Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C6H12F2N2O2 |
| Molecular Weight | 182.1685 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
NCCCC(N)(C(F)F)C(O)=O
InChI
InChIKey=VLCYCQAOQCDTCN-UHFFFAOYSA-N
InChI=1S/C6H12F2N2O2/c7-4(8)6(10,5(11)12)2-1-3-9/h4H,1-3,9-10H2,(H,11,12)
| Molecular Formula | C6H12F2N2O2 |
| Molecular Weight | 182.1685 |
| Charge | 0 |
| Count |
|
| Stereochemistry | RACEMIC |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Optical Activity | ( + / - ) |
DescriptionSources: http://www.drugbank.ca/drugs/DB06243Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2000/21145lbl.pdf
Sources: http://www.drugbank.ca/drugs/DB06243
Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2000/21145lbl.pdf
Eflornithine is a prescription drug indicated in the treatment of facial hirsutism (excessive hair growth). Eflornithine hydrochloride cream for topical application is intended for use in women suffering from facial hirsutism and is sold by Allergan, Inc. under the brand name Vaniqa. Besides being a non-mechanical and non-cosmetic treatment, eflornithine is the only non-hormonal and non-systemic prescription option available for women who suffer from facial hirsutism. Eflornithine for injection against sleeping sickness was manufactured by Sanofi Aventis and sold under the brand name Ornidyl in the USA. It is now discontinued. Eflornithine is on the World Health Organization's List of Essential Medicines. Eflornithine prevents hair growth by inhibiting the anagen phase of hair production. This occurs by eflornithine irreversibly binding (also called suicide inhibition) to ornithine decarboxylase (ODC) and physically preventing the natural substrate ornithine from accessing the active site.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/18823367 http://www.who.int/trypanosomiasis_african/drugs/en/
Curator's Comment: Eflornithine crossed blood-brain barrier
Originator
Sources: http://www.pharmacy.utoronto.ca/sites/default/files/upload//who_cc/launch/James%20Crombie.pdf
Curator's Comment: Eflornithine was discovered in 1980 by Dr Cyrus Bacchi
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL1869 Sources: http://www.drugbank.ca/drugs/DB06243 |
|||
Target ID: CHEMBL612849 Sources: https://www.ncbi.nlm.nih.gov/pubmed/23031595 |
8.3 µM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | VANIQA Approved UseReduction of unwanted facial hair in women. Launch Date2000 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
484 μM EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/15141331 |
100 mg/kg 4 times / day steady-state, oral dose: 100 mg/kg route of administration: Oral experiment type: STEADY-STATE co-administered: |
EFLORNITHINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
4430 μM × h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/15141331 |
100 mg/kg 4 times / day steady-state, oral dose: 100 mg/kg route of administration: Oral experiment type: STEADY-STATE co-administered: |
EFLORNITHINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
10.6 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/15141331 |
100 mg/kg 4 times / day steady-state, oral dose: 100 mg/kg route of administration: Oral experiment type: STEADY-STATE co-administered: |
EFLORNITHINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
1 g/m2 1 times / day multiple, oral Highest studied dose Dose: 1 g/m2, 1 times / day Route: oral Route: multiple Dose: 1 g/m2, 1 times / day Sources: |
unhealthy, 23-41 |
Other AEs: Diarrhea, Dizziness... Other AEs: Diarrhea (grade 1, 2 patients) Sources: Dizziness (grade 1-2, 1 patient) Malaise (grade 1-2, 1 patient) Mood change (grade 1, 1 patient) Myalgia (grade 1, 1 patient) Nausea (grade 1, 3 patients) Nosebleed (grade 1, 2 patients) Pruritus (grade 1, 1 patient) Skin rash (grade 1-2, 1 patient) Stomatitis (grade 1, 3 patients) |
13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
Other AEs: Acne, Pseudofolliculitis barbae... Other AEs: Acne (10.8%) Sources: Pseudofolliculitis barbae (4.9%) Stinging skin (4.1%) Headache (4%) Burning skin (3.5%) Dry skin (3.3%) Pruritus (3.1%) Erythema (2.5%) Tingling skin (2.2%) Dyspepsia (1.9%) Skin irritation (1.8%) Rash (1.5%) Alopecia (1.3%) Dizziness (1.3%) Folliculitis (1%) Ingrown hair (0.9%) Edema face (0.7%) Anorexia (0.7%) Nausea (0.7%) Asthenia (0.3%) Vertigo (0.1%) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Mood change | grade 1, 1 patient | 1 g/m2 1 times / day multiple, oral Highest studied dose Dose: 1 g/m2, 1 times / day Route: oral Route: multiple Dose: 1 g/m2, 1 times / day Sources: |
unhealthy, 23-41 |
| Myalgia | grade 1, 1 patient | 1 g/m2 1 times / day multiple, oral Highest studied dose Dose: 1 g/m2, 1 times / day Route: oral Route: multiple Dose: 1 g/m2, 1 times / day Sources: |
unhealthy, 23-41 |
| Pruritus | grade 1, 1 patient | 1 g/m2 1 times / day multiple, oral Highest studied dose Dose: 1 g/m2, 1 times / day Route: oral Route: multiple Dose: 1 g/m2, 1 times / day Sources: |
unhealthy, 23-41 |
| Diarrhea | grade 1, 2 patients | 1 g/m2 1 times / day multiple, oral Highest studied dose Dose: 1 g/m2, 1 times / day Route: oral Route: multiple Dose: 1 g/m2, 1 times / day Sources: |
unhealthy, 23-41 |
| Nosebleed | grade 1, 2 patients | 1 g/m2 1 times / day multiple, oral Highest studied dose Dose: 1 g/m2, 1 times / day Route: oral Route: multiple Dose: 1 g/m2, 1 times / day Sources: |
unhealthy, 23-41 |
| Nausea | grade 1, 3 patients | 1 g/m2 1 times / day multiple, oral Highest studied dose Dose: 1 g/m2, 1 times / day Route: oral Route: multiple Dose: 1 g/m2, 1 times / day Sources: |
unhealthy, 23-41 |
| Stomatitis | grade 1, 3 patients | 1 g/m2 1 times / day multiple, oral Highest studied dose Dose: 1 g/m2, 1 times / day Route: oral Route: multiple Dose: 1 g/m2, 1 times / day Sources: |
unhealthy, 23-41 |
| Dizziness | grade 1-2, 1 patient | 1 g/m2 1 times / day multiple, oral Highest studied dose Dose: 1 g/m2, 1 times / day Route: oral Route: multiple Dose: 1 g/m2, 1 times / day Sources: |
unhealthy, 23-41 |
| Malaise | grade 1-2, 1 patient | 1 g/m2 1 times / day multiple, oral Highest studied dose Dose: 1 g/m2, 1 times / day Route: oral Route: multiple Dose: 1 g/m2, 1 times / day Sources: |
unhealthy, 23-41 |
| Skin rash | grade 1-2, 1 patient | 1 g/m2 1 times / day multiple, oral Highest studied dose Dose: 1 g/m2, 1 times / day Route: oral Route: multiple Dose: 1 g/m2, 1 times / day Sources: |
unhealthy, 23-41 |
| Vertigo | 0.1% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Asthenia | 0.3% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Anorexia | 0.7% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Edema face | 0.7% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Nausea | 0.7% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Ingrown hair | 0.9% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Folliculitis | 1% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Alopecia | 1.3% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Dizziness | 1.3% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Rash | 1.5% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Skin irritation | 1.8% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Dyspepsia | 1.9% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Acne | 10.8% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Tingling skin | 2.2% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Erythema | 2.5% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Pruritus | 3.1% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Dry skin | 3.3% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Burning skin | 3.5% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Headache | 4% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Stinging skin | 4.1% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Pseudofolliculitis barbae | 4.9% | 13.9 % 2 times / day multiple, topical Recommended Dose: 13.9 %, 2 times / day Route: topical Route: multiple Dose: 13.9 %, 2 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Effect of polyamine depletion on cone photoreceptors of the developing rabbit retina. | 2002-09 |
|
| Altered expression of c-myc, p16 and p27 in rat colon tumors and its reversal by short-term treatment with chemopreventive agents. | 2002-09 |
|
| Polyamines regulate beta-catenin tyrosine phosphorylation via Ca(2+) during intestinal epithelial cell migration. | 2002-09 |
|
| Stress-induced dynamic changes in mouse brain polyamines. Role in behavioral reactivity. | 2002-07-05 |
|
| Treatment of human African trypanosomiasis--present situation and needs for research and development. | 2002-07 |
|
| RhoA inactivation inhibits cell migration but does not mediate the effects of polyamine depletion. | 2002-07 |
|
| Polyamines modulate the interaction between nuclear receptors and vitamin D receptor-interacting protein 205. | 2002-07 |
|
| Polyamine uptake is necessary for a normal biochemical maturation of astrocytes in culture. | 2002-06-12 |
|
| Are polyamines involved in olfaction? An EAG and biochemical study in Periplaneta americana antennae. | 2002-06 |
|
| Involvement of polyamines in root development at low temperature in the subantarctic cruciferous species Pringlea antiscorbutica. | 2002-06 |
|
| Polyamine depletion prevents camptothecin-induced apoptosis by inhibiting the release of cytochrome c. | 2002-06 |
|
| Protein kinase Cdelta-mediated signal to ornithine decarboxylase induction is independent of skin tumor suppression. | 2002-05-16 |
|
| [Hypertrichosis and hirsutism]. | 2002-05 |
|
| Selective exclusion by the polyamine transporter as a mechanism for differential radioprotection of amifostine derivatives. | 2002-05 |
|
| Effects of difluoromethylornithine on growth inhibition and apoptosis in human cervical epithelial and cancerous cell lines. | 2002-05 |
|
| The preovulatory rise of ovarian ornithine decarboxylase is required for progesterone secretion by the corpus luteum. | 2002-04-26 |
|
| Quantitation of polyamines in hypothalamus and pituitary of female and male developing rats. | 2002-04-19 |
|
| Plating densities, alpha-difluoromethylornithine effects and time dependence on the proliferation of IEC-6 cells. | 2002-04 |
|
| Polyamine-dependent migration of retinal pigment epithelial cells. | 2002-04 |
|
| Effects of polyamines on the release of gonadotropin-releasing hormone and gonadotropins in developing female rats. | 2002-04 |
|
| Activation of K(+) channels and increased migration of differentiated intestinal epithelial cells after wounding. | 2002-04 |
|
| Suppression of UV carcinogenesis by difluoromethylornithine in nucleotide excision repair-deficient Xpa knockout mice. | 2002-03-01 |
|
| Effects of ornithine 2-oxoglutarate on neutrophils in stressed rats: evidence for the involvement of nitric oxide and polyamines. | 2002-03 |
|
| Inhibition of placental ornithine decarboxylase by DL-alpha-difluoro-methyl ornithine causes fetal growth restriction in rat. | 2002-02-08 |
|
| Regulation of ornithine decarboxylase in B16 mouse melanoma cells: synergistic activation of melanogenesis by alphaMSH and ornithine decarboxylase inhibition. | 2002-01-30 |
|
| [Chemoprevention of colorectal cancer]. | 2002-01-26 |
|
| The ornithine decarboxylase inhibitor, difluoromethylornithine, inhibits casein kinase II activity, c-Myc expression and normal human keratinocyte proliferation. | 2002-01 |
|
| Chemoprevention of colorectal cancer. | 2002-01 |
|
| Modulation of biologic endpoints by topical difluoromethylornithine (DFMO), in subjects at high-risk for nonmelanoma skin cancer. | 2002-01 |
|
| African trypanosomiasis in travelers returning to the United Kingdom. | 2002-01 |
|
| Activities of arginase I and II are limiting for endothelial cell proliferation. | 2002-01 |
|
| Winterbottom's sign and hypertrophic cardiomyopathy. | 2002 |
|
| Influence of polyamines on in vitro and in vivo features of aggressive and metastatic behavior by human breast cancer cells. | 2002 |
|
| Chemotherapy of human African trypanosomiasis. | 2002 |
|
| Eflornithine. | 2001-12-01 |
|
| Differential regulation of nitric oxide synthase-2 and arginase-1 by type 1/type 2 cytokines in vivo: granulomatous pathology is shaped by the pattern of L-arginine metabolism. | 2001-12-01 |
|
| The effect of polyamine biosynthesis inhibition on growth and differentiation of the phytopathogenic fungus Sclerotinia sclerotiorum. | 2001-12 |
|
| The future of colon cancer prevention. | 2001-12 |
|
| Beyond tamoxifen new endpoints for breast cancer chemoprevention, new drugs for breast cancer prevention. | 2001-12 |
|
| Chemopreventive agents inhibit aberrant proliferation of the aneuploid phenotype in a colon epithelial cell line established from Apc 1638N [+/-] mouse. | 2001-12 |
|
| No alterations in the performance of two interval timing operant tasks after alpha-difluoromethylornithine (DFMO)-induced cerebellar stunting. | 2001-11-29 |
|
| Spermidine is essential for normal proliferation of trypanosomatid protozoa. | 2001-11-23 |
|
| The effect of DFMO induced uptake of [3H] putrescine on human glioma cells. | 2001-11 |
|
| [Current treatment of hypertrichosis]. | 2001-11 |
|
| Cell culture analysis of the regulatory frameshift event required for the expression of mammalian antizymes. | 2001-11 |
|
| Availability and affordability of treatment for Human African Trypanosomiasis. | 2001-11 |
|
| Cytoskeletal organization and cell motility correlates with metastatic potential and state of differentiation in prostate cancer. | 2001-09 |
|
| Glucocorticoids and polyamine inhibitors synergize to kill human leukemic CEM cells. | 2001-07-24 |
|
| Characterization of spermine uptake by Ehrlich tumour cells in culture. | 2001 |
|
| Topical eflornithine. | 2001 |
Patents
Sample Use Guides
Usual Adult Dose for Hirsutism
Apply a thin layer of eflornithine topical cream to affected areas of the face and adjacent involved areas under the chin and rub in thoroughly. Do not wash treated area for at least 4 hours. Use twice a day, allowing at least 8 hours between applications or as directed by a physician.
Continue to use hair removal techniques as needed in conjunction with eflornithine. Apply eflornithine at least 5 minutes after hair removal.
Route of Administration:
Topical
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/17333337
Eflornithine (0.01 - 1 mM) treatment suppressed proliferation of 4T1 murine mammary cancer cells in culture.
| Substance Class |
Chemical
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EMA ASSESSMENT REPORTS |
VANIQA (AUTHORIZED: HIRSUTISM)
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WHO-ESSENTIAL MEDICINES LIST |
6.5.5.1
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FDA ORPHAN DRUG |
321210
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NDF-RT |
N0000175845
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WHO-ATC |
D11AX16
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229306
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387012
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EU/3/11/902
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C2088
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319610
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547716
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N0000175485
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QD11AX16
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619917
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N0000175844
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P01CX03
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FDA ORPHAN DRUG |
613217
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Eflornithine
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DB06243
Created by
admin on Wed Apr 02 09:29:19 GMT 2025 , Edited by admin on Wed Apr 02 09:29:19 GMT 2025
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SUB06468MIG
Created by
admin on Wed Apr 02 09:29:19 GMT 2025 , Edited by admin on Wed Apr 02 09:29:19 GMT 2025
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41948
Created by
admin on Wed Apr 02 09:29:19 GMT 2025 , Edited by admin on Wed Apr 02 09:29:19 GMT 2025
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990
Created by
admin on Wed Apr 02 09:29:19 GMT 2025 , Edited by admin on Wed Apr 02 09:29:19 GMT 2025
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m4840
Created by
admin on Wed Apr 02 09:29:19 GMT 2025 , Edited by admin on Wed Apr 02 09:29:19 GMT 2025
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PRIMARY | Merck Index |
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ENANTIOMER -> RACEMATE | |||
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ENANTIOMER -> RACEMATE | |||
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SALT/SOLVATE -> PARENT | |||
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SALT/SOLVATE -> PARENT |
| Related Record | Type | Details | ||
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ACTIVE MOIETY |