Phenolphthalein

Identification

Summary

Phenolphthalein is a drug used for symptomatic relief of constipation and bowel cleansing prior to medical procedures.

Generic Name
Phenolphthalein
DrugBank Accession Number
DB04824
Background

Phenolphthalein was withdrawn in Canada due to concerns with carcinogenicity in 1997.

Type
Small Molecule
Groups
Approved, Withdrawn
Structure
Weight
Average: 318.3228
Monoisotopic: 318.089208936
Chemical Formula
C20H14O4
Synonyms
  • 3,3-Bis(4-hydroxyphenyl)phthalide
  • Fenolftalein
  • Fenolftaleina
  • Phenolphtaleine
  • Phenolphthalein
  • Phenolphthaleinum
  • Phthalimetten
  • Phthalin
  • Yellow phenolphthalein

Pharmacology

Indication

Used for over a century as a laxative.

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Associated Conditions
Indication TypeIndicationCombined Product DetailsApproval LevelAge GroupPatient CharacteristicsDose Form
Induction ofBowel preparation (bowel cleansing)••••••••••••••••••
Treatment ofConstipation••••••••••••••••••
Contraindications & Blackbox Warnings
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Pharmacodynamics

Not Available

Mechanism of action
TargetActionsOrganism
UUDP-glucuronosyltransferase 1A9Not AvailableHumans
UNuclear receptor subfamily 1 group I member 2Not AvailableHumans
UNuclear receptor subfamily 1 group I member 3Not AvailableHumans
UEstrogen receptor
agonist
Humans
USex hormone-binding globulinNot AvailableHumans
Absorption

Not Available

Volume of distribution

Not Available

Protein binding

Not Available

Metabolism
Not Available
Route of elimination

Not Available

Half-life

Not Available

Clearance

Not Available

Adverse Effects
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Toxicity

Not Available

Pathways
Not Available
Pharmacogenomic Effects/ADRs
Not Available

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.
DrugInteraction
AcetazolamideThe risk or severity of dehydration can be increased when Acetazolamide is combined with Phenolphthalein.
AclidiniumThe therapeutic efficacy of Phenolphthalein can be decreased when used in combination with Aclidinium.
AlfentanilThe therapeutic efficacy of Phenolphthalein can be decreased when used in combination with Alfentanil.
AmantadineThe therapeutic efficacy of Phenolphthalein can be decreased when used in combination with Amantadine.
AmilorideThe risk or severity of dehydration can be increased when Amiloride is combined with Phenolphthalein.
Food Interactions
No interactions found.

Products

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International/Other Brands
Chocolax / Feen-a-mint gum / Feen-a-mint laxative mints
Over the Counter Products
NameDosageStrengthRouteLabellerMarketing StartMarketing EndRegionImage
Alophen Tab 60mgTablet60 mg / tabOralWarner Lambert Canada Inc.1992-12-311997-10-10Canada flag
Espotabs Laxative Tablets 90mgTablet90 mg / tabOralCombe Incorporated1994-12-311997-07-24Canada flag
EX-lax Chocolated Tab 95mgTablet95 mg / tabOralNovartis1991-12-311997-10-10Canada flag
Feen-A-mint Phenolphthalein Tab 100mgTablet100 mg / tabOralSchering Plough Healthcare Products Canada, A Division Of Schering Canada Inc.1993-12-311997-08-08Canada flag
Laxative Pills - TabletTablet90 mg / tabOralStanley Pharmaceuticals, A Division Of Vita Health Products Inc.1996-12-311997-08-08Canada flag
Mixture Products
NameIngredientsDosageRouteLabellerMarketing StartMarketing EndRegionImage
Agarol Eml StrawberryPhenolphthalein (65 mg / 5 mL) + Glycerin (200 mg / 5 mL) + Mineral oil (1.6 mL / 5 mL)EmulsionOralWarner Lambert Canada Inc.1992-12-311997-09-15Canada flag
Agarol Vanilla Laxative LiqPhenolphthalein (65 mg / 5 mL) + Glycerin (200 mg / 5 mL) + Mineral oil (1.6 mL / 5 mL)LiquidOralWarner Lambert Canada Inc.1992-12-311997-09-15Canada flag
Aid-lax TabPhenolphthalein (100 mg / tab) + Alloin (12 mg / tab) + Frangula purshiana bark (30 mg / tab) + Sodium taurocholate (60 mg / tab)TabletOralNobel Pharm Enr.1989-12-311997-07-31Canada flag
AlsilinePhenolphthalein (100 mg / tab) + Alloin (12 mg / tab) + Frangula purshiana bark (30 mg / tab) + Sodium taurocholate (60 mg / tab)TabletOralAlsi Cie Ltee1978-12-311997-08-08Canada flag
Bicholate Lilas TabPhenolphthalein (100 mg) + Alloin (12 mg) + Frangula purshiana bark (30 mg) + Sodium taurocholate (60 mg)TabletOralSabex Inc1991-12-311997-10-10Canada flag

Categories

ATC Codes
A06AB04 — Phenolphthalein
Drug Categories
Chemical TaxonomyProvided by Classyfire
Description
This compound belongs to the class of organic compounds known as benzofuranones. These are organic compounds containing a benzene ring fused to a furanone.
Kingdom
Organic compounds
Super Class
Organoheterocyclic compounds
Class
Benzofurans
Sub Class
Benzofuranones
Direct Parent
Benzofuranones
Alternative Parents
Phthalides / 1-hydroxy-2-unsubstituted benzenoids / Benzene and substituted derivatives / Lactones / Carboxylic acid esters / Oxacyclic compounds / Monocarboxylic acids and derivatives / Organooxygen compounds / Organic oxides / Hydrocarbon derivatives
Substituents
1-hydroxy-2-unsubstituted benzenoid / Aromatic heteropolycyclic compound / Benzenoid / Benzofuranone / Carboxylic acid derivative / Carboxylic acid ester / Hydrocarbon derivative / Isobenzofuranone / Isocoumaran / Lactone
Molecular Framework
Aromatic heteropolycyclic compounds
External Descriptors
phenols (CHEBI:34914)
Affected organisms
  • Humans and other mammals

Chemical Identifiers

UNII
6QK969R2IF
CAS number
77-09-8
InChI Key
KJFMBFZCATUALV-UHFFFAOYSA-N
InChI
InChI=1S/C20H14O4/c21-15-9-5-13(6-10-15)20(14-7-11-16(22)12-8-14)18-4-2-1-3-17(18)19(23)24-20/h1-12,21-22H
IUPAC Name
3,3-bis(4-hydroxyphenyl)-1,3-dihydro-2-benzofuran-1-one
SMILES
OC1=CC=C(C=C1)C1(OC(=O)C2=CC=CC=C12)C1=CC=C(O)C=C1

References

Synthesis Reference

Hershel B. Prindle, George E. Ham, "Preparation of phenolphthalein using cation exchange resins and aryl phosphites." U.S. Patent US4252725, issued March, 1966.

US4252725
General References
Not Available
KEGG Drug
D05456
KEGG Compound
C14286
PubChem Compound
4764
PubChem Substance
46506108
ChemSpider
4600
BindingDB
50077844
RxNav
155122
ChEBI
34914
ChEMBL
CHEMBL63857
ZINC
ZINC000003831317
PharmGKB
PA450915
PDBe Ligand
FGT
Wikipedia
Phenolphthalein
PDB Entries
6gko / 6gyj

Clinical Trials

Clinical Trials
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PhaseStatusPurposeConditionsCountStart DateWhy Stopped100+ additional columns

Pharmacoeconomics

Manufacturers
Not Available
Packagers
Not Available
Dosage Forms
FormRouteStrength
EmulsionOral
LiquidOral
TabletOral60 mg / tab
TabletOral95 mg / tab
TabletOral100 mg / tab
TabletOral50 mg
TabletOral
TabletOral90 mg / tab
TabletOral94 mg / tab
TabletOral250 mg
Tablet, chewableBuccal
JellyOral100 mg / 7 g
CapsuleOral
TabletOral100.000 mg
Tablet
Prices
Not Available
Patents
Not Available

Properties

State
Solid
Experimental Properties
PropertyValueSource
melting point (°C)262.5 °CPhysProp
water solubility400 mg/LYALKOWSKY,SH & HE,Y (2003)
logP2.41HANSCH,C ET AL. (1995), pH 7.4
pKa9.7 (at 25 °C)MERCK INDEX (1996)
Predicted Properties
PropertyValueSource
Water Solubility0.00992 mg/mLALOGPS
logP4.41ALOGPS
logP4.35Chemaxon
logS-4.5ALOGPS
pKa (Strongest Acidic)9.16Chemaxon
pKa (Strongest Basic)-6Chemaxon
Physiological Charge0Chemaxon
Hydrogen Acceptor Count3Chemaxon
Hydrogen Donor Count2Chemaxon
Polar Surface Area66.76 Å2Chemaxon
Rotatable Bond Count2Chemaxon
Refractivity91.04 m3·mol-1Chemaxon
Polarizability32.65 Å3Chemaxon
Number of Rings4Chemaxon
Bioavailability1Chemaxon
Rule of FiveYesChemaxon
Ghose FilterYesChemaxon
Veber's RuleNoChemaxon
MDDR-like RuleNoChemaxon
Predicted ADMET Features
PropertyValueProbability
Human Intestinal Absorption+0.9934
Blood Brain Barrier+0.81
Caco-2 permeable-0.6464
P-glycoprotein substrateNon-substrate0.5296
P-glycoprotein inhibitor INon-inhibitor0.9622
P-glycoprotein inhibitor IINon-inhibitor0.7602
Renal organic cation transporterNon-inhibitor0.8906
CYP450 2C9 substrateNon-substrate0.7388
CYP450 2D6 substrateNon-substrate0.8969
CYP450 3A4 substrateNon-substrate0.6225
CYP450 1A2 substrateNon-inhibitor0.778
CYP450 2C9 inhibitorInhibitor0.6684
CYP450 2D6 inhibitorNon-inhibitor0.8938
CYP450 2C19 inhibitorNon-inhibitor0.7654
CYP450 3A4 inhibitorNon-inhibitor0.5773
CYP450 inhibitory promiscuityLow CYP Inhibitory Promiscuity0.5636
Ames testNon AMES toxic0.9267
CarcinogenicityNon-carcinogens0.9093
BiodegradationNot ready biodegradable0.9381
Rat acute toxicity2.3649 LD50, mol/kg Not applicable
hERG inhibition (predictor I)Weak inhibitor0.9899
hERG inhibition (predictor II)Non-inhibitor0.876
ADMET data is predicted using admetSAR, a free tool for evaluating chemical ADMET properties. (23092397)

Spectra

Mass Spec (NIST)
Download (10.4 KB)
Spectra
SpectrumSpectrum TypeSplash Key
Mass Spectrum (Electron Ionization)MSsplash10-00fr-2690000000-8c929a0403799e4cd208
LC-MS/MS Spectrum - LC-ESI-qTof , PositiveLC-MS/MSsplash10-004i-2950000000-2239a8a809fdd9396eaf
MS/MS Spectrum - , positiveLC-MS/MSsplash10-004i-2950000000-2239a8a809fdd9396eaf
Predicted MS/MS Spectrum - 10V, Positive (Annotated)Predicted LC-MS/MSsplash10-014i-0039000000-f1dfb588ea21d2301496
Predicted MS/MS Spectrum - 10V, Negative (Annotated)Predicted LC-MS/MSsplash10-014l-8009000000-3aad4a1a4a1d3ce016bc
Predicted MS/MS Spectrum - 20V, Positive (Annotated)Predicted LC-MS/MSsplash10-014i-0039000000-e35e9fa180406f8a4c53
Predicted MS/MS Spectrum - 20V, Negative (Annotated)Predicted LC-MS/MSsplash10-006x-9062000000-076140e02c53d677413a
Predicted MS/MS Spectrum - 40V, Positive (Annotated)Predicted LC-MS/MSsplash10-0101-0970000000-fb32f58dd2a1f6d6eb98
Predicted MS/MS Spectrum - 40V, Negative (Annotated)Predicted LC-MS/MSsplash10-00ke-9370000000-55abdf9acaa7f6ed4d5c
1H NMR Spectrum1D NMRNot Applicable
13C NMR Spectrum1D NMRNot Applicable
Predicted 1H NMR Spectrum1D NMRNot Applicable
Predicted 13C NMR Spectrum1D NMRNot Applicable
Chromatographic Properties
Collision Cross Sections (CCS)
AdductCCS Value (Å2)Source typeSource
[M-H]-188.2940632
predicted
DarkChem Lite v0.1.0
[M-H]-188.3757632
predicted
DarkChem Lite v0.1.0
[M-H]-173.65251
predicted
DeepCCS 1.0 (2019)
[M+H]+189.6300632
predicted
DarkChem Lite v0.1.0
[M+H]+188.3625632
predicted
DarkChem Lite v0.1.0
[M+H]+176.01048
predicted
DeepCCS 1.0 (2019)
[M+Na]+188.2649632
predicted
DarkChem Lite v0.1.0
[M+Na]+188.3732632
predicted
DarkChem Lite v0.1.0
[M+Na]+183.14659
predicted
DeepCCS 1.0 (2019)

Targets

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Kind
Protein
Organism
Humans
Pharmacological action
Unknown
General Function
UDP-glucuronosyltransferase (UGT) that catalyzes phase II biotransformation reactions in which lipophilic substrates are conjugated with glucuronic acid to increase the metabolite's water solubility, thereby facilitating excretion into either the urine or bile (PubMed:12181437, PubMed:15470161, PubMed:15472229, PubMed:18004212, PubMed:18052087, PubMed:18674515, PubMed:19545173). Essential for the elimination and detoxification of drugs, xenobiotics and endogenous compounds (PubMed:12181437, PubMed:18004212). Catalyzes the glucuronidation of endogenous estrogen hormones such as estradiol and estrone (PubMed:15472229). Also catalyzes the glucuronidation of the isoflavones genistein, daidzein, glycitein, formononetin, biochanin A and prunetin, which are phytoestrogens with anticancer and cardiovascular properties (PubMed:18052087, PubMed:19545173). Involved in the glucuronidation of the AGTR1 angiotensin receptor antagonist caderastan, a drug which can inhibit the effect of angiotensin II (PubMed:18674515). Involved in the biotransformation of 7-ethyl-10-hydroxycamptothecin (SN-38), the pharmacologically active metabolite of the anticancer drug irinotecan (PubMed:12181437, PubMed:20610558). Also metabolizes mycophenolate, an immunosuppressive agent (PubMed:15470161, PubMed:18004212)
Specific Function
enzyme binding
Gene Name
UGT1A9
Uniprot ID
O60656
Uniprot Name
UDP-glucuronosyltransferase 1A9
Molecular Weight
59940.495 Da
References
  1. Uesawa Y, Staines AG, Lockley D, Mohri K, Burchell B: Identification of the human liver UDP-glucuronosyltransferase involved in the metabolism of p-ethoxyphenylurea (dulcin). Arch Toxicol. 2007 Mar;81(3):163-8. Epub 2006 Aug 5. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
General Function
Nuclear receptor that binds and is activated by variety of endogenous and xenobiotic compounds. Transcription factor that activates the transcription of multiple genes involved in the metabolism and secretion of potentially harmful xenobiotics, drugs and endogenous compounds. Activated by the antibiotic rifampicin and various plant metabolites, such as hyperforin, guggulipid, colupulone, and isoflavones. Response to specific ligands is species-specific. Activated by naturally occurring steroids, such as pregnenolone and progesterone. Binds to a response element in the promoters of the CYP3A4 and ABCB1/MDR1 genes
Specific Function
DNA-binding transcription activator activity, RNA polymerase II-specific
Gene Name
NR1I2
Uniprot ID
O75469
Uniprot Name
Nuclear receptor subfamily 1 group I member 2
Molecular Weight
49761.245 Da
References
  1. Dring AM, Anderson LE, Qamar S, Stoner MA: Rational quantitative structure-activity relationship (RQSAR) screen for PXR and CAR isoform-specific nuclear receptor ligands. Chem Biol Interact. 2010 Dec 5;188(3):512-25. doi: 10.1016/j.cbi.2010.09.018. Epub 2010 Oct 20. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Curator comments
Inverse agonist at the canonical form of the receptor. Agonist at isoform 3 of the receptor.
General Function
Binds and transactivates the retinoic acid response elements that control expression of the retinoic acid receptor beta 2 and alcohol dehydrogenase 3 genes. Transactivates both the phenobarbital responsive element module of the human CYP2B6 gene and the CYP3A4 xenobiotic response element
Specific Function
DNA-binding transcription activator activity, RNA polymerase II-specific
Gene Name
NR1I3
Uniprot ID
Q14994
Uniprot Name
Nuclear receptor subfamily 1 group I member 3
Molecular Weight
39942.145 Da
References
  1. Dring AM, Anderson LE, Qamar S, Stoner MA: Rational quantitative structure-activity relationship (RQSAR) screen for PXR and CAR isoform-specific nuclear receptor ligands. Chem Biol Interact. 2010 Dec 5;188(3):512-25. doi: 10.1016/j.cbi.2010.09.018. Epub 2010 Oct 20. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Agonist
Curator comments
Phenolphthalein competes with estradiol for the binding site and induces elevated levels of progesterone receptor in the MCF-7 cells at higher concentrations.
General Function
Nuclear hormone receptor. The steroid hormones and their receptors are involved in the regulation of eukaryotic gene expression and affect cellular proliferation and differentiation in target tissues. Ligand-dependent nuclear transactivation involves either direct homodimer binding to a palindromic estrogen response element (ERE) sequence or association with other DNA-binding transcription factors, such as AP-1/c-Jun, c-Fos, ATF-2, Sp1 and Sp3, to mediate ERE-independent signaling. Ligand binding induces a conformational change allowing subsequent or combinatorial association with multiprotein coactivator complexes through LXXLL motifs of their respective components. Mutual transrepression occurs between the estrogen receptor (ER) and NF-kappa-B in a cell-type specific manner. Decreases NF-kappa-B DNA-binding activity and inhibits NF-kappa-B-mediated transcription from the IL6 promoter and displace RELA/p65 and associated coregulators from the promoter. Recruited to the NF-kappa-B response element of the CCL2 and IL8 promoters and can displace CREBBP. Present with NF-kappa-B components RELA/p65 and NFKB1/p50 on ERE sequences. Can also act synergistically with NF-kappa-B to activate transcription involving respective recruitment adjacent response elements; the function involves CREBBP. Can activate the transcriptional activity of TFF1. Also mediates membrane-initiated estrogen signaling involving various kinase cascades. Essential for MTA1-mediated transcriptional regulation of BRCA1 and BCAS3 (PubMed:17922032). Maintains neuronal survival in response to ischemic reperfusion injury when in the presence of circulating estradiol (17-beta-estradiol/E2) (By similarity)
Specific Function
14-3-3 protein binding
Gene Name
ESR1
Uniprot ID
P03372
Uniprot Name
Estrogen receptor
Molecular Weight
66215.45 Da
References
  1. Ravdin PM, van Beurden M, Jordan VC: Estrogenic effects of phenolphthalein on human breast cancer cells in vitro. Breast Cancer Res Treat. 1987;9(2):151-4. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
General Function
Functions as an androgen transport protein, but may also be involved in receptor mediated processes. Each dimer binds one molecule of steroid. Specific for 5-alpha-dihydrotestosterone, testosterone, and 17-beta-estradiol. Regulates the plasma metabolic clearance rate of steroid hormones by controlling their plasma concentration
Specific Function
androgen binding
Gene Name
SHBG
Uniprot ID
P04278
Uniprot Name
Sex hormone-binding globulin
Molecular Weight
43778.755 Da
References
  1. Hong H, Branham WS, Ng HW, Moland CL, Dial SL, Fang H, Perkins R, Sheehan D, Tong W: Human sex hormone-binding globulin binding affinities of 125 structurally diverse chemicals and comparison with their binding to androgen receptor, estrogen receptor, and alpha-fetoprotein. Toxicol Sci. 2015 Feb;143(2):333-48. doi: 10.1093/toxsci/kfu231. Epub 2014 Oct 27. [Article]

Drug created at September 11, 2007 20:27 / Updated at June 19, 2021 00:26