U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C21H32O3
Molecular Weight 332.477
Optical Activity UNSPECIFIED
Defined Stereocenters 7 / 7
E/Z Centers 1
Charge 0

SHOW SMILES / InChI
Structure of OXYMETHOLONE

SMILES

[H][C@@]12CC[C@](C)(O)[C@@]1(C)CC[C@@]3([H])[C@@]2([H])CC[C@@]4([H])CC(=O)\C(C[C@]34C)=C/O

InChI

InChIKey=ICMWWNHDUZJFDW-DHODBPELSA-N
InChI=1S/C21H32O3/c1-19-11-13(12-22)18(23)10-14(19)4-5-15-16(19)6-8-20(2)17(15)7-9-21(20,3)24/h12,14-17,22,24H,4-11H2,1-3H3/b13-12-/t14-,15+,16-,17-,19-,20-,21-/m0/s1

HIDE SMILES / InChI

Description
Curator's Comment: Description was created based on several sources, includinghttp://medapharma.us/products/pi/Anadrol-50_PI.pdf https://www.ncbi.nlm.nih.gov/pubmed/11365560

Oxymetholone (17beta-hydroxy-2-[hydroxymethylene]-17-methyl-5alpha-androstan-3-one) is a 17alpha-alkylated anabolic-androgenic steroid and a synthetic derivative of testosterone. It has been approved by the US Food and Drug Administration for the treatment of anemias caused by deficient red cell production. Acquired aplastic anemia, congenital aplastic anemia, myelofibrosis and the hypoplastic anemias due to the administration of myelotoxic drugs often respond. Drug interactions exist with cimetidine, paroxetine, and haloperidol, but are not expected with indinavir, ritonavir, clarithromycin, or itraconazole.

CNS Activity

Curator's Comment: Known to be CNS active in rats. Human data not available.

Originator

Curator's Comment: Ringold et al, 1959 (Syntex SA)

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
ANADROL-50

Approved Use

Anadrol®-50 Tablets is indicated in the treatment of anemias caused by deficient red cell production. Acquired aplastic anemia, congenital aplastic anemia, myelofibrosis and the hypoplastic anemias due to the administration of myelotoxic drugs often respond. Anadrol®-50 Tablets should not replace other supportive measures such as transfusion, correction of iron, folic acid, vitamin B12 or pyridoxine deficiency, antibacterial therapy and the appropriate use of corticosteroids.

Launch Date

1972
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG


OverviewOther

Other InhibitorOther SubstrateOther Inducer



Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
no
PubMed

PubMed

TitleDatePubMed
Association of androgenic-anabolic steroid therapy with development of hepatocellular carcinoma.
1972 Dec 16
Androgen-induced hepatoma.
1975 Feb 22
Carcinoma of the breast. Occurence after treatment with melphalan for multiple myeloma.
1976 Oct 4
Nonfatal methazolamide-induced aplastic anemia.
1978 Jul
Pure red blood cell aplasia complicating chronic lymphatic leukemia.
1983 Sep-Oct
Androgens and liver tumors: Fanconi's anemia and non-Fanconi's conditions.
2004 Nov
Characterization of spontaneous and chemically induced cardiac lesions in rodent model systems: the national toxicology program experience.
2005
Direct and indirect effects of androgens on survival of hematopoietic progenitor cells in vitro.
2005 Jun
Hepatocellular adenomas associated with anabolic androgenic steroid abuse in bodybuilders: a report of two cases and a review of the literature.
2005 May
Oxymetholone ameliorates insulin sensitivity in maintenance hemodialysis patients: a randomized controlled trial.
2009 Apr
Profiling of a prescription drug library for potential renal drug-drug interactions mediated by the organic cation transporter 2.
2011 Jul 14
Utilization of human nuclear receptors as an early counter screen for off-target activity: a case study with a compendium of 615 known drugs.
2015 Jun
Patents

Sample Use Guides

The recommended daily dose in children and adults is 1-5 mg/kg of body weight per day. The usual effective dose is 1-2 mg/kg/day but higher doses may be required, and the dose should be individualized. Response is not often immediate, and a minimum trial of three to six months should be given. Following remission, some patients may be maintained without the drug; others may be maintained on an established lower daily dosage. A continued maintenance dose is usually necessary in patients with congenital aplastic anemia.
Route of Administration: Oral
0.1 to 10 uM oxymetholone tested on normal CD34+ cells
Name Type Language
OXYMETHOLONE
HSDB   INN   MART.   MI   ORANGE BOOK   USAN   USP   VANDF   WHO-DD  
USAN   INN  
Official Name English
OXYMETHOLONE CIII
USP-RS  
Common Name English
CI-406
Code English
ANADROL-50
Brand Name English
17β-Hydroxy-2-(hydroxymethylene)-17-methyl-5α-androstan-3-one
Systematic Name English
ADROYD
Brand Name English
ANDROSTAN-3-ONE, 17-HYDROXY-2-(HYDROXYMETHYLENE)-17-METHYL-, (2Z,5.ALPHA.,17.BETA.)-
Systematic Name English
NSC-26198
Code English
oxymetholone [INN]
Common Name English
OXYMETHOLONE [ORANGE BOOK]
Common Name English
OXYMETHOLONE [USP MONOGRAPH]
Common Name English
HMD
Code English
OXYMETHOLONE [HSDB]
Common Name English
STANOZOLOL IMPURITY B [EP IMPURITY]
Common Name English
OXYMETHOLONE CIII [USP-RS]
Common Name English
Oxymetholone [WHO-DD]
Common Name English
ANAPOLON
Brand Name English
OXYMETHOLONE [USAN]
Common Name English
ANDROSTAN-3-ONE, 17-HYDROXY-2-(HYDROXYMETHYLENE)-17-METHYL-, (5.ALPHA.,17.BETA.)-
Common Name English
OXYMETHOLONE [JAN]
Common Name English
OXYMETHOLONE [MI]
Common Name English
PARDROYD
Brand Name English
OXYMETHOLONE [MART.]
Common Name English
OXYMETHOLONE [VANDF]
Common Name English
NSC-26,198
Code English
ANASTERON
Brand Name English
Classification Tree Code System Code
NCI_THESAURUS C243
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DEA NO. 4000
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WIKIPEDIA Designer-drugs-Oxymetholone
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WHO-VATC QA14AA05
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LIVERTOX 727
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WHO-ATC A14AA05
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NCI_THESAURUS C2360
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Code System Code Type Description
ChEMBL
CHEMBL1200585
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PRIMARY
MESH
D010110
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PRIMARY
FDA UNII
L76T0ZCA8K
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PRIMARY
SMS_ID
100000083305
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PRIMARY
HSDB
3374
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PRIMARY
NSC
26198
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PRIMARY
CAS
78964-17-7
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ALTERNATIVE
CHEBI
7864
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PRIMARY
RS_ITEM_NUM
1487007
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PRIMARY
WIKIPEDIA
OXYMETHOLONE
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PRIMARY
NCI_THESAURUS
C723
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PRIMARY
RXCUI
7813
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PRIMARY RxNorm
DRUG CENTRAL
2033
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PRIMARY
EVMPD
SUB09568MIG
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PRIMARY
PUBCHEM
5281034
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PRIMARY
INN
1022
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PRIMARY
MERCK INDEX
m8336
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PRIMARY Merck Index
DRUG BANK
DB06412
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PRIMARY
CAS
434-07-1
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PRIMARY
EPA CompTox
DTXSID5023794
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PRIMARY
ECHA (EC/EINECS)
207-098-6
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PRIMARY