Budesonide |
![]() Last updated: 16/09/2025 |
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(Not known by any other names) |
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A systemic glucocorticoid (steroid) used in veterinary medicince to treat inflammation and/or suppress the immune system | |
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Used to treat inflammatory bowel disease, sinus inflammation and asthma | |
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Cats; Dogs; Horses |
Approval status |
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Not approved | |
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Not approved |
Chemical structure |
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Budesonide exhibits epimeric isomerism, a type of stereoisomerism where two isomers differ in configuration at only one stereogenic centre. Specifically, budesonide exists as a mixture of two epimers: 22R-budesonide and 22S-budesonide, which differ in the spatial arrangement around the carbon at position 22 in the steroid backbone. The 22R-epimer is generally considered to be more biologically active. Commercial formulations of budesonide typically contain a 90:10 or 55:45 ratio of the R and S epimers, depending on the synthesis method and purification process. | |
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C₂₅H₃₄O₆ | |
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CCCC1OC2CC3C4CCC5=CC(=O)C=CC5(C4C(CC3(C2(O1)C(=O)CO)C)O)C | |
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CCCC1O[C@@H]2C[C@H]3[C@@H]4CCC5=CC(=O)C=C[C@@]5([C@H]4[C@H](C[C@@]3([C@@]2(O1)C(=O)CO)C)O)C | |
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VOVIALXJUBGFJZ-KWVAZRHASA-N | |
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InChI=1S/C25H34O6/c1-4-5-21-30-20-11-17-16-7-6-14-10-15(27)8-9-23(14,2)22(16)18(28)12-24(17,3)25(20,31-21)19(29)13-26/h8-10,16-18,20-22,26,28H,4-7,11-13H2,1-3H3/t16-,17-,18-,20+,21?,22+,23-,24-,25+/m0/s1 | |
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Yes |
General status |
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Anti-inflammatory | |
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Glucocorticoid steroid | |
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Synthetic | |
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[Corticosteroid Hormone Receptor, Agonist], [Annexin A1, Substrate] | |
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51333-22-3 | |
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257-139-7 | |
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5281004 | |
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Respiratory system: Drugs for obstructive airway diseases: Glucocorticoids | |
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QR03BA02 | |
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No | |
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430.5 | |
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(1S,2S,4R,8S,9S,11S,12S,13R)-11-hydroxy-8-(2-hydroxyacetyl)-9,13-dimethyl-6-propyl-5,7-dioxapentacyclo[10.8.0.02,9.04,8.013,18]icosa-14,17-dien-16-one | |
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Crystalline |
Commercial |
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Current | |||
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1976, first synthesised; 2000s, veterinary use off-label | |||
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Available in a wide variety of formulations including capsules and tablets, often humand brands are used off-label | |||
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The production of budesonide involves a stereoselective acetalisation reaction starting from 16alpha-hydroxyprednisolone, a corticosteroid intermediate. This compound is reacted with butyraldehyde in the presence of an acid catalyst within an inert atmosphere to form a 16,17-acetal linkage, which is the defining structural feature of budesonide. The reaction yields a mixture of two epimers: 22R- and 22S-budesonide, whose ratio can be controlled by adjusting reaction conditions such as temperature, solvent, and catalyst concentration. After the reaction is quenched with water, the product is extracted and purified using column chromatography or crystallisation. Recent advances have introduced continuous flow synthesis to improve scalability, reduce the use of corrosive reagents, and optimise the epimeric ratio for pharmaceutical formulations. | |||
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Published GHG data is not available for most pharmaceuticals. However, according to industry, global averages suggest producing 1 kg of a typical active pharmaceutical ingredient can range from 10 to 100 kg CO₂e for small molecule drugs and potentially up to 1000 kg CO₂e for complex biologicals such as vaccines, depending on the drug type, its formulation, complexity of synthesis, solvent recovery, and energy sources used. |
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0.457 | F3 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) 3 = Unverified data of known source |
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226 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) 4 = Verified data |
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600 | F3 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) 3 = Unverified data of known source |
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1.91 | Q3 Q = Miscellaneous data from online sources 3 = Unverified data of known source |
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Degradation |
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As this parameter is not normally measured directly, a surrogate measure is used: ‘Photochemical oxidative DT₅₀’. Where data is available, this can be found in the Fate Indices section below. | ||||||||||
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Known metabolites |
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Terrestrial ecotoxicology |
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400 | Q3 Q = Miscellaneous data from online sources Rat3 = Unverified data of known source |
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Aquatic ecotoxicology |
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> 13 | E3 E = Manufacturers safety data sheets Oncorhynchus mykiss3 = Unverified data of known source |
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13.0 | E3 E = Manufacturers safety data sheets Oncorhynchus mykiss3 = Unverified data of known source |
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14.0 | E3 E = Manufacturers safety data sheets Daphnia magna3 = Unverified data of known source |
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3.8 | E3 E = Manufacturers safety data sheets Daphnia magna3 = Unverified data of known source |
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5.6 | E3 E = Manufacturers safety data sheets Raphidocelis subcapitata3 = Unverified data of known source |
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General |
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High (class III) | - | - | ||||||||
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400 | Q3 Q = Miscellaneous data from online sources Rat3 = Unverified data of known source |
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Approximately 60% of a budesonide dose is recovered in the urine as metabolites | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) 4 = Verified data |
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Health issues |
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Possible adrenal gland toxicant |
Handling issues |
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Minimise dust generation and accumulation | |||
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Health: H302, H317, H372 Environment: H412 |
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Not listed (Not listed) | |||
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Stable under recommended storage conditions. Protect from light. |
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budesonide | ||
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Record last updated: | 16/09/2025 |
Contact: | aeru@herts.ac.uk |
Please cite as: | Lewis, K.A., Tzilivakis, J., Warner, D. and Green, A. (2016) An international database for pesticide risk assessments and management. Human and Ecological Risk Assessment: An International Journal, 22(4), 1050-1064. DOI: 10.1080/10807039.2015.1133242 |