Iloprost
Prostacycline — BLOOD AND BLOOD FORMING ORGANS
Also known as: ciloprost, endoprost, ilomedin, ventavis, ZK 36374, ZK-36374, ZK36374
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Iloprost is an ofp drug in the Prostacycline class catalogued in DrugCentral. It was first approved by the FDA in 2004. DrugCentral lists 17 molecular targets, including Ptger3, Ptgir and Ptgir. Recorded indications include Pulmonary arterial hypertension.
- Approval status: ofp (first approved 2004 by the FDA).
- Drug class: Prostacycline.
- Molecular targets: Ptger3, Ptgir, Ptgir and Ptger1 (17 listed in DrugCentral).
- Indications: Pulmonary arterial hypertension.
- ATC code: B01AC11 (Platelet aggregation inhibitors excl. heparin).
- Molecular formula: C22H32O4; molecular weight 360.49 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (1)
- Pulmonary arterial hypertension
Contraindications (6)
- Bronchospasm
- Chronic obstructive lung disease
- Hepatic failure
- Low blood pressure
- Mild to Moderate Hypotension
- Pulmonary edema
Mechanism & targets
| Established pharmacologic class | Prostacycline |
|---|
Molecular targets (17)
| Target | Gene | Action | Activity |
|---|---|---|---|
| Prostaglandin E2 receptor EP3 subtype | Ptger3 | agonist | EC50 9.20 |
| Prostacyclin receptor | Ptgir | unknown | EC50 9.16 |
| Prostacyclin receptor | Ptgir | agonist | Ki 8.00 |
| Prostaglandin E2 receptor EP1 subtype | Ptger1 | agonist | Ki 7.90 |
| Prostacyclin receptor | PTGIR | agonist | EC50 7.75 |
| Prostaglandin E2 receptor EP1 subtype | PTGER1 | unknown | EC50 7.70 |
| Prostaglandin E2 receptor EP1 subtype | Ptger1 | agonist | Ki 7.70 |
| Prostaglandin E2 receptor EP3 subtype | Ptger3 | agonist | Ki 7.66 |
| Prostaglandin E2 receptor EP3 subtype | PTGER3 | unknown | EC50 7.30 |
| Prostaglandin E2 receptor EP4 subtype | PTGER4 | agonist | Ki 6.68 |
| Prostaglandin D2 receptor | PTGDR | agonist | Ki 6.60 |
| Prostaglandin F2-alpha receptor | PTGFR | agonist | Ki 6.20 |
| Prostaglandin E2 receptor EP2 subtype | Ptger2 | agonist | Ki 5.90 |
| Prostaglandin E2 receptor EP2 subtype | Ptger2 | agonist | Ki 5.80 |
| Prostaglandin E2 receptor EP2 subtype | PTGER2 | agonist | Ki 5.70 |
| Prostaglandin E2 receptor EP4 subtype | Ptger4 | agonist | Ki 5.60 |
| Thromboxane A2 receptor | TBXA2R | agonist | Ki 5.20 |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 2004-12-29 | FDA | — | ACTELION PHARMS LTD | Yes |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
B01AC11 | BLOOD AND BLOOD FORMING ORGANS › ANTITHROMBOTIC AGENTS › ANTITHROMBOTIC AGENTS › Platelet aggregation inhibitors excl. heparin |
Reported adverse-event signals
Strongest FDA FAERS disproportionality signals (log-likelihood ratio). A signal is a statistical association in spontaneous reports, not proof that the drug causes the event.
| MedDRA term | LLR |
|---|---|
| Death | 1714.7 |
| Right ventricular failure | 479.1 |
| Dyspnoea | 433.5 |
| Fluid retention | 289.0 |
| Pulmonary hypertension | 271.0 |
| Hospitalisation | 236.6 |
| Cardiac failure | 157.8 |
| Cough | 146.4 |
| Oxygen saturation decreased | 142.6 |
| Syncope | 112.4 |
| Headache | 105.0 |
| Transfusion | 102.6 |
Chemical structure
Full physicochemical, ADMET and 3D-structure analysis of Iloprost is on its molecule page.
| Molecular formula | C22H32O4 |
|---|---|
| Molecular weight | 360.49 g/mol |
| CAS number | 78919-13-8 |
| InChIKey | HIFJCPQKFCZDDL-ACWOEMLNSA-N |
| PubChem CID | 5311181 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Iloprost used for?
DrugCentral lists the following indications for Iloprost: Pulmonary arterial hypertension.
How does Iloprost work?
Its molecular targets in DrugCentral include Ptger3 (agonist), Ptgir, Ptgir (agonist) and Ptger1 (agonist).
When was Iloprost first approved?
Iloprost was first approved by the FDA in 2004.
What drug class does Iloprost belong to?
Iloprost is in the Prostacycline class.
What is the chemical formula of Iloprost?
Iloprost has the molecular formula C22H32O4 and a molecular weight of 360.49 g/mol.
Browse: all drugs starting with I · drug guides by category · protein targets A–Z.
Sources
- DrugCentral drug card 1422 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL494 — compound record and bioactivity
- PubChem CID 5311181 — chemical identifiers
- DrugBank DB01088 — drug record
- FDA UNII JED5K35YGL — substance identity
- DailyMed: FDA labels for Iloprost — current prescribing information (label search)
- UniProt P43119 (PTGIR) — target protein
- UniProt P34995 (PTGER1) — target protein
- UniProt P43115 (PTGER3) — target protein
- UniProt P35408 (PTGER4) — target protein
- UniProt Q13258 (PTGDR) — target protein
- UniProt P43088 (PTGFR) — target protein
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
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