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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

Molecular Formula HNO3
Molecular Weight 63.0128
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

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
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
In vitro activity of cloconazole, sulconazole, butoconazole, isoconazole, fenticonazole, and five other antifungal agents against clinical isolates of Candida albicans and Candida spp.
1992 Apr
[Antifungal drug susceptibility of Candida causing oropharyngeal candidiasis in HIV infected patients].
2001
Cellular mechanism of calcification and its prevention in glutaraldehyde treated vascular tissue.
2001
Systemic Candida infection in University hospital 1997-1999: the distribution of Candida biotypes and antifungal susceptibility patterns.
2001
Comparison of the chiral resolution of econazole, miconazole, and sulconazole by HPLC using normal-phase amylose CSPs.
2001 Aug
[New developments in medical mycology].
2001 Feb
Antifungal and immunomodulating activities of 1,4-benzothiazine azole derivatives: review.
2001 Feb
[Invasive rhinocerebral aspergillosis occurred during myelosuppressive phase after chemotherapy: a case report and literature review].
2001 Jul
Fatty acids inhibit anion secretion in rat colon: apical and basolateral action sites.
2001 Jul
Mechanisms and modulation of formyl-methionyl-leucyl-phenylalanine (fMLP)-induced Ca2+ mobilization in human neutrophils.
2001 Jul
Effect of angiotensin II on calcium reabsorption by the luminal membranes of the nephron.
2001 Jun
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
Sertaconazole: in-vitro antifungal activity against vaginal and other superficial yeast isolates.
2001 Oct
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
Fendiline mobilizes intracellular Ca2+ in Chang liver cells.
2001 Sep
Purging of contaminating breast cancer cells from hematopoietic progenitor cell preparations using activation enhanced cell death.
2002 Apr
Assessing pregnancy risks of azole antifungals using a high throughput aromatase inhibition assay.
2002 Aug
Ascorbyl free radical and dehydroascorbate formation in rat liver endoplasmic reticulum.
2002 Aug
Comparative study of the enantiomeric resolution of chiral antifungal drugs econazole, miconazole and sulconazole by HPLC on various cellulose chiral columns in normal phase mode.
2002 Jan 15
Involvement of oxidative stress in bee venom-induced inhibition of Na+/glucose cotransporter in renal proximal tubule cells.
2002 Jul
Hepatoprotective and therapeutic effects of tetramethylpyrazine on acute econazole-induced liver injury.
2002 Jun
(2-Arylhydrazonomethyl)-substituted xanthones as antimycotics: synthesis and fungistatic activity against Candida species.
2002 Mar
Ciclopiroxolamine: in vitro antifungal activity against clinical yeast isolates.
2002 Nov
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
Effects of Toona sinensis leaf extract on lipolysis in differentiated 3T3-L1 adipocytes.
2003 Aug
Enhanced econazole penetration into human nail by 2-n-nonyl-1,3-dioxolane.
2003 Jan
A randomised clinical trial comparing 2% econazole and 5% natamycin for the treatment of fungal keratitis.
2003 Oct
Identification and prediction of promiscuous aggregating inhibitors among known drugs.
2003 Oct 9
Evaluation of in vitro activity of ciclopirox olamine, butenafine HCl and econazole nitrate against dermatophytes, yeasts and bacteria.
2003 Sep
Intracellular mediators of granulysin-induced cell death.
2003 Sep 1
Inhibition of cytochrome P450 enzymes participating in p-nitrophenol hydroxylation by drugs known as CYP2E1 inhibitors.
2004 Apr 15
Increased calcium influx and ribosomal content correlate with resistance to endoplasmic reticulum stress-induced cell death in mutant leukemia cell lines.
2004 Feb 20
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 Jun
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 May
Athlete's foot.
2005 Dec
[Congenital cutaneous candidiasis: a case report and review].
2005 Dec
Cytochrome P450 products and arachidonic acid-induced, non-store-operated, Ca2+ entry in cultured bovine endothelial cells.
2005 Jul-Aug
[Experimental study on apoptosis in leukemia cells induced by econazole].
2005 Jun
Altered expression profile of mycobacterial surface glycopeptidolipids following treatment with the antifungal azole inhibitors econazole and clotrimazole.
2005 Jun
The role of TRPM channels in cell death.
2005 Oct
Molecular mechanisms of econazole-induced toxicity on human colon cancer cells: G0/G1 cell cycle arrest and caspase 8-independent apoptotic signaling pathways.
2005 Oct
In vitro and ex vivo antimycobacterial potential of azole drugs against Mycobacterium tuberculosis H37Rv.
2005 Oct 1
Nano-encapsulation of azole antifungals: potential applications to improve oral drug delivery.
2005 Sep 14
What's your diagnosis? Nine-year-old girl with a pubic rash gone incognito.
2006 Aug
What is the best way to treat tinea cruris?
2006 Mar
Inhibition of Ca2+ influx is required for mitochondrial reactive oxygen species-induced endoplasmic reticulum Ca2+ depletion and cell death in leukemia cells.
2006 Oct
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 Fri Dec 15 15:19:13 GMT 2023
Edited
by admin
on Fri Dec 15 15:19:13 GMT 2023
Record UNII
H438WYN10E
Record Status Validated (UNII)
Record Version
  • Download
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
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
SMS_ID
100000092986
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
MERCK INDEX
m4819
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 Merck Index
FDA UNII
H438WYN10E
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
CHEBI
4755
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
EPA CompTox
DTXSID6025226
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
EVMPD
SUB01855MIG
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
DRUG BANK
DBSALT002838
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
DAILYMED
H438WYN10E
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
ChEMBL
CHEMBL808
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
RS_ITEM_NUM
1231808
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
RXCUI
142434
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 RxNorm
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