Drug/Small Molecule:
ethinyl estradiol

2D structure

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]
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
No phenotype data Genotype Data Available Literature annotations available Not annotated
CYP1A2
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Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
CYP2C19
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  • PK
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Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
CYP2C9
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  • PK
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Publications
Phenotype data available Genotype Data Available Literature annotations available Not annotated
CYP3A
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  • PK
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Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
CYP3A4
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  • PK
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Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
CYP3A5
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Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
UGT1A1
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  • PK
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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 Uncurated Annotation (source: Drug Bank)
NR1I2 Uncurated Annotation (source: Drug Bank)

The following drugs are in curated knowledge about this drug.

  Drug Relationship Evidence
No phenotype data No genotype data Literature annotations available Not annotated
modafinil
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  • PK
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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 Uncurated Annotation Increased thrombotic risk due to estrogen (source: Drug Bank)
amobarbital Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
amoxicillin Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
ampicillin Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
amprenavir Uncurated Annotation Ritonavir could decrease the contraceptive efficacy (source: Drug Bank)
aztreonam Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
bosentan Uncurated Annotation Bosentan decreases the effect of contraceptive (source: Drug Bank)
butalbital Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
carbamazepine Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
carbenicillin Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
cloxacillin Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
cyclosporine Uncurated Annotation The contraceptive increases the effect and toxicity of cyclosporine (source: Drug Bank)
dicumarol Uncurated Annotation Increased thrombotic risk due to estrogen (source: Drug Bank)
doxycycline Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
griseofulvin Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
hexobarbital Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
itraconazole Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
ketoconazole Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
lamotrigine Uncurated Annotation The oral contraceptive decreases the effect of lamotrigine (source: Drug Bank)
mephenytoin Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
methylphenobarbital Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
minocycline Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
modafinil Uncurated Annotation Modafinil decreases the effect of contraceptive (source: Drug Bank)
nafcillin Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
nelfinavir Uncurated Annotation Ritonavir could decrease the contraceptive efficacy (source: Drug Bank)
oxacillin Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
oxcarbazepine Uncurated Annotation Oxcarbazepine decreases the effect of the contracepitve (source: Drug Bank)
oxytetracycline Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
penicillin g Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
pentobarbital Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
phenobarbital Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
phenytoin Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
pioglitazone Uncurated Annotation Possible loss of contracepitve effect (source: Drug Bank)
piperacillin Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
prednisolone Uncurated Annotation The estrogenic agent increases the effect of corticosteroid (source: Drug Bank)
prednisone Uncurated Annotation The estrogenic agent increases the effect of corticosteroid (source: Drug Bank)
primidone Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
raloxifene Uncurated Annotation Association not recommended (source: Drug Bank)
rifabutin Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
rifampin Uncurated Annotation This product may cause a slight decrease of contraceptive effect (source: Drug Bank)
ritonavir Uncurated Annotation Ritonavir could decrease the contraceptive efficacy (source: Drug Bank)
tetracycline Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
theophylline Uncurated Annotation The contraceptive increases the effect and toxicity of theophylline (source: Drug Bank)
ticarcillin Uncurated Annotation This anti-infectious agent could decrease the effect of the oral contraceptive (source: Drug Bank)
tizanidine Uncurated Annotation The contraceptive increases the effect of tizanidine (source: Drug Bank)
topiramate Uncurated Annotation Topiramate decreases the effect of estrogen (source: Drug Bank)
troglitazone Uncurated Annotation Possible loss of contracepitve effect (source: Drug Bank)
ursodeoxycholic acid Uncurated Annotation Estrogens decreases the effect of ursodiol (source: Drug Bank)
warfarin Uncurated Annotation 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

Web Resource:
Wikipedia
DrugBank:
DB00977
ChEBI ID:
4903
KEGG Compound ID:
C07534
KEGG Drug ID:
D00554
PubChem Compound ID:
5991
PubChem Substance ID:
148835

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Non-Curated Publications

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

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