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Details

Stereochemistry ACHIRAL
Molecular Formula C13H18NO4S.Na
Molecular Weight 307.341
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of PROBENECID SODIUM

SMILES

[Na+].CCCN(CCC)S(=O)(=O)C1=CC=C(C=C1)C([O-])=O

InChI

InChIKey=QCCCFHDTBTUDEA-UHFFFAOYSA-M
InChI=1S/C13H19NO4S.Na/c1-3-9-14(10-4-2)19(17,18)12-7-5-11(6-8-12)13(15)16;/h5-8H,3-4,9-10H2,1-2H3,(H,15,16);/q;+1/p-1

HIDE SMILES / InChI

Molecular Formula C13H18NO4S
Molecular Weight 284.351
Charge -1
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula Na
Molecular Weight 22.9898
Charge 1
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Probenecid is the prototypical uricosuric agent. It inhibits the renal excretion of organic anions and reduces tubular reabsorption of urate. Probenecid has also been used to treat patients with renal impairment, and, because it reduces the renal tubular excretion of other drugs, has been used as an adjunct to antibacterial therapy. Probenecid is used for treatment of the hyperuricemia associated with gout and gouty arthritis. Probenecid is a uricosuric and renal tubular blocking agent. It inhibits the tubular reabsorption of urate, thus increasing the urinary excretion of uric acid and decreasing serum urate levels. Effective uricosuria reduces the miscible urate pool, retards urate deposition, and promotes resorption of urate deposits. Probenecid inhibits the tubular secretion of penicillin and usually increases penicillin plasma levels by any route the antibiotic is given. A 2-fold to 4-fold elevation has been demonstrated for various penicillins. Probenecid decreases both hepatic and renal excretion of sulfobromophthalein (BSP). The tubular reabsorption of phosphorus is inhibited in hypoparathyroid but not in euparathyroid individuals. Probenecid does not influence plasma concentrations of salicylates, nor the excretion of streptomycin, chloramphenicol, chlortetracycline, oxytetracycline, or neomycin.

Originator

Curator's Comment: After the incidental finding that caronamide, had a uricosuric action (Wolfson and others, 1948), Boger and others (1950) showed that p-(di-n-propylsulphamyl)-benzoic acid (probenecid, 'Benemid') had a similar and more potent effect, and appeared to be less toxic (Boger and Crosson, 1950).

Approval Year

Targets

Targets

Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Palliative
PROBENECID

Approved Use

For treatment of the hyperuricemia associated with gout and gouty arthritis. As an adjuvant to therapy with penicillin or with ampicillin, methicillin, oxacillin, cloxacillin, or nafcillin, for elevation and prolongation of plasma levels by whatever route the antibiotic is given.

Launch Date

1983
Palliative
PROBENECID

Approved Use

For treatment of the hyperuricemia associated with gout and gouty arthritis. As an adjuvant to therapy with penicillin or with ampicillin, methicillin, oxacillin, cloxacillin, or nafcillin, for elevation and prolongation of plasma levels by whatever route the antibiotic is given.

Launch Date

1983
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
148.6 μg/mL
2000 mg single, oral
dose: 2000 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PROBENECID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
35.3 μg/mL
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PROBENECID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
69.6 μg/mL
1000 mg single, oral
dose: 1000 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PROBENECID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
2109 μg × h/mL
2000 mg single, oral
dose: 2000 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PROBENECID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
292 μg × h/mL
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PROBENECID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
772 μg × h/mL
1000 mg single, oral
dose: 1000 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PROBENECID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
8.5 h
2000 mg single, oral
dose: 2000 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PROBENECID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
4.2 h
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PROBENECID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
4.9 h
1000 mg single, oral
dose: 1000 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PROBENECID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG


OverviewOther

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
weak
yes [IC50 100 uM]
yes (co-administration study)
Comment: MRP4-expressing V79 vesicles (cholyltaurine); Coadministration of Probenecid (1000 mg QD oral) increased Cefmetazole (5 mg/kg QD IV-infusion (1-hr)) AUC by 1.6-fold.
yes [IC50 3.1 uM]
yes (co-administration study)
Comment: CHO-OAT3 (cimetidine); Coadministration of Probenecid (1000 mg QD oral) increased Dicloxacillin (500 mg SD oral) AUC by 1.9-fold and Cmax by 1.8-fold.
yes [IC50 3.9 uM]
yes (co-administration study)
Comment: CHO-OAT1 (cidofovir); Coadministration of Probenecid (1000 mg QD oral) increased Dicloxacillin (500 mg SD oral) AUC by 1.9-fold and Cmax by 1.8-fold.
yes [IC50 34 uM]
yes (co-administration study)
Comment: MRP5-expressing HEK293 vesicles (carboxydichlorofluorescein); Coadministration of Probenecid (1000 mg QD oral) increased Cefmetazole (2000 mg QD IV-infusion (5 min)) AUC by 1.6-fold.
yes [Ki 54.9 uM]
yes [Ki 766 uM]
yes (co-administration study)
Comment: S2-OAT2 (prostaglandin F2alpha); Coadministration of Probenecid (1000 mg QD oral) increased Dicloxacillin (500 mg SD oral) AUC by 1.9-fold and Cmax by 1.8-fold.
yes
yes (co-administration study)
Comment: Coadministration of Probenecid (1000 mg qid on Day 1, 500 mg qid on Days 2-3, and 500 mg QD on Day 4) increased Naproxen (500 mg QD on Day 4) AUCinf by over 2-fold.
yes
yes (co-administration study)
Comment: Coadministration of Probenecid (500 mg BID X 10 days) decreased Carbamazepine (200 mg QD on Day 6) AUCinf by 18% and increased Cmax by 3% while increased Carbamazepine 10,11-epoxide AUCinf by 35% and Cmax by 47%.
yes
yes (co-administration study)
Comment: Coadministration of Probenecid (1000 mg qid on Day 1, 500 mg qid on Days 2-3, and 500 mg QD on Day 4) increased Naproxen (500 mg QD on Day 4) AUCinf by over 2-fold.
yes
yes (co-administration study)
Comment: Coadministration of Probenecid (500 mg BID X 10 days) decreased Carbamazepine (200 mg QD on Day 6) AUCinf by 18% and increased Cmax by 3% while increased Carbamazepine 10,11-epoxide AUCinf by 35% and Cmax by 47%.
yes
yes (co-administration study)
Comment: Coadministration of Probenecid (500 mg q8h X 3 days) increased Zidovudine (q8h x 3 day) AUC by 80%.
PubMed

PubMed

TitleDatePubMed
Studies on the modification of renal lesions due to aspirin and oxyphenbutazone in the rat and the effects on the kidney of 2:4 dinitrophenol.
1976 Jul
Skin sensitizing properties of arylalcanoic acids and their analogues.
1979 Sep
Treatment of gonorrhea: comparison of cefotaxime and penicillin.
1981 May
Probenecid induced immune hemolytic anemia.
1986 Feb
Subjective sensation of heaviness in gout patients.
2000 Jun
Identification and characterization of human organic anion transporter 3 expressing predominantly in the kidney.
2001 May
Cidofovir-induced end-stage renal failure.
2002 Jan
Chronic arsenic-exposed human prostate epithelial cells exhibit stable arsenic tolerance: mechanistic implications of altered cellular glutathione and glutathione S-transferase.
2002 Sep 1
Functional expression of the multidrug resistance protein 1 in microglia.
2003 Oct
Identification and functional assessment of the novel murine organic anion transporter Oat5 (Slc22a19) expressed in kidney.
2004 Aug
Monocarboxylate transport inhibition alters retinal function and cellular amino acid levels.
2004 Sep
Modulation of MRP1 protein transport by plant, and synthetically modified flavonoids.
2005 Aug 26
Prediction of genotoxicity of chemical compounds by statistical learning methods.
2005 Jun
Mrp2/Abcc2 transport activity is stimulated by protein kinase Calpha in a baculo virus co-expression system.
2005 Jun 17
MRP2 (ABCC2) transports taxanes and confers paclitaxel resistance and both processes are stimulated by probenecid.
2005 Sep 20
Transport of estrone sulfate by the novel organic anion transporter Oat6 (Slc22a20).
2006 Aug
One center's experience: the serology and drugs associated with drug-induced immune hemolytic anemia--a new paradigm.
2007 Apr
Biochemical effectiveness of allopurinol and allopurinol-probenecid in previously benzbromarone-treated gout patients.
2007 Sep
Transient receptor potential V2 expressed in sensory neurons is activated by probenecid.
2007 Sep 25
Molecular evidence for an involvement of organic anion transporters (OATs) in aristolochic acid nephropathy.
2009 Oct 1
Multidrug resistance proteins restrain the intestinal absorption of trans-resveratrol in rats.
2010 Mar
Interactions of urate transporter URAT1 in human kidney with uricosuric drugs.
2011 Feb
A correlation between the in vitro drug toxicity of drugs to cell lines that express human P450s and their propensity to cause liver injury in humans.
2014 Jan
Patents

Sample Use Guides

Gout: The recommended adult dosage is 250 mg (1/2 tablet) twice a day for one week, followed by 500 mg (1 tablet) twice a day thereafter.
Route of Administration: Oral
Probenecid, at concentrations that had no effect on parasite viability alone (50 uM), was shown to increase the sensitivity of a highly resistant parasite isolate to the antifolates pyrimethamine, sulfadoxine, chlorcycloguanil, and dapsone by seven-, five-, three-, and threefold, respectively. Probenecid decreased the level of uptake of radiolabeled folic acid, suggesting a transport-based mechanism linked to folate salvage.
Substance Class Chemical
Created
by admin
on Sat Dec 16 03:28:53 GMT 2023
Edited
by admin
on Sat Dec 16 03:28:53 GMT 2023
Record UNII
FXB45Q4ZVK
Record Status Validated (UNII)
Record Version
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Name Type Language
PROBENECID SODIUM
Common Name English
4-((DIPROPYLAMINO)SULFONYL)BENZOIC ACID, SODIUM SALT
Common Name English
SODIUM 4-((DIPROPYLAMINO)SULFONYL)BENZOATE
Systematic Name English
PROBENECID SODIUM SALT [MI]
Common Name English
Code System Code Type Description
EPA CompTox
DTXSID80178478
Created by admin on Sat Dec 16 03:28:53 GMT 2023 , Edited by admin on Sat Dec 16 03:28:53 GMT 2023
PRIMARY
MERCK INDEX
m9142
Created by admin on Sat Dec 16 03:28:53 GMT 2023 , Edited by admin on Sat Dec 16 03:28:53 GMT 2023
PRIMARY Merck Index
PUBCHEM
23662399
Created by admin on Sat Dec 16 03:28:53 GMT 2023 , Edited by admin on Sat Dec 16 03:28:53 GMT 2023
PRIMARY
CAS
23795-03-1
Created by admin on Sat Dec 16 03:28:53 GMT 2023 , Edited by admin on Sat Dec 16 03:28:53 GMT 2023
PRIMARY
FDA UNII
FXB45Q4ZVK
Created by admin on Sat Dec 16 03:28:53 GMT 2023 , Edited by admin on Sat Dec 16 03:28:53 GMT 2023
PRIMARY