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Details

Stereochemistry RACEMIC
Molecular Formula C18H15Cl3N2O.HNO3
Molecular Weight 444.696
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ECONAZOLE NITRATE

SMILES

O[N+]([O-])=O.ClC1=CC=C(COC(CN2C=CN=C2)C3=C(Cl)C=C(Cl)C=C3)C=C1

InChI

InChIKey=DDXORDQKGIZAME-UHFFFAOYSA-N
InChI=1S/C18H15Cl3N2O.HNO3/c19-14-3-1-13(2-4-14)11-24-18(10-23-8-7-22-12-23)16-6-5-15(20)9-17(16)21;2-1(3)4/h1-9,12,18H,10-11H2;(H,2,3,4)

HIDE SMILES / InChI
Econazole (commonly used as the nitrate salt) is an antifungal medication of the imidazole class. It is a broad spectrum antimycotic with some action against Gram positive bacteria. It is used topically in dermatomycoses also orally and parenterally. Sold under the brand name Ecoza among others, it is indicated for the treatment of interdigital tinea pedis caused by Trichophyton rubrum, Trichophyton mentagrophytes, and Epidermophyton floccosum in patients 12 years of age and older. Econazole interacts with 14-α demethylase, a cytochrome P-450 enzyme necessary to convert lanosterol to ergosterol. As ergosterol is an essential component of the fungal cell membrane, inhibition of its synthesis results in increased cellular permeability causing leakage of cellular contents. Econazole 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.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
ECOZA

Approved Use

Ecoza (econazole nitrate) topical foam, 1%, is indicated for the treatment of interdigital tinea pedis caused by Trichophyton rubrum, Trichophyton mentagrophytes, and Epidermophyton floccosum in patients 12 years of age and older.

Launch Date

1982
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
417 pg/mL
24 mg 1 times / day steady-state, topical
dose: 24 mg
route of administration: Topical
experiment type: STEADY-STATE
co-administered:
ECONAZOLE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
3440 pg × h/mL
24 mg 1 times / day steady-state, topical
dose: 24 mg
route of administration: Topical
experiment type: STEADY-STATE
co-administered:
ECONAZOLE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
53 ng × h/mL
150 mg single, vaginal
dose: 150 mg
route of administration: Vaginal
experiment type: SINGLE
co-administered:
ECONAZOLE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
81.77 ng × h/mL
150 mg 1 times / day multiple, vaginal
dose: 150 mg
route of administration: Vaginal
experiment type: MULTIPLE
co-administered:
ECONAZOLE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
150 mg 1 times / day multiple, vaginal
Dose: 150 mg, 1 times / day
Route: vaginal
Route: multiple
Dose: 150 mg, 1 times / day
Sources:
healthy, 18 - 55 years
Health Status: healthy
Age Group: 18 - 55 years
Sex: F
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG



OverviewOther

Other InhibitorOther SubstrateOther Inducer








Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
yes
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Fatty acids inhibit anion secretion in rat colon: apical and basolateral action sites.
2001 Jul
Azole-antifungal binding to a novel cytochrome P450 from Mycobacterium tuberculosis: implications for treatment of tuberculosis.
2001 Jun 15
Comparison of in vitro activities of amphotericin, clotrimazole, econazole, miconazole, and nystatin against Fusarium oxysporum.
2001 May
In vitro activity of 6 antifungal agents on candida species isolated as causative agents from vaginal and other clinical specimens.
2001 Oct
Pharmacological modulation of monovalent cation currents through the epithelial Ca2+ channel ECaC1.
2001 Oct
Sustained ER Ca2+ depletion suppresses protein synthesis and induces activation-enhanced cell death in mast cells.
2002 Apr 19
Assessing pregnancy risks of azole antifungals using a high throughput aromatase inhibition assay.
2002 Aug
Hepatoprotective and therapeutic effects of tetramethylpyrazine on acute econazole-induced liver injury.
2002 Jun
Strategy for the development of automated methods involving dialysis and trace enrichment as on-line sample preparation for the determination of basic drugs in plasma by liquid chromatography.
2002 Mar 1
Sensitivity of myeloid leukemia cells to calcium influx blockade: application to bone marrow purging.
2002 Oct
Azole antifungals are potent inhibitors of cytochrome P450 mono-oxygenases and bacterial growth in mycobacteria and streptomycetes.
2002 Oct
Pituitary adenylate cyclase-activating polypeptide induces a sustained increase in intracellular free Ca(2+) concentration and catechol amine release by activating Ca(2+) influx via receptor-stimulated Ca(2+) entry, independent of store-operated Ca(2+) channels, and voltage-dependent Ca(2+) channels in bovine adrenal medullary chromaffin cells.
2002 Sep
Effect of epidermal growth factor on phosphate uptake in renal proximal tubule cells: involvement of PKC, MAPK, and cPLA2.
2003
Inhibition of heme crystal growth by antimalarials and other compounds: implications for drug discovery.
2003 Dec 1
A population-based case-control teratological study of vaginal econazole treatment during pregnancy.
2003 Dec 10
Enhanced econazole penetration into human nail by 2-n-nonyl-1,3-dioxolane.
2003 Jan
Ligand-activated signal transduction in the 2-cell embryo.
2003 Jul
Effects of cytochrome P450 inhibitors on agonist-induced Ca2+ responses and production of NO and PGI2 in vascular endothelial cells.
2003 Jun
Candidemia and the susceptibility pattern of Candida isolates in blood.
2003 Oct
Inhibition of cytochrome P450 enzymes participating in p-nitrophenol hydroxylation by drugs known as CYP2E1 inhibitors.
2004 Apr 15
The calcium influx pathway in rat olfactory ensheathing cells shows TRPC channel pharmacology.
2004 Oct 8
P2Y2-receptor-mediated activation of a contralateral, lanthanide-sensitive calcium entry pathway in the human airway epithelium.
2004 Sep
[Congenital cutaneous candidiasis: a case report and review].
2005 Dec
Altered expression profile of mycobacterial surface glycopeptidolipids following treatment with the antifungal azole inhibitors econazole and clotrimazole.
2005 Jun
Signaling pathways in the biphasic effect of ANG II on Na+/H+ exchanger in T84 cells.
2005 May
In vitro and ex vivo antimycobacterial potential of azole drugs against Mycobacterium tuberculosis H37Rv.
2005 Oct 1
Econazole induces increases in free intracellular Ca2+ concentrations in human osteosarcoma cells.
2005 Sep
Nano-encapsulation of azole antifungals: potential applications to improve oral drug delivery.
2005 Sep 14
Single-dose sertaconazole vaginal tablet treatment of vulvovaginal candidiasis.
2006 Jun
What is the best way to treat tinea cruris?
2006 Mar
Antimycotic influence of beta-cyclodextrin complexes--in vitro measurements using laser nephelometry in microtiter plates.
2006 Mar 27
Patents

Sample Use Guides

Topical foam, 1% is for topical use only. Ecoza topical foam, 1% is not for oral, ophthalmic, or intravaginal use. Ecoza topical foam, 1% should be applied to cover affected areas once daily for 4 weeks.
Route of Administration: Topical
In Vitro Use Guide
Curator's Comment: Econazole inhibited the growth of all isolates of Trichophyton species in low concentrations of 2-4 micrograms/ml except one isolate of T. rubrum which was inhibited by a concentration ug/ml. https://www.ncbi.nlm.nih.gov/pubmed/2737705
Minimum inhibitory concentrations (MIC) of econazole against Mycobacterium avium complex (MAC) and and a minimum bacteriocidal concentration was 4 ug/ml.
Name Type Language
ECONAZOLE NITRATE
EP   JAN   MART.   MI   ORANGE BOOK   USAN   USP   VANDF   WHO-DD  
USAN  
Official Name English
R-14827
Code English
SQ13050
Code English
ECONAZOLE NITRATE [USP-RS]
Common Name English
ECONAZOLE NITRATE [EP IMPURITY]
Common Name English
(±)-1-(2,4-DICHLORO-.BETA.-((P-CHLOROBENZYL)OXY)PHENETHYL)-IMIDAZOLE MONONITRATE
Common Name English
SPECTAZOLE
Brand Name English
1H-IMIDAZOLE, 1-(2-((4-CHLOROPHENYL)METHOXY)-2-(2,4-DICHLOROPHENYL)ETHYL)-, MONONITRATE, (±)-
Systematic Name English
ECONAZOLE NITRATE [MART.]
Common Name English
Econazole nitrate [WHO-DD]
Common Name English
ECONAZOLE NITRATE [ORANGE BOOK]
Common Name English
ECONAZOLE NITRATE [USP MONOGRAPH]
Common Name English
ECONAZOLE NITRATE [MI]
Common Name English
ECONAZOLE NITRATE [VANDF]
Common Name English
SQ-13050
Code English
ECONAZOLE NITRATE [JAN]
Common Name English
ECONAZOLE NITRATE [USAN]
Common Name English
ECONAZOLE NITRATE [EP MONOGRAPH]
Common Name English
R14827
Code English
Classification Tree Code System Code
NCI_THESAURUS C514
Created by admin on Fri Dec 15 15:19:13 GMT 2023 , Edited by admin on Fri Dec 15 15:19:13 GMT 2023
Code System Code Type Description
PUBCHEM
68589
Created by admin on Fri Dec 15 15:19:13 GMT 2023 , Edited by admin on Fri Dec 15 15:19:13 GMT 2023
PRIMARY
NCI_THESAURUS
C47506
Created by admin on Fri Dec 15 15:19:13 GMT 2023 , Edited by admin on Fri Dec 15 15:19:13 GMT 2023
PRIMARY
CAS
24169-02-6
Created by admin on Fri Dec 15 15:19:13 GMT 2023 , Edited by admin on Fri Dec 15 15:19:13 GMT 2023
PRIMARY
CAS
68797-31-9
Created by admin on Fri Dec 15 15:19:13 GMT 2023 , Edited by admin on Fri Dec 15 15:19:13 GMT 2023
SUPERSEDED
ECHA (EC/EINECS)
246-053-5
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PRIMARY
SMS_ID
100000092986
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PRIMARY
MERCK INDEX
m4819
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PRIMARY Merck Index
FDA UNII
H438WYN10E
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PRIMARY
CHEBI
4755
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PRIMARY
EPA CompTox
DTXSID6025226
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PRIMARY
EVMPD
SUB01855MIG
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PRIMARY
DRUG BANK
DBSALT002838
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PRIMARY
DAILYMED
H438WYN10E
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PRIMARY
ChEMBL
CHEMBL808
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PRIMARY
RS_ITEM_NUM
1231808
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PRIMARY
RXCUI
142434
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PRIMARY RxNorm