<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <id type="integer">4800</id>
  <title>T3D4745</title>
  <common-name>Norethindrone</common-name>
  <description>A synthetic progestational hormone with actions similar to those of progesterone but functioning as a more potent inhibitor of ovulation. It has weak estrogenic and androgenic properties. The hormone has been used in treating amenorrhea, functional uterine bleeding, endometriosis, and for contraception. </description>
  <cas>68-22-4</cas>
  <pubchem-id>6230</pubchem-id>
  <chemical-formula>C20H26O2</chemical-formula>
  <weight nil="true"/>
  <appearance>White powder.</appearance>
  <melting-point>203.5°C</melting-point>
  <boiling-point nil="true"/>
  <density nil="true"/>
  <solubility>7.04 mg/L (at 25°C)</solubility>
  <specific-gravity nil="true"/>
  <flash-point nil="true"/>
  <vapour-pressure nil="true"/>
  <route-of-exposure>Norethindrone acetate is completely and rapidly deacetylated to norethindrone (NET) after oral administration, and the disposition of norethindrone acetate is indistinguishable from that of orally administered norethindrone. Norethindrone is rapidly absorbed from norethindrone acetate, in which maximum plasma concentration occur 2 hours post-dose (Tmax). When a single dose is given to healthy women, the Cmax is 26.19 Њ± 6.19 hours. The AUC (0-inf) is 166.90 Њ± 56.28 ng/mL*h. Absolute oral bioavailability is approximately 64%. The effect of food on the pharmacokinetics of norethindrone acetate is unknown. </route-of-exposure>
  <target nil="true"/>
  <mechanism-of-toxicity>Progestins diffuse freely into target cells and bind to the progesterone receptor. Target cells include the female reproductive tract, the mammary gland, the hypothalamus, and the pituitary. Once bound to the receptor, progestins slow the frequency of release of gonadotropin releasing hormone (GnRH) from the hypothalamus and blunt the pre-ovulatory LH surge.</mechanism-of-toxicity>
  <metabolism>Hepatic. Norethindrone is extensively metabolized, primarily via reduction. It also undergoes sulfate and glucuronide conjugation. The majority of metabolites in the circulation are sulfates, with glucuronides accounting for most of the urinary metabolites.Route of Elimination: Norethindrone is excreted in both urine and feces, primarily as metabolites.Half Life: 8.51&amp;#177;2.19 (when a single dose is given to healthy women) </metabolism>
  <toxicity nil="true"/>
  <lethaldose nil="true"/>
  <carcinogenicity>2B, possibly carcinogenic to humans. (L135)</carcinogenicity>
  <use-source>Norethindrone acetate is indicated for the treatment of secondary amenorrhea, endometriosis, and abnormal uterine bleeding due to hormonal imbalance in the absence of organic pathology, such as submucous fibroids or uterine cancer.</use-source>
  <min-risk-level nil="true"/>
  <health-effects nil="true"/>
  <symptoms nil="true"/>
  <treatment nil="true"/>
  <created-at type="dateTime">2014-09-11T05:14:30Z</created-at>
  <updated-at type="dateTime">2026-03-31T17:31:01Z</updated-at>
  <interacting-proteins nil="true"/>
  <wikipedia>Norethindrone</wikipedia>
  <uniprot-id nil="true"/>
  <kegg-compound-id>C05028</kegg-compound-id>
  <omim-id nil="true"/>
  <chebi-id>7627</chebi-id>
  <biocyc-id nil="true"/>
  <ctd-id nil="true"/>
  <stitch-id nil="true"/>
  <drugbank-id>DB00717</drugbank-id>
  <pdb-id>NDR</pdb-id>
  <actor-id nil="true"/>
  <organism nil="true"/>
  <export type="boolean">true</export>
  <metabolizing-proteins nil="true"/>
  <transporting-proteins nil="true"/>
  <moldb-smiles>[H][C@@]12CC[C@@](O)(C#C)[C@@]1(C)CC[C@]1([H])[C@@]3([H])CCC(=O)C=C3CC[C@@]21[H]</moldb-smiles>
  <moldb-formula>C20H26O2</moldb-formula>
  <moldb-inchi>InChI=1S/C20H26O2/c1-3-20(22)11-9-18-17-6-4-13-12-14(21)5-7-15(13)16(17)8-10-19(18,20)2/h1,12,15-18,22H,4-11H2,2H3/t15-,16+,17+,18-,19-,20-/m0/s1</moldb-inchi>
  <moldb-inchikey>VIKNJXKGJWUCNN-XGXHKTLJSA-N</moldb-inchikey>
  <moldb-average-mass type="decimal">298.4192</moldb-average-mass>
  <moldb-mono-mass type="decimal">298.193280076</moldb-mono-mass>
  <origin>Exogenous</origin>
  <state>Solid</state>
  <logp>2.97</logp>
  <hmdb-id>HMDB14855</hmdb-id>
  <chembl-id>CHEMBL1162</chembl-id>
  <chemspider-id>5994</chemspider-id>
  <structure-image-file-name nil="true"/>
  <structure-image-content-type nil="true"/>
  <structure-image-file-size type="integer" nil="true"/>
  <structure-image-updated-at type="dateTime" nil="true"/>
  <biodb-id nil="true"/>
  <synthesis-reference></synthesis-reference>
  <structure-image-caption nil="true"/>
  <chemdb-id>CHEM003702</chemdb-id>
  <dsstox-id>DTXSID9023380</dsstox-id>
  <toxcast-id nil="true"/>
  <stoff-ident-origin nil="true"/>
  <stoff-ident-id nil="true"/>
  <susdat-id>NS00009098</susdat-id>
  <iupac>(1S,2R,10R,11S,14R,15S)-14-ethynyl-14-hydroxy-15-methyltetracyclo[8.7.0.0^{2,7}.0^{11,15}]heptadec-6-en-5-one</iupac>
</compound>
