Identification
- Summary
Budesonide is a corticosteroid used to treat Crohn's disease, asthma, COPD, hay fever and allergies, and ulcerative colitis.
- Brand Names
- Breyna, Breztri, Cortiment, Entocort, Ortikos, Pulmicort, Pulmicort Turbuhaler, Rhinocort, Symbicort, Tarpeyo, Uceris
- Generic Name
- Budesonide
- DrugBank Accession Number
- DB01222
- Background
Budesonide is a glucocorticoid that is a mix of the 22R and 22S epimer used to treat inflammatory conditions of the lungs and intestines such as asthma, COPD, Crohn's disease, and ulcerative colitis.5,6
Budesonide was granted FDA approval on 14 February 1994.8 It is also available in a combination product with formoterol.14
- Type
- Small Molecule
- Groups
- Approved
- Structure
Structure for Budesonide (DB01222)
- Weight
- Average: 430.5339
Monoisotopic: 430.23553882 - Chemical Formula
- C25H34O6
- Synonyms
- (11β,16α)-16,17-(Butylidenebis(oxy))-11,21-dihydroxypregna-1,4-diene-3,20-dione
- Budesónida
- Budesonide
- External IDs
- MAP-0010
- MAP0010
- S-1320
Pharmacology
- Indication
Budesonide extended release capsules are indicated for the treatment and maintenance of mild to moderate Crohn’s disease.9,10 Various inhaled budesonide products are indicated for prophylactic therapy in asthma 11,12,14 and to reduce exacerbations of COPD.14 A budesonide nasal spray is available over the counter for symptoms of hay fever and upper respiratory allergies.13 Extended-release capsules are indicated to induce remission of mild to moderate ulcerative colitis15 and a rectal foam is used for mild to moderate distal ulcerative colitis.16 In addition, a delayed-release capsule formulation of budesonide is indicated to reduce proteinuria in adults with IgA nephropathy at risk of rapid disease progression.17,19 In Europe, budesonide is indicated to treat eosinophilic esophagitis (EoE) in adults.20
Reduce drug development failure ratesBuild, train, & validate machine-learning modelswith evidence-based and structured datasets.Build, train, & validate predictive machine-learning models with structured datasets.- Associated Conditions
- Allergic Reaction
- Allergic Rhinitis (AR)
- Asthma
- Bronchoconstriction
- Chronic Obstructive Pulmonary Disease (COPD)
- Collagenous Colitis
- Crohn's Disease (CD)
- Eosinophilic Esophagitis
- Exacerbation of asthma
- Nasal Congestion
- Nasal Polyps
- Proteinuria
- Pruritus
- Rhino Sinusitis
- Ulcerative Colitis
- Vasomotor Rhinitis
- Corticosteroid-responsive dermatoses
- Mild Crohn’s Disease
- Moderate Crohn’s Disease
- Associated Therapies
- Contraindications & Blackbox Warnings
Avoid life-threatening adverse drug eventsImprove clinical decision support with information on contraindications & blackbox warnings, population restrictions, harmful risks, & more.Avoid life-threatening adverse drug events & improve clinical decision support.- Pharmacodynamics
Budesonide is a glucocorticoid used to treat respiratory and digestive conditions by reducing inflammation.9,10,11,12,14,15,16 It has a wide therapeutic index, as dosing varies highly from patient to patient.9,10,11,12,14,15,16 Patients should be counselled regarding the risk of hypercorticism and adrenal axis suppression.9,10,11,12,14,15,16
- Mechanism of action
The short term effects of corticosteroids are decreased vasodilation and permeability of capillaries, as well as decreased leukocyte migration to sites of inflammation.1 Corticosteroids binding to the glucocorticoid receptor mediates changes in gene expression that lead to multiple downstream effects over hours to days.1
Glucocorticoids inhibit neutrophil apoptosis and demargination; they inhibit phospholipase A2, which decreases the formation of arachidonic acid derivatives; they inhibit NF-Kappa B and other inflammatory transcription factors; they promote anti-inflammatory genes like interleukin-10.1
Lower doses of corticosteroids provide an anti-inflammatory effect, while higher doses are immunosuppressive.1 High doses of glucocorticoids for an extended period bind to the mineralocorticoid receptor, raising sodium levels and decreasing potassium levels.1
Target Actions Organism AGlucocorticoid receptor agonistHumans UAnnexin A1 substrateHumans - Absorption
Extended release oral capsules are 9-21% bioavailable.9,10 A 9mg dose reaches a Cmax of 1.50±0.79ng/mL with a Tmax of 2-8h and an AUC of 7.33ng*hr/mL.9,10 A high fat meal increases the Tmax by 2.3h but otherwise does not affect the pharmacokinetics of budesonide.9,10
180-360µg metered inhaled doses of budesonide are 34% deposited in the lungs, 39% bioavailable, and reach a Cmax of 0.6-1.6nmol/L with a Tmax of 10 minutes.11
A 1mg nebulized dose is 6% bioavailable, reaching a Cmax of 2.6nmol/L with a Tmax of 20 minutes.12
A 9mg oral extended release tablet reaches a Cmax of 1.35±0.96ng/mL with a Tmax of 13.3±5.9h and an AUC of 16.43±10.52ng*hr/mL.15
Budesonide rectal foam 2mg twice daily has an AUC of 4.31ng*hr/mL.16
- Volume of distribution
The volume of distribution of budesonide is 2.2-3.9L/kg.9,10,11,12,15,16
- Protein binding
Corticosteroids are generally bound to corticosteroid binding globulin2 and serum albumin3 in plasma. Budesonide is 85-90% protein bound in plasma.9,10,11,12,15,16
- Metabolism
Budesonide is 80-90% metabolized at first pass.4 Budesonide is metabolized by CYP3A to its 2 major metabolites, 6beta-hydroxybudesonide and 16alpha-hydroxyprednisolone.4,7 The glucocorticoid activity of these metabolites is negligible (<1/100) in relation to that of the parent compound.4 CYP3A4 is the strongest metabolizer of budesonide, followed by CYP3A5, and CYP3A7.7
Hover over products below to view reaction partners
- Route of elimination
Approximately 60% of a budesonide dose is recovered in the urine as the major metabolites 6beta-hydroxybudesonide, 16alpha-hydroxyprednisolone, and their conjugates.9,10,11,12,14,15,16 No unchanged budesonide is recovered in urine.9,10,11,12,14,15,16
- Half-life
Budesonide has a plasma elimination half life of 2-3.6h.9,10,11,15 The terminal elimination half life in asthmatic children 4-6 years old is 2.3h.12
- Clearance
Budesonide has a plasma clearance of 0.9-1.8L/min.9,10,15,16 The 22R form has a clearance of 1.4L/min while the 22S form has a clearance of 1.0L/min.11 The clearance in asthmatic children 4-6 years old is 0.5L/min.12,14
- Adverse Effects
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Acute overdose of corticosteroids is rare, however prolonged high dosing of corticosteroids can lead to hypercorticism and adrenal axis suppression.9,10,11,12,14,15,16 In the case of overdose, reduce the dosage of corticosteroids temporarily.9,10,11,12,14,15,16
A 200mg oral dose is lethal to female mice while a 400mg oral dose is lethal to male mice.9,10,15
- Pathways
- Not Available
- Pharmacogenomic Effects/ADRs
Interacting Gene/Enzyme Allele name Genotype(s) Defining Change(s) Type(s) Description Details T-box transcription factor TBX21 --- (C;G) CG allele (heterozygotes) Effect Directly Studied The presence of this polymorphism in TBX21 may be associated with improved responsiveness to budenoside for the treatment of asthma. Details
Interactions
- Drug Interactions
- This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Drug Interaction Integrate drug-drug
interactions in your softwareAbacavir Abacavir may decrease the excretion rate of Budesonide which could result in a higher serum level. Abametapir The serum concentration of Budesonide can be increased when it is combined with Abametapir. Abatacept The risk or severity of adverse effects can be increased when Budesonide is combined with Abatacept. Abemaciclib The metabolism of Abemaciclib can be increased when combined with Budesonide. Acalabrutinib The metabolism of Acalabrutinib can be increased when combined with Budesonide. Acarbose The risk or severity of hyperglycemia can be increased when Budesonide is combined with Acarbose. Aceclofenac The risk or severity of gastrointestinal irritation can be increased when Budesonide is combined with Aceclofenac. Acemetacin The risk or severity of gastrointestinal irritation can be increased when Budesonide is combined with Acemetacin. Acenocoumarol Budesonide may increase the anticoagulant activities of Acenocoumarol. Acetaminophen Acetaminophen may decrease the excretion rate of Budesonide which could result in a higher serum level. 
Identify potential medication risksEasily compare up to 40 drugs with our drug interaction checker.Get severity rating, description, and management advice.Learn more - Food Interactions
- Take with or without food. Food delays drug absorption, but not to a clinically significant extent.
Products
Drug product information from 10+ global regionsOur datasets provide approved product information including:dosage, form, labeller, route of administration, and marketing period.Access drug product information from over 10 global regions.- Product Images
- International/Other Brands
- Bidien / Budeson / Budicort / Noex (Eurofarma) / Pulmicort (AstraZeneca) / Rhinosol / Spirocort
- Brand Name Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Budesonide Capsule 3 mg/1 Oral Padagis US LLC 2018-06-29 Not applicable US 
Budesonide Spray, metered 32 ug/1 Nasal Astra Zeneca Lp 2014-05-13 2018-02-28 US Budesonide Capsule, extended release 3 mg Oral Tillotts Pharma Gmbh 2020-01-17 Not applicable Canada 
Budesonide Aerosol, foam 28 mg/1 Rectal Oceanside Pharmaceuticals 2022-07-15 Not applicable US Cortiment Tablet, extended release 9 mg Oral Ferring Pharmaceuticals 2016-07-25 Not applicable Canada Entocort Capsule, extended release 3 mg Oral Tillotts Pharma Gmbh 1997-01-30 Not applicable Canada Entocort EC Capsule 3 mg/1 Oral Physicians Total Care, Inc. 2006-05-22 Not applicable US 
Entocort EC Capsule 3 mg/1 Oral Padagis US LLC 2001-10-29 Not applicable US Entocort EC Capsule 3 mg/1 Oral AstraZeneca Pharmaceuticals LP 2001-10-02 2019-01-31 US Entocort EC Capsule 3 mg/1 Oral Prometheus Laboratories 2001-10-29 Not applicable US 
- Generic Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Budesonide Capsule, delayed release 3 mg/1 Oral Mylan Pharmaceuticals Inc. 2011-05-16 2022-08-31 US Budesonide Capsule 3 mg/1 Oral Mylan Institutional Inc. 2011-09-02 2022-04-30 US Budesonide Suspension 0.25 mg/2mL Respiratory (inhalation) Preferred Pharmaceuticals Inc. 2017-10-11 2020-04-07 US Budesonide Suspension 0.5 mg/2mL Respiratory (inhalation) Apotex Corp. 2009-03-30 2021-06-20 US Budesonide Capsule, delayed release 3 mg/1 Oral Golden State Medical Supply, Inc. 2011-05-16 2022-08-31 US Budesonide Suspension 0.5 mg/2mL Respiratory (inhalation) Sandoz Inc 2015-07-24 Not applicable US Budesonide Suspension 0.25 mg/2mL Respiratory (inhalation) Preferred Pharmaceuticals, Inc. 2009-02-04 2018-06-30 US Budesonide Capsule, coated pellets 3 mg/1 Oral Zydus Pharmaceuticals USA Inc. 2017-06-08 Not applicable US Budesonide Suspension 0.25 mg/2mL Respiratory (inhalation) Sun Pharmaceutical Industries, Inc. 2021-05-01 Not applicable US Budesonide Capsule 3 mg/1 Oral American Health Packaging 2018-12-18 2020-05-31 US - Over the Counter Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Budesonide Spray, metered 32 ug/1 Nasal Walmart 2016-08-22 Not applicable US Budesonide Spray, metered 32 ug/1 Nasal Walgreens 2016-04-11 Not applicable US Budesonide Spray, metered 32 ug/1 Nasal RUGBY LABORATORIES 2016-07-13 Not applicable US Budesonide Spray, metered 32 ug/1 Nasal Rite Aid 2016-07-13 Not applicable US Budesonide Spray, metered 32 ug/1 Nasal Apotex Corp. 2018-04-26 Not applicable US Budesonide Spray, metered 32 ug/1 Nasal Safeway 2016-09-15 2023-10-24 US Budesonide Spray, metered 32 ug/1 Nasal Apotex Corp. 2016-04-19 Not applicable US Budesonide Spray, metered 32 ug/1 Nasal Rite Aid 2019-10-10 Not applicable US Budesonide Spray, metered 32 ug/1 Nasal Amerisource Bergen 2016-09-15 Not applicable US Budesonide Spray, metered 32 ug/1 Nasal Topco Associates LLC 2016-08-31 2020-07-31 US - Mixture Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image AIRBIR 3/100 MCG INHALASYON IÇIN TOZ IÇEREN KAPSÜL, 120 KPS Budesonide (100 mcg) + Arformoterol (3 mcg) Powder Respiratory (inhalation) NEUTEC İNHALER İLAÇ SAN. VE TİC. A.Ş. 2020-08-14 Not applicable Turkey 
AIRBIR 3/100 MCG INHALASYON IÇIN TOZ IÇEREN KAPSÜL, 60 KPS Budesonide (100 mcg) + Arformoterol (3 mcg) Powder Respiratory (inhalation) NEUTEC İNHALER İLAÇ SAN. VE TİC. A.Ş. 2020-08-14 Not applicable Turkey AIRBIR 3/200 MCG INHALASYON IÇIN TOZ IÇEREN KAPSÜL ,120 KAPSÜL Budesonide (200 mcg) + Arformoterol (3 mcg) Powder Respiratory (inhalation) NEUTEC İNHALER İLAÇ SAN. VE TİC. A.Ş. 2020-08-14 Not applicable Turkey AIRBIR 3/200 MCG INHALASYON IÇIN TOZ IÇEREN KAPSÜL ,60 KAPSÜL Budesonide (200 mcg) + Arformoterol (3 mcg) Powder Respiratory (inhalation) NEUTEC İNHALER İLAÇ SAN. VE TİC. A.Ş. 2020-08-14 Not applicable Turkey AIRBIR 6/200 MCG INHALASYON IÇIN TOZ IÇEREN KAPSÜL, 120 ADET Budesonide (200 mcg) + Arformoterol (6 mcg) Powder Respiratory (inhalation) NEUTEC İNHALER İLAÇ SAN. VE TİC. A.Ş. 2020-08-14 Not applicable Turkey AIRBIR 6/200 MCG INHALASYON IÇIN TOZ IÇEREN KAPSÜL, 60 ADET Budesonide (200 mcg) + Arformoterol (6 mcg) Powder Respiratory (inhalation) NEUTEC İNHALER İLAÇ SAN. VE TİC. A.Ş. 2020-08-14 Not applicable Turkey AIRBIR 6/400 MCG INHALASYON IÇIN TOZ IÇEREN KAPSÜL, 120 KPS Budesonide (400 mcg) + Arformoterol (6 mcg) Powder Respiratory (inhalation) NEUTEC İNHALER İLAÇ SAN. VE TİC. A.Ş. 2020-08-14 Not applicable Turkey AIRBIR 6/400 MCG INHALASYON IÇIN TOZ IÇEREN KAPSÜL, 60 KPS Budesonide (400 mcg) + Arformoterol (6 mcg) Powder Respiratory (inhalation) NEUTEC İNHALER İLAÇ SAN. VE TİC. A.Ş. 2020-08-14 Not applicable Turkey AIRBUFO FORSPIRO 160/4.5UG Budesonide (160 µg) + Formoterol fumarate (4.5 µg) Powder Respiratory (inhalation) 2016-07-01 Not applicable Germany 
AIRBUFO FORSPIRO 160/4.5UG Budesonide (160 µg) + Formoterol fumarate (4.5 µg) Powder Respiratory (inhalation) 2016-07-01 Not applicable Germany
Categories
- ATC Codes
- R03AL11 — Formoterol, glycopyrronium bromide and budesonide
- R03AL — Adrenergics in combination with anticholinergics incl. triple combinations with corticosteroids
- R03A — ADRENERGICS, INHALANTS
- R03 — DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
- R — RESPIRATORY SYSTEM
- D07AC — Corticosteroids, potent (group III)
- D07A — CORTICOSTEROIDS, PLAIN
- D07 — CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS
- D — DERMATOLOGICALS
- R01AD — Corticosteroids
- R01A — DECONGESTANTS AND OTHER NASAL PREPARATIONS FOR TOPICAL USE
- R01 — NASAL PREPARATIONS
- R — RESPIRATORY SYSTEM
- R03AK — Adrenergics in combination with corticosteroids or other drugs, excl. anticholinergics
- R03A — ADRENERGICS, INHALANTS
- R03 — DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
- R — RESPIRATORY SYSTEM
- A07EA — Corticosteroids acting locally
- A07E — INTESTINAL ANTIINFLAMMATORY AGENTS
- A07 — ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS
- A — ALIMENTARY TRACT AND METABOLISM
- R03BA — Glucocorticoids
- R03B — OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES, INHALANTS
- R03 — DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
- R — RESPIRATORY SYSTEM
- Drug Categories
- Adrenal Cortex Hormones
- Adrenals
- Agents to Treat Airway Disease
- Alimentary Tract and Metabolism
- Anti-Asthmatic Agents
- Anti-Inflammatory Agents
- Antidiarrheals, Intestinal Antiinflammatory/antiinfective Agents
- Autonomic Agents
- Bronchodilator Agents
- BSEP/ABCB11 Substrates
- Corticosteroid Hormone Receptor Agonists
- Corticosteroids
- Corticosteroids Acting Locally
- Corticosteroids for Systemic Use
- Corticosteroids, Dermatological Preparations
- Corticosteroids, Potent (Group III)
- Cytochrome P-450 CYP2A6 Inducers
- Cytochrome P-450 CYP2B6 Inducers
- Cytochrome P-450 CYP2B6 Inducers (strength unknown)
- Cytochrome P-450 CYP2C19 Inducers
- Cytochrome P-450 CYP2C19 Inducers (strength unknown)
- Cytochrome P-450 CYP2C8 Inducers
- Cytochrome P-450 CYP2C8 Inducers (strength unknown)
- Cytochrome P-450 CYP2C9 Inducers
- Cytochrome P-450 CYP2C9 Inducers (strength unknown)
- Cytochrome P-450 CYP3A Inducers
- Cytochrome P-450 CYP3A Substrates
- Cytochrome P-450 CYP3A4 Inducers
- Cytochrome P-450 CYP3A4 Inducers (strength unknown)
- Cytochrome P-450 CYP3A4 Substrates
- Cytochrome P-450 CYP3A5 Inducers
- Cytochrome P-450 CYP3A5 Inducers (moderate)
- Cytochrome P-450 Enzyme Inducers
- Cytochrome P-450 Substrates
- Dermatologicals
- Drugs for Obstructive Airway Diseases
- Drugs that are Mainly Renally Excreted
- Fused-Ring Compounds
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Immunosuppressive Agents
- Intestinal Antiinflammatory Agents
- Nasal Preparations
- OAT3/SLC22A8 Substrates
- P-glycoprotein substrates
- Peripheral Nervous System Agents
- Pregnanes
- Pregnenediones
- Pregnenes
- Respiratory System Agents
- Steroids
- Chemical TaxonomyProvided by Classyfire
- Description
- This compound belongs to the class of organic compounds known as 21-hydroxysteroids. These are steroids carrying a hydroxyl group at the 21-position of the steroid backbone.
- Kingdom
- Organic compounds
- Super Class
- Lipids and lipid-like molecules
- Class
- Steroids and steroid derivatives
- Sub Class
- Hydroxysteroids
- Direct Parent
- 21-hydroxysteroids
- Alternative Parents
- Gluco/mineralocorticoids, progestogins and derivatives / 20-oxosteroids / 3-oxo delta-1,4-steroids / 11-beta-hydroxysteroids / Delta-1,4-steroids / Alpha-hydroxy ketones / 1,3-dioxolanes / Secondary alcohols / Cyclic ketones / Cyclic alcohols and derivatives show 5 more
- Substituents
- 11-beta-hydroxysteroid / 11-hydroxysteroid / 20-oxosteroid / 21-hydroxysteroid / 3-oxo-delta-1,4-steroid / 3-oxosteroid / Acetal / Alcohol / Aliphatic heteropolycyclic compound / Alpha-hydroxy ketone show 17 more
- Molecular Framework
- Aliphatic heteropolycyclic compounds
- External Descriptors
- 11beta-hydroxy steroid, glucocorticoid, cyclic acetal, 20-oxo steroid, 3-oxo-Delta(1),Delta(4)-steroid, 21-hydroxy steroid (CHEBI:3207)
- Affected organisms
- Humans and other mammals
Chemical Identifiers
- UNII
- Q3OKS62Q6X
- CAS number
- 51333-22-3
- InChI Key
- VOVIALXJUBGFJZ-KWVAZRHASA-N
- InChI
- InChI=1S/C25H34O6/c1-4-5-21-30-20-11-17-16-7-6-14-10-15(27)8-9-23(14,2)22(16)18(28)12-24(17,3)25(20,31-21)19(29)13-26/h8-10,16-18,20-22,26,28H,4-7,11-13H2,1-3H3/t16-,17-,18-,20+,21?,22+,23-,24-,25+/m0/s1
- IUPAC Name
- (1S,2S,4R,8S,9S,11S,12S,13R)-11-hydroxy-8-(2-hydroxyacetyl)-9,13-dimethyl-6-propyl-5,7-dioxapentacyclo[10.8.0.0^{2,9}.0^{4,8}.0^{13,18}]icosa-14,17-dien-16-one
- SMILES
- [H][C@@]12C[C@H]3OC(CCC)O[C@@]3(C(=O)CO)[C@@]1(C)C[C@H](O)[C@@]1([H])[C@@]2([H])CCC2=CC(=O)C=C[C@]12C
References
- Synthesis Reference
Peter Gruber, Hans Joachim Lach, Norbert Otterbeck, "Budesonide pellets with a controlled released pattern and process for producing the same." U.S. Patent US5932249, issued May, 1991.
US5932249- General References
- Yasir M, Sonthalia S: Corticosteroid Adverse Effects . [Article]
- Gardill BR, Vogl MR, Lin HY, Hammond GL, Muller YA: Corticosteroid-binding globulin: structure-function implications from species differences. PLoS One. 2012;7(12):e52759. doi: 10.1371/journal.pone.0052759. Epub 2012 Dec 26. [Article]
- Czock D, Keller F, Rasche FM, Haussler U: Pharmacokinetics and pharmacodynamics of systemically administered glucocorticoids. Clin Pharmacokinet. 2005;44(1):61-98. doi: 10.2165/00003088-200544010-00003. [Article]
- O'Donnell S, O'Morain CA: Therapeutic benefits of budesonide in gastroenterology. Ther Adv Chronic Dis. 2010 Jul;1(4):177-86. doi: 10.1177/2040622310379293. [Article]
- Ellul-Micallef R, Hansson E, Johansson SA: Budesonide: a new corticosteroid in bronchial asthma. Eur J Respir Dis. 1980 Jun;61(3):167-73. [Article]
- Roth G, Wikby A, Nilsson L, Thalen A: High-performance liquid chromatographic determination of epimers, impurities, and content of the glucocorticoid budesonide and preparation of primary standard. J Pharm Sci. 1980 Jul;69(7):766-70. doi: 10.1002/jps.2600690705. [Article]
- Moore CD, Roberts JK, Orton CR, Murai T, Fidler TP, Reilly CA, Ward RM, Yost GS: Metabolic pathways of inhaled glucocorticoids by the CYP3A enzymes. Drug Metab Dispos. 2013 Feb;41(2):379-89. doi: 10.1124/dmd.112.046318. Epub 2012 Nov 9. [Article]
- FDA Approved Drug Products: Rhinocort Budesonide Nasal Metered Aerosol (Discontinued) [Link]
- FDA Approved Drug Products: Entocort Budesonide Oral Extended Release Capsules [Link]
- FDA Approved Drug Products: Ortikos Budesonide Oral Extended Release Capsules [Link]
- FDA Approved Drug Products: Pulmicort Budesonide Inhalation Powder [Link]
- FDA Approved Drug Products: Pulmicort Budesonide Inhalation Suspension [Link]
- FDA Approved Drug Products: Rhinocort Budesonide Nasal Metered Spray [Link]
- FDA Approved Drug Products: Symbicort (budesonide/formoterol fumarate) inhalation aerosol [Link]
- FDA Approved Drug Products: Uceris Budesonide Oral Extended Release Tablets [Link]
- FDA Approved Drug Products: Uceris Budesonide Rectal Aerosol Foam [Link]
- FDA Approved Drug Products: Tarpeyo (budesonide) delayed-release capsules for oral use [Link]
- BioSpace News: Viatris Inc. Announces Receipt of the First FDA Approval for Generic Version of Symbicort® Inhalation Aerosol, Breyna™ (Budesonide and Formoterol Fumarate Dihydrate Inhalation Aerosol), in Partnership with Kindeva [Link]
- EMA Approved Drug Products: Kinpeygo (budesonide) Oral Capsules [Link]
- EMA Approved Drug Products: Jorveza (budesonide) Oral Tablets [Link]
- FDA Approved Drug Products: AIRSUPRA (albuterol and budesonide) inhalation aerosol, for oral inhalation use [Link]
- External Links
- Human Metabolome Database
- HMDB0015353
- KEGG Drug
- D00246
- PubChem Compound
- 5281004
- PubChem Substance
- 46504869
- ChemSpider
- 4444479
- BindingDB
- 50354850
- 19831
- ChEBI
- 3207
- ChEMBL
- CHEMBL1370
- Therapeutic Targets Database
- DAP000320
- PharmGKB
- PA448681
- RxList
- RxList Drug Page
- Drugs.com
- Drugs.com Drug Page
- PDRhealth
- PDRhealth Drug Page
- Wikipedia
- Budesonide
- FDA label
- Download (52.3 KB)
- MSDS
- Download (73.7 KB)
Clinical Trials
- Clinical Trials
Phase Status Purpose Conditions Count 4 Active Not Recruiting Basic Science Environmental Exposures / Epigenetic Effects of Intranasal Steroids 1 4 Completed Not Available Asthma 1 4 Completed Basic Science Chronic Obstructive Pulmonary Disease (COPD) 2 4 Completed Basic Science Mild Intermittent Asthma 1 4 Completed Other Asthma 1 4 Completed Prevention Asthma 1 4 Completed Supportive Care Asthma 1 4 Completed Supportive Care Lung Cancer 1 4 Completed Treatment Acute Lymphocytic Leukemia, Pediatric / Asthma 1 4 Completed Treatment Airway Inflammation / Asthma 1
Pharmacoeconomics
- Manufacturers
- Not Available
- Packagers
- 3M Health Care
- A-S Medication Solutions LLC
- Astra Pharma Inc.
- AstraZeneca Inc.
- Dispensing Solutions
- Galderma Laboratories
- Ivax Pharmaceuticals
- Kaiser Foundation Hospital
- Lake Erie Medical and Surgical Supply
- Physicians Total Care Inc.
- Prometheus Laboratories Inc.
- Redpharm Drug
- Spectrum Pharmaceuticals
- Teva Pharmaceutical Industries Ltd.
- Dosage Forms
Form Route Strength Powder, metered Respiratory (inhalation) Aerosol; suspension Respiratory (inhalation) 200 mcg Aerosol; suspension Respiratory (inhalation) 400 mcg Spray Nasal 100 MICROGRAMMI Spray Nasal 50 MICROGRAMMI Spray Nasal 50 UG Aerosol Buccal 50 mcg Solution Nasal; Respiratory (inhalation) 0.1 g Aerosol Oral; Respiratory (inhalation) 0.3256 % Ointment Topical 25 mg Aerosol Respiratory (inhalation) 200 cg Spray, suspension Nasal 50 mcg/1dose Spray Nasal 1.28 mg Spray, metered Nasal Lotion Topical 0.025 g Cream Topical 0025 % Ointment Cutaneous 0025 % Solution Topical 0025 % Spray, suspension Respiratory (inhalation) 0.25 MG/ML Spray, suspension Respiratory (inhalation) 0.5 MG/ML Aerosol, metered Respiratory (inhalation) Solution Nasal; Respiratory (inhalation) 80 mg Suspension Buccal; Respiratory (inhalation) 400 cg Suspension Respiratory (inhalation) 0.05 mg Spray Nasal 0.05 mg/0.051g Aerosol, metered Respiratory (inhalation) 100 mcg Aerosol Respiratory (inhalation) 0.2 % w/v Aerosol Respiratory (inhalation) 0.132 g Aerosol Respiratory (inhalation) 0.263 g Suspension Respiratory (inhalation) 0.025 % w/v Capsule Capsule, coated Oral 3 mg Capsule 3 mg Suppository 4 mg Aerosol, foam Rectal 2 mg/1dose Aerosol Rectal 2 mg Gas Respiratory (inhalation) 0.2 MG Spray Nasal 32 UG Spray Nasal 64 UG Spray Nasal 0.05 mg/0.051mL Solution Respiratory (inhalation) Aerosol Respiratory (inhalation) 0.25 g Aerosol, powder Respiratory (inhalation) 0.1 MG Suspension Respiratory (inhalation) 0.022 g Suspension Respiratory (inhalation) 1 mg Suspension Respiratory (inhalation) 200 cg Aerosol Respiratory (inhalation) 200 mcg Suspension Respiratory (inhalation) 0.4 g Suspension Respiratory (inhalation) 0.01 g Suspension Oral 0.1 mg Capsule, coated pellets Oral 3 mg/1 Capsule, delayed release Oral 3 mg/1 Inhalant Respiratory (inhalation) 0.25 mg/2mL Inhalant Respiratory (inhalation) 0.5 mg/2mL Powder Not applicable 1 g/1g Suspension Respiratory (inhalation) 1 mg/2mL Tablet, extended release Oral 9 mg/1 Tablet, film coated, extended release Oral 9 mg/1 Capsule, delayed release pellets Oral 3 mg/1 Aerosol Respiratory (inhalation) Inhalant Oral 0.25 mg/2mL Inhalant Oral 0.5 mg/2mL Inhalant Oral 1 mg/2mL Spray, suspension Nasal 64 mcg/dose Suspension Respiratory (inhalation) 25 MG/ML Suspension Respiratory (inhalation) 5 MG/ML Suspension Respiratory (inhalation) 0.25 MG/ML Aerosol, powder Respiratory (inhalation) 200 mcg Powder, metered Respiratory (inhalation) 200 MCG Powder, metered Respiratory (inhalation) 400 MCG Suspension Respiratory (inhalation) 100 mcg/1dose Suspension Respiratory (inhalation) 200 mcg/1dose Aerosol Respiratory (inhalation) 100 mcg Suspension Buccal; Respiratory (inhalation) 40 mg Suspension Respiratory (inhalation) 200 mcg Solution Respiratory (inhalation) 200 mcg Gas Respiratory (inhalation) 0.2 mg/1 Aerosol, metered Respiratory (inhalation) 200 Mikrogramm Gas Respiratory (inhalation) 200 UG Aerosol, metered Respiratory (inhalation) 0.2 mg/actuation Aerosol, foam Rectal 2 mg/spray Capsule Oral 3 mg Granule, delayed release Oral 9 mg Spray, suspension Nasal 32 mcg Spray, suspension Nasal 64 mcg Spray Nasal 64 mcg Suspension Nasal; Respiratory (inhalation) 100 cg Suspension Oral 200 cg Aerosol Respiratory (inhalation) 0.3125 g Aerosol Respiratory (inhalation) 0.4 mg Tablet, extended release Oral Tablet, extended release Oral 9 mg Tablet, film coated, extended release Oral 9 mg Capsule Respiratory (inhalation) 0.2 mg/1 Capsule Respiratory (inhalation) 0.4 mg/1 Aerosol, metered Respiratory (inhalation) 200 MICROGRAMMI Capsule Respiratory (inhalation) Capsule, coated Oral 0.4 mg Capsule, coated Oral 0.1 mg Powder, metered Respiratory (inhalation) 160 mcg/inhalation Powder, metered Respiratory (inhalation) 320 mcg/inhalation Spray, suspension Nasal Tablet Rectal 0.02 mg/ml Enema; tablet Rectal 2.3 mg Capsule, extended release Oral 3 mg Capsule Oral 3 mg/1 Enema; kit; tablet Rectal Tablet, soluble Oral 2.3 mg Spray Nasal 2.0 mg/ml Solution Respiratory (inhalation) Capsule Respiratory (inhalation) Powder Respiratory (inhalation) 400 mcg/1dose Powder, metered Respiratory (inhalation) 200 mcg/dose Powder Respiratory (inhalation) 100 mcg/1dose Powder Respiratory (inhalation) Powder, metered Respiratory (inhalation) 100 mcg Suspension Respiratory (inhalation) 0.5 mg Aerosol Respiratory (inhalation) 4 mg Solution Respiratory (inhalation) 4 mg Aerosol, metered Respiratory (inhalation) 50 mcg Suspension Nasal; Respiratory (inhalation) 100 mcg Suspension Respiratory (inhalation) 0.2 mg Aerosol, foam Rectal 2 MG Granule Tablet, orally disintegrating Oral 0.5 mg Tablet, orally disintegrating Oral 1 mg Capsule, extended release Oral 4 mg Cream Topical 0.25 g Aerosol, metered Respiratory (inhalation) 200 MCG Capsule Respiratory (inhalation) 200 Mikrogramm Capsule Respiratory (inhalation) 200 UG Capsule Respiratory (inhalation) 400 Mikrogramm Capsule Respiratory (inhalation) 400 UG Capsule, liquid filled Oral 200 cg Capsule, coated Respiratory (inhalation) 400 mcg Powder Respiratory (inhalation) 200 mcg Spray, metered Nasal 100 mcg / act Spray, metered Nasal 64 mcg / act Suspension Intrasinal; Respiratory (inhalation) 1 mg Suspension Intrasinal; Respiratory (inhalation) 2 mg Powder Respiratory (inhalation) 200 Mikrogramm Powder Respiratory (inhalation) 400 Mikrogramm Powder, metered Respiratory (inhalation) 200 mcg/1dose Capsule Oral 6 mg/1 Capsule Oral 9 mg/1 Cream Topical Ointment Powder Respiratory (inhalation) 100 MCG Powder Respiratory (inhalation) 400 MCG Spray, suspension Respiratory (inhalation) 0125 MG/ML Aerosol, powder Respiratory (inhalation) 180 ug/1 Aerosol, powder Respiratory (inhalation) 90 ug/1 Spray Nasal 64 μg Suspension Respiratory (inhalation) 0.125 mg / mL Suspension Respiratory (inhalation) 0.25 mg / mL Suspension Respiratory (inhalation) 0.5 mg / mL Suspension Respiratory (inhalation) 0.25 mg/2mL Suspension Respiratory (inhalation) 0.5 mg/2mL Aerosol Respiratory (inhalation) 0.5 mg/2ml Aerosol Respiratory (inhalation) 1 mg/2ml Suspension Respiratory (inhalation) Suspension Respiratory (inhalation) 0.5 mg/ml Solution Respiratory (inhalation) 500 mcg/2ml Solution Respiratory (inhalation) 1 mg/2ml Aerosol, powder Respiratory (inhalation) 200 UG Aerosol, powder Respiratory (inhalation) 400 UG Powder Respiratory (inhalation) 0.1 mg Aerosol, powder Respiratory (inhalation) 0.2 mg Aerosol, powder Respiratory (inhalation) 0.4 mg Powder Respiratory (inhalation) 200 mcg/1dose Powder, metered Respiratory (inhalation) 100 mcg / act Powder, metered Respiratory (inhalation) 200 mcg / act Powder, metered Respiratory (inhalation) 200 ug/1 Powder, metered Respiratory (inhalation) 400 mcg / act Powder Respiratory (inhalation) 100 cg Powder Respiratory (inhalation) 200 cg Aerosol, metered Respiratory (inhalation) Powder Respiratory (inhalation) 400 cg Powder Nasal Spray Nasal Spray, metered Nasal 32 ug/1 Suspension Respiratory (inhalation) 1.28 mg Spray, suspension Nasal 1.28 mg/mL Aerosol, metered Nasal 100 mcg / act Powder Nasal; Respiratory (inhalation) 100 mcg / act Powder, metered Nasal 100 mcg Solution Respiratory (inhalation) 40 mg Solution Respiratory (inhalation) 48 % w/w Capsule, coated Respiratory (inhalation) 0.1 mg Aerosol, metered Respiratory (inhalation) 200 mcg/1dose Suspension Respiratory (inhalation) 0.25 mg Powder, metered Respiratory (inhalation) Spray, suspension Respiratory (inhalation) Aerosol Respiratory (inhalation) Aerosol, powder Respiratory (inhalation) Powder Respiratory (inhalation) Suspension Respiratory (inhalation) Aerosol, metered; suspension Respiratory (inhalation) Aerosol, metered Respiratory (inhalation) 160 mcg Aerosol, metered Respiratory (inhalation) 40 mcg Aerosol, metered Respiratory (inhalation) 80 mcg Suspension Buccal; Respiratory (inhalation) Powder, metered Respiratory (inhalation) 160 mcg Powder, metered Respiratory (inhalation) 80 mcg Kit Cutaneous Capsule, delayed release Oral 4 mg/1 Solution Respiratory (inhalation) 0.4 g Aerosol Respiratory (inhalation) 0.01 g Suspension Respiratory (inhalation) 0.1 g Suspension Nasal; Respiratory (inhalation) 0.2 % w/v Suspension Nasal; Respiratory (inhalation) 0.2 g Aerosol, foam Rectal 28 mg/1 Kit Rectal 2 mg / act Aerosol Buccal 100 mcg Aerosol Respiratory (inhalation) 100 mcg/1dose Aerosol Respiratory (inhalation) 50 mcg/1dose Spray Nasal 100 mcg/1dose Capsule Respiratory (inhalation) 100 mcg Capsule Respiratory (inhalation) 400 mcg Spray Nasal 1.28 mg/mL Capsule Respiratory (inhalation) 200 mcg Spray Nasal 32 mcg/1dose Spray, suspension Nasal 64 mcg/1dose Aerosol Respiratory (inhalation) 200 mcg/1dose - Prices
Unit description Cost Unit Budesonide micronized powder 346.5USD g DesOwen Lot w/Cetaphil Cream 0.05% Kit Box 255.84USD box Desowen 0.05% ointment kit 217.2USD kit Desowen 0.05% cream kit 212.4USD kit DesOwen 0.05% Lotion 118ml Bottle 183.17USD bottle Pulmicort Flexhaler 180 mcg/act Aerosol Inhaler 163.34USD inhaler Pulmicort 180 mcg flexhaler 157.06USD inhaler DesOwen 0.05% Lotion 59ml Bottle 123.38USD bottle Pulmicort Flexhaler 90 mcg/act Aerosol Inhaler 121.98USD inhaler Pulmicort 90 mcg flexhaler 117.29USD inhaler Rhinocort Aqua 32 mcg/act 8.6 gm Bottle 111.96USD bottle Rhinocort aqua nasal spray 13.93USD g Entocort EC 3 mg 24 Hour Capsule 13.86USD capsule Entocort ec 3 mg capsule 12.22USD capsule Budesonide 0.5 mg/2ml Suspension 2ml Plastic Container 9.73USD plastic Pulmicort 0.5 mg/2ml Suspension 2ml Plastic Container 9.24USD plastic Budesonide 0.25 mg/2ml Suspension 2ml Plastic Container 9.07USD plastic Entocort (115 Ml) 2.3 mg/enm Enema 8.93USD enema Pulmicort 1 mg/2 ml respule 8.89USD ml Pulmicort 0.25 mg/2ml Suspension 2ml Plastic Container 7.85USD plastic Pulmicort 0.5 mg/2 ml respule 4.45USD ml Pulmicort 0.25 mg/2 ml respul 3.78USD ml Desowen 0.05% cream 2.43USD g Pulmicort Nebuamp 0.5 mg/ml Suspension 0.93USD ml Pulmicort Turbuhaler 400 mcg/dose Metered Inhalation Powder 0.62USD dose Pulmicort Nebuamp 0.25 mg/ml Suspension 0.46USD ml Pulmicort Turbuhaler 200 mcg/dose Metered Inhalation Powder 0.34USD dose Pulmicort Nebuamp 0.125 mg/ml Suspension 0.23USD ml Pulmicort Turbuhaler 100 mcg/dose Metered Inhalation Powder 0.17USD dose Rhinocort Turbuhaler 100 mcg/dose Metered Dose Aerosol 0.13USD dose Mylan-Budesonide Aq 100 mcg/dose Metered Dose Spray 0.1USD dose DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.- Patents
Patent Number Pediatric Extension Approved Expires (estimated) Region US6423340 No 2002-07-23 2010-11-15 US CA2071518 No 2002-11-12 2010-11-15 Canada US6598603 Yes 2003-07-29 2019-06-23 US US6899099 Yes 2005-05-31 2019-06-23 US US7524834 Yes 2009-04-28 2019-05-11 US US7759328 Yes 2010-07-20 2023-07-29 US US7897646 Yes 2011-03-01 2019-03-09 US US8143239 Yes 2012-03-27 2023-07-29 US US8461211 Yes 2013-06-11 2019-03-09 US US8575137 Yes 2013-11-05 2023-07-29 US US6123924 No 2000-09-26 2017-09-26 US US7967011 Yes 2011-06-28 2022-02-11 US US8616196 Yes 2013-12-31 2029-10-07 US US8387615 Yes 2013-03-05 2025-05-10 US US7587988 Yes 2009-09-15 2026-10-10 US US7367333 Yes 2008-05-06 2019-05-11 US US8528545 Yes 2013-09-10 2029-04-16 US US8875699 Yes 2014-11-04 2025-05-10 US US6027714 No 2000-02-22 2018-01-09 US US7143764 No 2006-12-05 2018-03-13 US US6142145 No 2000-11-07 2018-05-08 US US6287540 No 2001-09-11 2018-01-09 US US9320716 No 2016-04-26 2020-06-09 US US9192581 No 2015-11-24 2031-09-07 US US7410651 No 2008-08-12 2020-06-09 US USRE43799 No 2012-11-13 2020-06-09 US US8895064 No 2014-11-25 2031-09-07 US US7431943 No 2008-10-07 2020-06-09 US US9132093 No 2015-09-15 2031-09-07 US US8784888 No 2014-07-22 2020-06-09 US US8293273 No 2012-10-23 2020-06-09 US US5914122 No 1999-06-22 2015-12-19 US US9532954 No 2017-01-03 2020-06-09 US US9463161 No 2016-10-11 2030-05-28 US US9415009 No 2016-08-16 2030-05-28 US US8808713 No 2014-08-19 2030-05-28 US US8324266 No 2012-12-04 2030-05-28 US US8703806 No 2014-04-22 2030-05-28 US US8815258 No 2014-08-26 2031-03-17 US US10064878 No 2018-09-04 2020-06-09 US US10105374 No 2018-10-23 2020-06-09 US US10166247 Yes 2019-01-01 2023-07-29 US US10143698 No 2018-12-04 2020-06-09 US US9707182 No 2017-07-18 2036-09-09 US US10172802 No 2019-01-08 2036-09-09 US US10307375 No 2019-06-04 2031-09-07 US US10660858 No 2020-05-26 2031-09-07 US US10716753 No 2020-07-21 2030-05-28 US US8491932 No 2013-07-23 2029-05-07 US US11311558 Yes 2003-07-29 2023-07-29 US US11331442 No 2018-05-10 2038-05-10 US
Properties
- State
- Solid
- Experimental Properties
Property Value Source melting point (°C) 226°C PhysProp boiling point (°C) 599.7 ChemSpider logP 1.914 ChemSpider - Predicted Properties
Property Value Source Water Solubility 0.0457 mg/mL ALOGPS logP 2.42 ALOGPS logP 2.73 Chemaxon logS -4 ALOGPS pKa (Strongest Acidic) 13.75 Chemaxon pKa (Strongest Basic) -2.9 Chemaxon Physiological Charge 0 Chemaxon Hydrogen Acceptor Count 6 Chemaxon Hydrogen Donor Count 2 Chemaxon Polar Surface Area 93.06 Å2 Chemaxon Rotatable Bond Count 4 Chemaxon Refractivity 116.11 m3·mol-1 Chemaxon Polarizability 46.88 Å3 Chemaxon Number of Rings 5 Chemaxon Bioavailability 1 Chemaxon Rule of Five Yes Chemaxon Ghose Filter Yes Chemaxon Veber's Rule No Chemaxon MDDR-like Rule No Chemaxon - Predicted ADMET Features
Property Value Probability Human Intestinal Absorption + 0.9872 Blood Brain Barrier + 0.9533 Caco-2 permeable - 0.6097 P-glycoprotein substrate Substrate 0.804 P-glycoprotein inhibitor I Non-inhibitor 0.5881 P-glycoprotein inhibitor II Non-inhibitor 0.5911 Renal organic cation transporter Non-inhibitor 0.7867 CYP450 2C9 substrate Non-substrate 0.8488 CYP450 2D6 substrate Non-substrate 0.9116 CYP450 3A4 substrate Substrate 0.7337 CYP450 1A2 substrate Non-inhibitor 0.9046 CYP450 2C9 inhibitor Non-inhibitor 0.9075 CYP450 2D6 inhibitor Non-inhibitor 0.9441 CYP450 2C19 inhibitor Non-inhibitor 0.939 CYP450 3A4 inhibitor Inhibitor 0.796 CYP450 inhibitory promiscuity Low CYP Inhibitory Promiscuity 0.8886 Ames test Non AMES toxic 0.9117 Carcinogenicity Non-carcinogens 0.9466 Biodegradation Not ready biodegradable 0.9759 Rat acute toxicity 2.1601 LD50, mol/kg Not applicable hERG inhibition (predictor I) Weak inhibitor 0.9483 hERG inhibition (predictor II) Non-inhibitor 0.5627
Spectra
- Mass Spec (NIST)
- Not Available
- Spectra
Spectrum Spectrum Type Splash Key Predicted GC-MS Spectrum - GC-MS Predicted GC-MS Not Available Predicted MS/MS Spectrum - 10V, Positive (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 20V, Positive (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 40V, Positive (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 10V, Negative (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 20V, Negative (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 40V, Negative (Annotated) Predicted LC-MS/MS Not Available LC-MS/MS Spectrum - LC-ESI-qTof , Positive LC-MS/MS Not Available LC-MS/MS Spectrum - LC-ESI-qTof , Positive LC-MS/MS Not Available MS/MS Spectrum - , positive LC-MS/MS splash10-03k9-1794300000-d4cdef973973a6b24ba4 MS/MS Spectrum - , positive LC-MS/MS splash10-00dj-3950000000-8e98d604876730f53851
Targets
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- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Yes
- Actions
- Agonist
- General Function
- Zinc ion binding
- Specific Function
- Receptor for glucocorticoids (GC). Has a dual mode of action: as a transcription factor that binds to glucocorticoid response elements (GRE), both for nuclear and mitochondrial DNA, and as a modula...
- Gene Name
- NR3C1
- Uniprot ID
- P04150
- Uniprot Name
- Glucocorticoid receptor
- Molecular Weight
- 85658.57 Da
References
- Zhang X, Moilanen E, Kankaanranta H: Enhancement of human eosinophil apoptosis by fluticasone propionate, budesonide, and beclomethasone. Eur J Pharmacol. 2000 Oct 20;406(3):325-32. [Article]
- Henriksson G, Norlander T, Forsgren J, Stierna P: Effects of topical budesonide treatment on glucocorticoid receptor mRNA down-regulation and cytokine patterns in nasal polyps. Am J Rhinol. 2001 Jan-Feb;15(1):1-8. [Article]
- Zhang X, Moilanen E, Kankaanranta H: Beclomethasone, budesonide and fluticasone propionate inhibit human neutrophil apoptosis. Eur J Pharmacol. 2001 Nov 23;431(3):365-71. [Article]
- Kompella UB, Bandi N, Ayalasomayajula SP: Subconjunctival nano- and microparticles sustain retinal delivery of budesonide, a corticosteroid capable of inhibiting VEGF expression. Invest Ophthalmol Vis Sci. 2003 Mar;44(3):1192-201. [Article]
- Kunz S, Sandoval R, Carlsson P, Carlstedt-Duke J, Bloom JW, Miesfeld RL: Identification of a novel glucocorticoid receptor mutation in budesonide-resistant human bronchial epithelial cells. Mol Endocrinol. 2003 Dec;17(12):2566-82. Epub 2003 Aug 14. [Article]
- Chen X, Ji ZL, Chen YZ: TTD: Therapeutic Target Database. Nucleic Acids Res. 2002 Jan 1;30(1):412-5. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Structural molecule activity
- Specific Function
- Plays important roles in the innate immune response as effector of glucocorticoid-mediated responses and regulator of the inflammatory process. Has anti-inflammatory activity (PubMed:8425544). Play...
- Gene Name
- ANXA1
- Uniprot ID
- P04083
- Uniprot Name
- Annexin A1
- Molecular Weight
- 38713.855 Da
References
- Serres M, Viac J, Comera C, Schmitt D: Expression of annexin I in freshly isolated human epidermal cells and in cultured keratinocytes. Arch Dermatol Res. 1994;286(5):268-72. [Article]
Enzymes
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- No
- Actions
- Inducer
- General Function
- Oxygen binding
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
- Gene Name
- CYP3A5
- Uniprot ID
- P20815
- Uniprot Name
- Cytochrome P450 3A5
- Molecular Weight
- 57108.065 Da
References
- Rendic S: Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448. [Article]
- Kind
- Protein group
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- SubstrateInducer
- General Function
- Vitamin d3 25-hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It performs a variety of oxidation react...
Components:
| Name | UniProt ID |
|---|---|
| Cytochrome P450 3A4 | P08684 |
| Cytochrome P450 3A43 | Q9HB55 |
| Cytochrome P450 3A5 | P20815 |
| Cytochrome P450 3A7 | P24462 |
References
- Roberts JK, Moore CD, Romero EG, Ward RM, Yost GS, Reilly CA: Regulation of CYP3A genes by glucocorticoids in human lung cells. F1000Res. 2013 Aug 13;2:173. doi: 10.12688/f1000research.2-173.v2. eCollection 2013. [Article]
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- Steroid hydroxylase activity
- Specific Function
- Exhibits a high coumarin 7-hydroxylase activity. Can act in the hydroxylation of the anti-cancer drugs cyclophosphamide and ifosphamide. Competent in the metabolic activation of aflatoxin B1. Const...
- Gene Name
- CYP2A6
- Uniprot ID
- P11509
- Uniprot Name
- Cytochrome P450 2A6
- Molecular Weight
- 56501.005 Da
References
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- Oxygen binding
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
- Gene Name
- CYP1B1
- Uniprot ID
- Q16678
- Uniprot Name
- Cytochrome P450 1B1
- Molecular Weight
- 60845.33 Da
References
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- Steroid hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
- Gene Name
- CYP2B6
- Uniprot ID
- P20813
- Uniprot Name
- Cytochrome P450 2B6
- Molecular Weight
- 56277.81 Da
References
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- Steroid hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
- Gene Name
- CYP2C8
- Uniprot ID
- P10632
- Uniprot Name
- Cytochrome P450 2C8
- Molecular Weight
- 55824.275 Da
References
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- Steroid hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
- Gene Name
- CYP2C9
- Uniprot ID
- P11712
- Uniprot Name
- Cytochrome P450 2C9
- Molecular Weight
- 55627.365 Da
References
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- Steroid hydroxylase activity
- Specific Function
- Responsible for the metabolism of a number of therapeutic agents such as the anticonvulsant drug S-mephenytoin, omeprazole, proguanil, certain barbiturates, diazepam, propranolol, citalopram and im...
- Gene Name
- CYP2C19
- Uniprot ID
- P33261
- Uniprot Name
- Cytochrome P450 2C19
- Molecular Weight
- 55930.545 Da
References
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- No
- Actions
- SubstrateInducer
- General Function
- Vitamin d3 25-hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It performs a variety of oxidation react...
- Gene Name
- CYP3A4
- Uniprot ID
- P08684
- Uniprot Name
- Cytochrome P450 3A4
- Molecular Weight
- 57342.67 Da
References
- Jonsson G, Astrom A, Andersson P: Budesonide is metabolized by cytochrome P450 3A (CYP3A) enzymes in human liver. Drug Metab Dispos. 1995 Jan;23(1):137-42. [Article]
- Rendic S: Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448. [Article]
- Chen N, Cui D, Wang Q, Wen Z, Finkelman RD, Welty D: In vitro drug-drug interactions of budesonide: inhibition and induction of transporters and cytochrome P450 enzymes. Xenobiotica. 2018 Jun;48(6):637-646. doi: 10.1080/00498254.2017.1344911. Epub 2017 Jul 21. [Article]
- Zimmermann C, van Waterschoot RA, Harmsen S, Maier A, Gutmann H, Schinkel AH: PXR-mediated induction of human CYP3A4 and mouse Cyp3a11 by the glucocorticoid budesonide. Eur J Pharm Sci. 2009 Mar 2;36(4-5):565-71. doi: 10.1016/j.ejps.2008.12.007. Epub 2008 Dec 24. [Article]
- Usui T, Saitoh Y, Komada F: Induction of CYP3As in HepG2 cells by several drugs. Association between induction of CYP3A4 and expression of glucocorticoid receptor. Biol Pharm Bull. 2003 Apr;26(4):510-7. doi: 10.1248/bpb.26.510. [Article]
- Pichard L, Fabre I, Daujat M, Domergue J, Joyeux H, Maurel P: Effect of corticosteroids on the expression of cytochromes P450 and on cyclosporin A oxidase activity in primary cultures of human hepatocytes. Mol Pharmacol. 1992 Jun;41(6):1047-55. [Article]
- Matoulkova P, Pavek P, Maly J, Vlcek J: Cytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction. Expert Opin Drug Metab Toxicol. 2014 Mar;10(3):425-35. doi: 10.1517/17425255.2014.878703. Epub 2014 Jan 23. [Article]
- FDA Approved Drug Products: Entocort Budesonide Oral Extended Release Capsules [Link]
- FDA Approved Drug Products: Ortikos Budesonide Oral Extended Release Capsules [Link]
- FDA Approved Drug Products: Pulmicort Budesonide Inhalation Powder [Link]
- FDA Approved Drug Products: Pulmicort Budesonide Inhalation Suspension [Link]
- FDA Approved Drug Products: Rhinocort Budesonide Nasal Metered Spray [Link]
- FDA Approved Drug Products: Symbicort (budesonide/formoterol fumarate) inhalation aerosol [Link]
- FDA Approved Drug Products: Uceris Budesonide Oral Extended Release Tablets [Link]
- FDA Approved Drug Products: Uceris Budesonide Rectal Aerosol Foam [Link]
Carriers
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Binder
- General Function
- Steroid binding
- Specific Function
- Major transport protein for glucocorticoids and progestins in the blood of almost all vertebrate species.
- Gene Name
- SERPINA6
- Uniprot ID
- P08185
- Uniprot Name
- Corticosteroid-binding globulin
- Molecular Weight
- 45140.49 Da
References
- Gardill BR, Vogl MR, Lin HY, Hammond GL, Muller YA: Corticosteroid-binding globulin: structure-function implications from species differences. PLoS One. 2012;7(12):e52759. doi: 10.1371/journal.pone.0052759. Epub 2012 Dec 26. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Binder
- General Function
- Toxic substance binding
- Specific Function
- Serum albumin, the main protein of plasma, has a good binding capacity for water, Ca(2+), Na(+), K(+), fatty acids, hormones, bilirubin and drugs. Its main function is the regulation of the colloid...
- Gene Name
- ALB
- Uniprot ID
- P02768
- Uniprot Name
- Serum albumin
- Molecular Weight
- 69365.94 Da
References
- Czock D, Keller F, Rasche FM, Haussler U: Pharmacokinetics and pharmacodynamics of systemically administered glucocorticoids. Clin Pharmacokinet. 2005;44(1):61-98. doi: 10.2165/00003088-200544010-00003. [Article]
Transporters
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- No
- Actions
- Substrate
- General Function
- Transporter activity
- Specific Function
- Involved in the ATP-dependent secretion of bile salts into the canaliculus of hepatocytes.
- Gene Name
- ABCB11
- Uniprot ID
- O95342
- Uniprot Name
- Bile salt export pump
- Molecular Weight
- 146405.83 Da
References
- Pedersen JM, Matsson P, Bergstrom CA, Hoogstraate J, Noren A, LeCluyse EL, Artursson P: Early identification of clinically relevant drug interactions with the human bile salt export pump (BSEP/ABCB11). Toxicol Sci. 2013 Dec;136(2):328-43. doi: 10.1093/toxsci/kft197. Epub 2013 Sep 6. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- No
- Actions
- Substrate
- General Function
- Xenobiotic-transporting atpase activity
- Specific Function
- Energy-dependent efflux pump responsible for decreased drug accumulation in multidrug-resistant cells.
- Gene Name
- ABCB1
- Uniprot ID
- P08183
- Uniprot Name
- Multidrug resistance protein 1
- Molecular Weight
- 141477.255 Da
References
- Chen N, Cui D, Wang Q, Wen Z, Finkelman RD, Welty D: In vitro drug-drug interactions of budesonide: inhibition and induction of transporters and cytochrome P450 enzymes. Xenobiotica. 2018 Jun;48(6):637-646. doi: 10.1080/00498254.2017.1344911. Epub 2017 Jul 21. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Sodium-independent organic anion transmembrane transporter activity
- Specific Function
- Mediates the Na(+)-independent transport of organic anions such as sulfobromophthalein (BSP) and conjugated (taurocholate) and unconjugated (cholate) bile acids (By similarity). Selectively inhibit...
- Gene Name
- SLCO1A2
- Uniprot ID
- P46721
- Uniprot Name
- Solute carrier organic anion transporter family member 1A2
- Molecular Weight
- 74144.105 Da
References
- Bossuyt X, Muller M, Hagenbuch B, Meier PJ: Polyspecific drug and steroid clearance by an organic anion transporter of mammalian liver. J Pharmacol Exp Ther. 1996 Mar;276(3):891-6. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Sodium-independent organic anion transmembrane transporter activity
- Specific Function
- Plays an important role in the excretion/detoxification of endogenous and exogenous organic anions, especially from the brain and kidney. Involved in the transport basolateral of steviol, fexofenad...
- Gene Name
- SLC22A8
- Uniprot ID
- Q8TCC7
- Uniprot Name
- Solute carrier family 22 member 8
- Molecular Weight
- 59855.585 Da
References
- VanWert AL, Gionfriddo MR, Sweet DH: Organic anion transporters: discovery, pharmacology, regulation and roles in pathophysiology. Biopharm Drug Dispos. 2010 Jan;31(1):1-71. doi: 10.1002/bdd.693. [Article]
Drug created at June 13, 2005 13:24 / Updated at March 19, 2023 23:50