5-Flucytosine drug data and news

5-Flucytosine drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name 5-Flucytosine
Brand Names/Synonyms Ancobon; Ancotil; Flucytosin; Flucytosine; Fluocytosine; Fluorcytosine
Indication For treatment of (in combination with Amphotericin B) meningitis, endophthalmitis and pylelonephritis
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Description Not Available
Pharmacology Flucytosine is an antimetabolite that acts as an antifungal agent with in vitro and in vivo activity against Candida and Cryptococcus. Flucytosine enters the fungal cell via cytosine permease; whereupon it is metabolized to 5-fluorouracil within fungal organisms. The 5-fluorouracil is extensively incorporated into fungal RNA and inhibits synthesis of both DNA and Antifungal synergism between Ancobon and polyene antibiotics, particularly amphotericin B, has been reported.
Mechanism Of Action Although the exact mode of action is unknown, it has been proposed that flucytosine acts directly on fungal organisms by competitive inhibition of purine and pyrimidine uptake and indirectly by intracellular metabolism to monophosphate, a noncompetitive inhibitor of the fungal thymidylate synthetase which interferes with DNA synthesis. Flucytosine interrupts nucleic acid and protein synthesis. The cells of the host do not convert large quantities of flucytosine to fluorouracil, accounting for the selective toxicity of the compound against fungi.
5-Flucytosine News
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Dosage Forms Not Available
Drug_Category Antimetabolites; Antifungals; ATC:D01AE21; ATC:J02AX01
Absorption Rapidly and completely absorbed, bioavailability is 78-90%
Interactions Interactions for 5-Flucytosine: Cytosine arabinoside, a cytostatic agent, has been reported to inactivate the antifungal activity of flucytosine by competitive inhibition. Drugs which impair glomerular filtration may prolong the biological half-life of flucytosine. Drug/Laboratory Test Interactions: Measurement of serum creatinine levels should be determined by the Jaffe reaction, since Ancobon does not interfere with the determination of creatinine values by this method. Most automated equipment for measurement of creatinine makes use of the Jaffe reaction.
Toxicity Not Available
Organisms Affected Yeast and other fungi
Chemical IUPAC Name 4-amino-5-fluoro-3H-pyrimidin-2-one
Chemical Formula C4H4FN3O
Molecular Weight 129.093 g/mol
Smiles String C1=C(C(=NC(=N1)O)N)F
Melting Point 296 °C
Water Solubility 15 mg/mL
State Solid
LogP/Hphobicity -0.062
Isoelectric Point 3.26
Biotransformation Flucytosine is deaminated, possibly by gut bacteria or by the fungal targets, to
Half Life 2.4 and 4.8 hours
Protein Binding [%] 28-31%
RxList Link RXlist
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Drug Reference http://www.rxlist.com/cgi/generic3/flucytosine.htm
Drug Type Approved Drug
Accession No APRD00299
CAS Registry Number 2022-85-7
KEGG Compound ID D00323
PubChem ID SID:405592
PharmGKB ID PA449654
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] Not Available

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