drospirenone   Click here for help

GtoPdb Ligand ID: 2874

Synonyms: dihydrospirorenone | Slynd® | Yasmin® | ZK30595
Approved drug
drospirenone is an approved drug
Compound class: Synthetic organic
Comment: Drospirenone is a synthetic analogue of spironolactone, that has a similar pharmacological profile to endogenous progesterone. As a contraceptive agent it is used for its progestin-like activity, but it also has anti-androgen and anti-mineralocorticoid properties.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 3
Hydrogen bond donors 0
Rotatable bonds 0
Topological polar surface area 43.37
Molecular weight 366.22
XLogP 4.35
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES O=C1CCC2(C(=C1)C1CC1C1C2CCC2(C1C1CC1C12CCC(=O)O1)C)C
Isomeric SMILES O=C1CC[C@]2(C(=C1)[C@@H]1C[C@@H]1[C@@H]1[C@@H]2CC[C@]2([C@H]1[C@@H]1C[C@@H]1[C@]12CCC(=O)O1)C)C
InChI InChI=1S/C24H30O3/c1-22-6-3-12(25)9-17(22)13-10-14(13)20-16(22)4-7-23(2)21(20)15-11-18(15)24(23)8-5-19(26)27-24/h9,13-16,18,20-21H,3-8,10-11H2,1-2H3/t13-,14+,15-,16+,18+,20-,21+,22-,23+,24+/m1/s1
InChI Key METQSPRSQINEEU-HXCATZOESA-N
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Summary of Clinical Use Click here for help
Drospirenone is used in combination with estrogens (such as ethinylestradiol or estradiol) in many female contraceptive and hormone replacement therapy medications. Drospirenone may also be used to treat acne and severe forms of premenstrual syndrome. In June 2019, drospirenone (Slynd®) received FDA approval as the first progestin-only oral contraceptive pill with a 24 active/4 inactive tablet dosing regimen, and which provides a 24-hour missed pill window. The anti-mineralocorticoid activity of drospirenone means that it is contrindicated in women with conditions that predispose to hyperkalemia (e.g. renal or hepatic impairment, or adrenal insufficiency).
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Binding of drospirenone to the progesterone receptor reduces the frequency of gonadotropin releasing hormone (GnRH) pulses from the hypothalamus and blunts the pre-ovulatory LH surge, thereby reducing the likelihood of effective ovulation.