Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C16H28N2O4 |
Molecular Weight | 312.4045 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 3 / 3 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCOC(=O)C1=C[C@@H](OC(CC)CC)[C@H](NC(C)=O)[C@@H](N)C1
InChI
InChIKey=VSZGPKBBMSAYNT-RRFJBIMHSA-N
InChI=1S/C16H28N2O4/c1-5-12(6-2)22-14-9-11(16(20)21-7-3)8-13(17)15(14)18-10(4)19/h9,12-15H,5-8,17H2,1-4H3,(H,18,19)/t13-,14+,15+/m0/s1
Molecular Formula | C16H28N2O4 |
Molecular Weight | 312.4045 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 3 / 3 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/11270942Curator's Comment: Description was created based on several sources, including
http://www.fda.gov/downloads/drugs/drugsafety/informationbydrugclass/ucm147992.pdf
Sources: https://www.ncbi.nlm.nih.gov/pubmed/11270942
Curator's Comment: Description was created based on several sources, including
http://www.fda.gov/downloads/drugs/drugsafety/informationbydrugclass/ucm147992.pdf
Oseltamivir phosphate is an ethyl ester prodrug requiring ester hydrolysis for conversion
to the active form, oseltamivir carboxylate. Oseltamivir carboxylate is an inhibitor of
influenza virus neuraminidase affecting release of viral particles. Oseltamivir is a well tolerated orally active neuraminidase inhibitor which significantly reduces the duration of symptomatic illness and hastens the return to normal levels of activity when initiated promptly in patients with naturally acquired influenza.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/18676886
Curator's Comment: CNS penetration of oseltamivir and oseltamivir carboxylate is low in Japanese and Caucasian adults. Emerging data support the idea that oseltamivir and oseltamivir carboxylate have limited potential to induce or exacerbate CNS adverse events in individuals with influenza.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2051 Sources: https://www.ncbi.nlm.nih.gov/pubmed/16125799 |
1.34 nM [IC50] | ||
Target ID: CHEMBL3377 Sources: https://www.ncbi.nlm.nih.gov/pubmed/16125799 |
13.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | TAMIFLU Approved UseTAMIFLU is indicated for the treatment of uncomplicated acute illness due to influenza infection in patients 1 year and older who have been symptomatic for no more than 2
days. Launch Date1999 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2458 μg/L |
500 mg 2 times / day steady-state, oral dose: 500 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
230 μg/L |
50 mg 2 times / day steady-state, oral dose: 50 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
439 μg/L |
100 mg 2 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
1132 μg/L |
200 mg 2 times / day steady-state, oral dose: 200 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
441 μg/L |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FED |
|
551 μg/L |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
|
348 ng/mL |
75 mg 2 times / day multiple, oral dose: 75 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
20317 μg × h/L |
500 mg 2 times / day steady-state, oral dose: 500 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
2107 μg × h/L |
50 mg 2 times / day steady-state, oral dose: 50 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
3845 μg × h/L |
100 mg 2 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
8612 μg × h/L |
200 mg 2 times / day steady-state, oral dose: 200 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
6069 μg × h/L |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FED |
|
6218 μg × h/L |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
|
2719 ng × h/mL |
75 mg 2 times / day multiple, oral dose: 75 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
8.2 h |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FED |
|
6.87 h |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
|
8 h |
75 mg 2 times / day multiple, oral dose: 75 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
97% |
75 mg 2 times / day multiple, oral dose: 75 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
OSELTAMIVIR ACID plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
1000 mg single, oral Highest studied dose Dose: 1000 mg Route: oral Route: single Dose: 1000 mg Sources: Page: p.841 |
healthy, 18-55 n = 6 Health Status: healthy Age Group: 18-55 Sex: M Population Size: 6 Sources: Page: p.841 |
|
500 mg 2 times / day multiple, oral Highest studied dose Dose: 500 mg, 2 times / day Route: oral Route: multiple Dose: 500 mg, 2 times / day Sources: Page: p.841 |
healthy, 18-55 n = 6 Health Status: healthy Age Group: 18-55 Sex: M Population Size: 6 Sources: Page: p.841 |
|
450 mg 2 times / day multiple, oral Higher than recommended Dose: 450 mg, 2 times / day Route: oral Route: multiple Dose: 450 mg, 2 times / day Sources: Page: p.464 |
healthy, 33.9±11.52 n = 99 Health Status: healthy Age Group: 33.9±11.52 Sex: M+F Population Size: 99 Sources: Page: p.464 |
|
75 mg 2 times / day multiple, oral Recommended Dose: 75 mg, 2 times / day Route: oral Route: multiple Dose: 75 mg, 2 times / day Sources: Page: p.10 |
unhealthy n = 1171 Health Status: unhealthy Condition: Influenza Sex: M+F Population Size: 1171 Sources: Page: p.10 |
Disc. AE: Nausea, Vomiting... AEs leading to discontinuation/dose reduction: Nausea (rare) Sources: Page: p.10Vomiting (rare) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Nausea | rare Disc. AE |
75 mg 2 times / day multiple, oral Recommended Dose: 75 mg, 2 times / day Route: oral Route: multiple Dose: 75 mg, 2 times / day Sources: Page: p.10 |
unhealthy n = 1171 Health Status: unhealthy Condition: Influenza Sex: M+F Population Size: 1171 Sources: Page: p.10 |
Vomiting | rare Disc. AE |
75 mg 2 times / day multiple, oral Recommended Dose: 75 mg, 2 times / day Route: oral Route: multiple Dose: 75 mg, 2 times / day Sources: Page: p.10 |
unhealthy n = 1171 Health Status: unhealthy Condition: Influenza Sex: M+F Population Size: 1171 Sources: Page: p.10 |
PubMed
Title | Date | PubMed |
---|---|---|
Identifying research priorities on infections in older adults: proceedings of an interdisciplinary workshop. | 2001 |
|
Oseltamivir: a review of its use in influenza. | 2001 |
|
Unprepared for an influenza pandemic. | 2001 Aug 25 |
|
Management of influenza in patients with asthma or chronic obstructive pulmonary disease. | 2001 Dec |
|
Treatment of influenza with neuraminidase inhibitors: virological implications. | 2001 Dec 29 |
|
[What is current opinion of antiviral therapy for the flu in 2001?]. | 2001 Jan |
|
Symptom pathogenesis during acute influenza: interleukin-6 and other cytokine responses. | 2001 Jul |
|
Antiviral agents for influenza, hepatitis C and herpesvirus, enterovirus and rhinovirus infections. | 2001 Jul 16 |
|
Experience with oseltamivir in the control of a nursing home influenza B outbreak. | 2001 Mar 1 |
|
Vaccines for pneumonia and new antiviral therapies. | 2001 Nov |
|
Therapeutic options for the management of influenza. | 2001 Oct |
|
Highlights in the development of new antiviral agents. | 2002 Apr |
|
Use of oseltamivir during influenza outbreaks in Ontario nursing homes, 1999-2000. | 2002 Apr |
|
Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP). | 2002 Apr 12 |
|
Oseltamivir for influenza. | 2002 Dec |
|
Neuraminidase inhibitors in the management of influenza--experience of an outpatient practice. | 2002 Dec |
|
Problems of case and disease management in outpatient treatment of influenza. | 2002 Dec |
|
Management of viral infections in immunocompromised cancer patients. | 2002 Jul 13 |
|
[A revolutionary change in the diagnosis and treatment of influenza]. | 2002 Jun |
|
Influenza vaccination for healthy children. | 2002 Jun |
|
Influenza in the acute hospital setting. | 2002 Mar |
|
Structural studies of the resistance of influenza virus neuramindase to inhibitors. | 2002 May 23 |
|
[Neuraminidase inhibitor permitted. The first pill against influenza]. | 2002 Oct 10 |
|
Characterization of 2 influenza A(H3N2) clinical isolates with reduced susceptibility to neuraminidase inhibitors due to mutations in the hemagglutinin gene. | 2002 Oct 15 |
|
The treatment of influenza with antiviral drugs. | 2003 Jan 7 |
Sample Use Guides
The recommended oral dose of TAMIFLU (oseltamivir phosphate) for treatment of influenza in adults and adolescents 13 years and older is 75 mg twice daily for 5 days. Treatment should begin within 2 days of onset of symptoms of influenza.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22192867
Oseltamivir also showed moderate antiviral activity in Madine-Darby canine kidney cells of about 83% against influenza A/HK (H3N2) virus at the concentration of 100 μg/ml.
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 15:44:25 GMT 2023
by
admin
on
Fri Dec 15 15:44:25 GMT 2023
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Record UNII |
20O93L6F9H
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Record Status |
Validated (UNII)
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Record Version |
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NCI_THESAURUS |
C281
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WHO-ATC |
J05AH02
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WHO-ESSENTIAL MEDICINES LIST |
6.4.3
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LIVERTOX |
NBK548268
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NDF-RT |
N0000175436
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NDF-RT |
N0000175524
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WHO-VATC |
QJ05AH02
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2001
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DB00198
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Oseltamivir
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196618-13-0
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m8256
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260101
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SALT/SOLVATE -> PARENT |
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TARGET ORGANISM->INHIBITOR | |||
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TARGET ORGANISM->INHIBITOR | |||
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BINDER->LIGAND |
BINDING
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SALT/SOLVATE -> PARENT | |||
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METABOLIC ENZYME -> SUBSTRATE |
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METABOLITE -> PARENT |
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Tmax | PHARMACOKINETIC |
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FASTED STATE |
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Volume of Distribution | PHARMACOKINETIC |
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Biological Half-life | PHARMACOKINETIC |
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Tmax | PHARMACOKINETIC |
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SINGLE DOSE |
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