Drug/Small Molecule:
prednisone

2D structure

Overview

Generic Names: Dehydrocortisone; PRD; Prednisona [INN-Spanish]; Prednisonum [INN-Latin]
Trade Names: Adasone; Ancortone; Apo-prednisone; Betapar; Bicortone; Cartancyl; Colisone; Cortan; Cortancyl; Cortidelt; Cotone; Dacorten; Dacortin; Decortancyl; Decortin; Decortisyl; Dekortin; Delcortin; Dellacort; Dellacort A; Delta Cortelan; Delta E; Delta-cortelan; Delta-cortisone; Delta-cortone; Delta-dome; Deltacortene; Deltacortisone; Deltacortone; Deltasone; Deltison; Deltisona; Deltisone; Deltra; Di-Adreson; Diadreson; Econosone; Encorton; Encortone; Enkorton; Fernisone; Fiasone; Hostacortin; In-Sone; Incocortyl; Juvason; Lisacort; Me-Korti; Metacortandracin; Meticorten; Nisona; Nizon; Novoprednisone; Nurison; Orasone; Origen Prednisone; Panafcort; Panasol; Paracort; Parmenison; Pehacort; Precort; Predeltin; Prednicen-M; Prednicorm; Prednicort; Prednicot; Prednidib; Prednilonga; Prednison; Prednisone Intensol; Prednitone; Prednizon; Prednovister; Presone; Pronison; Rectodelt; Retrocortine; Servisone; Sone; Sterapred; Supercortil; Ultracorten; Ultracortene; Winpred; Wojtab; Zenadrid
Brand Mixtures: Cortab (Biotin + Chlorpheniramine Maleate + D-Pantothenic Acid + Inositol + Nicotinic Acid + Prednisone + Pyridoxine Hydrochloride + Thiamine Mononitrate + Vitamin a + Vitamin B2 + Vitamin D + Vitamin E (Dl-Alpha Tocopheryl Acetate)); Metreton Tab (Chlorpheniramine Maleate + Prednisone + Vitamin C); Predniderm Tab (Inositol + Pheniramine Maleate + Phosphatidyl Choline + Prednisone + Vitamin a + Vitamin D2 + Vitamin E); Sterolin Liq (Biotin + Fatty Acids Unsaturated + Inositol + Nicotinic Acid + Pheniramine Maleate + Phosphatidyl Choline + Prednisone + Vitamin a Palmitate + Vitamin B2 + Vitamin D2 + Vitamin E)
PharmGKB Accession Id: PA451100

Description

A synthetic anti-inflammatory glucocorticoid derived from cortisone. It is biologically inert and converted to prednisolone in the liver. PubChem (source: Drug Bank)

Indication

For the treatment of drug-induced allergic reactions, perennial or seasonal allergic rhinitis, serum sickness, giant cell arteritis acute rheumatic or nonrheumatic carditis, systemic dermatomyositis, systemic lupus erythematosus, atopic dermatitis, contact dermatitis, exfoliative dermatitis, bullous dermatitis herpetiformis, severe seborrheic dermatitis, severe (Stevens-Johnson syndrome) erythema multiforme, mycosis fungoides, pemphigus, severe psoriasis, acute adrenocortical insufficiency, Addison's disease, secondary adrenocortical insufficiency, congenital adrenal hyperplasia, hypercalcemia associated with neoplasms, nonsuppurative thyroiditis, ulceratice colitis, Crohn's disease, acquired hemolytic anemia, congenital hypoplastic anemia, erythroblastopenia, adult secondary thrombocytopenia, adult idiopathic thrombocytopenia purpura, acute or subacute bursitis, epicondylitis, acute nonspecific tenosynovitis, acute or chronic lymphocytic leukemia, Hodgkin's or non-Hodgkin's lynphomas, Waldenstrom's macroglobulinemia, primary brain tumors (adjunct), nephrotic syndrome, tuberculous meningitis, multiple sclerosis, myasthenia gravis. cerebral edema, chorioretinitis, diffuse posterior choroiditis, aleergic conjunctivitis, Herpes zoster ophthalmicus, anterior segment inflammation, iridocyclitis, iritis, keratitis, optoc neuritis, sympathetic ophthalmia, corneal marginal allergic ulcers, symptomatic sarcoidosis, Loeffler's syndrome not manageable by other means, berylliosis, fulminating or disseminated pulmonary tuberculosis when used concurrently with appropriate antituberculous chemotherapy and aspiration pneumonitis. (source: Drug Bank)

ATC Therapeutic Categories

  • A07EA:Corticosteroids acting locally
  • H02AB:Glucocorticoids

Pharmacology, Interactions, and Contraindications

Mechanism Of Action

Prednisone is a glucocorticoid agonist. It is first metabolized in the liver to its active form, prednisolone. Prednisolone crosses cell membranes and binds with high affinity to specific cytoplasmic receptors. The result includes inhibition of leukocyte infiltration at the site of inflammation, interference in the function of mediators of inflammatory response, suppression of humoral immune responses, and reduction in edema or scar tissue. The antiinflammatory actions of corticosteroids are thought to involve phospholipase A2 inhibitory proteins, lipocortins, which control the biosynthesis of potent mediators of inflammation such as prostaglandins and leukotrienes. (source: Drug Bank)

Pharmacology

Prednisone, the most commonly-prescribed corticosteroid, is used to treat allograft rejection, asthma, systemic lupus erythematosus, and many other inflammatory states. Prednisone has very little mineralocorticoid activity. (source: Drug Bank)

Food Interactions

Avoid alcohol.
Avoid taking with grapefruit juice.
Take with food to reduce irritation. (source: Drug Bank)

Absorption, Distribution, Metabolism, Elimination & Toxicity

Biotransformation

Hepatic. (source: Drug Bank)

Protein Binding

Extensively bound to plasma proteins. (source: Drug Bank)

Absorption

Readily absorbed from the gastrointestinal tract. (source: Drug Bank)

Isomeric SMILES Code:

C[C@]12CC(=O)[C@H]3[C@H]([C@@H]1CC[C@@]2(C(=O)CO)O)CCC4=CC(=O)C=C[C@]34C (source: Drug Bank)

In-Depth Annotations (In-Depth Annotation)

  1. rs1045642 at chr7:86976581 in ABCB1
    Risk or phenotype-associated allele: CC genotype. Phenotype: Increased time to wean from steroid treatment in pediatric heart transplantation. Study size: 69. Study population/ethnicity: Pediatric heart transplant patients from the Children's Hospital of Pittsburgh, Pennsylvania, USA. Significance metric(s): p = 0.04. Type of association: GN; PD.
    Variant Name:
    ABCB1:3435T>C, Ile1145Ile
    Related Drugs:
    prednisone
    Related Diseases:
    Drug Resistance, Organ Transplantation
    Evidence:
    PMID:12175731
    http://www.pharmgkb.org/.../variant.jsp#ImportantVariantInformationforABCB1-3435
Variant names are different names that have been used in the literature and other resources to refer to the same variant.

The following genes are in curated knowledge about this drug.

  Gene Relationship Evidence
Phenotype data available Genotype Data Available Literature annotations available Has annotations
ABCB1
  • CO
  • PD
  • PK
  •   
  • GN
Publications, Variants
Phenotype data available Genotype Data Available Literature annotations available Has annotations
CYP3A4
  • CO
  • PD
  • PK
  •   
  • GN
Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
CYP3A5
  • CO
  • PD
  • PK
  •   
  • GN
Publications
Phenotype data available Genotype Data Available Literature annotations available Not annotated
GSTM1
  • CO
  • PD
  • PK
  •   
  • GN
Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
GSTP1
  • CO
  • PD
  • PK
  •   
  • GN
Publications
Phenotype data available Genotype Data Available Literature annotations available Not annotated
GSTT1
  • CO
  • PD
  • PK
  •   
  • GN
Publications
No phenotype data Genotype Data Available Literature annotations available Not annotated
HSD11B1
  •   
  •   
  • PK
  •   
  •   
Publications
No phenotype data Genotype Data Available Literature annotations available Not annotated
IL10
  •   
  • PD
  •   
  •   
  • GN
Publications
Phenotype data available No genotype data Literature annotations available Not annotated
MSH6
  • CO
  •   
  •   
  •   
  • GN
Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
MTHFR
  • CO
  • PD
  • PK
  •   
  • GN
Publications
Phenotype data available Genotype Data Available Literature annotations available Not annotated
NR3C1
  • CO
  • PD
  • PK
  •   
  • GN
Publications
No phenotype data No genotype data Literature annotations available Not annotated
SAA1
  •   
  • PD
  •   
  •   
  •   
Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
SLC19A1
  • CO
  • PD
  • PK
  •   
  • GN
Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
TPMT
  • CO
  • PD
  • PK
  •   
  • GN
Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
TYMS
  • CO
  • PD
  • PK
  •   
  • GN
Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
UGT1A1
  • CO
  • PD
  • PK
  •   
  • GN
Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
VDR
  • CO
  • PD
  • PK
  •   
  • GN
Publications

A list of non-curated publications that mention this drug along with other genes is available.

Drug Targets

Gene Description
ANXA1 Uncurated Annotation (source: Drug Bank)
NR3C1 Uncurated Annotation (source: Drug Bank)

A list of non-curated publications that mention this drug along with other drugs is available.

Drug Interactions

Drug Description
acenocoumarol Uncurated Annotation The corticosteroid alters the anticoagulant effect (source: Drug Bank)
amobarbital Uncurated Annotation The barbiturate decreases the effect of the corticosteroid (source: Drug Bank)
aspirin Uncurated Annotation The corticosteroid decreases the effect of salicylates (source: Drug Bank)
butalbital Uncurated Annotation The barbiturate decreases the effect of the corticosteroid (source: Drug Bank)
clomifene Uncurated Annotation The estrogenic agent increases the effect of corticosteroid (source: Drug Bank)
dicumarol Uncurated Annotation The corticosteroid alters the anticoagulant effect (source: Drug Bank)
diethylstilbestrol Uncurated Annotation The estrogenic agent increases the effect of corticosteroid (source: Drug Bank)
edrophonium Uncurated Annotation The corticosteroid decreases the effect of anticholinesterases (source: Drug Bank)
estradiol Uncurated Annotation The estrogenic agent increases the effect of corticosteroid (source: Drug Bank)
estrone Uncurated Annotation The estrogenic agent increases the effect of corticosteroid (source: Drug Bank)
ethinyl estradiol Uncurated Annotation The estrogenic agent increases the effect of corticosteroid (source: Drug Bank)
hexobarbital Uncurated Annotation The barbiturate decreases the effect of the corticosteroid (source: Drug Bank)
itraconazole Uncurated Annotation The imidazole increases the effect and toxicity of the corticosteroid (source: Drug Bank)
ketoconazole Uncurated Annotation The imidazole increases the effect and toxicity of the corticosteroid (source: Drug Bank)
mephenytoin Uncurated Annotation The enzyme inducer decreases the effect of the corticosteroid (source: Drug Bank)
mestranol Uncurated Annotation The estrogenic agent increases the effect of corticosteroid (source: Drug Bank)
methylphenobarbital Uncurated Annotation The barbiturate decreases the effect of the corticosteroid (source: Drug Bank)
neostigmine Uncurated Annotation The corticosteroid decreases the effect of anticholinesterases (source: Drug Bank)
pentobarbital Uncurated Annotation The barbiturate decreases the effect of the corticosteroid (source: Drug Bank)
phenobarbital Uncurated Annotation The barbiturate decreases the effect of the corticosteroid (source: Drug Bank)
phenytoin Uncurated Annotation The enzyme inducer decreases the effect of the corticosteroid (source: Drug Bank)
primidone Uncurated Annotation The barbiturate decreases the effect of the corticosteroid (source: Drug Bank)
pyridostigmine Uncurated Annotation The corticosteroid decreases the effect of anticholinesterases (source: Drug Bank)
rifampin Uncurated Annotation The enzyme inducer decreases the effect of the corticosteroid (source: Drug Bank)
salicylate-magnesium Uncurated Annotation The corticosteroid decreases the effect of salicylates (source: Drug Bank)
salicylate-sodium Uncurated Annotation The corticosteroid decreases the effect of salicylates (source: Drug Bank)
warfarin Uncurated Annotation The corticosteroid alters the anticoagulant effect (source: Drug Bank)

Curated Information

The following diseases are in curated knowledge about this drug.

  Disease Relationship Evidence
No phenotype data No genotype data Literature annotations available Not annotated
Arthritis, Rheumatoid
  •   
  • PD
  •   
  •   
  •   
Publications
No phenotype data No genotype data Literature annotations available Not annotated
Crohn Disease
  • CO
  •   
  •   
  •   
  •   
Publications
No phenotype data No genotype data Literature annotations available Not annotated
Nephrotic Syndrome
  • CO
  • PD
  •   
  •   
  • GN
Publications
Phenotype data available Genotype Data Available Literature annotations available Not annotated
Precursor Cell Lymphoblastic Leukemia-Lymphoma
  • CO
  • PD
  • PK
  •   
  • GN
Publications

Non-Curated Information

A list of non-curated publications that mention this drug along with other diseases is available.

Curated Phenotype Datasets

These datasets are sorted alphabetically by title.

Additional Datasets

These datasets are minimally curated and are sorted alphabetically by title.

  1. Genetic predictors of glucocorticoid-induced hypertension in children with acute lymphoblastic leukemia
  2. Genome-wide copy number profiling reveals molecular evolution from diagnosis to relapse in childhood acute lymphoblastic leukemia
  3. Osteonecrosis in Children with Acute Lymphoblastic Leukemia: A Report from the Children's Oncology Group
  4. Pharmacogenetics of Minimal Residual Disease Response in Children with B-Precursor Acute Lymphoblastic Leukemia (ALL): A Report from the Children's Oncology Group
  5. Physicochemical determinants of human renal clearance
  6. The Connectivity Map: using gene-expression signatures to connect small molecules, genes, and disease

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LinkOuts

Web Resource:
Wikipedia
DrugBank:
DB00635
KEGG Compound ID:
C07370
PubChem Compound ID:
5865
PubChem Substance ID:
148670

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Non-Curated Publications

A list of non-curated publications that mention this drug is available.

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