Identification
Name Flumethasone Pivalate
Accession Number DB00663 (APRD00975)
Type small molecule
Description Flumethasone pivalate is a moderately potent difluorinated corticosteroid ester with anti-inflammatory, antipruritic and vasoconstrictive properties. As it is a privalate salt, its anti-inflammatory action is concentrated at the site of application. This local effect on diseased areas results in a prompt decrease in inflammation, exudation and itching.
Structure
Categories (*)
Molecular Weight 494.5679
Groups approved
Monoisotopic Weight 494.247995294
Pharmacology
Indication For the treatment of contact dermatitis, atopic dermatitis, exczema, psoriasis, diaper rash and other skin conditions
Mechanism of action Flumethasone is a glucocorticoid receptor agonist. This complex binds to the nucleus causing a variety of genetic activation and repressions. The antiinflammatory actions of corticosteroids are thought to involve lipocortins, phospholipase A2 inhibitory proteins which, through inhibition arachidonic acid, control the biosynthesis of prostaglandins and leukotrienes. The immune system is suppressed by corticosteroids due to a decrease in the function of the lymphatic system, a reduction in immunoglobulin and complement concentrations, the precipitation of lymphocytopenia, and interference with antigen-antibody binding. Flumethasone binds to plasma transcortin, and it becomes active when it is not bound to transcortin.
Absorption Minimal if applied topically
Protein binding Not Available
Biotransformation Primarily hepatic
Route of elimination Not Available
Toxicity Can lead to signs of irritation such as burning sensation, itching or skin rash at the site of application; hypersensitivity reactions.
Affected organisms
  • Humans and other mammals
Interactions
Drug Interactions Not Available
Food Interactions Not Available
Glucocorticoid receptor
Name Glucocorticoid receptor
Gene Name NR3C1
Pharmacological action yes
Actions agonist
References
  • Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. - Pubmed
  • Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. - Pubmed
  • Maier C, Runzler D, Schindelar J, Grabner G, Waldhausl W, Kohler G, Luger A: G-protein-coupled glucocorticoid receptors on the pituitary cell membrane. J Cell Sci. 2005 Aug 1;118(Pt 15):3353-61. - Pubmed
  • Labeur M, Holsboer F: Molecular mechanisms of glucocorticoid receptor signaling. Medicina (B Aires). 2010;70(5):457-462. - Pubmed
DTHybrid score 1.1669
Id Partner name Gene Name Score
4512 Cytochrome P450 3A4 CYP3A4 0.139
723 Cytosolic phospholipase A2 PLA2G4A 0.0517
469 Annexin A1 ANXA1 0.0385
1588 Multidrug resistance protein 1 ABCB1 0.0383
4118 Cytochrome P450 3A5 CYP3A5 0.032
614 Progesterone receptor PGR 0.0311
756 Sex hormone-binding globulin SHBG 0.0302
737 Mineralocorticoid receptor NR3C2 0.0299
269 Adrenodoxin, mitochondrial FDX1 0.0258
6139 Solute carrier organic anion transporter family member 1A2 SLCO1A2 0.0194
805 Cytochrome P450 11B1, mitochondrial CYP11B1 0.019
4604 Liver carboxylesterase 1 CES1 0.0177
146 Androgen receptor AR 0.0161
3923 Cholinesterase BCHE 0.0142
381 Prolactin receptor PRLR 0.0142
290 Prostaglandin G/H synthase 2 PTGS2 0.0138
6107 Cytochrome P450 3A7 CYP3A7 0.0132
4119 Cytochrome P450 2D6 CYP2D6 0.013
5718 Cytochrome P450 2A6 CYP2A6 0.0123
4924 Cytochrome P450 2C8 CYP2C8 0.0122
2751 Holliday junction ATP-dependent DNA helicase ruvB ruvB 0.0105
4755 Holliday junction ATP-dependent DNA helicase ruvB ruvB 0.0105
4615 Chain A, Red Copper Protein Nitrosocyanin NE0143 0.0093
6024 Cytochrome P450 1A1 CYP1A1 0.0084
3811 Cytochrome P450 19A1 CYP19A1 0.0083
1758 GTPase HRas HRAS 0.0068
4200 Cytochrome P450 1A2 CYP1A2 0.0061
6500 Phospholipase A2 PLA2G1B 0.006
136 Estrogen receptor ESR1 0.0052
364 Corticosteroid 11-beta-dehydrogenase isozyme 1 HSD11B1 0.0048
2300 Lysozyme E 0.0047
3633 Lysozyme R 0.0047
5597 Lysozyme 17 0.0047
6023 Cytochrome P450 11B2, mitochondrial CYP11B2 0.0035
6016 Cytochrome P450 2C19 CYP2C19 0.0034
862 Multidrug resistance-associated protein 1 ABCC1 0.0031
587 Serum albumin ALB 0.003
1732 ATP-binding cassette sub-family G member 2 ABCG2 0.0028
84 Nuclear receptor 0B1 NR0B1 0.0023
380 Cytochrome P450 17A1 CYP17A1 0.0017
6031 Cytochrome P450 3A43 CYP3A43 0.0014
468 Cytochrome P450 4A11 CYP4A11 0.0014
6017 Cholesterol side-chain cleavage enzyme, mitochondrial CYP11A1 0.0013
1898 Cytochrome P450 1B1 CYP1B1 0.0011
776 Bile salt export pump ABCB11 0.0011
7 Nitric oxide synthase, inducible NOS2 0.0011
1735 Canalicular multispecific organic anion transporter 1 ABCC2 0.0009
6030 Cytochrome P450 2B6 CYP2B6 0.0008
6013 Cytochrome P450 2E1 CYP2E1 0.0008
4757 Cytochrome P450 2C9 CYP2C9 0.0007