Estradiol

Estradiol (E2) is a natural estrogen and the primary female sex hormone. E2 and its esters, including estradiol cypionate and estradiol valerate, are used in combined oral contraceptives alongside progestins and as components of hormone replacement therapy.

Tags
Approvals
US FDA-Approved
Related Compounds
Estradiol Cypionate Estradiol Valerate
estradiol

Identifiers

Abbreviation

E2

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References

Names

  • oestradiol
  • 17β-oestradiol
  • 17β-estradiol
  • estra-1,3,5(10)-triene-3,17β-diol

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References

CASRN

50-28-2

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References

PubChem CID

5757

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ECHA InfoCard

  • 100.000.022
  • EC / List #: 200-023-8

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IUPHAR/BPS

1013

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UNII

4TI98Z838E

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KEGG Entry Number

D00105

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Wikipedia Entry Name

Estradiol

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ChEBI ID

CHEBI:16469

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ChemSpider ID

5554

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PDB

Estradiol

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Physical & Chemical Properties

Molecular Formula

C18H24O2

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References

Molecular Weight

272.38 g/mol

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References

Solubility

3.9 mg/L water at 27° C. Freely soluble in alcohol,;soluble in acetone, dioxane, other organic solvents; sparingly soluble in vegetable oils.

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Specific Optical Rotation

+76 - +83° at 25 °C for D (sodium) line (dioxane)

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UV Max Absorption

225, 280 nm

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Storage Conditions

Store between 15 and 30 °C.

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Toxicology

GHS Hazard Code(s)

Class Category Code Description
Carcinogenicity 2 H351 Suspected of causing cancer if inhaled
Reproductive Toxicity 1A H360 May damage fertility or the unborn child
Reproductive Toxicity, Effects On or Via Lactation H362 May cause harm to breast-fed children
Reproductive Toxicity 1B H360 May damage fertility or the unborn child
Specific Target Organ Toxicity, Repeated Exposure 1 H372 Causes damage to organs through prolonged or repeated exposure
Specific Target Organ Toxicity, Repeated Exposure 2 H373 Causes damage to organs through prolonged or repeated exposure

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Side Effects

Respiratory tract infection, localized exfoliation, headache, endometrial disorder, vulvovaginal mucotic infection, vulvovaginal pruritus, application site reaction, breast tenderness

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Carcinogenicity

"There is sufficient evidence in humans for the carcinogenicity of post-menopausal estrogen therapy. There is sufficient evidence in experimental animals for the carcinogenicity of estradiol and estrone."

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LD50

LD, rat subcutaneous: > 300 mg/kg

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Biochemistry & Pharmacology

Estrogen Receptor Activity

Agonist

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References

  1. Alam, S. M.; Pal, R.; Nagar, S.; Islam, M. A.; Saha, A., Pharmacophore search for anti-fertility and estrogenic potencies of estrogen analogs. J. Mol. Model. 2008, 14 (11), 1071-1082.
  2. (View all citations for this reference)
  3. KEGG: Estradiol (View all citations for this reference)

Bioavailability

< 5%

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References

  1. Stanczyk, F. Z.; Archer, D. F.; Bhavnani, B. R., Ethinyl estradiol and 17 beta-estradiol in combined oral contraceptives: pharmacokinetics, pharmacodynamics and risk assessment. Contraception 2013, 87 (6), 706-727.
  2. (View all citations for this reference)

Elimination Half-Life (t1/2)

Oral: 13-30 h (Stanczyk)
36 h (DrugBank)
20.1 h from oral administration (Toxnet)

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Serum Protein Binding

60% to albumin, 38% to SHBG.

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References

  1. Stanczyk, F. Z.; Archer, D. F.; Bhavnani, B. R., Ethinyl estradiol and 17 beta-estradiol in combined oral contraceptives: pharmacokinetics, pharmacodynamics and risk assessment. Contraception 2013, 87 (6), 706-727.
  2. (View all citations for this reference)
  3. Goodman & Gilman's: The Pharmacological Basis of Therapeutics, 12e, 2011 > Estrogens and Progestins. Laurence L. Brunton, Bruce A. Chabner, Björn C. Knollmann.
  4. (View all citations for this reference)
  5. Toxnet: Estradiol. (View all citations for this reference)

Metabolism

Hepatic, if oral administration.

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Excretion

54% in urine, 6% in feces.

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References

  1. Stanczyk, F. Z.; Archer, D. F.; Bhavnani, B. R., Ethinyl estradiol and 17 beta-estradiol in combined oral contraceptives: pharmacokinetics, pharmacodynamics and risk assessment. Contraception 2013, 87 (6), 706-727.
  2. (View all citations for this reference)
  3. Toxnet: Estradiol. (View all citations for this reference)

Metabolites

Name
Structure
Notes
structure

Formed by CYP1B1 in the liver. Minor pathway in liver but is formed in larger amount in extrahepatic tissues. Thought to be the most carcinogenic of all estradiol metabolites. Can bind to estrogen receptors.

structure

Formed in liver by CYP1A2, CYP3A4, and CYP2C9. Major metabolic pathway of estradiol in liver. Has about 7% and 11% the affinity of estradiol to ERα and ERβ, respectively. Weakly estrogenic, with some antagonistic effects. Can be further metabolized to 2-methoxyestradiol by catechol O-methyltransferase (COMT) in the liver. Can also be metabolized to free radicals that cause DNA damage.

A number of other hydroxylated metabolites are also formed (6α-, 6β-, 7α-, 12β-, 15α-, 15β-, 16α, and 16β-hydroxyestradiol). Estradiol may also be metabolized to hydroxyestrones, such as 2-, 4-, and 16α-hydroxyestrone.

structure

Major urinary metabolite. Formed from the estradiol metabolite estrone. 80 times less potent estrogen agonist than estradiol.

structure

Formed in the liver by CYP2C9, CYP2C19, and CYP2C8. Undergoes further conversion to estriol, the major urinary metabolite. 10 times less potent estrogen agonist that estradiol.

Impurities

Name
Structure
CASRN
Other Names & Identifiers
structure

791-69-5

  • BP Estradiol Hemihydrate Impurity D

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  • BP Estradiol Hemihydrate Impurity C

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7291-41-0

  • BP Estradiol Vaginal Tablets Impurity 3
  • Δ6-Estradiol

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571-92-6

  • BP Estradiol Vaginal Tablets Impurity 2
  • 3,17β-dihydroxyestra-1,3,5(10)-trien-6-one

US FDA-Approved Products

Name
Formulation
Status
ANDA #
ESTRADIOL: 0.05, 0.1, 0.075, 0.025, 0.0375, 0.06, 0.014 mg/day
Extended Release Film

Prescription

020375

ESTRADIOL: 10 μg
Vaginal Tablet

Prescription

206388

ESTRADIOL: 0.0375 mg/day, 0.075 mg/day, 0.05 mg/day, 0.1 mg/day Film, extended release; transdermal Discontinued ESTRADIOL: 0.0375 mg/day, 0.075 mg/day, 0.05 mg/day, 0.1 mg/day, 0.025 mg/day Film, extended release; transdermal Prescription

Prescription

020538

ESTRADIOL: 0.0375 mg/day, 0.075 mg/day, 0.025 mg/day Film, extended release; transdermal Discontinued ESTRADIOL: 0.05 mg/day, 0.1 mg/day Film, extended release; transdermal Prescription

Discontinued; Prescription

021167

ESTRADIOL: 0.0375 mg/day, 0.075 mg/day, 0.025 mg/day Film, extended release; transdermal Discontinued ESTRADIOL: 0.05 mg/day, 0.1 mg/day Film, extended release; transdermal Prescription

Discontinued

020323