hydroxyacetyl)-9,13-dimethyl-5,7-dioxapentacyclo[10.8.0.02,9.04,8.013,18]icosa-14,17-dien-16-one | 1337894-75-3 | C35H36F2O6S | 622.73 |
—— | (2S,6aS,6bR,7S,8aS,8bS,10R,11aR,12aS,12bS)-10-(4-(3-aminobenzyl)phenyl)-2,6b-difluoro-7-hydroxy-8b-(2-hydroxyacetyl)-6a,8a-dimethyl-1,2,6a,6b,7,8,8a,8b,11a,12,12a,12b-dodecahydro-4H-naphtho[2',1':4,5]indeno[1,2-d][1,3]dioxol-4-one | —— | C35H37F2NO6 | 605.679 |
—— | (2S,6aS,6bR,7S,8aS,8bS,10R,11aR,12aS,12bS)-10-(4-((3-aminophenyl)thio)phenyl)-2,6b-difluoro-7-hydroxy-8b-(2-hydroxyacetyl)-6a,8a-dimethyl-1,2,6a,6b,7,8,8a,8b,11a,12,12a,12b-dodecahydro-4H-naphtho[2′,1′:4,5]indeno[1,2-d][1,3]dioxol-4-one | —— | C34H35F2NO6S | 623.718 |
—— | (1S,2S,4R,6R,8S,9S,11S,12R,13S,19S)-12,19-difluoro-11-hydroxy-8-(2-hydroxyacetyl)-9,13-dimethyl-6-[4-(morpholin-4-ylmethyl)phenyl]-5,7-dioxapentacyclo[10.8.0.02,9.04,8.013,18]icosa-14,17-dien-16-one | 1337894-72-0 | C33H39F2NO7 | 599.672 |
—— | (4aS,4bR,5S,6aS,6bS,8R,9aR,10aS,10bS,12S)-4b,12-difluoro-6b-glycoloyl-5-hydroxy-8-(4-{[(4-hydroxyphenyl)thio]methyl}phenyl)-4a,6a-dimethyl-4a,4b,5,6,6a,6b,9a,10,10a,10b,11,12-dodecahydro-2H-naphtho[2',1':4,5]indeno[1,2-d][1,3]dioxol-2-one | 1159113-33-3 | C35H36F2O7S | 638.729 |
—— | (1S,2S,4R,6R,8S,9S,11S,12R,13S,19S)-12,19-difluoro-11-hydroxy-8-(2-hydroxyacetyl)-6-[4-[(3-hydroxyphenyl)sulfanylmethyl]phenyl]-9,13-dimethyl-5,7-dioxapentacyclo[10.8.0.02,9.04,8.013,18]icosa-14,17-dien-16-one | 1337894-77-5 | C35H36F2O7S | 638.729 |
—— | (4aS,4bR,5S,6aS,6bS,8R,9aR,10aS,10bS,12S)-4b,12-difluoro-6b-glycoloyl-5-hydroxy-4a,6a-dimethyl-8-(4-{[3-(methylthio)phenyl]thio}phenyl)-4a,4b,5,6,6a,6-b,9a,10,10a,10b,11,12-dodecahydro-2H-naphtho-[2',1':4,5]indeno[1,2-d][1,3]dioxol-2-one | 1159113-31-1 | C35H36F2O6S2 | 654.796 |
—— | (4aS,4bR,5S,6aS,6bS,8R,9aR,10aS,10bS,12S)-8-(4-{[(3-chloro-4-hydroxyphenyl)thio]methyl}phenyl)-4b,12-difluoro-6b-glycoloyl-5-hydroxy-4a,6a-dimethyl-4a,4b,5,6,6a,6b,9a,10,10a,10b,11,12-dodecahydro-2H-naphtho[2',1':4,5]indeno[1,2-d][1,3]dioxol-2-one | 1159113-35-5 | C35H35ClF2O7S | 673.175 |
—— | (2S,6aS,6bR,7S,8aS,8bS,10R,11aR,12aS,12bS)-10-(4-(3-aminobenzyl)-3-hydroxyphenyl)-2,6b-difluoro-7-hydroxy-8b-(2-hydroxyacetyl)-6a,8a-dimethyl-6a,6b,7,8,8a,8b,11a,12,12a,12b-decahydro-1H-naphtho[2',1':4,5]indeno[1,2-d][1,3]dioxol-4(2H)-one | —— | C35H37F2NO7 | 621.678 |
—— | tert-butyl ((S)-1-(((S)-1-((3-(4-((2S,6aS,6bR 7S,8aS,8bS,10R,11aR,12aS,12bS)-2,6b-difluoro-7-hydroxy-8b-(2-hydroxyacetyl)-6a,8a-dimethyl-4-oxo-2,4,6a,6b,7,8,8a,8b,11a,12,12a,12b-dodecahydro-1H-naphtho[2',1':4,5]indeno[1,2-d][1,3]dioxol-10-yl)benzyl)phenyl)amino)-1-oxopropan-2-yl)amino)-1-oxopropan-2-yl)carbamate | —— | C46H55F2N3O10 | 847.954 |