Entry

D00823                      Drug

Name

Fluoxetine hydrochloride (JAN/USP);
Prozac (TN);
Sarafem (TN)

Product

FLUOXETINE HCL (Almatica Pharma), FLUOXETINE HYDROCHLORIDE (Alvogen), PROZAC (Dista Products Company)

Generic

FLUOXETINE (A-S Medication Solutions), FLUOXETINE (A-S Medication Solutions), FLUOXETINE (Alembic Pharmaceuticals), FLUOXETINE (Alembic Pharmaceuticals), FLUOXETINE (Alembic Pharmaceuticals Limited), FLUOXETINE (Aphena Pharma Solutions - Tennessee), FLUOXETINE (Aurobindo Pharma Limited), FLUOXETINE (Aurobindo Pharma Limited), FLUOXETINE (Aurobindo Pharma Limited), FLUOXETINE (AvKARE), FLUOXETINE (AvKARE), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE (Cadila Pharmaceuticals Limited), FLUOXETINE (Cardinal Health), FLUOXETINE (Clinical Solutions Wholesale), FLUOXETINE (DIRECT RX), FLUOXETINE (DIRECT RX), FLUOXETINE (Denton Pharma), FLUOXETINE (DirectRX), FLUOXETINE (Direct_Rx), FLUOXETINE (Direct_Rx), FLUOXETINE (Direct_Rx), FLUOXETINE (Direct_Rx), FLUOXETINE (Dr.Reddy's Laboratories), FLUOXETINE (Dr.Reddy's Laboratories Limited), FLUOXETINE (Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals), FLUOXETINE (Lake Erie Medical DBA Quality Care Products LLC), FLUOXETINE (Legacy Pharmaceutical Packaging), FLUOXETINE (Major Pharmaceuticals), FLUOXETINE (Modavar Pharmaceuticals LLC), FLUOXETINE (NCS HealthCare of KY), FLUOXETINE (NorthStar Rx LLC), FLUOXETINE (NorthStar RxLLC), FLUOXETINE (NuCare Pharmaceuticals), FLUOXETINE (NuCare Pharmaceuticals), FLUOXETINE (PD-Rx Pharmaceuticals), FLUOXETINE (Par Pharmaceutical), FLUOXETINE (Proficient Rx LP), FLUOXETINE (Proficient Rx LP), FLUOXETINE (Proficient Rx LP), FLUOXETINE (Proficient Rx LP), FLUOXETINE (QPharma), FLUOXETINE (RPK Pharmaceuticals), FLUOXETINE (RPK Pharmaceuticals), FLUOXETINE (RedPharm Drug), FLUOXETINE (ScieGen Pharmaceuticals), FLUOXETINE (St Mary's Medical Park Pharmacy), FLUOXETINE (Sun Pharmaceutical Industries), FLUOXETINE (Teva Pharmaceuticals USA), FLUOXETINE (Teva Pharmaceuticals USA), FLUOXETINE (Teva Pharmaceuticals USA), FLUOXETINE (Teva Pharmaceuticals USA), FLUOXETINE (Torrent Pharmaceuticals Limited), FLUOXETINE (A-S Medication Solutions), FLUOXETINE (A-S Medication Solutions), FLUOXETINE (A-S Medication Solutions), FLUOXETINE HYDROCHLORIDE (Alembic Pharmaceuticals Limited), FLUOXETINE (American Health Packaging), FLUOXETINE (American Health Packaging), FLUOXETINE (American Health Packaging), FLUOXETINE HYDROCHLORIDE (Aphena Pharma Solutions - Tennessee), FLUOXETINE (Aurobindo Pharma Limited), FLUOXETINE (BluePoint Laboratories), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE HYDROCHLORIDE (Bryant Ranch Prepack), FLUOXETINE HYDROCHLORIDE (Bryant Ranch Prepack), FLUOXETINE HYDROCHLORIDE (Bryant Ranch Prepack), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE HYDROCHLORIDE (Bryant Ranch Prepack), FLUOXETINE HYDROCHLORIDE (Bryant Ranch Prepack), FLUOXETINE HYDROCHLORIDE (Bryant Ranch Prepack), FLUOXETINE (Bryant Ranch Prepack), FLUOXETINE HYDROCHLORIDE (Bryant Ranch Prepack), FLUOXETINE (DIRECT RX), FLUOXETINE (Denton Pharma), FLUOXETINE HYDROCHLORIDE (Denton Pharma), FLUOXETINE HYDROCHLORIDE (Denton Pharma), FLUOXETINE (Denton Pharma), FLUOXETINE (Denton Pharma), FLUOXETINE (Denton Pharma), FLUOXETINE HYDROCHLORIDE (Dr. Reddy's Laboratories), FLUOXETINE HYDROCHLORIDE (Dr.Reddy's Laboratories Limited), FLUOXETINE (Golden State Medical Supply), FLUOXETINE (Lake Erie Medical DBA Quality Care Products LLC), FLUOXETINE (Lannett Company), FLUOXETINE HYDROCHLORIDE (Lupin Pharmaceuticals), FLUOXETINE HYDROCHLORIDE (Lupin Pharmaceuticals), FLUOXETINE (MARKSANS PHARMA LIMITED), FLUOXETINE (NCS HealthCare of KY), FLUOXETINE (Nivagen Pharmaceuticals), FLUOXETINE HYDROCHLORIDE (NorthStar Rx LLC), FLUOXETINE (NorthStar Rx LLC), FLUOXETINE (Northwind Pharmaceuticals), FLUOXETINE (Northwind Pharmaceuticals), FLUOXETINE (Northwind Pharmaceuticals), FLUOXETINE (NuCare Pharmaceuticals), FLUOXETINE (NuCare Pharmaceuticals), FLUOXETINE (NuCare Pharmaceuticals), FLUOXETINE (NuCare Pharmaceuticals), FLUOXETINE (NuCare Pharmaceuticals), FLUOXETINE (NuCare Pharmaceuticals), FLUOXETINE (NuCare Pharmaceuticals), FLUOXETINE (NuCare Pharmaceuticals), FLUOXETINE (NuCare Pharmaceuticals), FLUOXETINE (PD-Rx Pharmaceuticals), FLUOXETINE (PD-Rx Pharmaceuticals), FLUOXETINE (PD-Rx Pharmaceuticals), FLUOXETINE (PD-Rx Pharmaceuticals), FLUOXETINE HYDROCHLORIDE (Par Pharmaceutical), FLUOXETINE (Pharmaceutical Associates), FLUOXETINE (Preferred Pharmaceuticals), FLUOXETINE (Preferred Pharmaceuticals), FLUOXETINE (Preferred Pharmaceuticals), FLUOXETINE (Preferred Pharmaceuticals), FLUOXETINE (Preferred Pharmaceuticals), FLUOXETINE (Proficient Rx LP), FLUOXETINE (Proficient Rx LP), FLUOXETINE (Proficient Rx LP), FLUOXETINE (Proficient Rx LP), FLUOXETINE (Proficient Rx LP), FLUOXETINE (Proficient Rx LP), FLUOXETINE (Quality Care Products), FLUOXETINE (REMEDYREPACK), FLUOXETINE (REMEDYREPACK), FLUOXETINE (REMEDYREPACK), FLUOXETINE (REMEDYREPACK), FLUOXETINE HYDROCHLORIDE (REMEDYREPACK), FLUOXETINE (REMEDYREPACK), FLUOXETINE (REMEDYREPACK), FLUOXETINE (REMEDYREPACK), FLUOXETINE (REMEDYREPACK), FLUOXETINE (RPK Pharmaceuticals), FLUOXETINE (RPK Pharmaceuticals), FLUOXETINE (RPK Pharmaceuticals), FLUOXETINE (RedPharm Drug), FLUOXETINE (RedPharm Drug), FLUOXETINE HYDROCHLORIDE (Sandoz), FLUOXETINE (ScieGen Pharmaceuticals), FLUOXETINE (ScieGen Pharmaceuticals), FLUOXETINE (St. Mary's Medical Park Pharmacy), FLUOXETINE HYDROCHLORIDE (St. Marys Medical Park Pharmacy), FLUOXETINE (TIME CAP LABORATORIES), FLUOXETINE HYDROCHLORIDE (Taro Pharmaceuticals U.S.A.), FLUOXETINE HYDROCHLORIDE (Upsher-Smith Laboratories), FLUOXETINE (Vensun Pharmaceuticals), FLUOXETINE (Westminster Pharmaceuticals)

Formula

C17H18F3NO. HCl

Exact mass

345.1107

Mol weight

345.7871

Structure

Simcomp

Class

Neuropsychiatric agent
DG01659  Selective serotonin reuptake inhibitor (SSRI)
Metabolizing enzyme substrate
DG01642  CYP2C9 substrate
DG01644  CYP2D6 substrate
Metabolizing enzyme inhibitor
DG01933  CYP2C19 inhibitor
DG01645  CYP2D6 inhibitor
DG02852  CYP3A/CYP3A4 inhibitor
Transporter inhibitor
DG01622  ABCB1 inhibitor

Remark

ATC code:

N06AB03

Chemical structure group:

DG00942

Product (DG00942):

D00823<US>

Product (mixture):

D10206<US>

Efficacy

Antidepressant, Selective serotonin reuptake inhibitor (SSRI)

Disease

Major depressive disorder [DS:H01646]
Obsessive compulsive disorder [DS:H01450]
Bulimia nervosa [DS:H01703]
Panic disorder [DS:H01664]
Bipolar I disorder [DS:H01653]

Comment

Ttreatment of premenstrual dysphoric disorder

Target

SLC6A4 (HTT) [HSA:6532] [KO:K05037]

Pathway

hsa04726

Serotonergic synapse

Metabolism

Enzyme: CYP2C9 [HSA:1559], CYP2D6 [HSA:1565]

Interaction

CYP inhibition: CYP2C19 [HSA:1557], CYP2D6 [HSA:1565], CYP3A [HSA:1576 1577 1551]
Transporter inhibition: ABCB1 [HSA:5243]

Structure map

map07027

Antidepressants

map07234

Neurotransmitter transporter inhibitors

Brite

Anatomical Therapeutic Chemical (ATC) classification [BR:br08303]
N NERVOUS SYSTEM
  N06 PSYCHOANALEPTICS
   N06A ANTIDEPRESSANTS
    N06AB Selective serotonin reuptake inhibitors
     N06AB03 Fluoxetine
      D00823  Fluoxetine hydrochloride (JAN/USP) <US>
USP drug classification [BR:br08302]
Antidepressants
  SSRIs/SNRIs (Selective Serotonin Reuptake Inhibitors/Serotonin and Norepinephrine Reuptake Inhibitors)
   Fluoxetine
    D00823  Fluoxetine hydrochloride (JAN/USP)
Drug groups [BR:br08330]
Neuropsychiatric agent
  DG01659  Selective serotonin reuptake inhibitor (SSRI)
   DG00942  Fluoxetine
    D00823  Fluoxetine hydrochloride
Metabolizing enzyme substrate
  DG01642  CYP2C9 substrate
   DG00942  Fluoxetine
    D00823  Fluoxetine hydrochloride
  DG01644  CYP2D6 substrate
   DG00942  Fluoxetine
    D00823  Fluoxetine hydrochloride
Metabolizing enzyme inhibitor
  DG01933  CYP2C19 inhibitor
   DG00942  Fluoxetine
    D00823  Fluoxetine hydrochloride
  DG01645  CYP2D6 inhibitor
   DG00942  Fluoxetine
    D00823  Fluoxetine hydrochloride
  DG02852  CYP3A/CYP3A4 inhibitor
   DG00942  Fluoxetine
    D00823  Fluoxetine hydrochloride
Transporter inhibitor
  DG01622  ABCB1 inhibitor
   DG00942  Fluoxetine
    D00823  Fluoxetine hydrochloride
Drug classes [BR:br08332]
Neuropsychiatric agent
  DG01659  Selective serotonin reuptake inhibitor (SSRI)
   D00823  Fluoxetine hydrochloride
Target-based classification of drugs [BR:br08310]
Transporters
  Solute carrier family
   SLC6
    SLC6A4 (HTT)
     D00823  Fluoxetine hydrochloride (JAN/USP) <US>
Drug metabolizing enzymes and transporters [br08309.html]
Drug metabolizing enzymes
  D00823
Drug transporters
  D00823
Pharmacogenomic biomarkers [br08341.html]
Polymorphisms and mutations affecting drug response
  D00823
Drug groups [BR:br08330]
Neuropsychiatric agent
  DG01659  Selective serotonin reuptake inhibitor (SSRI)
   DG00942  Fluoxetine
Metabolizing enzyme substrate
  DG01642  CYP2C9 substrate
   DG00942  Fluoxetine
  DG01644  CYP2D6 substrate
   DG00942  Fluoxetine
Metabolizing enzyme inhibitor
  DG01933  CYP2C19 inhibitor
   DG00942  Fluoxetine
  DG01645  CYP2D6 inhibitor
   DG00942  Fluoxetine
  DG02852  CYP3A/CYP3A4 inhibitor
   DG00942  Fluoxetine
Transporter inhibitor
  DG01622  ABCB1 inhibitor
   DG00942  Fluoxetine

Other DBs

CAS:	56296-78-7

PubChem:

7847888

ChEBI:

5119

LigandBox:

D00823

NIKKAJI:

J300.115F

KCF data

ATOM        23
            1   C1c C    20.5485  -17.8188
            2   C8y C    20.5485  -19.2271
            3   O2a O    21.7758  -17.1117
            4   C1b C    19.3215  -17.1117
            5   C8x C    19.3155  -19.9342
            6   C8x C    21.7698  -19.9342
            7   C8y C    22.9971  -17.8188
            8   C1b C    18.1061  -17.8129
            9   C8x C    19.3155  -21.3482
            10  C8x C    21.7698  -21.3482
            11  C8x C    22.9971  -19.2271
            12  C8x C    24.2182  -17.1117
            13  N1b N    16.8788  -17.1059
            14  C8x C    20.5485  -22.0554
            15  C8x C    24.2125  -19.9342
            16  C8x C    25.4395  -17.8188
            17  C1a C    15.6575  -17.8129
            18  C8y C    25.4395  -19.2330
            19  C1d C    26.6609  -19.9400
            20  X   F    27.9757  -20.5770
            21  X   F    27.2511  -18.9409
            22  X   F    25.9713  -21.0737
            23  X   Cl   30.6600  -18.6900
BOND        23
            1     1   2 1
            2     1   3 1
            3     1   4 1
            4     2   5 1
            5     2   6 2
            6     3   7 1
            7     4   8 1
            8     5   9 2
            9     6  10 1
            10    7  11 2
            11    7  12 1
            12    8  13 1
            13    9  14 1
            14   11  15 1
            15   12  16 2
            16   13  17 1
            17   15  18 2
            18   18  19 1
            19   19  20 1
            20   19  21 1
            21   19  22 1
            22   10  14 2
            23   16  18 1