ketoconazole

E850010

Ketoconazole is an imidazole antifungal medication that inhibits ergosterol synthesis and strongly blocks CYP3A4-mediated drug metabolism.

All labels observed (2)

Label Occurrences
ketoconazole canonical 5
Nizoral 1

How this entity was disambiguated

Statements (73)

Predicate Object
instanceOf antifungal drug
azole antifungal
imidazole derivative
affects cytochrome P450–mediated drug metabolism
canDecreaseSynthesisOf cortisol
testosterone
hasAdministrationNote oral systemic use has been largely restricted due to hepatotoxicity risk
hasAdverseEffect abdominal pain
elevated liver enzymes
gynecomastia
hepatotoxicity
nausea
pruritus
rash
vomiting
hasATCCode D01AC08
G01AF11
J02AB02
hasBioavailability variable oral bioavailability
hasBlackBoxWarningFor hepatotoxicity
risk of severe liver injury
hasBrandName Nizoral
linked to: ketoconazole
hasCASNumber 65277-42-1
hasChemicalClass azole
imidazole
hasDosageForm cream
foam
gel
shampoo
tablet
hasDrugInteractionMechanism CYP3A4 inhibition
hasDrugInteractionWith cisapride
dofetilide
lovastatin
midazolam
pimozide
quinidine
simvastatin
triazolam
hasEliminationHalfLife approximately 2 to 8 hours
hasMechanismOfAction inhibition of ergosterol synthesis
hasMolarMass 531.43 g/mol
hasMolecularFormula C26H28Cl2N4O4
hasOffLabelUse Cushing syndrome
linked to: Cushing's disease

prostate cancer (hormonal therapy adjunct)
hasPregnancyCategory C (US, historical)
hasRouteOfAdministration oral
topical
inhibits CYP17A1
CYP3A4
ergosterol biosynthesis in fungi
lanosterol 14α-demethylase
isAcidDependentForAbsorption true
isContraindicatedIn acute liver disease
chronic liver disease
isExcretedVia bile
feces
urine
isHighlyProteinBound true
isMetabolizedBy CYP3A4
liver
isStrongInhibitorOf CYP3A4
targets lanosterol 14α-demethylase
treats cutaneous candidiasis
dandruff
dermatophytosis
pityriasis versicolor
seborrheic dermatitis
tinea corporis
tinea cruris
tinea pedis
tinea versicolor
wasFirstApprovedIn 1981 (US)

How these facts were elicited

Referenced by (6)

Full triples — surface form annotated when it differs from this entity's canonical label.

CYP3A4 inhibitedBy ketoconazole
CYP2J2 inhibitedBy ketoconazole
ketoconazole hasBrandName Nizoral
linked to: ketoconazole
Terfenadine contraindicatedWith ketoconazole
subject linked to: terfenadine
Ebastine hasDrugInteraction ketoconazole
subject linked to: ebastine
CYP2B6 inhibitedBy ketoconazole