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Details

Stereochemistry RACEMIC
Molecular Formula C19H17Cl3N2S.HNO3
Molecular Weight 474.789
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of BUTOCONAZOLE NITRATE

SMILES

O[N+]([O-])=O.ClC1=CC=C(CCC(CN2C=CN=C2)SC3=C(Cl)C=CC=C3Cl)C=C1

InChI

InChIKey=ZHPWRQIPPNZNML-UHFFFAOYSA-N
InChI=1S/C19H17Cl3N2S.HNO3/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;2-1(3)4/h1-5,7-8,10-11,13,16H,6,9,12H2;(H,2,3,4)

HIDE SMILES / InChI
Butoconazole, trade names Gynazole-1, an imidazole antifungal used in gynecology for the local treatment of vulvovaginal candidiasis (infections caused by Candida). The exact mechanism of the antifungal action of butoconazole nitrate 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, 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.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
GYNAZOLE-1

Approved Use

Gynazole·1® (butoconazole nitrate) vaginal cream, 2% is indicated for the local treatment of vulvovaginal candidiasis (infections caused by Candida). The diagnosis should be confirmed by KOH smears and/or cultures.

Launch Date

2012
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
4471.25 pg/mL
100 mg single, vaginal
dose: 100 mg
route of administration: Vaginal
experiment type: SINGLE
co-administered:
BUTOCONAZOLE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
0.895 ng/mL
0.05 g single, vaginal
dose: 0.05 g
route of administration: Vaginal
experiment type: SINGLE
co-administered:
BUTOCONAZOLE unknown
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
1.74 ng/mL
0.1 g single, vaginal
dose: 0.1 g
route of administration: Vaginal
experiment type: SINGLE
co-administered:
BUTOCONAZOLE unknown
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
113290.135 pg × h/mL
100 mg single, vaginal
dose: 100 mg
route of administration: Vaginal
experiment type: SINGLE
co-administered:
BUTOCONAZOLE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
36.38 ng × h/mL
0.05 g single, vaginal
dose: 0.05 g
route of administration: Vaginal
experiment type: SINGLE
co-administered:
BUTOCONAZOLE unknown
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
73.48 ng × h/mL
0.1 g single, vaginal
dose: 0.1 g
route of administration: Vaginal
experiment type: SINGLE
co-administered:
BUTOCONAZOLE unknown
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
17.834 h
100 mg single, vaginal
dose: 100 mg
route of administration: Vaginal
experiment type: SINGLE
co-administered:
BUTOCONAZOLE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
5 g 1 times / day single, vaginal
Recommended
Dose: 5 g, 1 times / day
Route: vaginal
Route: single
Dose: 5 g, 1 times / day
Sources:
unknown, adult
n = 314
Health Status: unknown
Age Group: adult
Sex: M+F
Population Size: 314
Sources:
Disc. AE: Vaginal pain or burning, Abdominal pain...
AEs leading to
discontinuation/dose reduction:
Vaginal pain or burning
Abdominal pain
Cramp
Sources:
AEs

AEs

AESignificanceDosePopulation
Abdominal pain Disc. AE
5 g 1 times / day single, vaginal
Recommended
Dose: 5 g, 1 times / day
Route: vaginal
Route: single
Dose: 5 g, 1 times / day
Sources:
unknown, adult
n = 314
Health Status: unknown
Age Group: adult
Sex: M+F
Population Size: 314
Sources:
Cramp Disc. AE
5 g 1 times / day single, vaginal
Recommended
Dose: 5 g, 1 times / day
Route: vaginal
Route: single
Dose: 5 g, 1 times / day
Sources:
unknown, adult
n = 314
Health Status: unknown
Age Group: adult
Sex: M+F
Population Size: 314
Sources:
Vaginal pain or burning Disc. AE
5 g 1 times / day single, vaginal
Recommended
Dose: 5 g, 1 times / day
Route: vaginal
Route: single
Dose: 5 g, 1 times / day
Sources:
unknown, adult
n = 314
Health Status: unknown
Age Group: adult
Sex: M+F
Population Size: 314
Sources:
PubMed

PubMed

TitleDatePubMed
1-[4-(4-Chlorophenyl)-2-(2,6-dichlorophenylthio)-n-butyl]-1H-imidazole nitrate, a new potent antifungal agent.
1978 Aug
Screening of a chemical library reveals novel PXR-activating pharmacologic compounds.
2015 Jan 5
Patents

Sample Use Guides

The recommended dose of Gynazole·1 (butoconazole nitrate) is one applicatorful of cream (approximately 5 grams of the cream) intravaginally. This amount of cream contains approximately 100 mg of butoconazole nitrate.
Route of Administration: Vaginal
In Vitro Use Guide
Increasing levels of butoconazole were added to 150 microliters of a dilution in Roiron medium adjusted to 50,000 Trichomonas/ml. Results were read after 1, 2, 6 and 24 hours aerobic incubation at 37 degrees C. Minimum lethal concentration was 93 micrograms/microliters after one hour, 23 micrograms/microliter after six hours and 12 micrograms/microliters after 24 hours. These findings warrant in vivo studies of butoconazole against Trichomonas. This drug may prove very useful since concomitant infection of the genital tract by Trichomonas and Candida is common.
Name Type Language
BUTOCONAZOLE NITRATE
MART.   MI   ORANGE BOOK   USAN   USP   USP-RS   VANDF   WHO-DD  
USAN  
Official Name English
BUTOCONAZOLE NITRATE [MI]
Common Name English
BUTOCONAZOLE NITRATE [USP-RS]
Common Name English
RS-35887
Code English
BUTOCONAZOLE NITRATE [ORANGE BOOK]
Common Name English
BUTOCONAZOLE NITRATE [VANDF]
Common Name English
BUTOCONAZOLE NITRATE [USAN]
Common Name English
Butoconazole nitrate [WHO-DD]
Common Name English
1H-IMIDAZOLE, 1-(4-(4-CHLOROPHENYL)-2-((2,6-DICHLOROPHENYL)THIO)BUTYL)-, MONONITRATE, (±)-
Systematic Name English
BUTOCONAZOLE NITRATE [USP MONOGRAPH]
Common Name English
BUTOCONAZOLE NITRATE [MART.]
Common Name English
(±)-1-(4-(P-CHLOROPHENYL)-2-((2,6-DICHLOROPHENYL)THIO)BUTYL)IMIDAZOLE MONONITRATE
Common Name English
GYNAZOLE
Brand Name English
FEMSTAT
Brand Name English
RS-35887-00-10-3
Code English
Classification Tree Code System Code
NCI_THESAURUS C514
Created by admin on Fri Dec 15 18:59:54 GMT 2023 , Edited by admin on Fri Dec 15 18:59:54 GMT 2023
Code System Code Type Description
CAS
64872-77-1
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ChEMBL
CHEMBL1295
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PUBCHEM
47471
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NCI_THESAURUS
C47427
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RXCUI
47464
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DRUG BANK
DB00639
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EPA CompTox
DTXSID6045452
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SMS_ID
100000084860
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FDA UNII
4805237NP5
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DAILYMED
4805237NP5
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RS_ITEM_NUM
1082300
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MERCK INDEX
m2801
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PRIMARY Merck Index
CHEBI
3241
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PRIMARY
EVMPD
SUB00918MIG
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