General Information of Drug (ID: DM7PQIK)

Drug Name
Nitrofurantoin
Synonyms
Alfuran; Benkfuran; Berkfuran; Berkfurin; Ceduran; Chemiofuran; Cistofuran; Cyantin; Cystit; Dantafur; Furabid; Furachel; Furadantin; Furadantine; Furadantoin; Furadoine; Furadonin; Furadonine; Furadoninum; Furadontin; Furalan; Furaloid; Furantoin; Furatoin; Furedan; Furina; Furobactina; Furodantin; Furophen; Gerofuran; Ituran; Macpac; Macrobid; Macrodantin; Macrodantina; Macrofuran; Macrofurin; NITROFURANTION; Nierofu; Nifurantin; Nifuretten; Nitoin; Nitrex; Nitrofuradantin; Nitrofurantoina; Nitrofurantoine; Nitrofurantoinum; Novofuran; Orafuran; Parfuran; Phenurin; PiyEloseptyl; Siraliden; Trantoin; Uerineks; Urantoin; Urizept; Urodil; Urodin; Urofuran; Urofurin; Urolisa; Urolong; Welfurin; Zoofurin; Fua Med; Furadantin Retard; Furadantina MC; Furadantine mc; Furophen T; NITROFURANTOIN MACROCRYSTALLINE; Nitrofurantoina [DCIT]; Fua-med; Fur-ren; Furadantin (TN); Furadantine-MC; Macrobid (TN); Macrodantin (TN); N-Toin; ND-3320; ND-7248; NITROFURANTOIN, MACROCRYSTALLINE; Nitro Macro (TN); Nitrofur-C; Nitrofurantoine [INN-French]; Nitrofurantoinum [INN-Latin]; Ro-Antoin; Urantoin (TN); Uro-Selz; Uro-Tablinen; Uro-tablineu; Usaf ea-2; Nitrofurantoin (JAN/USP/INN); Nitrofurantoin [USAN:INN:BAN:JAN]; N-(5-Nitrofurfurylidene)-1-aminohydantoin; N-(5-Nitro-2-furfurylidene)-1-aminohydantoin; N-(5-Nitro-2-furfurylideno)-1-aminohydantoina; N-(5-Nitro-2-furfurylideno)-1-aminohydantoina [Polish]; N-(5-nitro-2-furfurylidene)-1-aminohyda ntoin; 1-(((5-nitro-2-furanyl)methylene)amino)-2,4-imidazolidinedione; 1-((5-Nitrofurfurylidene)amino)hydantoin; 1-(5-Nitro-2-furfurylidenamino)hydantoin; 1-(5-Nitro-2-furfurylideneamino)hydantoin; 1-[(5-:nitrofurfurylidene)amino]hydantoin; 1-[(5-Nitrofurfurylidene)amino]hydantoin; 1-[(E)-(5-nitrofuran-2-yl)methylideneamino]imidazolidine-2,4-dione; 1-[[(5-Nitro-2-furanyl)methylene]amino]-2,4-imidazolidinedione; 1-{[(1E)-(5-nitro-2-furyl)methylene]amino}imidazolidine-2,4-dione; 1-{[(1E)-(5-nitrofuran-2-yl)methylidene]amino}imidazolidine-2,4-dione; 5-Nitrofurantoin
Indication
Disease Entry ICD 11 Status REF
Urinary tract infection GC08 Approved [1]
Therapeutic Class
Antiinfective Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 238.16
Topological Polar Surface Area (xlogp) -0.5
Rotatable Bond Count (rotbonds) 2
Hydrogen Bond Donor Count (hbonddonor) 1
Hydrogen Bond Acceptor Count (hbondacc) 6
ADMET Property
Absorption AUC
The area under the plot of plasma concentration (AUC) of drug is 2.21-2.42 mgh/L [2]
Absorption Cmax
The maximum plasma concentration (Cmax) of drug is 0.875-0.963 mg/L [2]
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 4: low solubility and low permeability [3]
Bioavailability
87% of drug becomes completely available to its intended biological destination(s) [4]
Clearance
The clearance of drug is 16.7-19.4 L/h [2]
Elimination
27-50% of an oral dose is excreted in the urine as unchanged nitrofurantoin [2]
Half-life
The concentration or amount of drug in body reduced by one-half in 0.72 - 0.78 hours [2]
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 24 micromolar/kg/day [5]
Unbound Fraction
The unbound fraction of drug in plasma is 0.17% [6]
Vd
The volume of distribution (Vd) of drug is 0.46 L/kg [7]
Water Solubility
The ability of drug to dissolve in water is measured as 0.19 mg/mL [3]
Chemical Identifiers
Formula
C8H6N4O5
IUPAC Name
1-[(E)-(5-nitrofuran-2-yl)methylideneamino]imidazolidine-2,4-dione
Canonical SMILES
C1C(=O)NC(=O)N1/N=C/C2=CC=C(O2)[N+](=O)[O-]
InChI
InChI=1S/C8H6N4O5/c13-6-4-11(8(14)10-6)9-3-5-1-2-7(17-5)12(15)16/h1-3H,4H2,(H,10,13,14)/b9-3+
InChIKey
NXFQHRVNIOXGAQ-YCRREMRBSA-N
Cross-matching ID
PubChem CID
6604200
ChEBI ID
CHEBI:71415
CAS Number
67-20-9
DrugBank ID
DB00698
TTD ID
D0R0BX
VARIDT ID
DR00886
INTEDE ID
DR1169
ACDINA ID
D00475

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Bacterial Deoxyribonucleic acid (Bact DNA) TTS1W4A NOUNIPROTAC Breaker [8]

Drug Transporter (DTP)
DTP Name DTP ID UniProt ID MOA REF
Breast cancer resistance protein (ABCG2) DTI7UX6 ABCG2_HUMAN Substrate [9]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
NADPH-cytochrome P450 reductase (CPR) DE3N2FM NCPR_HUMAN Substrate [10]
NADPH-dependent oxidoreductase (nfrA) DE82GV7 NRFA_STAA8 Substrate [11], [12]
NADPH-dependent nitroreductase (nfrA1) DE21PLI NFRA1_BACSU Substrate [13], [14]
Nitroreductase (NTR) DEUW4J0 A0A376H6M5_ENTGA Substrate [15]
Nitroreductase (NTR) DEP7ECA B1R7B9_CLOPF Substrate [16]
Nitroreductase (NTR) DE5LYXF A0A2X3BKF5_CLOSG Substrate [17], [16]
Nitroreductase (NTR) DE3U2Y6 A0A377KR04_ENTCA Substrate [15]
Nitroreductase (NTR) DEAVXGM A0A412R9E4_9FIRM Substrate [16]
Nitroreductase (NTR) DE7XBKW A0A174SJF2_9CLOT Substrate [16]
Nitroreductase (NTR) DEH3ABM A0A351QTB1_CLOSP Substrate [16]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Disease Different from Nitrofurantoin (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Remdesivir DMBFZ6L Moderate Increased risk of hepatotoxicity by the combination of Nitrofurantoin and Remdesivir. 1D6YCoronavirus Disease 2019 [1D6YCoronavirus Disease 2019] [43]
Scopolamine DMOM8AL Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Scopolamine. Addictive disorder [6C50-6C5Z] [44]
Bedaquiline DM3906J Moderate Increased risk of hepatotoxicity by the combination of Nitrofurantoin and Bedaquiline. Antimicrobial drug resistance [MG50-MG52] [45]
Pexidartinib DMS2J0Z Major Increased risk of hepatotoxicity by the combination of Nitrofurantoin and Pexidartinib. Bone/articular cartilage neoplasm [2F7B] [46]
Mepenzolate DM8YU2F Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Mepenzolate. Digestive system disease [DE2Z] [44]
Oxybutynine DMJPBAX Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Oxybutynine. Discovery agent [N.A.] [44]
Ethotoin DMXWOCP Moderate Increased metabolism of Nitrofurantoin caused by Ethotoin mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [47]
Cannabidiol DM0659E Moderate Increased risk of hepatotoxicity by the combination of Nitrofurantoin and Cannabidiol. Epileptic encephalopathy [8A62] [48]
Solifenacin DMG592Q Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Solifenacin. Functional bladder disorder [GC50] [44]
Tolterodine DMSHPW8 Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Tolterodine. Functional bladder disorder [GC50] [44]
Propantheline DM2EN6G Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Propantheline. Gastric ulcer [DA60] [44]
Brentuximab vedotin DMWLC57 Moderate Increased risk of peripheral neuropathy by the combination of Nitrofurantoin and Brentuximab vedotin. Hodgkin lymphoma [2B30] [49]
Mipomersen DMGSRN1 Major Increased risk of hepatotoxicity by the combination of Nitrofurantoin and Mipomersen. Hyper-lipoproteinaemia [5C80] [50]
Teriflunomide DMQ2FKJ Major Increased risk of hepatotoxicity by the combination of Nitrofurantoin and Teriflunomide. Hyper-lipoproteinaemia [5C80] [51]
BMS-201038 DMQTAGO Major Increased risk of hepatotoxicity by the combination of Nitrofurantoin and BMS-201038. Hyper-lipoproteinaemia [5C80] [52]
Belladonna DM2RBWK Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Belladonna. Infectious gastroenteritis/colitis [1A40] [44]
Clidinium DMUMQZ0 Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Clidinium. Irritable bowel syndrome [DD91] [44]
Dicyclomine DMZSDGX Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Dicyclomine. Irritable bowel syndrome [DD91] [44]
Calaspargase pegol DMQZBXI Moderate Increased risk of hepatotoxicity by the combination of Nitrofurantoin and Calaspargase pegol. Malignant haematopoietic neoplasm [2B33] [53]
Idelalisib DM602WT Moderate Increased risk of hepatotoxicity by the combination of Nitrofurantoin and Idelalisib. Mature B-cell leukaemia [2A82] [54]
Thalidomide DM70BU5 Moderate Increased risk of peripheral neuropathy by the combination of Nitrofurantoin and Thalidomide. Multiple myeloma [2A83] [55]
Prilocaine DMI7DZ2 Major Increased risk of methemoglobinemia by the combination of Nitrofurantoin and Prilocaine. Pain [MG30-MG3Z] [56]
Flavoxate DMKV4NL Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Flavoxate. Pain [MG30-MG3Z] [44]
Biperiden DME78OA Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Biperiden. Parkinsonism [8A00] [44]
Methylscopolamine DM5VWOB Minor Altered absorption of Nitrofurantoin due to GI dynamics variation caused by Methylscopolamine. Peptic ulcer [DA61] [44]
Leflunomide DMR8ONJ Major Increased risk of hepatotoxicity by the combination of Nitrofurantoin and Leflunomide. Rheumatoid arthritis [FA20] [51]
Trabectedin DMG3Y89 Moderate Increased risk of hepatotoxicity by the combination of Nitrofurantoin and Trabectedin. Solid tumour/cancer [2A00-2F9Z] [48]
Naltrexone DMUL45H Moderate Increased risk of hepatotoxicity by the combination of Nitrofurantoin and Naltrexone. Substance abuse [6C40] [57]
⏷ Show the Full List of 28 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
Allura red AC dye E00338 33258 Colorant
D&C red no. 33 E00261 19116 Colorant
FD&C blue no. 1 E00263 19700 Colorant
FD&C blue no. 2 E00446 2723854 Colorant
Quinoline yellow WS E00309 24671 Colorant
Sodium lauryl sulfate E00464 3423265 Emulsifying agent; Modified-release agent; Penetration agent; Solubilizing agent; Surfactant; lubricant
Sunset yellow FCF E00255 17730 Colorant
Beta-D-lactose E00099 6134 Diluent; Dry powder inhaler carrier; Lyophilization aid
Butyl alcohol E00011 263 Flavoring agent; Solvent
Eisenoxyd E00585 56841934 Colorant
Ferric hydroxide oxide yellow E00539 23320441 Colorant
Ferrosoferric oxide E00231 14789 Colorant
Lactose monohydrate E00393 104938 Binding agent; Diluent; Dry powder inhaler carrier; Lyophilization aid
Magnesium stearate E00208 11177 lubricant
Potassium hydroxide E00233 14797 Alkalizing agent
Propylene glycol E00040 1030 Antimicrobial preservative; Humectant; Plasticizing agent; Solvent
Silicon dioxide E00670 Not Available Anticaking agent; Opacifying agent; Viscosity-controlling agent
Talc E00520 16211421 Anticaking agent; Diluent; Glidant; lubricant
Titanium dioxide E00322 26042 Coating agent; Colorant; Opacifying agent
⏷ Show the Full List of 19 Pharmaceutical Excipients of This Drug
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Nitrofurantoin 100 mg capsule 100 mg Oral Capsule Oral
Nitrofurantoin 50 mg capsule 50 mg Oral Capsule Oral
Nitrofurantoin 25 mg capsule 25 mg Oral Capsule Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

1 FDA Approved Drug Products from FDA Official Website. 2009. Application Number: (NDA) 009175.
2 Pharmacological properties of oral antibiotics for the treatment of uncomplicated urinary tract infections. J Chemother. 2017 Dec;29(sup1):10-18. doi: 10.1080/1120009X.2017.1380357.
3 BDDCS applied to over 900 drugs
4 Critical Evaluation of Human Oral Bioavailability for Pharmaceutical Drugs by Using Various Cheminformatics Approaches
5 Estimating the safe starting dose in phase I clinical trials and no observed effect level based on QSAR modeling of the human maximum recommended daily dose
6 Trend Analysis of a Database of Intravenous Pharmacokinetic Parameters in Humans for 1352 Drug Compounds
7 Niazi S, Vishnupad KS, Veng-Pedersen P: Absorption and disposition characteristics of nitrofurantoin in dogs. Biopharm Drug Dispos. 1983 Jul-Sep;4(3):213-23.
8 On the nature of the adaptive response induced by mitomycin C in Vibrio cholerae OGAWA 154 cells. Biochem Biophys Res Commun. 1996 Mar 27;220(3):509-14.
9 The breast cancer resistance protein (BCRP/ABCG2) affects pharmacokinetics, hepatobiliary excretion, and milk secretion of the antibiotic nitrofurantoin. Mol Pharmacol. 2005 May;67(5):1758-64.
10 Role of cytochrome P450 reductase in nitrofurantoin-induced redox cycling and cytotoxicity. Free Radic Biol Med. 2008 Mar 15;44(6):1169-79.
11 Reduction of polynitroaromatic compounds: the bacterial nitroreductases. FEMS Microbiol Rev. 2008 May;32(3):474-500.
12 The human gut microbiota: metabolism and perspective in obesity. Gut Microbes. 2018 Jul 4;9(4):308-325.
13 Conversion of NfsA, the major Escherichia coli nitroreductase, to a flavin reductase with an activity similar to that of Frp, a flavin reductase in Vibrio harveyi, by a single amino acid substitution. J Bacteriol. 1998 Jan;180(2):422-5.
14 Bacillus subtilis isolated from the human gastrointestinal tract. Res Microbiol. 2009 Mar;160(2):134-43.
15 Mechanism of metronidazole-resistance by isolates of nitroreductase-producing Enterococcus gallinarum and Enterococcus casseliflavus from the human intestinal tract. FEMS Microbiol Lett. 2003 Aug 29;225(2):195-200.
16 Isolation of nitrofurantoin-resistant mutants of nitroreductase-producing Clostridium sp. strains from the human intestinal tract. Antimicrob Agents Chemother. 1998 May;42(5):1121-6.
17 Biotransformation of 1-nitropyrene in intestinal anaerobic bacteria. Microbiol Immunol. 1982;26(11):993-1005.
18 Kinetics of anthracycline antibiotic free radical formation and reductive glycosidase activity. Arch Biochem Biophys. 1983 May;223(1):68-75.
19 Lack of mechanism-based inactivation of rat hepatic microsomal cytochromes P450 by doxorubicin. Can J Physiol Pharmacol. 1999 Aug;77(8):589-97.
20 Polymorphisms in cytochrome P450 oxidoreductase and its effect on drug metabolism and efficacy. Pharmacogenet Genomics. 2017 Sep;27(9):337-346.
21 On the mechanism of the inactivation of the major phenobarbital-inducible isozyme of rat liver cytochrome P-450 by chloramphenicol. J Biol Chem. 1985 Jul 15;260(14):8397-403.
22 Generation of free radicals during the reductive metabolism of nilutamide by lung microsomes: possible role in the development of lung lesions in patients treated with this anti-androgen. Biochem Pharmacol. 1992 Feb 4;43(3):654-7.
23 Creatinine sulfate/esculoside/hesperidin methyl chalcone/menadiol sodium phosphate/tranexamic acid actions.
24 Characterization of the enzymes involved in the in vitro metabolism of amrubicin hydrochloride. Xenobiotica. 2005 Dec;35(12):1121-33.
25 Flavin-containing reductase: new perspective on the detoxification of nitrobenzodiazepine. Expert Opin Drug Metab Toxicol. 2010 Aug;6(8):967-81.
26 Reduction of nitrazepam by Clostridium leptum, a nitroreductase-producing bacterium isolated from the human intestinal tract. Clin Infect Dis. 1997 Sep;25 Suppl 2:S121-2.
27 Acetamide--a metabolite of metronidazole formed by the intestinal flora. Biochem Pharmacol. 1979 Dec 15;28(24):3611-5.
28 Doxorubicin transport by RALBP1 and ABCG2 in lung and breast cancer. Int J Oncol. 2007 Mar;30(3):717-25.
29 Wild-type breast cancer resistance protein (BCRP/ABCG2) is a methotrexate polyglutamate transporter. Cancer Res. 2003 Sep 1;63(17):5538-43.
30 The effect of low pH on breast cancer resistance protein (ABCG2)-mediated transport of methotrexate, 7-hydroxymethotrexate, methotrexate diglutamate, folic acid, mitoxantrone, topotecan, and resveratrol in in vitro drug transport models. Mol Pharmacol. 2007 Jan;71(1):240-9.
31 Role of BCRP as a biomarker for predicting resistance to 5-fluorouracil in breast cancer. Cancer Chemother Pharmacol. 2009 May;63(6):1103-10.
32 Inhibiting the function of ABCB1 and ABCG2 by the EGFR tyrosine kinase inhibitor AG1478. Biochem Pharmacol. 2009 Mar 1;77(5):781-93.
33 Sterol transport by the human breast cancer resistance protein (ABCG2) expressed in Lactococcus lactis. J Biol Chem. 2003 Jun 6;278(23):20645-51.
34 The phytoestrogen genistein enhances multidrug resistance in breast cancer cell lines by translational regulation of ABC transporters. Cancer Lett. 2016 Jun 28;376(1):165-72.
35 Curcumin inhibits the activity of ABCG2/BCRP1, a multidrug resistance-linked ABC drug transporter in mice. Pharm Res. 2009 Feb;26(2):480-7.
36 Imatinib mesylate (STI571) is a substrate for the breast cancer resistance protein (BCRP)/ABCG2 drug pump. Blood. 2004 Nov 1;104(9):2940-2.
37 DNA breakage due to metronidazole treatment. Mutat Res. 2001 Jul 1;478(1-2):153-8.
38 The mode of action of clofazimine DNA binding studies. Int J Lepr Other Mycobact Dis. 1976 Jan-Jun;44(1-2):133-4.
39 Interaction between hydroxystilbamidine and DNA. I. Binding isotherms and thermodynamics of the association. Biochim Biophys Acta. 1975 Sep 12;407(1):24-42.
40 Interaction of furazolidone with DNA. Biochim Biophys Acta. 1975 Aug 21;402(2):161-5.
41 Interaction of small molecules with double-stranded RNA: spectroscopic, viscometric, and calorimetric study of hoechst and proflavine binding to PolyCG structures. DNA Cell Biol. 2009 Apr;28(4):209-19.
42 Clinical pipeline report, company report or official report of MGB Biopharma.
43 Cerner Multum, Inc. "Australian Product Information.".
44 Jaffe JM "Effect of propantheline on nitrofurantoin absorption." J Pharm Sci 64 (1975): 1729-30. [PMID: 1185550]
45 Product Information. Sirturo (bedaquiline). Janssen Pharmaceuticals, Titusville, NJ.
46 Product Information. Turalio (pexidartinib). Daiichi Sankyo, Inc., Parsippany, NJ.
47 Heipertz R, Pilz H "Interaction of nitrofurantoin with diphenylhydantoin." J Neurol 218 (1978): 297-301. [PMID: 81279]
48 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
49 Product Information. Accolate (zafirlukast). Zeneca Pharmaceuticals, Wilmington, DE.
50 Product Information. Kynamro (mipomersen). Genzyme Corporation, Cambridge, MA.
51 Canadian Pharmacists Association.
52 Product Information. Juxtapid (lomitapide). Aegerion Pharmaceuticals Inc, Cambridge, MA.
53 Al-Nawakil C, Willems L, Mauprivez C, et.al "Successful treatment of l-asparaginase-induced severe acute hepatotoxicity using mitochondrial cofactors." Leuk Lymphoma 55 (2014): 1670-4. [PMID: 24090500]
54 Product Information. Zydelig (idelalisib). Gilead Sciences, Foster City, CA.
55 Argov Z, Mastaglia FL "Drug-induced peripheral neuropathies." Br Med J 1 (1979): 663-6. [PMID: 219931]
56 Agencia Espaola de Medicamentos y Productos Sanitarios Healthcare "Centro de informacion online de medicamentos de la AEMPS - CIMA.".
57 Product Information. ReVia (naltrexone). DuPont Pharmaceuticals, Wilmington, DE.