Butoconazole

Identification

Name
Butoconazole
Accession Number
DB00639  (APRD00834)
Type
Small Molecule
Groups
Approved
Description

Butoconazole is an imidazole antifungal used in gynecology.

Structure
Thumb
Synonyms
  • Alant starch
  • Butoconazol
  • Butoconazole
  • Butoconazolum
  • Compositenstärke
  • Dahlin
  • Polyfructosanum
External IDs
RS 35887 / RS 35887-00-10-3
Product Ingredients
IngredientUNIICASInChI Key
Butoconazole nitrate4805237NP564872-77-1ZHPWRQIPPNZNML-UHFFFAOYSA-N
Prescription Products
NameDosageStrengthRouteLabellerMarketing StartMarketing End
Gynazole.1Cream2 %VaginalFerring Pharmaceuticals2004-04-202014-01-15Canada
Generic Prescription Products
NameDosageStrengthRouteLabellerMarketing StartMarketing End
Gynazole 1Cream100 mg/5gVaginalPerrigo New York Inc.2015-04-29Not applicableUs
Gynazole 1Cream100 mg/5gVaginalAmag Pharmaceuticals Inc2012-12-272016-10-19Us
International/Other Brands
Femstat (Bayer) / Femstat 3 (Bayer) / Gynazol (Gedeon Richter) / Gynazole (OM) / Gynazole-1 (Ferring) / Gynofort (Gedeon Richter) / Gynomyk (Will) / Inulead (Fuji Yakuhin) / Mycelex-3 (Bayer) / Volusol (Farmindustria)
Categories
UNII
0Q771797PH
CAS number
64872-76-0
Weight
Average: 411.776
Monoisotopic: 410.017802365
Chemical Formula
C19H17Cl3N2S
InChI Key
SWLMUYACZKCSHZ-UHFFFAOYSA-N
InChI
InChI=1S/C19H17Cl3N2S/c20-15-7-4-14(5-8-15)6-9-16(12-24-11-10-23-13-24)25-19-17(21)2-1-3-18(19)22/h1-5,7-8,10-11,13,16H,6,9,12H2
IUPAC Name
1-[4-(4-chlorophenyl)-2-[(2,6-dichlorophenyl)sulfanyl]butyl]-1H-imidazole
SMILES
ClC1=CC=C(CCC(CN2C=CN=C2)SC2=C(Cl)C=CC=C2Cl)C=C1

Pharmacology

Indication

For the local treatment of vulvovaginal candidiasis (infections caused by Candida)

Associated Conditions
Pharmacodynamics

Butoconazole is an imidazole derivative that has fungicidal activity in vitro against Candida spp. and has been demonstrated to be clinically effective against vaginal infections due to Candida albicans. Candida albicans has been identified as the predominant species responsible for vulvovaginal candidasis.

Mechanism of action

The exact mechanism of the antifungal action of butoconazole is unknown, however, it is presumed to function as other imidazole derivatives via inhibition of steroid synthesis. Imidazoles generally inhibit the conversion of lanosterol to ergosterol via the inhibition of the enzyme cytochrome P450 14α-demethylase, resulting in a change in fungal cell membrane lipid composition. This structural change alters cell permeability and, ultimately, results in the osmotic disruption or growth inhibition of the fungal cell.

TargetActionsOrganism
AErgosterol
other
Candida albicans
Absorption

Following vaginal administration of butoconazole nitrate vaginal cream, 2% to 3 women, 1.7% (range 1.3-2.2%) of the dose was absorbed on average.

Volume of distribution
Not Available
Protein binding
Not Available
Metabolism
Not Available
Route of elimination
Not Available
Half life
Not Available
Clearance
Not Available
Toxicity

Oral, rat: LD50 = >1720 mg/kg.

Affected organisms
  • Fungi, yeast and protozoans
Pathways
Not Available
Pharmacogenomic Effects/ADRs
Not Available

Interactions

Drug Interactions
DrugInteractionDrug group
AgmatineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Agmatine.Experimental, Investigational
AmiodaroneThe therapeutic efficacy of Butoconazole can be increased when used in combination with Amiodarone.Approved, Investigational
AmlodipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Amlodipine.Approved
Amphotericin BThe therapeutic efficacy of Amphotericin B can be decreased when used in combination with Butoconazole.Approved, Investigational
AmrinoneThe therapeutic efficacy of Butoconazole can be increased when used in combination with Amrinone.Approved
AranidipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Aranidipine.Approved, Investigational
AtorvastatinThe risk or severity of myopathy can be increased when Butoconazole is combined with Atorvastatin.Approved
AzelnidipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Azelnidipine.Approved, Investigational
AzimilideThe therapeutic efficacy of Butoconazole can be increased when used in combination with Azimilide.Investigational
BarnidipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Barnidipine.Approved
BencyclaneThe therapeutic efficacy of Butoconazole can be increased when used in combination with Bencyclane.Experimental
BenidipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Benidipine.Approved, Investigational
BepridilThe therapeutic efficacy of Butoconazole can be increased when used in combination with Bepridil.Approved, Withdrawn
BioallethrinThe therapeutic efficacy of Butoconazole can be increased when used in combination with Bioallethrin.Approved, Experimental
BuspironeThe metabolism of Buspirone can be decreased when combined with Butoconazole.Approved, Investigational
BusulfanThe serum concentration of Busulfan can be increased when it is combined with Butoconazole.Approved, Investigational
CarboxyamidotriazoleThe therapeutic efficacy of Butoconazole can be increased when used in combination with Carboxyamidotriazole.Investigational
CaroverineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Caroverine.Experimental
CilnidipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Cilnidipine.Approved, Investigational
CinnarizineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Cinnarizine.Approved, Investigational
CisaprideThe serum concentration of Cisapride can be increased when it is combined with Butoconazole.Approved, Investigational, Withdrawn
ClevidipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Clevidipine.Approved, Investigational
CyclandelateThe therapeutic efficacy of Butoconazole can be increased when used in combination with Cyclandelate.Approved
CyclosporineThe metabolism of Cyclosporine can be decreased when combined with Butoconazole.Approved, Investigational, Vet Approved
DarodipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Darodipine.Experimental
DidanosineDidanosine can cause a decrease in the absorption of Butoconazole resulting in a reduced serum concentration and potentially a decrease in efficacy.Approved
DiltiazemThe therapeutic efficacy of Butoconazole can be increased when used in combination with Diltiazem.Approved, Investigational
DocetaxelThe metabolism of Docetaxel can be decreased when combined with Butoconazole.Approved, Investigational
DofetilideThe serum concentration of Dofetilide can be increased when it is combined with Butoconazole.Approved, Investigational
DotarizineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Dotarizine.Investigational
EfonidipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Efonidipine.Approved, Investigational
EperisoneThe therapeutic efficacy of Butoconazole can be increased when used in combination with Eperisone.Approved, Investigational
EthosuximideThe therapeutic efficacy of Butoconazole can be increased when used in combination with Ethosuximide.Approved
EtravirineThe serum concentration of Etravirine can be increased when it is combined with Butoconazole.Approved
FelodipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Felodipine.Approved, Investigational
FendilineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Fendiline.Withdrawn
Fish oilThe therapeutic efficacy of Butoconazole can be increased when used in combination with Fish oil.Approved, Nutraceutical
FlunarizineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Flunarizine.Approved
FluspirileneThe therapeutic efficacy of Butoconazole can be increased when used in combination with Fluspirilene.Approved, Investigational
FosphenytoinThe serum concentration of Butoconazole can be decreased when it is combined with Fosphenytoin.Approved, Investigational
GabapentinThe therapeutic efficacy of Butoconazole can be increased when used in combination with Gabapentin.Approved, Investigational
GallopamilThe therapeutic efficacy of Butoconazole can be increased when used in combination with Gallopamil.Investigational
IsradipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Isradipine.Approved, Investigational
LacidipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Lacidipine.Approved, Investigational
LamotrigineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Lamotrigine.Approved, Investigational
LercanidipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Lercanidipine.Approved, Investigational
LevetiracetamThe therapeutic efficacy of Butoconazole can be increased when used in combination with Levetiracetam.Approved, Investigational
LidoflazineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Lidoflazine.Experimental
LoperamideThe therapeutic efficacy of Butoconazole can be increased when used in combination with Loperamide.Approved
LosartanThe metabolism of Losartan can be decreased when combined with Butoconazole.Approved
Magnesium sulfateThe therapeutic efficacy of Butoconazole can be increased when used in combination with Magnesium sulfate.Approved, Investigational, Vet Approved
ManidipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Manidipine.Approved, Investigational
MentholThe therapeutic efficacy of Butoconazole can be increased when used in combination with Menthol.Approved
MethsuximideThe therapeutic efficacy of Butoconazole can be increased when used in combination with Methsuximide.Approved
MibefradilThe therapeutic efficacy of Butoconazole can be increased when used in combination with Mibefradil.Investigational, Withdrawn
NaftopidilThe therapeutic efficacy of Butoconazole can be increased when used in combination with Naftopidil.Investigational
NicardipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Nicardipine.Approved, Investigational
NifedipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Nifedipine.Approved
NiguldipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Niguldipine.Experimental
NiludipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Niludipine.Experimental
NilvadipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Nilvadipine.Approved, Investigational
NimesulideThe therapeutic efficacy of Butoconazole can be increased when used in combination with Nimesulide.Approved, Investigational, Withdrawn
NimodipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Nimodipine.Approved, Investigational
NisoldipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Nisoldipine.Approved
NitrendipineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Nitrendipine.Approved, Investigational
NylidrinThe therapeutic efficacy of Butoconazole can be increased when used in combination with Nylidrin.Approved
OtiloniumThe therapeutic efficacy of Butoconazole can be increased when used in combination with Otilonium.Experimental, Investigational
PhenytoinThe serum concentration of Phenytoin can be increased when it is combined with Butoconazole.Approved, Vet Approved
PinaveriumThe therapeutic efficacy of Butoconazole can be increased when used in combination with Pinaverium.Approved
PrenylamineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Prenylamine.Withdrawn
ProgesteroneThe absorption of Progesterone can be decreased when combined with Butoconazole.Approved, Vet Approved
QuinidineThe serum concentration of Quinidine can be increased when it is combined with Butoconazole.Approved, Investigational
RanolazineThe serum concentration of Ranolazine can be increased when it is combined with Butoconazole.Approved, Investigational
RifabutinThe serum concentration of Rifabutin can be increased when it is combined with Butoconazole.Approved, Investigational
RifampicinThe serum concentration of Rifampicin can be increased when it is combined with Butoconazole.Approved
RifapentineThe serum concentration of Rifapentine can be increased when it is combined with Butoconazole.Approved, Investigational
RifaximinThe serum concentration of Rifaximin can be increased when it is combined with Butoconazole.Approved, Investigational
SeletracetamThe therapeutic efficacy of Butoconazole can be increased when used in combination with Seletracetam.Investigational
SolifenacinThe metabolism of Solifenacin can be decreased when combined with Butoconazole.Approved
SucralfateSucralfate can cause a decrease in the absorption of Butoconazole resulting in a reduced serum concentration and potentially a decrease in efficacy.Approved
SunitinibThe metabolism of Sunitinib can be decreased when combined with Butoconazole.Approved, Investigational
TacrolimusThe metabolism of Tacrolimus can be decreased when combined with Butoconazole.Approved, Investigational
TerodilineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Terodiline.Experimental
TetrahydropalmatineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Tetrahydropalmatine.Investigational
Tolfenamic AcidThe therapeutic efficacy of Butoconazole can be increased when used in combination with Tolfenamic Acid.Approved, Investigational
TranilastThe therapeutic efficacy of Butoconazole can be increased when used in combination with Tranilast.Approved, Investigational
TrimebutineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Trimebutine.Approved
TrimethadioneThe therapeutic efficacy of Butoconazole can be increased when used in combination with Trimethadione.Approved
VemurafenibThe risk or severity of QTc prolongation can be increased when Vemurafenib is combined with Butoconazole.Approved
VerapamilThe therapeutic efficacy of Butoconazole can be increased when used in combination with Verapamil.Approved
VinpocetineThe therapeutic efficacy of Butoconazole can be increased when used in combination with Vinpocetine.Investigational
WIN 55212-2The therapeutic efficacy of Butoconazole can be increased when used in combination with WIN 55212-2.Experimental
ZiconotideThe therapeutic efficacy of Butoconazole can be increased when used in combination with Ziconotide.Approved
ZolpidemThe serum concentration of Zolpidem can be increased when it is combined with Butoconazole.Approved
ZonisamideThe therapeutic efficacy of Butoconazole can be increased when used in combination with Zonisamide.Approved, Investigational
Food Interactions
Not Available

References

Synthesis Reference

Laszlo Czibula, Laszlo Dobay, Eva Werkne Papp, Judit Nagyne Bagdy, Ferenc Sebok, "High Purity Butoconazole Nitrate with Specified Particle Size and a Process for the Preparation Thereof." U.S. Patent US20080221190, issued September 11, 2008.

US20080221190
General References
Not Available
External Links
Human Metabolome Database
HMDB0014777
KEGG Drug
D00880
KEGG Compound
C08065
PubChem Compound
47472
PubChem Substance
46508016
ChemSpider
43192
BindingDB
79206
ChEBI
3240
ChEMBL
CHEMBL1295
Therapeutic Targets Database
DAP001267
PharmGKB
PA164781353
RxList
RxList Drug Page
Drugs.com
Drugs.com Drug Page
PDRhealth
PDRhealth Drug Page
Wikipedia
Butoconazole
ATC Codes
G01AF15 — ButoconazoleG01AF20 — Combinations of imidazole derivatives
FDA label
Download (4.11 MB)
MSDS
Download (81.6 KB)

Clinical Trials

Clinical Trials
PhaseStatusPurposeConditionsCount
3CompletedTreatmentVaginal Infections1
3CompletedTreatmentVaginal Inflammation / Vulvovaginitis1
Not AvailableCompletedTreatmentVulvovaginal Candidiasis1

Pharmacoeconomics

Manufacturers
  • Roche palo alto llc
  • Bayer healthcare llc
  • Kv pharmaceutical co
Packagers
  • A-S Medication Solutions LLC
  • Bayer Healthcare
  • KV Pharmaceutical Co.
  • Pharmedix
  • Physicians Total Care Inc.
  • Ther-Rx Corp.
Dosage forms
FormRouteStrength
CreamVaginal100 mg/5g
CreamVaginal2 %
Prices
Unit descriptionCostUnit
Gynazole-1 cream10.89USD g
Femstat 3 cream0.96USD g
DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.
Patents
Patent NumberPediatric ExtensionApprovedExpires (estimated)
US5266329No1993-11-302010-11-30Us
US5993856No1997-11-172017-11-17Us

Properties

State
Solid
Experimental Properties
PropertyValueSource
melting point (°C)~159°C with decomposition (nitrate salt)Not Available
water solubilityNitrate salt: 0.26 mg/ml (practically insoluble)Not Available
logP6.7Not Available
Predicted Properties
PropertyValueSource
Water Solubility0.000818 mg/mLALOGPS
logP6.7ALOGPS
logP6.55ChemAxon
logS-5.7ALOGPS
pKa (Strongest Basic)6.78ChemAxon
Physiological Charge0ChemAxon
Hydrogen Acceptor Count1ChemAxon
Hydrogen Donor Count0ChemAxon
Polar Surface Area17.82 Å2ChemAxon
Rotatable Bond Count7ChemAxon
Refractivity108.99 m3·mol-1ChemAxon
Polarizability41.01 Å3ChemAxon
Number of Rings3ChemAxon
Bioavailability1ChemAxon
Rule of FiveNoChemAxon
Ghose FilterNoChemAxon
Veber's RuleYesChemAxon
MDDR-like RuleYesChemAxon
Predicted ADMET features
PropertyValueProbability
Human Intestinal Absorption+0.9258
Blood Brain Barrier+0.9716
Caco-2 permeable+0.6035
P-glycoprotein substrateNon-substrate0.6398
P-glycoprotein inhibitor INon-inhibitor0.6239
P-glycoprotein inhibitor IIInhibitor0.6822
Renal organic cation transporterInhibitor0.7157
CYP450 2C9 substrateNon-substrate0.7714
CYP450 2D6 substrateNon-substrate0.8601
CYP450 3A4 substrateNon-substrate0.6941
CYP450 1A2 substrateInhibitor0.934
CYP450 2C9 inhibitorInhibitor0.8949
CYP450 2D6 inhibitorInhibitor0.8932
CYP450 2C19 inhibitorInhibitor0.8994
CYP450 3A4 inhibitorInhibitor0.8365
CYP450 inhibitory promiscuityHigh CYP Inhibitory Promiscuity0.9896
Ames testNon AMES toxic0.7381
CarcinogenicityNon-carcinogens0.9223
BiodegradationNot ready biodegradable1.0
Rat acute toxicity2.0919 LD50, mol/kg Not applicable
hERG inhibition (predictor I)Weak inhibitor0.792
hERG inhibition (predictor II)Inhibitor0.8263
ADMET data is predicted using admetSAR, a free tool for evaluating chemical ADMET properties. (23092397)

Spectra

Mass Spec (NIST)
Not Available
Spectra
SpectrumSpectrum TypeSplash Key
Predicted GC-MS Spectrum - GC-MSPredicted GC-MSNot Available
Predicted MS/MS Spectrum - 10V, Positive (Annotated)Predicted LC-MS/MSNot Available
Predicted MS/MS Spectrum - 20V, Positive (Annotated)Predicted LC-MS/MSNot Available
Predicted MS/MS Spectrum - 40V, Positive (Annotated)Predicted LC-MS/MSNot Available
Predicted MS/MS Spectrum - 10V, Negative (Annotated)Predicted LC-MS/MSNot Available
Predicted MS/MS Spectrum - 20V, Negative (Annotated)Predicted LC-MS/MSNot Available
Predicted MS/MS Spectrum - 40V, Negative (Annotated)Predicted LC-MS/MSNot Available

Taxonomy

Description
This compound belongs to the class of organic compounds known as phenylbutylamines. These are compounds containing a phenylbutylamine moiety, which consists of a phenyl group substituted at the fourth carbon by an butan-1-amine.
Kingdom
Organic compounds
Super Class
Benzenoids
Class
Benzene and substituted derivatives
Sub Class
Phenylbutylamines
Direct Parent
Phenylbutylamines
Alternative Parents
Thiophenol ethers / Dichlorobenzenes / Alkylarylthioethers / N-substituted imidazoles / Aryl chlorides / Heteroaromatic compounds / Sulfenyl compounds / Azacyclic compounds / Organopnictogen compounds / Organonitrogen compounds
show 2 more
Substituents
Phenylbutylamine / Aryl thioether / 1,3-dichlorobenzene / Thiophenol ether / Chlorobenzene / Alkylarylthioether / Halobenzene / Aryl chloride / Aryl halide / N-substituted imidazole
show 15 more
Molecular Framework
Aromatic heteromonocyclic compounds
External Descriptors
conazole antifungal drug, aryl sulfide, imidazoles, imidazole antifungal drug, dichlorobenzene, monochlorobenzenes (CHEBI:3240)

Targets

1. Ergosterol
Kind
Small molecule
Organism
Candida albicans
Pharmacological action
Yes
Actions
Other
References
  1. Pfaller MA, Riley J, Koerner T: Effects of terconazole and other azole antifungal agents on the sterol and carbohydrate composition of Candida albicans. Diagn Microbiol Infect Dis. 1990 Jan-Feb;13(1):31-5. [PubMed:2184984]

Drug created on June 13, 2005 07:24 / Updated on July 02, 2018 20:40