Overview
| Generic Names: | 17 alpha-Ethinylestradiol; 17 alpha-Ethynylestradiol; 17 alpha-Ethynyloestradiol; Aethinyloestradiolum; Aethinyoestradiol [German]; EE; EO; Ethinyl-Oestranol; Ethinylestradiolum [INN-Latin]; Ethinylestriol; Ethinyloestradiol; Ethynylestradiol; Ethynyloestradiol; Etinilestradiol [INN-Spanish] |
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| Trade Names: | Amenoron; Amenorone; Anovlar; Cyclosa; Dicromil; Diognat-E; Diogyn E; Diogyn-E; Diprol; Dyloform; Ertonyl; Esteed; Estigyn; Eston-E; Estopherol; Estoral; Estorals; Ethidol; Ethinoral; Ethy 11; Eticyclin; Eticyclol; Eticylol; Etinestrol; Etinestryl; Etinoestryl; Etistradiol; Etivex; Follicoral; Ginestrene; Gynolett; Halodrin; Inestra; Kolpolyn; Linoral; Marvelon; Menolyn; Mercilon; Microfollin; Neo-Estrone; Nogest-S; Novestrol; Oradiol; Orestralyn; Orestrayln; Ortho-Cyclen; Oviol; Primogyn; Primogyn C; Primogyn M; Progynon C; Progynon M; Prosexol; Spanestrin; Varnoline; Ylestrol |
| Brand Mixtures: | Alesse 21 Tablets (Ethinyl Estradiol + Levonorgestrel); Alesse 28 Tablets (Ethinyl Estradiol + Levonorgestrel); Brevicon (Ethinyl Estradiol + Norethindrone); Cyclen (Ethinyl Estradiol + Norgestimate); Demulen 30 (Ethinyl Estradiol + Ethynodiol Diacetate); Demulen 50 (Ethinyl Estradiol + Ethynodiol Diacetate); Diane-35 (Cyproterone Acetate + Ethinyl Estradiol); Evra (Ethinyl Estradiol + Norelgestromin); Femhrt 1/5 (Ethinyl Estradiol + Norethindrone Acetate); Geri Bons Tab (Calcium (Calcium Phosphate (Dibasic)) + Copper + Dl-Methionine + Ethinyl Estradiol + Fatty Acids + Folic Acid + Iodine + Iron Peptonized + Magnesium + Manganese + Methyltestosterone + Nicotinamide + Phosphorus (Calcium Phosphate (Dibasic)) + Pyridoxine Hydrochloride + Thiamine Hydrochloride + Thyroid + Vitamin a + Vitamin B12 + Vitamin B2 + Vitamin D + Vitamin E); Geri Tabs (Calcium (Calcium Phosphate (Dibasic)) + Copper Sulfate + Dl-Methionine + Ethinyl Estradiol + Folic Acid + Iodine + Iron Peptonized + Magnesium Oxide + Manganese Sulfate + Methyltestosterone + Nicotinamide + Phosphorus (Calcium Phosphate (Dibasic)) + Pyridoxine Hydrochloride + Thiamine Hydrochloride + Thyroid + Vitamin a + Vitamin B12 + Vitamin B2 + Vitamin D + Vitamin E); Lo-Femenal 21 Tablets (Ethinyl Estradiol + Norgestrel); Loestrin 1.5/30 21day Pak (Ethinyl Estradiol + Norethindrone Acetate); Loestrin 1.5/30 28day Pack (Ethinyl Estradiol + Norethindrone Acetate); Marvelon 21 Tab (Desogestrel + Ethinyl Estradiol); Marvelon 28 Tab (Desogestrel + Ethinyl Estradiol); Min-Ovral 21 (Ethinyl Estradiol + Levonorgestrel); Min-Ovral 21 Tab (Ethinyl Estradiol + Levonorgestrel); Min-Ovral 28 (Ethinyl Estradiol + Levonorgestrel); Min-Ovral 28 Tab (Ethinyl Estradiol + Levonorgestrel); Minestrin 1/20 21 (Ethinyl Estradiol + Norethindrone Acetate); Minestrin 1/20 28 (Ethinyl Estradiol + Norethindrone Acetate); Neo Mens Tab (Ethinyl Estradiol + Ethisterone); Nuvaring (Ethinyl Estradiol + Etonogestrel); Ortho Tablets (0.5/35, 1/35, 10/11, 7/7/7) (Ethinyl Estradiol + Norethindrone); Ortho-Cept Tablets (Desogestrel + Ethinyl Estradiol); Ovral 21 Tab (Ethinyl Estradiol + Norgestrel (Norgestrel)); Ovral 21 Tablets (Ethinyl Estradiol + Norgestrel (Norgestrel)); Ovral 28 Tablets (Ethinyl Estradiol + Norgestrel (Norgestrel)); Ovral 28tab (Ethinyl Estradiol + Norgestrel); Preven Tablets (Ethinyl Estradiol + Levonorgestrel); Select 1/35 (Ethinyl Estradiol + Norethindrone); Synphasic 21 Tablets (Ethinyl Estradiol + Norethindrone); Synphasic 28 Tablets (Ethinyl Estradiol + Norethindrone); Synphasic-28 Tablets (Ethinyl Estradiol + Norethindrone); Tri-Cyclen Lo (Ethinyl Estradiol + Norgestimate); Tri-Cyclen Tablets - 21-Day (Ethinyl Estradiol + Norgestimate); Tri-Cyclen Tablets - 28-Day (Ethinyl Estradiol + Norgestimate); Triphasil 21 (Ethinyl Estradiol + Levonorgestrel); Triphasil 21 Tab (Ethinyl Estradiol + Levonorgestrel); Triphasil 28 (Ethinyl Estradiol + Levonorgestrel); Triphasil 28 Tab (Ethinyl Estradiol + Levonorgestrel); Triquilar 21 Tab (Ethinyl Estradiol + Levonorgestrel); Triquilar 28 Tab (Ethinyl Estradiol + Levonorgestrel); Yasmin 21 (Drospirenone + Ethinyl Estradiol); Yasmin 28 (Drospirenone + Ethinyl Estradiol) |
| PharmGKB Accession Id: | PA449527 |
Description
A semisynthetic alkylated estradiol with a 17-alpha-ethinyl substitution. It has high estrogenic potency when administered orally, and is often used as the estrogenic component in oral contraceptives. PubChem (source: Drug Bank)
Indication
For treatment of moderate to severe vasomotor symptoms associated with the menopause, female hypogonadism, prostatic carcinoma-palliative therapy of advanced disease, breast cancer, as an oral contraceptive, and as emergency contraceptive. (source: Drug Bank)
ATC Therapeutic Category
- G03CA:Natural and semisynthetic estrogens, plain
Pharmacology, Interactions, and Contraindications
Mechanism Of Action
Estrogens diffuse into their target cells and interact with a protein receptor. Target cells include the female reproductive tract, the mammary gland, the hypothalamus, and the pituitary. Estrogens increase the hepatic synthesis of sex hormone binding globulin (SHBG), thyroid-binding globulin (TBG), and other serum proteins and suppress follicle-stimulating hormone (FSH) from the anterior pituitary. The combination of an estrogen with a progestin suppresses the hypothalamic-pituitary system, decreasing the secretion of gonadotropin-releasing hormone (GnRH). (source: Drug Bank)
Pharmacology
Ethinyl estradiol is a synthetic derivative of the natural estrogen estradiol. It is one of two estrogens currently used in oral contraceptive pills. The other, mestranol, is converted to ethinyl estradiol before it is biologically active. Ethinyl estradiol and norethindrone are used together as an oral contraceptive agent. (source: Drug Bank)
Absorption, Distribution, Metabolism, Elimination & Toxicity
Biotransformation
Hepatic. Quantitatively, the major metabolic pathway for ethinyl estradiol, both in rats and in humans, is aromatic hydroxylation, as it is for the natural estrogens. (source: Drug Bank)
Protein Binding
97% (source: Drug Bank)
Absorption
Rapid and complete absorption follows oral intake of ethinyl estradiol (bioavailability 43%). (source: Drug Bank)
Toxicity
Oral, mouse LD<sub>50</sub>: 1737 mg/kg. Symptoms of overdose include nausea and vomiting, and withdrawal bleeding may occur in females. (source: Drug Bank)
Isomeric SMILES Code:
C[C@]12CC[C@@H]3c4ccc(cc4CC[C@H]3[C@@H]1CC[C@]2(C#C)O)O (source: Drug Bank)
The following genes are in curated knowledge about this drug.
| Gene | Relationship | Evidence | |
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CYP1A2 |
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Publications |
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CYP2C19 |
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Publications |
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CYP2C9 |
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Publications |
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CYP3A |
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Publications |
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CYP3A4 |
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Publications |
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CYP3A5 |
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Publications |
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UGT1A1 |
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Publications |
A list of non-curated publications that mention this drug along with other genes is available.
Drug Targets
| Gene | Description | |
|---|---|---|
| ESR1 |
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(source: Drug Bank) |
| NR1I2 |
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(source: Drug Bank) |
BioCarta Pathways†
- carm1 and regulation of the estrogen receptor - (BioCarta via Pathway Interaction Database)
- downregulated of mta-3 in er-negative breast tumors - (BioCarta via Pathway Interaction Database)
- estrogen responsive protein efp controls cell cycle and breast tumors growth - (BioCarta via Pathway Interaction Database)
- overview of telomerase protein component gene htert transcriptional regulation - (BioCarta via Pathway Interaction Database)
- pelp1 modulation of estrogen receptor activity - (BioCarta via Pathway Interaction Database)
Reactome Pathways†
The following drugs are in curated knowledge about this drug.
| Drug | Relationship | Evidence | |
|---|---|---|---|
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modafinil |
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Publications |
A list of non-curated publications that mention this drug along with other drugs is available.
Drug Interactions
| Drug | Description | |
|---|---|---|
| acenocoumarol |
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Increased thrombotic risk due to estrogen (source: Drug Bank) |
| amobarbital |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| amoxicillin |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| ampicillin |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| amprenavir |
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Ritonavir could decrease the contraceptive efficacy (source: Drug Bank) |
| aztreonam |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| bosentan |
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Bosentan decreases the effect of contraceptive (source: Drug Bank) |
| butalbital |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| carbamazepine |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| carbenicillin |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| cloxacillin |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| cyclosporine |
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The contraceptive increases the effect and toxicity of cyclosporine (source: Drug Bank) |
| dicumarol |
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Increased thrombotic risk due to estrogen (source: Drug Bank) |
| doxycycline |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| griseofulvin |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| hexobarbital |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| itraconazole |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| ketoconazole |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| lamotrigine |
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The oral contraceptive decreases the effect of lamotrigine (source: Drug Bank) |
| mephenytoin |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| methylphenobarbital |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| minocycline |
|
This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| modafinil |
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Modafinil decreases the effect of contraceptive (source: Drug Bank) |
| nafcillin |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| nelfinavir |
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Ritonavir could decrease the contraceptive efficacy (source: Drug Bank) |
| oxacillin |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| oxcarbazepine |
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Oxcarbazepine decreases the effect of the contracepitve (source: Drug Bank) |
| oxytetracycline |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| penicillin g |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| pentobarbital |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| phenobarbital |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| phenytoin |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| pioglitazone |
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Possible loss of contracepitve effect (source: Drug Bank) |
| piperacillin |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| prednisolone |
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The estrogenic agent increases the effect of corticosteroid (source: Drug Bank) |
| prednisone |
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The estrogenic agent increases the effect of corticosteroid (source: Drug Bank) |
| primidone |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| raloxifene |
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Association not recommended (source: Drug Bank) |
| rifabutin |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| rifampin |
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This product may cause a slight decrease of contraceptive effect (source: Drug Bank) |
| ritonavir |
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Ritonavir could decrease the contraceptive efficacy (source: Drug Bank) |
| tetracycline |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| theophylline |
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The contraceptive increases the effect and toxicity of theophylline (source: Drug Bank) |
| ticarcillin |
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This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank) |
| tizanidine |
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The contraceptive increases the effect of tizanidine (source: Drug Bank) |
| topiramate |
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Topiramate decreases the effect of estrogen (source: Drug Bank) |
| troglitazone |
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Possible loss of contracepitve effect (source: Drug Bank) |
| ursodeoxycholic acid |
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Estrogens decreases the effect of ursodiol (source: Drug Bank) |
| warfarin |
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Increased thrombotic risk due to estrogen (source: Drug Bank) |
Non-Curated Information
A list of non-curated publications that mention this drug along with other diseases is available.
LinkOuts
Common Searches
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Non-Curated Publications
A list of non-curated publications that mention this drug is available.
