炔雌醇
炔雌醇 读音 商品名 Numerous 其他名稱 Ethynylestradiol; Ethinyl estradiol; Ethinyl oestradiol; EE; EE2; 17α-Ethynylestradiol; 17α-Ethynylestra-1,3,5(10)-triene-3,17β-diol; NSC-10973[ 1] AHFS /Drugs.com 国际药品名称 MedlinePlus a604032 核准狀況
懷孕分級 给药途径 • By mouth (tablet ) • Transdermal (patch ) • Vaginal (ring ) 藥物類別 Estrogen ATC碼 法律規範
生物利用度 38–48%[ 2] [ 3] [ 4] 血漿蛋白結合率 97–98% (to albumin ;[ 5] is not bound to SHBG )[ 6] 药物代谢 Liver (primarily CYP3A4 )[ 9] 代謝產物 • Ethinylestradiol sulfate [ 7] [ 8] • Others[ 7] [ 8] 生物半衰期 7–36 hours[ 9] [ 2] [ 10] [ 11] 排泄途徑 Feces : 62%[ 10] Urine : 38%[ 10]
(8R ,9S ,13S ,14S ,17R )-17-ethynyl-13-methyl-7,8,9,11,12,14,15,16-octahydro-6H -cyclopenta[a ]phenanthrene-3,17-diol
CAS号 57-63-6 Y PubChem CID IUPHAR/BPS DrugBank ChemSpider UNII KEGG ChEBI ChEMBL CompTox Dashboard (EPA ) ECHA InfoCard 100.000.311 化学式 C 20 H 24 O 2 摩尔质量 296.41 g·mol−1 3D模型(JSmol ) 熔点 182至184 °C(360至363 °F)
Oc1cc4c(cc1)[C@H]3CC[C@]2([C@@H](CC[C@]2(C#C)O)[C@@H]3CC4)C
InChI=1S/C20H24O2/c1-3-20(22)11-9-18-17-6-4-13-12-14(21)5-7-15(13)16(17)8-10-19(18,20)2/h1,5,7,12,16-18,21-22H,4,6,8-11H2,2H3/t16-,17-,18+,19+,20+/m1/s1
Y Key:BFPYWIDHMRZLRN-SLHNCBLASA-N
Y
炔雌醇 (全称乙炔雌二醇 ,英語:Ethinylestradiol ,缩写EE ),3-羟基-19-去甲-17α-孕甾-1,3,5(10)-三烯-20-炔-17-醇 ,17α-Ethynylestra-1,3,5(10)-triene-3,17β-diol,分子式C20 H24 O2 [ 1] ,是一种雌激素 药物[ 8] ,广泛作为避孕药 使用[ 7] [ 10] [ 11] 。
另见
参考文献
^ 1.0 1.1 J. Elks. The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies . Springer. 14 November 2014: 522–. ISBN 978-1-4757-2085-3 .
^ 2.0 2.1 Goldzieher JW, Brody SA. Pharmacokinetics of ethinyl estradiol and mestranol. American Journal of Obstetrics and Gynecology. 1990, 163 (6 Pt 2): 2114–9. PMID 2256522 . doi:10.1016/0002-9378(90)90550-Q .
^ Fruzzetti F, Trémollieres F, Bitzer J. An overview of the development of combined oral contraceptives containing estradiol: focus on estradiol valerate/dienogest . Gynecological Endocrinology. 2012, 28 (5): 400–8. PMC 3399636 . PMID 22468839 . doi:10.3109/09513590.2012.662547 .
^ Fotherby K. Bioavailability of orally administered sex steroids used in oral contraception and hormone replacement therapy. Contraception. August 1996, 54 (2): 59–69. PMID 8842581 . doi:10.1016/0010-7824(96)00136-9 .
^ Facts and Comparisons (Firm); Ovid Technologies, Inc. Drug Facts and Comparisons 2005: Pocket Version . Facts and Comparisons. 2005: 121. ISBN 978-1-57439-179-4 .
^ Micromedex. USP DI 2003: Drug Information for Healthcare Professionals . Thomson Micromedex. 1 January 2003: 1253, 1258, 1266 [2022-11-27 ] . ISBN 978-1-56363-429-1 . (原始内容存档 于2023-01-10).
^ 7.0 7.1 7.2 Kuhl H. Pharmacology of estrogens and progestogens: influence of different routes of administration (PDF) . Climacteric. 2005,. 8 Suppl 1: 3–63 [2022-11-27 ] . PMID 16112947 . S2CID 24616324 . doi:10.1080/13697130500148875 . (原始内容存档 (PDF) 于2019-03-27).
^ 8.0 8.1 8.2 Michael Oettel; Ekkehard Schillinger. Estrogens and Antiestrogens II: Pharmacology and Clinical Application of Estrogens and Antiestrogen . Springer Science & Business Media. 6 December 2012: 390. ISBN 978-3-642-60107-1 .
^ 9.0 9.1 Claude L Hughes; Michael D. Waters. Translational Toxicology: Defining a New Therapeutic Discipline . Humana Press. 23 March 2016: 73–. ISBN 978-3-319-27449-2 .
^ 10.0 10.1 10.2 10.3 Stanczyk FZ, Archer DF, Bhavnani BR. Ethinyl estradiol and 17β-estradiol in combined oral contraceptives: pharmacokinetics, pharmacodynamics and risk assessment. Contraception. 2013, 87 (6): 706–27. PMID 23375353 . doi:10.1016/j.contraception.2012.12.011 .
^ 11.0 11.1 Shellenberger, T. E. Pharmacology of estrogens. The Climacteric in Perspective. 1986: 393–410. ISBN 978-94-010-8339-3 . doi:10.1007/978-94-009-4145-8_36 . Ethinyl estradiol is a synthetic and comparatively potent estrogen. As a result of the alkylation in 17-C position it is not a substrate for 17β dehydrogenase, an enzyme which transforms natural estradiol-17β to the less potent estrone in target organs.
外部链接
雌激素
ER (雌激素受體 ) 激動劑
(甾體 類) Alfatradiol
某些雄激素 /合成类固醇 (e.g., testosterone , testosterone ester s, methyltestosterone , metandienone , nandrolone esters ) (via estrogenic metabolites)
某些黃體製劑 (例如:諾瑞酮 ,左炔诺孕酮二醋酸酯 ,替前列酮 )
氯米酮
醋酸邻雌二醇
共轭雌三醇
共轭雌激素
环雌三醇
环雌甲酮
酯化雌激素
雌四醇 †
雌二醇
Estradiol esters (e.g., estradiol acetate , estradiol benzoate , estradiol cypionate , estradiol enanthate , estradiol undecylate , estradiol valerate , polyestradiol phosphate , estradiol ester mixture s (Climacteron ))
Estramustine phosphate
Estriol
Estriol esters (e.g., estriol succinate , polyestriol phosphate )
Estrogenic substances
Estrone
Estrone esters
* Estrone sulfate
* Estropipate (piperazine estrone sulfate)
Ethinylestradiol #
* Ethinylestradiol sulfonate
Hydroxyestrone diacetate
Mestranol
Methylestradiol
Moxestrol
Nilestriol
Prasterone (dehydroepiandrosterone; DHEA)
Prasterone enanthate
Prasterone sulfate
Promestriene
Quinestradol
Quinestrol
(非甾體類 ) Benzestrol
Bifluranol
Chlorotrianisene
Dienestrol
双乙酸双烯雌酚
乙烯雌酚 (己烯雌酚 (stilbestrol))
Diethylstilbestrol esters/ethers
Dimestrol (diethylstilbestrol dimethyl ether)
Fosfestrol (diethylstilbestrol diphosphate)
Mestilbol (diethylstilbestrol monomethyl ether)
Doisynoestrol (fenocycline)
Hexestrol
Hexestrol esters
Methallenestril
Methestrol (promethestrol)
Methestrol dipropionate (promethestrol dipropionate)
Paroxypropione
Quadrosilan
Triphenylbromoethylene
Triphenylchloroethylene
Zeranol
促性腺激素
抗雌激素
ER 拮抗剂 (包含SERMs /SERDs )芳香酶抑制剂 抗性腺激素
雄激素 /合成類固酮 (例如 睪酮 , 睪酮酯 , nandrolone esters , oxandrolone , 氟氧孕酮 )
D2 receptor antagonist s (prolactin releasers) (e.g., domperidone , metoclopramide , risperidone , haloperidol , chlorpromazine , sulpiride )
GnRH agonist s (e.g., leuprorelin , goserelin )
GnRH antagonist s (e.g., cetrorelix , elagolix )
Progestogen s (e.g., chlormadinone acetate , cyproterone acetate , gestonorone caproate , hydroxyprogesterone caproate , medroxyprogesterone acetate , megestrol acetate )
其他