Difluprednate
{{Short description|Corticosteroid drug}}
{{Drugbox
| Verifiedfields = changed
| Watchedfields = changed
| verifiedrevid = 405835759
| image = Difluprednate.svg
| image2 = Difluprednate 3D.png
| width2 = 150
| tradename = Durezol
| Drugs.com = {{drugs.com|monograph|difluprednate}}
| MedlinePlus = a609025
| licence_US = Difluprednate
| pregnancy_AU =
| pregnancy_US =
| pregnancy_category =
| legal_AU =
| legal_UK =
| legal_US = Rx-only
| legal_status =
| routes_of_administration = Eye drops
| bioavailability =
| protein_bound =
| metabolism =
| elimination_half-life =
| excretion =
| CAS_number_Ref = {{cascite|correct|??}}
| CAS_number = 23674-86-4
| ATC_prefix = D07
| ATC_suffix = AC19
| ATC_supplemental = {{ATC|S01|BA16}}
| PubChem = 32037
| DrugBank_Ref = {{drugbankcite|changed|drugbank}}
| DrugBank = DB06781
| ChemSpiderID_Ref = {{chemspidercite|changed|chemspider}}
| ChemSpiderID = 391990
| UNII_Ref = {{fdacite|changed|FDA}}
| UNII = S8A06QG2QE
| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = D01266
| ChEMBL_Ref = {{ebicite|changed|EBI}}
| ChEMBL = 1201749
| ChEBI_Ref =
| ChEBI = 31485
| IUPAC_name = [(6S,8S,9R,10S,11S,13S,14S,17R)-17-(2-acetyloxyacetyl)-6,9-difluoro-11-hydroxy-10,13-dimethyl-3-oxo-6,7,8,11,12,14,15,16-octahydrocyclopenta[a]phenanthren-17-yl] butanoate
| C=27 | H=34 | F=2 | O=7
| SMILES = [H][C@@]12CC[C@](OC(=O)CCC)(C(=O)COC(C)=O)[C@@]1(C)C[C@H](O)[C@@]1(F)[C@@]2([H])C[C@H](F)C2=CC(=O)C=C[C@]12C
| StdInChI = 1S/C27H34F2O7/c1-5-6-23(34)36-26(22(33)14-35-15(2)30)10-8-17-18-12-20(28)19-11-16(31)7-9-24(19,3)27(18,29)21(32)13-25(17,26)4/h7,9,11,17-18,20-21,32H,5-6,8,10,12-14H2,1-4H3/t17-,18-,20-,21-,24-,25-,26-,27-/m0/s1
| StdInChIKey = WYQPLTPSGFELIB-JTQPXKBDSA-N
}}
Difluprednate, sold under the brand name Durezol, is a corticosteroid used for the treatment of post-operative ocular inflammation and pain.
It was approved for medical use in the United States in June 2008.{{cite web | title=Drug Approval Package: Durezol (Difluprednate) NDA #022212 | website=U.S. Food and Drug Administration (FDA) | date=25 July 2008 | url=https://www.accessdata.fda.gov/drugsatfda_docs/nda/2008/022212s000TOC.cfm | archive-url=https://web.archive.org/web/20120208005618/http://www.accessdata.fda.gov/drugsatfda_docs/nda/2008/022212s000TOC.cfm | url-status=dead | archive-date=February 8, 2012 | access-date=7 March 2023}}{{cite press release
| title = Sirion Therapeutics Announces FDA Approval of Durezol for Treatment of Postoperative Ocular Inflammation and Pain
| publisher = Sirion Therapeutics, Inc.
| date = 2008-06-24
| url = https://www.drugs.com/newdrugs/sirion-therapeutics-announces-fda-approval-durezol-postoperative-ocular-inflammation-pain-1031.html
| access-date = 2008-06-30
}} It is available as a generic medication.{{cite web | title=Competitive Generic Therapy Approvals | website=U.S. Food and Drug Administration (FDA) | date=29 June 2023 | url=https://www.fda.gov/drugs/generic-drugs/competitive-generic-therapy-approvals | access-date=29 June 2023 | archive-date=29 June 2023 | archive-url=https://web.archive.org/web/20230629233651/https://www.fda.gov/drugs/generic-drugs/competitive-generic-therapy-approvals | url-status=dead }}
Medical uses
Difluprednate is indicated for the treatment of inflammation and pain associated with ocular surgery; and the treatment of endogenous anterior uveitis.
Clinical trials
Difluprednate ophthalmic emulsion 0.05% is also being studied in other ocular inflammatory diseases, including a phase 3 study evaluating difluprednate for the treatment of anterior uveitis{{ClinicalTrialsGov|NCT00501579|Study of Difluprednate in the Treatment of Uveitis}}{{cite journal | vauthors = Sheppard JD, Toyos MM, Kempen JH, Kaur P, Foster CS | title = Difluprednate 0.05% versus prednisolone acetate 1% for endogenous anterior uveitis: a phase III, multicenter, randomized study | journal = Investigative Ophthalmology & Visual Science | volume = 55 | issue = 5 | pages = 2993–3002 | date = May 2014 | pmid = 24677110 | pmc = 4581692 | doi = 10.1167/iovs.13-12660 }}
References
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{{Glucocorticoids}}
{{Glucocorticoidics}}
Category:Corticosteroid esters
Category:Drugs developed by Novartis
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