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

Details

Stereochemistry RACEMIC
Molecular Formula C18H15Cl3N2O
Molecular Weight 381.684
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ECONAZOLE

SMILES

ClC1=CC=C(COC(CN2C=CN=C2)C3=CC=C(Cl)C=C3Cl)C=C1

InChI

InChIKey=LEZWWPYKPKIXLL-UHFFFAOYSA-N
InChI=1S/C18H15Cl3N2O/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/h1-9,12,18H,10-11H2

HIDE SMILES / InChI

Molecular Formula C18H15Cl3N2O
Molecular Weight 381.684
Charge 0
Count
Stereochemistry RACEMIC
Additional Stereochemistry No
Defined Stereocenters 0 / 1
E/Z Centers 0
Optical Activity ( + / - )

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
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
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
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
Increase in anticoagulant effect of warfarin in a patient using econazole cream.
2006-11
Inhibition of Ca2+ influx is required for mitochondrial reactive oxygen species-induced endoplasmic reticulum Ca2+ depletion and cell death in leukemia cells.
2006-10
Effects of Ca2+ channel blockers on store-operated Ca2+ channel currents of Kupffer cells after hepatic ischemia/reperfusion injury in rats.
2006-08-07
Azole antifungals as novel chemotherapeutic agents against murine tuberculosis.
2006-08
What's your diagnosis? Nine-year-old girl with a pubic rash gone incognito.
2006-08
Cloning and characterization of CYP51 from Mycobacterium avium.
2006-08
Single-dose sertaconazole vaginal tablet treatment of vulvovaginal candidiasis.
2006-06
Econazole attenuates cytotoxicity of 1-methyl-4-phenylpyridinium by suppressing mitochondrial membrane permeability transition.
2006-05-31
The potential of azole antifungals against latent/persistent tuberculosis.
2006-05
Near-infrared spectrometry for the quantification of dermal absorption of econazole nitrate and 4-cyanophenol.
2006-04
Antimycotic influence of beta-cyclodextrin complexes--in vitro measurements using laser nephelometry in microtiter plates.
2006-03-27
What is the best way to treat tinea cruris?
2006-03
A screening method for chiral selectors that does not require covalent attachment.
2006-02-22
TRPV6 potentiates calcium-dependent cell proliferation.
2006-02
Signaling pathways influencing SLF and c-kit-mediated survival and proliferation.
2006
[Diagnosis at a glance. Leisure athlete with itchy back].
2005-12-08
Athlete's foot.
2005-12
[Congenital cutaneous candidiasis: a case report and review].
2005-12
In vitro and ex vivo antimycobacterial potential of azole drugs against Mycobacterium tuberculosis H37Rv.
2005-10-01
The role of TRPM channels in cell death.
2005-10
Molecular mechanisms of econazole-induced toxicity on human colon cancer cells: G0/G1 cell cycle arrest and caspase 8-independent apoptotic signaling pathways.
2005-10
Cytochrome P450 products and arachidonic acid-induced, non-store-operated, Ca2+ entry in cultured bovine endothelial cells.
2005-09-16
Nano-encapsulation of azole antifungals: potential applications to improve oral drug delivery.
2005-09-14
Econazole induces increases in free intracellular Ca2+ concentrations in human osteosarcoma cells.
2005-09
Effects of econazole on Ca2+ levels in and the growth of human prostate cancer PC3 cells.
2005-09
[Experimental study on apoptosis in leukemia cells induced by econazole].
2005-06
Altered expression profile of mycobacterial surface glycopeptidolipids following treatment with the antifungal azole inhibitors econazole and clotrimazole.
2005-06
Signaling pathways in the biphasic effect of ANG II on Na+/H+ exchanger in T84 cells.
2005-05
In vitro antifungal activity of sertaconazole compared with nine other drugs against 250 clinical isolates of dermatophytes and Scopulariopsis brevicaulis.
2004-12
Poliosis associated with treatment of fungal endophthalmitis.
2004-12
Concurrent use of 5% natamycin and 2% econazole for the management of fungal keratitis.
2004-11
Synthesis, antimicrobial activity and molecular modeling studies of halogenated 4-[1H-imidazol-1-yl(phenyl)methyl]-1,5-diphenyl-1H-pyrazoles.
2004-10-15
The calcium influx pathway in rat olfactory ensheathing cells shows TRPC channel pharmacology.
2004-10-08
Inhibition of TRPM2 channels by the antifungal agents clotrimazole and econazole.
2004-10
P2Y2-receptor-mediated activation of a contralateral, lanthanide-sensitive calcium entry pathway in the human airway epithelium.
2004-09
Imidazole analogues of fluoxetine, a novel class of anti-Candida agents.
2004-07-29
Usage of antifungal drugs for therapy of genital Candida infections, purchased as over-the-counter products or by prescription: I. Analyses of a unique database.
2004-06
Epidermal growth factor inhibits 14C-alpha-methyl-D-glucopyranoside uptake in renal proximal tubule cells: involvement of PLC/PKC, p44/42 MAPK, and cPLA2.
2004-05
Thapsigargin-stimulated MAP kinase phosphorylation via CRAC channels and PLD activation: inhibitory action of docosahexaenoic acid.
2004-04-23
Inhibition of cytochrome P450 enzymes participating in p-nitrophenol hydroxylation by drugs known as CYP2E1 inhibitors.
2004-04-15
Antioxidative natural product protect against econazole-induced liver injuries.
2004-03-01
Increased calcium influx and ribosomal content correlate with resistance to endoplasmic reticulum stress-induced cell death in mutant leukemia cell lines.
2004-02-20
Co-isolation of Trichosporon inkin and Candida parapsilosis from a scalp white piedra case.
2004-02
Dermatophyte-related granular parakeratosis.
2004-02
Characteristics and a functional implication of Ca(2+)-activated K(+) current in mouse aortic endothelial cells.
2004-01
Inhibition of heme crystal growth by antimalarials and other compounds: implications for drug discovery.
2003-12-01
The role of calcium channels in substance P-induced contractile response in the rat iris.
2003-12
Experimental evaluation of antifungal and antiseptic agents against Rhodotorula spp.
2003-12
Effect of epidermal growth factor on phosphate uptake in renal proximal tubule cells: involvement of PKC, MAPK, and cPLA2.
2003
[Antifungal drug susceptibility of Candida causing oropharyngeal candidiasis in HIV infected patients].
2001
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.
Substance Class Chemical
Created
by admin
on Mon Mar 31 17:33:21 GMT 2025
Edited
by admin
on Mon Mar 31 17:33:21 GMT 2025
Record UNII
6Z1Y2V4A7M
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
ECONAZOLE
EP   INN   MART.   MI   USAN   VANDF   WHO-DD  
USAN   INN  
Official Name English
NSC-187789
Preferred Name English
1H-IMIDAZOLE, 1-(2-((4-CHLOROPHENYL)METHOXY)-2-(2,4-DICHLOROPHENYL)ETHYL)-
Systematic Name English
Econazole [WHO-DD]
Common Name English
MICONAZOLE NITRATE IMPURITY B [EP IMPURITY]
Common Name English
ECONAZOLE [EP MONOGRAPH]
Common Name English
ECONAZOLE [MI]
Common Name English
ECONAZOLE [VANDF]
Common Name English
MICONAZOLE IMPURITY B [EP IMPURITY]
Common Name English
1-(2,4-DICHLORO-.BETA.-((P-CHLOROBENZYL)OXY)PHENETHYL)IMIDAZOLE
Common Name English
ECONAZOLE [MART.]
Common Name English
econazole [INN]
Common Name English
(±)-ECONAZOLE
Common Name English
ECONAZOLE [USAN]
Common Name English
Classification Tree Code System Code
NDF-RT N0000175487
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
WHO-VATC QD01AC03
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
WHO-ATC D01AC03
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
WHO-ATC G01AF05
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
NCI_THESAURUS C514
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
EPA PESTICIDE CODE 600070
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
WHO-VATC QG01AF05
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
NDF-RT N0000008217
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
Code System Code Type Description
INN
3189
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
WIKIPEDIA
ECONAZOLE
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
EVMPD
SUB06450MIG
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
ChEMBL
CHEMBL808
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
MESH
D004464
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
DAILYMED
6Z1Y2V4A7M
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
FDA UNII
6Z1Y2V4A7M
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
ECHA (EC/EINECS)
248-341-6
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PRIMARY
DRUG BANK
DB01127
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
DRUG CENTRAL
983
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PRIMARY
PUBCHEM
3198
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PRIMARY
NCI_THESAURUS
C61740
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
NSC
187789
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PRIMARY
EPA CompTox
DTXSID2029872
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
CHEBI
4754
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
MERCK INDEX
m4819
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PRIMARY Merck Index
IUPHAR
2446
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PRIMARY
RXCUI
3743
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY RxNorm
LACTMED
Econazole
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
CAS
27220-47-9
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
SMS_ID
100000092239
Created by admin on Mon Mar 31 17:33:21 GMT 2025 , Edited by admin on Mon Mar 31 17:33:21 GMT 2025
PRIMARY
Related Record Type Details
ENANTIOMER -> RACEMATE
ENANTIOMER -> RACEMATE
SALT/SOLVATE -> PARENT
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PARENT -> IMPURITY
CHROMATOGRAPHIC PURITY (HPLC/UV)
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PARENT -> IMPURITY
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IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
IMPURITY -> PARENT
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ACTIVE MOIETY