General Information of Drug (ID: DMBSXI0)

Drug Name
Dienestrol
Synonyms
Agaldog; Cycladiene; Dehydrostilbestrol; Dehydrostilboestrol; Dienesterol; Dienestrolo; Dienestrolum; Dienoestrol; Dienol; Dinestrol; Dinovex; Estragard; Estraguard; Estrodienol; Estroral; Follidiene; Follormon; Gynefollin; Hormofemin; Isodienestrol; Oestrasid; Oestrodiene; Oestrodienol; Oestroral; Oestrovis; Restrol; Retalon; Sexadien; Synestrol; Teserene; Willnestrol; Dienestrolo [DCIT]; Dienoestrol [Nonsteroidal oestrogens]; Dienoestrol bp; Alpha-Dienestrol; DV (TN); Dienestrolum [INN-Latin]; Para-Dien; Restrol, Dienestrol; Dienestrol (E,E); Dienestrol (USP/INN); Dienestrol, (E,E)-Isomer; P,p'-(Diethylideneethylene)diphenol; Para,para'-(Diethylideneethylene)diphenol; Di(p-oxyphenyl)-2,4-hexadiene; Di(para-oxyphenyl)-2,4-hexadiene; Phenol, 4,4'-(1,2-diethylidene-1,2-ethanediyl)bis-, (E,E-(9CI); (E,E)-Dienestrol; 3,4-Bis(4-hydroxyphenyl)-2,4-hexadiene; 3,4-Bis(p-hydroxyphenyl)-2,4-hexadiene; 3,4-Bis(para-hydroxyphenyl)-2,4-hexadiene; 4,4'-(1,2-Diethylidene-1,2-ethanediyl)bisphenol; 4,4'-(2E,4E)-hexa-2,4-diene-3,4-diyldiphenol; 4,4'-(Diethylideneethylene)diphenol; 4,4'-Dihydroxy-gamma,delta-diphenyl-beta,delta-hexadiene; 4,4'-Hydroxy-gamma,delta-diphenyl-beta,delta-hexadiene; 4,4'-hexa-2,4-diene-3,4-diyldiphenol; 4-[(2E,4E)-4-(4-hydroxyphenyl)hexa-2,4-dien-3-yl]phenol
Indication
Disease Entry ICD 11 Status REF
Atrophic vaginitis GA30.2 Approved [1], [2], [3]
Therapeutic Class
Estrogens
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 1 Molecular Weight (mw) 266.3
Topological Polar Surface Area (xlogp) 5.4
Rotatable Bond Count (rotbonds) 3
Hydrogen Bond Donor Count (hbonddonor) 2
Hydrogen Bond Acceptor Count (hbondacc) 2
ADMET Property
Metabolism
The drug is metabolized via the hepatic [4]
Chemical Identifiers
Formula
C18H18O2
IUPAC Name
4-[(2E,4E)-4-(4-hydroxyphenyl)hexa-2,4-dien-3-yl]phenol
Canonical SMILES
C/C=C(/C(=C/C)/C1=CC=C(C=C1)O)\\C2=CC=C(C=C2)O
InChI
InChI=1S/C18H18O2/c1-3-17(13-5-9-15(19)10-6-13)18(4-2)14-7-11-16(20)12-8-14/h3-12,19-20H,1-2H3/b17-3+,18-4+
InChIKey
NFDFQCUYFHCNBW-SCGPFSFSSA-N
Cross-matching ID
PubChem CID
667476
ChEBI ID
CHEBI:4518
CAS Number
13029-44-2
DrugBank ID
DB00890
TTD ID
D09ZQN

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Estrogen receptor (ESR) TTZAYWL ESR1_HUMAN Agonist [5]
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 Dienestrol (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Posaconazole DMUL5EW Moderate Decreased metabolism of Dienestrol caused by Posaconazole mediated inhibition of CYP450 enzyme. Aspergillosis [1F20] [13]
Clarithromycin DM4M1SG Moderate Decreased metabolism of Dienestrol caused by Clarithromycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [14]
Telithromycin DMZ4P3A Moderate Decreased metabolism of Dienestrol caused by Telithromycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [15]
Tucatinib DMBESUA Moderate Decreased metabolism of Dienestrol caused by Tucatinib mediated inhibition of CYP450 enzyme. Breast cancer [2C60-2C6Y] [16]
Atorvastatin DMF28YC Minor Decreased metabolism of Dienestrol caused by Atorvastatin mediated inhibition of CYP450 enzyme. Cardiovascular disease [BA00-BE2Z] [17]
MK-8228 DMOB58Q Moderate Decreased metabolism of Dienestrol caused by MK-8228 mediated inhibition of CYP450 enzyme. Cytomegaloviral disease [1D82] [14]
Nefazodone DM4ZS8M Moderate Decreased metabolism of Dienestrol caused by Nefazodone mediated inhibition of CYP450 enzyme. Depression [6A70-6A7Z] [18]
Dantrolene DM1D8XY Major Increased risk of hepatotoxicity by the combination of Dienestrol and Dantrolene. Fever [MG26] [19]
Tazemetostat DMWP1BH Moderate Increased metabolism of Dienestrol caused by Tazemetostat mediated induction of CYP450 enzyme. Follicular lymphoma [2A80] [20]
Itraconazole DMCR1MV Moderate Decreased metabolism of Dienestrol caused by Itraconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [13]
Miconazole DMPMYE8 Moderate Decreased metabolism of Dienestrol caused by Miconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [13]
Ketoconazole DMPZI3Q Moderate Decreased metabolism of Dienestrol caused by Ketoconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [13]
ABT-450 DMFW860 Major Decreased metabolism of Dienestrol caused by ABT-450 mediated inhibition of UGT. Hepatitis virus infection [1E50-1E51] [21]
Tipranavir DM8HJX6 Moderate Increased risk of skin rash by the combination of Dienestrol and Tipranavir. Human immunodeficiency virus disease [1C60-1C62] [22]
Saquinavir DMG814N Moderate Decreased metabolism of Dienestrol caused by Saquinavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [14]
Darunavir DMN3GCH Moderate Decreased metabolism of Dienestrol caused by Darunavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [23]
Carfilzomib DM48K0X Major Additive thrombogenic effects by the combination of Dienestrol and Carfilzomib. Multiple myeloma [2A83] [24]
Rucaparib DM9PVX8 Moderate Decreased metabolism of Dienestrol caused by Rucaparib mediated inhibition of CYP450 enzyme. Ovarian cancer [2C73] [25]
Lonafarnib DMGM2Z6 Moderate Decreased metabolism of Dienestrol caused by Lonafarnib mediated inhibition of CYP450 enzyme. Premature ageing appearance [LD2B] [26]
Voxelotor DMCS6M5 Moderate Decreased metabolism of Dienestrol caused by Voxelotor mediated inhibition of CYP450 enzyme. Sickle-cell disorder [3A51] [27]
⏷ Show the Full List of 20 DDI Information of This Drug

References

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2 Drugs@FDA. U.S. Food and Drug Administration. U.S. Department of Health & Human Services. 2015
3 FDA Approved Drug Products from FDA Official Website. 2009. Application Number: (NDA) 006110.
4 FDA approval: ado-trastuzumab emtansine for the treatment of patients with HER2-positive metastatic breast cancer. Clin Cancer Res. 2014 Sep 1;20(17):4436-41.
5 Potential use of an estrogen-glucocorticoid receptor chimera as a drug screen for tissue selective estrogenic activity. Bone. 2009 Jan;44(1):102-12.
6 Modulators of vascular sex hormone receptors and their effects in estrogen-deficiency states associated with menopause. Recent Pat Cardiovasc Drug Discov. 2008 Nov;3(3):165-86.
7 Reprint of Are all estrogens the same Maturitas. 2008 Sep-Oct;61(1-2):195-201.
8 Drugs@FDA. U.S. Food and Drug Administration. U.S. Department of Health & Human Services.
9 17alpha-Ethinylestradiol hinders nucleotide excision repair in zebrafish liver cells. Aquat Toxicol. 2009 Dec 13;95(4):273-8.
10 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Target id: 620).
11 Clinical pipeline report, company report or official report of Shionogi (2011).
12 Effect of selective estrogen receptor modulators on cell proliferation and estrogen receptor activities in normal human prostate stromal and epithe... Prostate Cancer Prostatic Dis. 2009;12(4):375-81.
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19 Fuhr U, Maier-Bruggemann A, Blume H, et al. "Grapefruit juice increases oral nimodipine bioavailability." Int J Clin Pharmacol Ther 36 (1998): 126-32. [PMID: 9562227]
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21 Product Information. Norvir (ritonavir). Abbott Pharmaceutical, Abbott Park, IL.
22 Canadian Pharmacists Association.
23 Product Information. Prezista (darunavir). Ortho Biotech Inc, Bridgewater, NJ.
24 Product Information. Kyprolis (carfilzomib). Onyx Pharmaceuticals Inc, South San Francisco, CA.
25 EMA. European Medicines Agency. European Union "EMA - List of medicines under additional monitoring.".
26 Product Information. Zokinvy (lonafarnib). Eiger BioPharmaceuticals, Palo Alto, CA.
27 Bailey DG, Arnold JMO, Spence JD "Grapefruit juice and drugs - how significant is the interaction." Clin Pharmacokinet 26 (1994): 91-8. [PMID: 8162660]