Itraconazole: Difference between revisions

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[[Image:Itraconazole structure.jpg|right|thumb|350px|{{#ifexist:Template:Itraconazole structure.jpg/credit|{{Itraconazole structure.jpg/credit}}<br/>|}}Itraconazole, a triazole-based antifungal agent.]]
{{Chem infobox
{{Chem infobox
|align=right
|image={{Image|Itraconazole structure.jpg|center|350px|Itraconazole, a triazole-based antifungal agent.}}
|width=350px
|molname=itraconazole
|molname=itraconazole
|synonyms=  itraconazol, itraconazolum
|synonyms=  itraconazol, itraconazolum
|molformula= C<sub>35</sub>H<sub>38</sub>C<sub>l2</sub>N<sub>8</sub>O<sub>4</sub>
|molformula= C<sub>35</sub>H<sub>38</sub>C<sub>l2</sub>N<sub>8</sub>O<sub>4</sub>
|molmass= 705.6334 g/mol
|molmass= 705.6334
|uses=antifungal drug
|uses=antifungal drug
|properties=triazole compound
|properties=triazole compound
|hazards=see drug interactions
|hazards=see drug interactions
|iupac= 2-butan-2-yl-4-[4-[4-[4-[[(2R,4S)-2-(2,4-dichlorophenyl)-2-(1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy]phenyl]piperazin-1-yl]phenyl]-1,2,4-triazol-3-one
|iupac= <nowiki>2-butan-2-yl-4-[4-[4-[4-[[(2R,4S)-2-(2,4-dichlorophenyl)-2-(1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy]phenyl]piperazin-1-yl]phenyl]-1,2,4-triazol-3-one</nowiki>
|casnumber=12345.67-9
|casnumber=84625-61-6
}}
}}


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== Mechanism of action ==
== Mechanism of action ==
Like other azole-based antifungal agents, itraconazole interacts with 14-<math>\alpha</math>-demethylase, a cytochrome P-450 enzyme necessary to convert [[lanosterol]] to [[ergosterol]],  an essential component of fungal cell membranes, by stopping [[sterol]] C-14 <math>\alpha</math>-demethylation.  Itraconazole may also inhibit endogenous respiration, interact with membrane phospholipids, inhibit the transformation of yeasts to mycelial forms, inhibit purine uptake, and impair triglyceride and/or phospholipid biosynthesis<ref> {{DrugBank|DB01167|Itraconzole}}</ref>.
Like other azole-based antifungal agents, itraconazole interacts with 14-<math>\alpha</math>-demethylase, a cytochrome P-450 enzyme necessary to convert [[lanosterol]] to [[ergosterol]],  an essential component of fungal cell membranes, by stopping [[sterol]] C-14 <math>\alpha</math>-demethylation.  Itraconazole may also inhibit endogenous respiration, interact with membrane phospholipids, inhibit the transformation of yeasts to mycelial forms, inhibit purine uptake, and impair triglyceride and/or phospholipid biosynthesis<ref> {{CZMed|Itraconzole|DB01167}}</ref>.


== Drug interactions ==
== Drug interactions ==
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<b> This section is under construction, see [[ketoconazole]] for a partial list of drug interactions.</b>
<b> This section is under construction, see [[ketoconazole]] for a partial list of drug interactions.</b>


== chemical information ==
== Chemical information ==
The IUPAC name for itraconazole is 2-butan-2-yl-4-[4-[4-[4-[[(2R,4S)-2-(2,4-dichlorophenyl)-2-(1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy]phenyl]piperazin-1-yl]phenyl]-1,2,4-triazol-3-one, and its chemical formula, C<sub>35</sub>H<sub>38</sub>C<sub>l2</sub>N<sub>8</sub>O<sub>4</sub>, gives a molecular mass of 705.6334 g/mol.
The IUPAC name for itraconazole is 2-butan-2-yl-4-[4-[4-[4-[[(2R,4S)-2-(2,4-dichlorophenyl)-2-(1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy]phenyl]piperazin-1-yl]phenyl]-1,2,4-triazol-3-one, and its chemical formula, C<sub>35</sub>H<sub>38</sub>C<sub>l2</sub>N<sub>8</sub>O<sub>4</sub>, gives a molecular mass of 705.6334 g/mol.


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== References and external links ==
== References and external links ==
<references/>
<references/>
* {{DailyMed}}
* {{MedMaster}}

Latest revision as of 08:21, 8 June 2009

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(CC) Image: David E. Volk
Itraconazole, a triazole-based antifungal agent.
itraconazole
IUPAC name: 2-butan-2-yl-4-[4-[4-[4-[[(2R,4S)-2-(2,4-dichlorophenyl)-2-(1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy]phenyl]piperazin-1-yl]phenyl]-1,2,4-triazol-3-one
Synonyms: itraconazol, itraconazolum
Formula: C35H38Cl2N8O4

 Uses: antifungal drug

 Properties: triazole compound

 Hazards: see drug interactions

Mass (g/mol): CAS #:
705.6334 84625-61-6



Itraconazole is an azole-based antifungal drug containing three azoles, like fluconazole. It inhibits cytochrom P450-dependent enzymes and impairs the biosynthesis of ergosterol. It can be used to treate apergillosis, blasoplasmosis, cryptococcal meningitis, histoplasmosis and onychomycosis.

Mechanism of action

Like other azole-based antifungal agents, itraconazole interacts with 14--demethylase, a cytochrome P-450 enzyme necessary to convert lanosterol to ergosterol, an essential component of fungal cell membranes, by stopping sterol C-14 -demethylation. Itraconazole may also inhibit endogenous respiration, interact with membrane phospholipids, inhibit the transformation of yeasts to mycelial forms, inhibit purine uptake, and impair triglyceride and/or phospholipid biosynthesis[1].

Drug interactions

The azole-based antifungal agents have many drug interactions and some can be sever. This section is under construction, see ketoconazole for a partial list of drug interactions.

Chemical information

The IUPAC name for itraconazole is 2-butan-2-yl-4-[4-[4-[4-[[(2R,4S)-2-(2,4-dichlorophenyl)-2-(1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy]phenyl]piperazin-1-yl]phenyl]-1,2,4-triazol-3-one, and its chemical formula, C35H38Cl2N8O4, gives a molecular mass of 705.6334 g/mol.

Synonyms

  • ITC
  • ITCZ
  • ITR
  • Itraconazol
  • Itraconazolum
  • ITZ

Brand names

  • Itrizole®
  • Oriconazole®
  • Sporal®
  • Sporanos®
  • Sporanox®
  • Sporonox®
  • Triasporn®

References and external links

  1. The most up-to-date information about Itraconzole and other drugs can be found at the following sites.