Synopsis
Synopsis
0
VMF
0
Australia
DRUG PRODUCT COMPOSITIONS0
Stock Recap #PipelineProspector
0
Weekly News Recap #Phispers
1. 1,2-dihydro-spirorenone
2. 1,2-dihydrospirorenone
3. 6beta,7beta,15beta,16beta-dimethylen-3-oxo-17alpha-pregn-4-en-21,17-carbolacton
4. Dihydrospirorenone
5. Zk 30595
6. Zk30595
1. 67392-87-4
2. Dihydrospirorenone
3. Dehydrospirorenone
4. Drospirenona
5. 1,2-dihydrospirorenone
6. Drsp
7. Drospirenonum
8. Drospirenonum [inn-latin]
9. Drospirenona [inn-spanish]
10. Zk 30595
11. Slynd
12. Zk-30595
13. Chebi:50838
14. N295j34a25
15. Nsc-760103
16. (6r,7r,8r,9s,10r,13s,14s,15s,16s,17s)-1,3',4',6,6a,7,8,9,10,11,12,13,14,15,15a,16-hexadecahydro-10,13-dimethylspiro-(17h-dicyclopropa(6,7:15,16)cyclopenta(a)phenanthrene-17,2'(5'h)-furan)-3,5'(2h)-dione
17. Drospirenone [inn]
18. Dsstox_cid_26465
19. Dsstox_rid_81639
20. Dsstox_gsid_46465
21. 6beta,7beta;15beta,16beta-dimethylene-3-oxo-17alpha-pregn-4-ene-21,17-carbolactone
22. (1r,2r,4r,10r,11s,14s,15s,16s,18s,19s)-10,14-dimethylspiro[hexacyclo[9.8.0.0^{2,4}.0^{5,10}.0^{14,19}.0^{16,18}]nonadecane-15,2'-oxolan]-5-ene-5',7-dione
23. Cas-67392-87-4
24. Zk30595
25. Ccris 6523
26. Einecs 266-679-2
27. Brn 4765500
28. Unii-n295j34a25
29. Hsdb 7896
30. Ncgc00164590-01
31. Drospirenone [usan:usp:inn:ban]
32. Mfcd00867350
33. Sh-470
34. Drospirenone- Bio-x
35. Slynd (tn)
36. 1, 2-dihydrospirorenone
37. Drospirenone [mi]
38. Drospirenone [jan]
39. Drospirenone [usan]
40. 6-beta,7-beta;15-beta,16-beta-dimethylene-3-oxo-17-alpha-pregn-4-ene-21,17-carbolactone
41. Chembl1509
42. Drospirenone [vandf]
43. Drospirenone [mart.]
44. 17-hydroxy-6beta,7beta:15beta,16beta-dimethylene-3-oxo-17alpha-pregn-4-ene-21-carboxylic Acid, Gamma-lactone
45. Spiro(17h-dicyclopropa(6,7:15,16)cyclopenta(a)phenanthrene-17,2'(5'h)-furan)-3,5'(2h)-dione, 1,3',4',6,7,8,9,10,11,12,13,14,15,16,20,21-hexadecahydro-10,13-dimethyl-, (6r-(6alpha,7alpha,8beta,9alpha,10beta,13beta,14alpha,15alpha,16alpha,17beta))-
46. Drospirenone [usp-rs]
47. Drospirenone [who-dd]
48. Schembl153316
49. Drospirenone (jan/usp/inn)
50. Gtpl2874
51. Dtxsid7046465
52. Yaz Component Drospirenone
53. Drospirenone, >=98% (hplc)
54. Bcpp000250
55. Bdbm150275
56. Drospirenone [orange Book]
57. Beyaz Component Drospirenone
58. Drospirenone [ep Monograph]
59. Bcp27035
60. Drospirenone For Peak Identification
61. Ex-a3153
62. Hy-b0111
63. Yasmin Component Drospirenone
64. Zinc3927200
65. Drospirenone [usp Monograph]
66. Drospirenone Component Of Yaz
67. Tox21_112216
68. Angeliq Component Drospirenone
69. S1377
70. Safyral Component Drospirenone
71. Akos015895237
72. Drospirenone Component Of Beyaz
73. Tox21_112216_1
74. Bcp9000628
75. Ccg-268245
76. Cs-1863
77. Db01395
78. Drospirenone Component Of Yasmin
79. Nsc 760103
80. Zk 3059
81. 6beta,7beta,15beta,16beta-dimethylene-3-oxo-17alpha-pregn-4-ene-21,17 Carbolactone
82. Drospirenone Component Of Angeliq
83. Drospirenone Component Of Safyral
84. Ncgc00164590-02
85. Ncgc00164590-04
86. Nextstellis Component Drospirenone
87. As-13025
88. Bd166530
89. Us8987239, A
90. Drospirenone Component Of Nextstellis
91. D4209
92. D03917
93. Ab01274783-01
94. Ab01274783_02
95. 392d874
96. A846434
97. Ar-270/43507886
98. Q419646
99. Sr-01000942231
100. Q-101411
101. Sr-01000942231-1
102. Brd-k04394237-001-06-0
103. Drospirenone, European Pharmacopoeia (ep) Reference Standard
104. Drospirenone, United States Pharmacopeia (usp) Reference Standard
105. Drospirenone For Peak Identification, European Pharmacopoeia (ep) Reference Standard
106. (1r,2r,4r,10r,11s,14s,15s,16s,18s,19s)-10,14-dimethylspiro[hexacyclo[9.8.0.02,4.05,10.014,19.016,18]nonadec-5-ene-15,5'-oxolane]-2',7-dione
107. 17-hydroxy-6.beta.,7.beta.:15.beta.,16.beta.-dimethylene-3-oxo-17.alpha.-pregn-4-ene-21-carboxylic Acid, .gamma.-lactone
108. 3-oxo-6alpha,7alpha,15alpha,16alpha-tetrahydro-7'h,16'h-dicyclopropa[6,7;15,16]-17alpha-pregn-4-ene-21,17-carbolactone
109. 5a,7a-dimethyl-1,1a,3,3',4,4',5,5a,5b,6,7,7a,8a,9,9a,9b,9c,9d-octaadecahydrospiro(cyclopropa[4,5]cyclopenta[1,2-a]cyclopropa[l]phenanthren-8,5'-furan)-2',3-dione
110. 6beta,7beta:15beta,16beta -dimethylene-3-oxo-17alpha-pregn-4-ene-21,17-carbolactone, Dihydrospirorenone
111. Spiro[8h-cyclopropa[4,5]cyclopenta[1,2-a]cyclopropa[l]phenanthrene-8,2'(5'h)-furan]-3,5'(4h)-dione, 1,1a,3',4',5,5a,5b,6,7,7a,8a,9,9a,9b,9c,9d-hexadecahydro-5a,7a-dimethyl-, (1ar,5ar,5bs,7as,8s,8as,9a R,9bs,9cr,9dr)-
| Molecular Weight | 366.5 g/mol |
|---|---|
| Molecular Formula | C24H30O3 |
| XLogP3 | 3.5 |
| Hydrogen Bond Donor Count | 0 |
| Hydrogen Bond Acceptor Count | 3 |
| Rotatable Bond Count | 0 |
| Exact Mass | 366.21949481 g/mol |
| Monoisotopic Mass | 366.21949481 g/mol |
| Topological Polar Surface Area | 43.4 Ų |
| Heavy Atom Count | 27 |
| Formal Charge | 0 |
| Complexity | 828 |
| Isotope Atom Count | 0 |
| Defined Atom Stereocenter Count | 10 |
| Undefined Atom Stereocenter Count | 0 |
| Defined Bond Stereocenter Count | 0 |
| Undefined Bond Stereocenter Count | 0 |
| Covalently Bonded Unit Count | 1 |
Androstenes; Progesterone Congeners; Aldosterone Antagonists
National Library of Medicine's Medical Subject Headings online file (MeSH, 2009)
Gianvi is indicated for the prevention of pregnancy in women who elect to use an oral contraceptive. /Included in US product label/
US Natl Inst Health; DailyMed. Current Medication Information GIANVI (drospirenone and ethinyl estradiol) kit (November 2010). Available from, as of February 22, 2011: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=31973
Gianvi is indicated for the treatment of symptoms of premenstrual dysphoric disorder (PMDD) in women who choose to use an oral contraceptive as their method of contraception. The effectiveness of Gianvi for PMDD when used for more than three menstrual cycles has not been evaluated. /Included in US product label/
US Natl Inst Health; DailyMed. Current Medication Information GIANVI (drospirenone and ethinyl estradiol) kit (November 2010). Available from, as of February 22, 2011: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=31973
Gianvi has not been evaluated for the treatment of premenstrual syndrome (PMS). /Included in US product label/
US Natl Inst Health; DailyMed. Current Medication Information GIANVI (drospirenone and ethinyl estradiol) kit (November 2010). Available from, as of February 22, 2011: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=31973
Gianvi is indicated for the treatment of moderate acne vulgaris in women at least 14 years of age, who have no known contraindications to oral contraceptive therapy and have achieved menarche. Gianvi should be used for the treatment of acne only if the patient desires an oral contraceptive for birth control. /included in US product label/
US Natl Inst Health; DailyMed. Current Medication Information GIANVI (drospirenone and ethinyl estradiol) kit (November 2010). Available from, as of February 22, 2011: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=31973
/BOXED WARNING/ WARNING: CIGARETTE SMOKING AND SERIOUS CARDIOVASCULAR EVENTS. Cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptives (COC) use. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. For this reason, COCs should not be used by women who are over 35 years of age and smoke
US Natl Inst Health; DailyMed. Current Medication Information GIANVI (drospirenone and ethinyl estradiol) kit (Updated: April 2012). Available from, as of April 23, 2015: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=723d0427-cf3f-4ad7-8b93-cb1250f345f6
Cigarette smoking increases the risk of serious cardiovascular side effects from oral contraceptive use. This risk increases with age and with heavy smoking (15 or more cigarettes per day) and is quite marked in women over 35 years of age. Women who use oral contraceptives should be strongly advised not to smoke.
US Natl Inst Health; DailyMed. Current Medication Information GIANVI (drospirenone and ethinyl estradiol) kit (November 2010). Available from, as of February 22, 2011: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=31973
Gianvi contains ... the progestin drospirenone that has antimineralocorticoid activity, including the potential for hyperkalemia in high-risk patients, comparable to a ... dose of spironolactone. Gianvi should not be used in patients with conditions that predispose to hyperkalemia (ie renal insufficiency, hepatic dysfunction and adrenal insufficiency). Women receiving daily, long-term treatment for chronic conditions or diseases with medications that may increase serum potassium should have their serum potassium level checked during the first treatment cycle. Medications that may increase serum potassium include ACE inhibitors, angiotensin - II receptor antagonists, potassium-sparing diuretics, potassium supplementation, heparin, aldosterone antagonists, and NSAIDS.
US Natl Inst Health; DailyMed. Current Medication Information GIANVI (drospirenone and ethinyl estradiol) kit (November 2010). Available from, as of February 22, 2011: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=31973
Use of oral contraceptives is associated with an increased risk of several serious conditions including thromboembolism, stroke, myocardial infarction, liver tumor, gallbladder disease, visual disturbances, fetal abnormalities, and hypertension. Cigarette smoking increases the risk of serious adverse cardiovascular effects during oral contraceptive use. This risk increases with age and with heavy smoking (15 or more cigarettes daily) and is markedly greater in women older than 35 years of age. Women who are receiving estrogen-progestin contraceptives should be strongly advised not to smoke. Women older than 35 years of age who smoke, and women with ischemic heart disease or a history of this disease, should not use estrogen-progestin contraceptives. Estrogen-progestin contraceptives should be used with caution in women with cardiovascular disease risk factors. /Estrogen-Progestin Combination/
American Society of Health System Pharmacists; AHFS Drug Information 2010. Bethesda, MD. (2010), p. 3112
For more Drug Warnings (Complete) data for Drospirenone (39 total), please visit the HSDB record page.
Drospirenone, in combination with ethinyl estradiol or estetrol, is indicated as an oral contraceptive for the prevention of pregnancy. In addition to its use for contraceptive effects, this combination is used to treat moderate acne vulgaris and the symptoms of premenstrual dysphoric disorder. The drug has approved indications for combination with estrogens for the treatment of menopause-associated symptoms, such as vasomotor symptoms and vulvovaginal atrophy. Drospirenone combined with estrogen may also may aid in the prevention of osteoporosis in women who have been post-menopausal for at least a year and are not candidates for other therapies. It can sometimes be found in preparations containing estrogen and folic acid for folic acid replenishment during oral contraception. When used for the treatment of acne vulgaris, drospirenone-containing contraceptives should only be used in women 14 years of age who have experienced menarche, desire oral contraception, and do not have any contraindications to oral contraceptives. Off-label uses for this drug include the treatment of menstrual irregularities, dysmenorrhea, hirsutism, and endometriosis.
FDA Label
Prevention of pregnancy
Drospirenone inhibits the maturation of follicles and inhibits ovulation, preventing pregnancy. It has antiandrogen effects, improving acne and hirsutism. When combined with ethinyl estradiol, it has been shown to have favorable effects on the plasma lipid profile. Due to its similarity to naturally occurring progesterone, drospirenone is thought to be associated with a lower incidence of progesterone contraceptive related adverse effects, such as breast tenderness and mood swings. **A note on venous thromboembolism risk and antimineralcorticoid effects** As with other oral contraceptives, the risk of venous thromboembolism and cardiovascular events may be increased when drospirenone is taken. The risk is especially higher in smokers and women aged 35 and older. Women taking this drug should be advised not to smoke. In addition, drospirenone, due to its antimineralcorticoid effects, may increase the risk of hyperkalemia. Patients at high risk for hyperkalemia should not be administered this drug. Consult the official prescribing information for detailed and updated information on the cardiovascular and other risks associated with drospirenone use.
Mineralocorticoid Receptor Antagonists
Drugs that bind to and block the activation of MINERALOCORTICOID RECEPTORS by MINERALOCORTICOIDS such as ALDOSTERONE. (See all compounds classified as Mineralocorticoid Receptor Antagonists.)
G03FA17
S76 | LUXPHARMA | Pharmaceuticals Marketed in Luxembourg | Pharmaceuticals marketed in Luxembourg, as published by d'Gesondheetskeess (CNS, la caisse nationale de sante, www.cns.lu), mapped by name to structures using CompTox by R. Singh et al. (in prep.). List downloaded from https://cns.public.lu/en/legislations/textes-coordonnes/liste-med-comm.html. Dataset DOI:10.5281/zenodo.4587355
G - Genito urinary system and sex hormones
G03 - Sex hormones and modulators of the genital system
G03A - Hormonal contraceptives for systemic use
G03AC - Progestogens
G03AC10 - Drospirenone
Absorption
The absolute bioavailability of drospirenone is approximately 76% due to first-pass effects. The maximum plasma concentration of drospirenone occurs within 1 to 2 hours after oral administration and is estimated to range between 60 and 87 ng/mL. A European prescribing monograph for the combination product of estradiol and drospirenone indicates that drospirenone is both completely and rapidly absorbed. It reports a Cmax of 21.9 ng/ml, achieved approximately 1-hour post-administration. The absolute bioavailability is reported to range between 76 to 85%.
Route of Elimination
Various metabolites of drospirenone are measured in the urine and feces. Drospirenone elimination from the body is almost after 10 days post-administration when negligible amounts of drospirenone are found unchanged in both the urine and feces. Between 38% to 47% of the metabolites are identified as glucuronide and sulfate conjugates in the urine. In the feces, approximately 17% to 20% of identifiable metabolites are found to be excreted as glucuronides and sulfates.
Volume of Distribution
The volume of distribution of drospirenone is estimated to be 4 L/kg, according to the FDA label for Yaz. Prescribing information from a combination of estradiol and drospirenone estimates the volume of distribution to range from 3.7- 4.2 L/kg.
Clearance
Drospirenone is rapidly cleared, typically within 2-3 days of administration of the last active tablet. The rate of clearance of drospirenone calculated in the serum ranges from 1.2-1.5 ml/min/kg, however, this value can vary by up to 25% according to the patient.
The absolute bioavailability of drospirenone (DRSP) from a single entity tablet is about 76%. Serum concentrations of DRSP and
