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Details

Stereochemistry RACEMIC
Molecular Formula C15H12FO2.Na.2H2O
Molecular Weight 302.2733
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of FLURBIPROFEN SODIUM

SMILES

O.O.[Na+].CC(C([O-])=O)C1=CC(F)=C(C=C1)C2=CC=CC=C2

InChI

InChIKey=GNMBMOULKUXEQF-UHFFFAOYSA-M
InChI=1S/C15H13FO2.Na.2H2O/c1-10(15(17)18)12-7-8-13(14(16)9-12)11-5-3-2-4-6-11;;;/h2-10H,1H3,(H,17,18);;2*1H2/q;+1;;/p-1

HIDE SMILES / InChI

Molecular Formula H2O
Molecular Weight 18.0153
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C15H13FO2
Molecular Weight 244.2609
Charge 0
Count
Stereochemistry RACEMIC
Additional Stereochemistry No
Defined Stereocenters 0 / 1
E/Z Centers 0
Optical Activity ( + / - )

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

Flurbiprofen, a propionic acid derivative, is a nonsteroidal anti-inflammatory drug that exhibits antiinflammatory, analgesic, and antipyretic activities in animal models. Flurbiprofen Tablets are indicated for relief of the signs and symptoms of rheumatoid arthritis and for relief of the signs and symptoms of osteoarthritis. It may also be used to treat pain associated with dysmenorrhea and mild to moderate pain accompanied by inflammation (e.g. bursitis, tendonitis, soft tissue trauma). Flurbiprofen may also be used topically prior to ocular surgery to prevent or reduce intraoperative miosis. Similar to other NSAIAs, the anti-inflammatory effect of flurbiprofen occurs via reversible inhibition of cyclooxygenase (COX), the enzyme responsible for the conversion of arachidonic acid to prostaglandin G2 (PGG2) and PGG2 to prostaglandin H2 (PGH2) in the prostaglandin synthesis pathway. This effectively decreases the concentration of prostaglandins involved in inflammation, pain, swelling and fever. Flurbiprofen is a non-selective COX inhibitor and inhibits the activity of both COX-1 and -2. It is also one of the most potent NSAIAs in terms of prostaglandin inhibitory activity.

CNS Activity

Curator's Comment: Flurbiprofen permeates into the CSF readily and thus, may have potent CNS analgesic and antipyretic action. Flurbiprofen selectively inhibits beta-amyloid(1)(-)(42) (Abeta42) secretion, the most toxic component of the senile plaques present in the brain of Alzheimer patients.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Flurbiprofen

Approved Use

Flurbiprofen Tablets are indicated: • For relief of the signs and symptoms of rheumatoid arthritis. • For relief of the signs and symptoms of osteoarthritis.

Launch Date

5.9425921E11
Primary
Flurbiprofen

Approved Use

Flurbiprofen Tablets are indicated: • For relief of the signs and symptoms of rheumatoid arthritis. • For relief of the signs and symptoms of osteoarthritis.

Launch Date

5.9425921E11
Primary
LOQOA® Tape

Approved Use

LOQOA® Tape indicated for the treatment of osteoarthritis pain and inflammation.

Launch Date

1.44339842E12
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
14 μg/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FLURBIPROFEN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
19.67 μg/mL
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FLURBIPROFEN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
83 μg × h/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FLURBIPROFEN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
124.2 μg × h/mL
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FLURBIPROFEN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
7.5 h
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FLURBIPROFEN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
4.77 h
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FLURBIPROFEN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG


Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
yes [IC50 0.615 uM]
yes [IC50 1.8 uM]
yes [IC50 10.6 uM]
yes [IC50 58.4 uM]
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
no
no
no
no
no
no
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes (co-administration study)
Comment: Coadministration study with fluconazole (inhibitor of CYP2C9) increased AUCinf by 222%-299% after different visits of patients; Pharmacogenomic study: In patients who are known or suspected to be poor CYP2C9 metabolizers based on genotype or previous history/experience with other CYP2C9 substrates (such as warfarin and phenytoin), reduce the dose of flurbiprofen to avoid abnormally high plasma levels due to reduced metabolic clearance
PubMed

PubMed

TitleDatePubMed
Reactive oxygen species are involved in the apoptosis induced by nonsteroidal anti-inflammatory drugs in cultured gastric cells.
1999 Nov 3
Directed control of electroosmotic flow in nonaqueous electrolytes using poly(ethylene glycol) coated capillaries.
2001
Review: uveitis and immunosuppressive drugs.
2001 Apr
Proapoptotic anti-inflammatory drugs.
2001 Apr
Inhibition of NF-kappaB and AP-1 activation by R- and S-flurbiprofen.
2001 Jan
Using evidence from different sources: an example using paracetamol 1000 mg plus codeine 60 mg.
2001 Jan 10
Protection by aspirin of indomethacin-induced small intestinal damage in rats: mediation by salicylic acid.
2001 Jan-Dec
Screening procedure for detection of non-steroidal anti-inflammatory drugs and their metabolites in urine as part of a systematic toxicological analysis procedure for acidic drugs and poisons by gas chromatography-mass spectrometry after extractive methylation.
2001 May-Jun
Prostaglandin synthesis inhibitor improves hypotension during normothermic cardiopulmonary bypass.
2001 Nov-Dec
The effect of flurbiprofen and tiaprofenic acid on serum cytokine levels of patients with osteoarthrosis.
2001 Oct
Effect of flurbiprofen on hind-limb suspension-induced bone loss.
2001 Sep
Polymorphic variants (CYP2C9*3 and CYP2C9*5) and the F114L active site mutation of CYP2C9: effect on atypical kinetic metabolism profiles.
2002 Apr
Affinity capillary electrophoresis using a low-concentration additive with the consideration of relative mobilities.
2002 Apr 15
In vivo activation of N-methyl-D-aspartate receptors in the rat hippocampus increases prostaglandin E(2) extracellular levels and triggers lipid peroxidation through cyclooxygenase-mediated mechanisms.
2002 Jun
ATP can enhance the proton-induced CGRP release through P2Y receptors and secondary PGE(2) release in isolated rat dura mater.
2002 Jun
Prediction of poly(ethylene) glycol-drug eutectic compositions using an index based on the van't Hoff equation.
2002 Mar
Demonstration of dose response of flurbiprofen lozenges with the sore throat pain model.
2002 May
Prostaglandin synthesis inhibitor prevents hypotension without impairing gut perfusion during normothermic cardiopulmonary bypass.
2002 Sep-Oct
Analgesic effect of different dosage of Flurbiprofen axetil in laparoscopic cholecystectomy in comparison with other analgesic drugs.
2017 Sep
Comparison of perioperative flurbiprofen axetil or celecoxib administration for pain management after total-knee arthroplasty: A retrospective study.
2018 Sep
Patents

Sample Use Guides

In Vivo Use Guide
Curator's Comment: Flurbiprofen may also be used topically prior to ocular surgery to prevent or reduce intraoperative miosis. https://www.drugbank.ca/drugs/DB00712
Loqoa® is available as a patch formulation, containing 40 mg of Esflurbiprofen. The recommended dose is applied to the lesion area once daily. Do not apply more than two patches simultaneously.
Route of Administration: Topical
In Vitro Use Guide
Curator's Comment: Inhibitory action was measured in SH-SY5Y and HEK cell lines overexpressing either the direct substrate SPA4CT or the precursor APP695, respectively
At 100 uM concentration Esflurbiprofen (S-Flurbiprofen) demonstrated 37% inhibition of Abeta42 in SH-SY5Y cells and 65% in HEK cells.
Substance Class Chemical
Created
by admin
on Fri Dec 16 20:49:38 UTC 2022
Edited
by admin
on Fri Dec 16 20:49:38 UTC 2022
Record UNII
Z5B97MU9K4
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
FLURBIPROFEN SODIUM
MART.   ORANGE BOOK   USP   VANDF  
Common Name English
FLURBIPROFEN SODIUM [USP-RS]
Common Name English
FLURBIPROFEN SODIUM [MART.]
Common Name English
OCUFEN
Brand Name English
FLURBIPROFEN SODIUM [VANDF]
Common Name English
FLURBIPROFEN SODIUM [ORANGE BOOK]
Common Name English
FLURBIPROFEN SODIUM [USP MONOGRAPH]
Common Name English
FLURBIPROFEN SODIUM DIHYDRATE
Common Name English
(1,1'-BIPHENYL)-4-ACETIC ACID, 2-FLUORO-.ALPHA.-METHYL, SODIUM SALT DIHYDRATE
Common Name English
SODIUM (±)-2-(2-FLUORO-4-BIPHENYLYL)PROPIONATE DIHYDRATE
Systematic Name English
Classification Tree Code System Code
NCI_THESAURUS C1323
Created by admin on Fri Dec 16 20:49:39 UTC 2022 , Edited by admin on Fri Dec 16 20:49:39 UTC 2022
NCI_THESAURUS C29577
Created by admin on Fri Dec 16 20:49:39 UTC 2022 , Edited by admin on Fri Dec 16 20:49:39 UTC 2022
Code System Code Type Description
DAILYMED
Z5B97MU9K4
Created by admin on Fri Dec 16 20:49:39 UTC 2022 , Edited by admin on Fri Dec 16 20:49:39 UTC 2022
PRIMARY
EVMPD
SUB02240MIG
Created by admin on Fri Dec 16 20:49:39 UTC 2022 , Edited by admin on Fri Dec 16 20:49:39 UTC 2022
PRIMARY
RS_ITEM_NUM
1285807
Created by admin on Fri Dec 16 20:49:39 UTC 2022 , Edited by admin on Fri Dec 16 20:49:39 UTC 2022
PRIMARY
RXCUI
91351
Created by admin on Fri Dec 16 20:49:39 UTC 2022 , Edited by admin on Fri Dec 16 20:49:39 UTC 2022
PRIMARY RxNorm
FDA UNII
Z5B97MU9K4
Created by admin on Fri Dec 16 20:49:39 UTC 2022 , Edited by admin on Fri Dec 16 20:49:39 UTC 2022
PRIMARY
PUBCHEM
23706216
Created by admin on Fri Dec 16 20:49:39 UTC 2022 , Edited by admin on Fri Dec 16 20:49:39 UTC 2022
PRIMARY
ChEMBL
CHEMBL563
Created by admin on Fri Dec 16 20:49:39 UTC 2022 , Edited by admin on Fri Dec 16 20:49:39 UTC 2022
PRIMARY
DRUG BANK
DBSALT000544
Created by admin on Fri Dec 16 20:49:39 UTC 2022 , Edited by admin on Fri Dec 16 20:49:39 UTC 2022
PRIMARY
NCI_THESAURUS
C47997
Created by admin on Fri Dec 16 20:49:39 UTC 2022 , Edited by admin on Fri Dec 16 20:49:39 UTC 2022
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE
BASIS OF STRENGTH->SUBSTANCE
ASSAY (HPLC)
USP
ANHYDROUS->SOLVATE
Related Record Type Details
ACTIVE MOIETY