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Details

Stereochemistry ABSOLUTE
Molecular Formula C14H24N2O4
Molecular Weight 284.3514
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 3
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of OSELTAMIVIR ACID

SMILES

CCC(CC)O[C@@H]1C=C(C[C@H](N)[C@H]1NC(C)=O)C(O)=O

InChI

InChIKey=NENPYTRHICXVCS-YNEHKIRRSA-N
InChI=1S/C14H24N2O4/c1-4-10(5-2)20-12-7-9(14(18)19)6-11(15)13(12)16-8(3)17/h7,10-13H,4-6,15H2,1-3H3,(H,16,17)(H,18,19)/t11-,12+,13+/m0/s1

HIDE SMILES / InChI

Molecular Formula C14H24N2O4
Molecular Weight 284.3514
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 3 / 3
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
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

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.

Originator

Curator's Comment: Oseltamivir was invented and patented by Californian company Gilead Sciences in 1996. Swiss pharmaceutical company Hoffmann-La Roche (Roche) then purchased the rights to develop and market the drug worldwide under the trade name Tamiflu.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
1.34 nM [IC50]
13.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
TAMIFLU

Approved Use

TAMIFLU 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 Date

1999
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
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
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
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
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

AUC

ValueDoseCo-administeredAnalytePopulation
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
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
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
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

T1/2

ValueDoseCo-administeredAnalytePopulation
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

Funbound

ValueDoseCo-administeredAnalytePopulation
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

Doses

DosePopulationAdverse events​
1000 mg single, oral
Highest studied dose
Dose: 1000 mg
Route: oral
Route: single
Dose: 1000 mg
Sources:
healthy, 18-55
Health Status: healthy
Age Group: 18-55
Sex: M
Sources:
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:
healthy, 18-55
Health Status: healthy
Age Group: 18-55
Sex: M
Sources:
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:
healthy, 33.9±11.52
Health Status: healthy
Age Group: 33.9±11.52
Sex: M+F
Sources:
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:
unhealthy
Disc. AE: Nausea, Vomiting...
AEs leading to
discontinuation/dose reduction:
Nausea (rare)
Vomiting (rare)
Sources:
AEs

AEs

AESignificanceDosePopulation
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:
unhealthy
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:
unhealthy
PubMed

PubMed

TitleDatePubMed
Antiviral drugs: current state of the art.
2001 Aug
Management of influenza in patients with asthma or chronic obstructive pulmonary disease.
2001 Dec
Perspectives on antiviral use during pandemic influenza.
2001 Dec 29
Systematic structure-based design and stereoselective synthesis of novel multisubstituted cyclopentane derivatives with potent antiinfluenza activity.
2001 Dec 6
Oral oseltamivir treatment of influenza in children.
2001 Feb
Update on treatment of influenza A and B with tamiflu.
2001 Feb 15
[What is current opinion of antiviral therapy for the flu in 2001?].
2001 Jan
Experience with oseltamivir in the control of a nursing home influenza B outbreak.
2001 Mar 1
Utilization of alpha-1-acid glycoprotein levels in the serum as a parameter for in vivo assay of influenza virus inhibitors.
2001 Nov
Synthesis of influenza neuraminidase inhibitors.
2001 Nov
Therapeutic options for the management of influenza.
2001 Oct
Antivirals for influenza: what is their role in the older patient?
2002
Antiviral therapy of influenza.
2002 Apr
DNA vaccine expressing conserved influenza virus proteins protective against H5N1 challenge infection in mice.
2002 Aug
Problems of case and disease management in outpatient treatment of influenza.
2002 Dec
Design, synthesis, and neuraminidase inhibitory activity of GS-4071 analogues that utilize a novel hydrophobic paradigm.
2002 Dec 2
Influenza B infection associated with encephalitis: treatment with oseltamivir.
2002 Feb
Gateways to clinical trials.
2002 Jan-Feb
Susceptibility of recent Canadian influenza A and B virus isolates to different neuraminidase inhibitors.
2002 Jun
Influenza vaccination for healthy children.
2002 Jun
Influenza virus carrying neuraminidase with reduced sensitivity to oseltamivir carboxylate has altered properties in vitro and is compromised for infectivity and replicative ability in vivo.
2002 May
Experience with oseltamivir in the control of nursing home influenza A outbreak.
2002 May
[New diagnostic possibilities and medications. Fit for influenza?].
2002 Nov 28
Lack of pharmacokinetic interaction between the oral anti-influenza neuraminidase inhibitor prodrug oseltamivir and antacids.
2002 Oct
Current strategies for management of influenza in the elderly population.
2002 Sep 15
Antiviral drugs in the immunocompetent host: part II. Treatment of influenza and respiratory syncytial virus infections.
2003 Feb 15
[Oral neuraminidase inhibitor and an early warning system. New weapons against influenza].
2003 Jan 23
Patents

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
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 Mon Mar 31 22:35:09 GMT 2025
Edited
by admin
on Mon Mar 31 22:35:09 GMT 2025
Record UNII
K6106LV5Q8
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
OSELTAMIVIR ACID
Common Name English
GS 4071
Preferred Name English
1-CYCLOHEXENE-1-CARBOXYLIC ACID, 4-(ACETYLAMINO)-5-AMINO-3-(1-ETHYLPROPOXY)-, (3R,4R,5S)-
Systematic Name English
RO-640802
Code English
OSELTAMIVIR PHOSPHATE IMPURITY, OSELTAMIVIR ACID- [USP IMPURITY]
Common Name English
OSELTAMIVIR ACID, (-)-
Common Name English
OSELTAMIVIR FREE ACID
Common Name English
(3R,4R,5S)-4-ACETYLAMINO-5-AMINO-3-(1-ETHYLPROPOXY)-1-CYCLOHEXENE-1-CARBOXYLIC ACID
Systematic Name English
OSELTAMIVIR CARBOXYLATE
Common Name English
OSELTAMIVIR PHOSPHATE IMPURITY C [EP IMPURITY]
Common Name English
(3R,4R,5S)-4-ACETAMIDO-5-AMINO-3-(1-ETHYLPROPOXY)CYCLOHEX-1-ENE-1-CARBOXYLIC ACID
Systematic Name English
GS-4071
Code English
RO-64-0802
Code English
GS4071
Code English
Code System Code Type Description
RXCUI
1546279
Created by admin on Mon Mar 31 22:35:09 GMT 2025 , Edited by admin on Mon Mar 31 22:35:09 GMT 2025
PRIMARY RxNorm
FDA UNII
K6106LV5Q8
Created by admin on Mon Mar 31 22:35:09 GMT 2025 , Edited by admin on Mon Mar 31 22:35:09 GMT 2025
PRIMARY
CHEBI
73139
Created by admin on Mon Mar 31 22:35:09 GMT 2025 , Edited by admin on Mon Mar 31 22:35:09 GMT 2025
PRIMARY
DRUG BANK
DB02600
Created by admin on Mon Mar 31 22:35:09 GMT 2025 , Edited by admin on Mon Mar 31 22:35:09 GMT 2025
PRIMARY
CAS
187227-45-8
Created by admin on Mon Mar 31 22:35:09 GMT 2025 , Edited by admin on Mon Mar 31 22:35:09 GMT 2025
PRIMARY
PUBCHEM
449381
Created by admin on Mon Mar 31 22:35:09 GMT 2025 , Edited by admin on Mon Mar 31 22:35:09 GMT 2025
PRIMARY
DAILYMED
K6106LV5Q8
Created by admin on Mon Mar 31 22:35:09 GMT 2025 , Edited by admin on Mon Mar 31 22:35:09 GMT 2025
PRIMARY
EPA CompTox
DTXSID50171996
Created by admin on Mon Mar 31 22:35:09 GMT 2025 , Edited by admin on Mon Mar 31 22:35:09 GMT 2025
PRIMARY
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