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MedKoo Product Information:
Deflazacort
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MedKoo Code#: 3D160
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Name: Deflazacort
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CAS#: 14484-47-0
Synonym:
Cortax, Decortil, and Deflanil, Flezacor. (11β,16β)-21-(acetyloxy)-11-hydroxy-2′-methyl-5′H-pregna-1,4-dieno[17,16-d]oxazole-3,20-dione
IUPAC/Chemical name:
2-((6aR,7S,8aS)-7-hydroxy-6a,8a,10-trimethyl-4-oxo-2,4,6a,6b,7,8,8a,8b,11a,12,12a,12b-dodecahydro-1H-naphtho[2',1':4,5]indeno[1,2-d]oxazol-8b-yl)-2-oxoethyl
acetate
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Chemical structure
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Theoretical analysis
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Chemical Formula: C25H31NO6
Exact Mass: 441.21514
Molecular Weight: 441.51674
m/z: 441.21514 (100.0%), 442.21849
(27.0%), 443.22185 (3.5%), 443.21938 (1.2%)
Elemental Analysis: C, 68.01; H, 7.08; N,
3.17; O, 21.74
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Availability and price:
This product is available.
To inquire quotation or to ask questions, please send email to
sales@medkoo.com to describe your needs. A representative
will respond your email shortly. We offer big discount for orders of bulk quantities.
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Information about this agent
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Deflazacort is a glucocorticoid used as an
anti-inflammatory and immunosuppressant. It is sold in the United
Kingdom by Shire under the trade name Calcort. in Brazil as Cortax,
Decortil, and Deflanil, and in Honduras as Flezacor. It is not available
in the United States. Deflazacort is a prodrug. Its potency is around
70–90% that of prednisone. (source: http://en.wikipedia.org/wiki/Deflazacort).
1: Sousa NG, Faria E, Carrapatoso I, Almeida E,
Geraldes L, Chieira C. Deflazacort: a possible alternative in
corticosteroid allergy. J Investig Allergol Clin Immunol.
2010;20(5):449-51. PubMed PMID: 20945618.
2: Vega J, Guarda FJ, Goecke H, Méndez GP. Complete remission of non-HIV
collapsing glomerulopathy with deflazacort and lisinopril in an adult
patient. Clin Exp Nephrol. 2010 Aug;14(4):385-8. Epub 2010 Apr 29.
PubMed PMID: 20428916.
3: Joshi N, Rajeshwari K. Deflazacort. J Postgrad Med. 2009
Oct-Dec;55(4):296-300. PubMed PMID: 20083885.
4: Wong-Kisiel LC, Kuntz NL. Two siblings with limb-girdle muscular
dystrophy type 2E responsive to deflazacort. Neuromuscul Disord. 2010
Feb;20(2):122-4. Epub 2010 Jan 13. PubMed PMID: 20071171.
5: Marques MJ, Oggiam DS, Barbin IC, Ferretti R, Santo Neto H. Long-term
therapy with deflazacort decreases myocardial fibrosis in mdx mice.
Muscle Nerve. 2009 Sep;40(3):466-8. PubMed PMID: 19623634.
6: Grosso S, Farnetani M, Mostardini R, Cordelli D, Berardi R, Balestri
P. A comparative study of hydrocortisone versus deflazacort in
drug-resistant epilepsy of childhood. Epilepsy Res. 2008 Sep;81(1):80-5.
Epub 2008 Jun 3. PubMed PMID: 18524542.
7: Mavrogeni S, Papavasiliou A, Douskou M, Kolovou G, Papadopoulou E,
Cokkinos DV. Effect of deflazacort on cardiac and sternocleidomastoid
muscles in Duchenne muscular dystrophy: a magnetic resonance imaging
study. Eur J Paediatr Neurol. 2009 Jan;13(1):34-40. Epub 2008 Apr 11.
PubMed PMID: 18406648.
8: Houde S, Filiatrault M, Fournier A, Dubé J, D'Arcy S, Bérubé D,
Brousseau Y, Lapierre G, Vanasse M. Deflazacort use in Duchenne muscular
dystrophy: an 8-year follow-up. Pediatr Neurol. 2008 Mar;38(3):200-6.
PubMed PMID: 18279756.
9: Di Sciascio MB, Vianale G, Verna N, Petrarca C, Perrone A, Toniato E,
Muraro R, Conti P, Di Gioacchino M. Eosinophil recruiting chemokines are
down-regulated in peripheral blood mononuclear cells of allergic
patients treated with deflazacort or desloratadine. Int J Immunopathol
Pharmacol. 2007 Oct-Dec;20(4):745-51. PubMed PMID: 18179747.
10: Nayak S, Acharjya B. Deflazacort versus other glucocorticoids: a
comparison. Indian J Dermatol. 2008;53(4):167-70. PubMed PMID: 19882026;
PubMed Central PMCID: PMC2763756.
11: Gonzalez-Perez O, Luquin S, Garcia-Estrada J, Ramos-Remus C.
Deflazacort: a glucocorticoid with few metabolic adverse effects but
important immunosuppressive activity. Adv Ther. 2007
Sep-Oct;24(5):1052-60. Review. PubMed PMID: 18029332.
12: Saviola G, Abdi Ali L, Shams Eddin S, Coppini A, Cavalieri F,
Campostrini L, Sacco S, Bucci M, Cirino G, Rossini M. Compared clinical
efficacy and bone metabolic effects of low-dose deflazacort and methyl
prednisolone in male inflammatory arthropathies: a 12-month open
randomized pilot study. Rheumatology (Oxford). 2007 Jun;46(6):994-8.
Epub 2007 Mar 23. PubMed PMID: 17384176.
13: Ferraris JR, Pasqualini T, Alonso G, Legal S, Sorroche P, Galich AM,
Jasper H; Deflazacort Study Group. Effects of deflazacort vs.
methylprednisone: a randomized study in kidney transplant patients.
Pediatr Nephrol. 2007 May;22(5):734-41. Epub 2007 Feb 9. PubMed PMID:
17294225.
14: Cuffini SL, Ellena JF, Mascarenhas YP, Ayala AP, Sielser HW, Filho
JM, Monti GA, Aiassa V, Sperandeo NR. Physicochemical characterization
of deflazacort: thermal analysis, crystallographic and spectroscopic
study. Steroids. 2007 Mar;72(3):261-9. Epub 2007 Jan 17. PubMed PMID:
17207826.
15: Bae SH, Kim JS, Kim DH. Deflazacort for type-1 autoimmune hepatitis
in a Korean girl. J Korean Med Sci. 2006 Aug;21(4):758-60. PubMed PMID:
16891827; PubMed Central PMCID: PMC2729905.
16: Gonzalez-Castañeda RE, Castellanos-Alvarado EA, Flores-Marquez MR,
Gonzalez-Perez O, Luquin S, Garcia-Estrada J, Ramos-Remus C. Deflazacort
induced stronger immunosuppression than expected. Clin Rheumatol. 2007
Jun;26(6):935-40. PubMed PMID: 16738843.
17: Biggar WD, Harris VA, Eliasoph L, Alman B. Long-term benefits of
deflazacort treatment for boys with Duchenne muscular dystrophy in their
second decade. Neuromuscul Disord. 2006 Apr;16(4):249-55. Epub 2006 Mar
20. PubMed PMID: 16545568.
18: Archer JD, Vargas CC, Anderson JE. Persistent and improved
functional gain in mdx dystrophic mice after treatment with L-arginine
and deflazacort. FASEB J. 2006 Apr;20(6):738-40. Epub 2006 Feb 7. PubMed
PMID: 16464957.
19: Ventura MT, Calogiuri GF, Buquicchio R, Di Leo E, Ferrannini A.
Cutaneous adverse drug reactions to Fluticasone propionate and
Deflazacort in an asthmatic patient. Contact Dermatitis. 2005
Aug;53(2):118-9. PubMed PMID: 16033410.
20: Del Rosso A, Cinelli M, Guiducci S, Pignone A, Fibbi G, Margheri F,
Gabrielli A, Giacomelli R, Coppini A, Del Rosso M, Matucci Cerinic M.
Deflazacort modulates the fibrinolytic pattern and reduces uPA-dependent
chemioinvasion and proliferation in rheumatoid arthritis synoviocytes.
Rheumatology (Oxford). 2005 Oct;44(10):1255-62. Epub 2005 Jul 5. PubMed
PMID: 15998634.
21: Pearle MS. Role of adjunctive medical therapy with nifedipine and
deflazacort after extracorporeal shock wave lithotripsy of ureteral
stones. Int Braz J Urol. 2002 Jul-Aug;28(4):364. PubMed PMID: 15748345.
22: Biggar WD, Politano L, Harris VA, Passamano L, Vajsar J, Alman B,
Palladino A, Comi LI, Nigro G. Deflazacort in Duchenne muscular
dystrophy: a comparison of two different protocols. Neuromuscul Disord.
2004 Sep;14(8-9):476-82. PubMed PMID: 15336688.
23: Guerrero R, de la Piedra C, Teixeiro E, Bragado R, Traba ML.
Hydrocortisone and deflazacort induce different effects on vitamin D
receptor level increase produced by 1,25-dihydroxyvitamin D3 in rat
osteoblast-like UMR-106 cells. J Rheumatol. 2004 Jan;31(1):167-72.
PubMed PMID: 14705237.
24: Campbell C, Jacob P. Deflazacort for the treatment of Duchenne
Dystrophy: a systematic review. BMC Neurol. 2003 Sep 8;3:7. Epub 2003
Sep 8. Review. PubMed PMID: 12962544; PubMed Central PMCID: PMC222985.
25: Anderson JE, Vargas C. Correlated NOS-Imu and myf5 expression by
satellite cells in mdx mouse muscle regeneration during NOS manipulation
and deflazacort treatment. Neuromuscul Disord. 2003 Jun;13(5):388-96.
PubMed PMID: 12798794.
26: Silversides CK, Webb GD, Harris VA, Biggar DW. Effects of
deflazacort on left ventricular function in patients with Duchenne
muscular dystrophy. Am J Cardiol. 2003 Mar 15;91(6):769-72. PubMed PMID:
12633823.
27: Giusti C, Forte R, Vingolo EM. Deflazacort treatment of cystoid
macular edema in patients affected by Retinitis Pigmentosa: a pilot
study. Eur Rev Med Pharmacol Sci. 2002 Jan-Feb;6(1):1-8. PubMed PMID:
12608650.
28: Devogelaer JP, Gennari C. Deflazacort in giant cell arteritis. J
Rheumatol. 2002 Oct;29(10):2244-5. PubMed PMID: 12375347.
29: Latta K, Krieg RJ Jr, Carbajo-Pérez E, Carbajo S, Chan JC. Effects
of deflazacort and cortisone on cellular proliferation in the rat
thymus. Life Sci. 2002 Sep 6;71(16):1951-60. PubMed PMID: 12175709.
30: Porpiglia F, Destefanis P, Fiori C, Scarpa RM, Fontana D. Role of
adjunctive medical therapy with nifedipine and deflazacort after
extracorporeal shock wave lithotripsy of ureteral stones. Urology. 2002
Jun;59(6):835-8. PubMed PMID: 12031363.
31: Gómez CM, Higuero NC, Moral de Gregorio A, Quiles MH, Nuñez Aceves
AB, Lara MJ, Sánchez CS. Urticaria-angioedema by deflazacort. Allergy.
2002 Apr;57(4):370-1. PubMed PMID: 11906376.
32: Talim B, Malaguti C, Gnudi S, Politano L, Merlini L. Vertebral
compression in Duchenne muscular dystrophy following deflazacort.
Neuromuscul Disord. 2002 Mar;12(3):294-5. PubMed PMID: 11801403.
33: Clayman RV. Effectiveness of nifedipine and deflazacort in the
management of distal ureter stones. J Urol. 2002 Feb;167(2 Pt 1):797-8.
PubMed PMID: 11799973.
34: Chung H, Kang YS, Hwang CS, Moon IK, Yim CH, Choi KH, Han KO, Jang
HC, Yoon HK, Han IK. Deflazacort increases osteoclast formation in mouse
bone marrow culture and the ratio of RANKL/OPG mRNA expression in marrow
stromal cells. J Korean Med Sci. 2001 Dec;16(6):769-73. PubMed PMID:
11748360.
35: Cacoub P, Chemlal K, Khalifa P, Wechsler B, De Gennes C, Belmatoug
N, Cohen P, Ziza JM, Verdoncq B, Piette JC. Deflazacort versus
prednisone in patients with giant cell arteritis: effects on bone mass
loss. J Rheumatol. 2001 Nov;28(11):2474-9. PubMed PMID: 11708421.
36: Skrabek RQ, Anderson JE. Metabolic shifts and myocyte hypertrophy in
deflazacort treatment of mdx mouse cardiomyopathy. Muscle Nerve. 2001
Feb;24(2):192-202. PubMed PMID: 11180202.
37: Biggar WD, Gingras M, Fehlings DL, Harris VA, Steele CA. Deflazacort
treatment of Duchenne muscular dystrophy. J Pediatr. 2001
Jan;138(1):45-50. PubMed PMID: 11148511.
38: Garcia-Bravo B, Repiso JB, Camacho F. Systemic contact dermatitis
due to deflazacort. Contact Dermatitis. 2000 Dec;43(6):359-60. PubMed
PMID: 11140387.
39: Anderson JE, Weber M, Vargas C. Deflazacort increases laminin
expression and myogenic repair, and induces early persistent functional
gain in mdx mouse muscular dystrophy. Cell Transplant. 2000
Jul-Aug;9(4):551-64. PubMed PMID: 11038071.
40: Porpiglia F, Destefanis P, Fiori C, Fontana D. Effectiveness of
nifedipine and deflazacort in the management of distal ureter stones.
Urology. 2000 Oct 1;56(4):579-82. PubMed PMID: 11018608.
41: Bonifati MD, Ruzza G, Bonometto P, Berardinelli A, Gorni K, Orcesi
S, Lanzi G, Angelini C. A multicenter, double-blind, randomized trial of
deflazacort versus prednisone in Duchenne muscular dystrophy. Muscle
Nerve. 2000 Sep;23(9):1344-7. PubMed PMID: 10951436.
42: Ferraris JR, Pasqualini T, Legal S, Sorroche P, Galich AM, Pennisi
P, Domene H, Jasper H. Effect of deflazacort versus methylprednisone on
growth, body composition, lipid profile, and bone mass after renal
transplantation. The Deflazacort Study Group. Pediatr Nephrol. 2000
Jul;14(7):682-8. PubMed PMID: 10912543.
43: Schärer K, Feneberg R, Klaus G, Paschen C, Wüster C, Mehls O,
Schaefer F. Experience with deflazacort in children and adolescents
after renal transplantation. Pediatr Nephrol. 2000 Jun;14(6):457-63.
PubMed PMID: 10872183.
44: Mignogna MD, Lo Muzio L, Mignogna RE, Carbone R, Ruoppo E, Bucci E.
Oral pemphigus: long term behaviour and clinical response to treatment
with deflazacort in sixteen cases. J Oral Pathol Med. 2000
Apr;29(4):145-52. Review. PubMed PMID: 10766391.
45: Deflazacort--an alternative to prednisolone? Drug Ther Bull. 1999
Aug;37(8):57-8. Review. PubMed PMID: 10696685.
46: Walker BR. Deflazacort: towards selective glucocorticoid receptor
modulation? Clin Endocrinol (Oxf). 2000 Jan;52(1):13-5. PubMed PMID:
10651748.
47: Rebollo Bernárdez J, Cifuentes Mimoso C, Piñar Moreno A, Caunedo
Alvarez A, Salas Herrero E, Jiménez-Sáenz M, Herrerías Gutiérrez J.
Deflazacort for long-term maintenance of remission in type I autoimmune
hepatitis. Rev Esp Enferm Dig. 1999 Sep;91(9):630-8. English, Spanish.
PubMed PMID: 10502711.
48: Baş F, Darendeliler F, Petorak I, Sadikoğlu B, Bilir A, Bundak R,
Saka N, Günöz H. Deflazacort treatment in progressive diaphyseal
dysplasia (Camurati-Engelmann disease). J Paediatr Child Health. 1999
Aug;35(4):401-5. PubMed PMID: 10457303.
49: Di Munno O, Mazzantini M, Milani S, Pasero G. Clinical equivalence
between deflazacort oral drops and tablets in active rheumatoid
arthritis. Clin Rheumatol. 1999;18(2):140-4. PubMed PMID: 10357120.
50: Sáez Barcelona JA, Carmona Martín M, Navarro López V, Blanch Sancho
JJ, Puras Tellaeche A. An open comparison of the diabetogenic effect of
deflazacort and prednisone at a dosage ratio of 1.5 mg:1 mg. Eur J Clin
Pharmacol. 1999 Apr;55(2):105-9. PubMed PMID: 10335904.
51: Latta K, Krieg RJ Jr, Hisano S, Veldhuis JD, Chan JC. Effect of the
synthetic glucocorticoid, deflazacort, on body growth, pulsatile
secretion of GH and thymolysis in the rat. Eur J Endocrinol. 1999
May;140(5):441-6. PubMed PMID: 10229911.
52: Zwadlo-Klarwasser G, Schmutzler W. The effects of the
glucocorticoids prednisolone, deflazacort and
beclomethasone-dipropionate on the RM 3/1 macrophage in human peripheral
blood. Skin Pharmacol Appl Skin Physiol. 1998;11(4-5):227-31. PubMed
PMID: 9885406.
53: Kim MS, Kim YS, Lim SK, Kim SI, Moon JI, Park K. Effect of
deflazacort on bone mineral density in renal transplant recipients.
Transplant Proc. 1998 Nov;30(7):3041-2. PubMed PMID: 9838340.
54: Lippuner K, Casez JP, Horber FF, Jaeger P. Effects of deflazacort
versus prednisone on bone mass, body composition, and lipid profile: a
randomized, double blind study in kidney transplant patients. J Clin
Endocrinol Metab. 1998 Nov;83(11):3795-802. PubMed PMID: 9814449.
55: Ferraris JR, Sorroche P, Legal S, Oyhamburu J, Brandi P, Pasqualini
T. Effect of therapy with deflazacort on dyslipoproteinemia after
pediatric renal transplantation. J Pediatr. 1998 Oct;133(4):533-6.
PubMed PMID: 9787693.
56: Ferraris J, Krmar R, Flores D, Giogieri S, Díaz L, Tessler J.
Pharmacokinetics of deflazacort in renal transplanted and hemodialyzed
children. Clin Nephrol. 1998 Sep;50(3):172-7. PubMed PMID: 9776421.
57: LoCascio V, Ballanti P, Milani S, Bertoldo F, LoCascio C, Zanolin
EM, Bonucci E. A histomorphometric long-term longitudinal study of
trabecular bone loss in glucocorticoid-treated patients: prednisone
versus deflazacort. Calcif Tissue Int. 1998 Mar;62(3):199-204. PubMed
PMID: 9501951.
58: Broyer M, Terzi F, Lehnert A, Gagnadoux MF, Guest G, Niaudet P. A
controlled study of deflazacort in the treatment of idiopathic nephrotic
syndrome. Pediatr Nephrol. 1997 Aug;11(4):418-22. PubMed PMID: 9260237.
59: Lorenzo AL, Katz RS. Update on deflazacort. J Clin Rheumatol. 1997
Jun;3(3):144-6. PubMed PMID: 19078171.
60: Clark G. Does deflazacort therapy offer any advantages over
conventional corticosteroids in children with renal disease? Pediatr
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61: Ferraris JR, Pennisi P, Pasqualini T, Jasper H. Effects of
deflazacort immunosuppression on long-term growth and growth factors
after renal transplantation. Pediatr Nephrol. 1997 Jun;11(3):322-4.
PubMed PMID: 9203181.
62: Morabito F, Callea I, Irrera G, Cartisano G, Dattola A, Rodinò A,
Brugiatelli M. In vitro improvement of chlorambucil-induced cytotoxicity
by deflazacort and 6-methylprednisolone in B-cell chronic lymphocytic
leukaemia. Eur J Haematol. 1997 May;58(5):301-6. PubMed PMID: 9222284.
63: Krmar RT, Ramirez JA, Torres CG, Ferraris JR. Posterior subcapsular
cataracts associated with deflazacort therapy. Clin Nephrol. 1997
Mar;47(3):205. PubMed PMID: 9105772.
64: Magnuson SK, Booth R, Porter S, Gorski JP. Bilateral tibial marrow
ablation in rats induces a rapid hypercalcemia arising from extratibial
bone resorption inhibitable by methylprednisolone or deflazacort. J Bone
Miner Res. 1997 Feb;12(2):200-9. PubMed PMID: 9041051.
65: Kim YS, Kim MS, Kim SI, Lim SK, Lee HY, Han DS, Park K.
Post-transplantation diabetes is better controlled after conversion from
prednisone to deflazacort: a prospective trial in renal transplants.
Transpl Int. 1997;10(3):197-201. PubMed PMID: 9163859.
66: Rao N, Bhargava VO, Reynolds DL, Eller MG, Weir SJ. An investigation
of the dose proportionality of deflazacort pharmacokinetics. Biopharm
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67: Alvarez-Amador L, Alvarado-Vega AG, Zúñiga-Armendáriz V, Zaragoza
RM, Diliz HS, Arce-Salinas CA. Assessment of the quality of life in
kidney transplant patients: a randomized, double-blind comparison of
Deflazacort and prednisone. Transplant Proc. 1996 Dec;28(6):3391-3.
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68: Anderson JE, McIntosh LM, Poettcker R. Deflazacort but not
prednisone improves both muscle repair and fiber growth in diaphragm and
limb muscle in vivo in the mdx dystrophic mouse. Muscle Nerve. 1996
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69: Ferraris JR, Tambutti ML, Redal M, Ramirez JA, Carlin MC, Samaniego
MC, Prigoshin N. Immunosuppressive activity of deflazacort in pediatric
renal transplantation. Transplantation. 1996 Aug 15;62(3):417-20. PubMed
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70: Rao N, Eller M, Arumugham T, Weir S. The effect of food on the
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1996 Jul-Sep;21(3):241-5. PubMed PMID: 8980922.
71: Sáez Barcelona JA, Carmona Martín MM, Navarro López V. Deflazacort
versus methylprednisolone in polymyalgia rheumatica. J Rheumatol. 1996
Jul;23(7):1306-7. PubMed PMID: 8823716.
72: Navarro Pulido AM, Orta JC, Buzo G. Delayed hypersensitivity to
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73: Krogsgaard MR, Thamsborg G, Lund B. Changes in bone mass during low
dose corticosteroid treatment in patients with polymyalgia rheumatica: a
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74: Babadjanova G, Allolio B, Vollmer M, Reincke M, Schulte HM.
Comparison of the pharmacodynamic effects of deflazacort and
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75: Carmona-Ortells L, Carvajal-Méndez I, García-Vadillo JA, Alvaro-Gracia
JM, González-Alvaro I. Transient osteoporosis of the hip: successful
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76: Krogsgaard MR, Lund B, Johnsson B. A longterm prospective study of
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79: Möllmann H, Hochhaus G, Rohatagi S, Barth J, Derendorf H.
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80: Dekhuijzen PN, Gayan-Ramirez G, Bisschop A, de Bock V, Dom R,
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81: Falcini F, Trapani S, Ermini M, Bartolozzi G. Deflazacort in
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82: Lo Cascio V, Kanis JA, Beneton MN, Bertoldo F, Adami S, Poggi G,
Zanolin ME. Acute effects of deflazacort and prednisone on rates of
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83: Huber EW, Barbuch RJ. Spectral analysis and structural
identification of a major deflazacort metabolite in man. Xenobiotica.
1995 Feb;25(2):175-83. PubMed PMID: 7618345.
84: Reitter B. Deflazacort vs. prednisone in Duchenne muscular
dystrophy: trends of an ongoing study. Brain Dev. 1995;17 Suppl:39-43.
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85: Latta K, Krieg RJ Jr, Chan W, Hisano S, Chan JC. Effects of
deflazacort and cortisone on body growth, thymus weight and gene
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86: Reynolds DL, Burmaster SD, Eichmeier LS. Quantitative determination
of 21-hydroxy-deflazacort in human plasma using gradient semi-microbore
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87: Hirata H, Kasama T, Sawai Y, Fike RR. Simultaneous determination of
deflazacort metabolites II and III, cortisol, cortisone, prednisolone
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88: Santos-Montes A, Gonzalo-Lumbreras R, Gasco-Lopez AI,
Izquierdo-Hornillos R. Extraction and high-performance liquid
chromatographic separation of deflazacort and its metabolite
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89: Eberhardt R, Krüger K, Reiter W, Gross W, Zwingers T. Long-term
therapy with the new glucocorticosteroid deflazacort in rheumatoid
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