Peringatan Keamanan

Ingestion of diethyltoluamide (DEET) in adults may lead to hypotension, seizures, and/or coma within as little as an hour A33060. Deaths have been associated with serum concentrations of 1 mmol/L A33060. Psychosis was described in an adult who had applied a product containing 70% DEET to the skin A33060.

Diethyltoluamide

DB11282

small molecule approved

Deskripsi

Diethyltoluamide (DEET) is the common active ingredient in many insect repellent products. It is widely used to repel biting pests such as mosquitoes and ticks. Every year, DEET formulations are used to protect populations from mosquito-borne illnesses like West Nile Virus, the Zika virus, malaria, and/or tick-borne illnesses like Lyme disease and Rocky Mountain spotted fever. And, despite concerns over excessive exposure to the chemical, appropriate usage of the chemical at the recommended dosages and routes of administration have generally proven to be safe - even when most DEET products are largely designed to be applied directly to human skin, where the exact mechanisms of actions in which DEET is capable of repelling insects and causing toxicity to humans is still not fully elucidated.

Struktur Molekul 2D

Berat 191.2695
Wujud -

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) The elimination half-life of diethyltoluamide (DEET) is observed to be about 2.5 hours [A33060].
Volume Distribusi After dermal application, about 17% of the absorbed diethyltoluamide (DEET) dose enters the bloodstream [L2775]. DEET accumulates in the skin, contributing to local irritation and possibly even bullous dermatitis [L2775]. Accumulation within the body, however, has not been reported and experimentally there have been no cumulative effects of subtoxic doses of DEET; but various case reports of toxicity in man suggests that accumulation of the repellent could occur, and with deleterious effects [L2775].
Klirens (Clearance) Readily accessible data regarding the clearance of diethyltoluamide (DEET) is not available.

Absorpsi

Most diethyltoluamide (DEET) formulations employ the agent as a liquid to be applied onto human skin in an effort to repel mosquitoes from feeding on the skin. Topical application and absorption is consequently the most common route of absorption. When used appropriately, DEET formulations are generally not indicated for too many other routes of absorption or administration, like parenterally or orally. DEET is absorbed quickly through intact skin; 48% of the applied dose is totally absorbed within 6 hours L2775. Topical absorption is the usual route of entry as DEET is normally applied to the skin as a mosquito repellent L2775. DEET applied to the skin has also been shown to accumulate in the dermis L2775. DEET is rapidly absorbed after oral ingestion L2775. Additionally, animal experiments demonstrate that DEET can cross the placenta L2775. DEET is efficiently absorbed across the skin and by the gut L2779. Blood concentrations of about 3 mg/L have been reported several hours after dermal application in the prescribed fashion L2779. Between 9% and 56% of dermally applied DEET is absorbed through the skin with peak blood levels being attained within 1 hour L2775. Absorption through the skin varies according to the site exposed to the DEET L2775. In animal model surfaces corresponding to the human palmar surface (an area that is typically heavily exposed during the application of liquid DEET), 68% of administered topical DEET was absorbed L2775. As a consequence, small children are at increased risk of excessive absorption of DEET applied to the skin because of their relatively higher surface to volume ratio compared to adults L2775.

Metabolisme

Diethyltoluamide (DEET) is metabolized in humans by cytochrome P450 enzymes into the primary metabolites N,N-diethyl-m-hydroxymethylbenzamide (BALC) and Nethyl-m-toluamide (ET) L2776. Although several P450 isoenzymes have elicited activity in DEET metabolism, it appears that the CYP2B6 and CYP2C19 enzymes are the principal P450s responsible for the transformation of DEET to BALC and ET, respectively L2776. Most of the body load is metabolized by such hepatic P450 enzymes, with only 10%–14% recovered unchanged in the urine A33060.

Rute Eliminasi

Diethyltoluamide (DEET) is principally excreted via the kidneys, where the initial phase is initially rapid but not more than 50% of the absorbed dose is excreted during the first 5 days L2775. In a study with a human volunteer weighing 65.8 kg and having been treated with 15 g of 95% DEET, urinary levels of DEET and a metabolite were measurable 4 hours after the initial exposure and persisted 48 hours later L2775. Maximum urinary levels of DEET observed were 207 mg/L at 8 hours L2775.

Interaksi Obat

1 Data
Oxybenzone Oxybenzone can cause an increase in the absorption of Diethyltoluamide resulting in an increased serum concentration and potentially a worsening of adverse effects.

Referensi & Sumber

Artikel (PubMed)
  • PMID: 18339904
    Ditzen M, Pellegrino M, Vosshall LB: Insect odorant receptors are molecular targets of the insect repellent DEET. Science. 2008 Mar 28;319(5871):1838-42. doi: 10.1126/science.1153121. Epub 2008 Mar 13.
  • PMID: 21671117
    Tsitsanou KE, Thireou T, Drakou CE, Koussis K, Keramioti MV, Leonidas DD, Eliopoulos E, Iatrou K, Zographos SE: Anopheles gambiae odorant binding protein crystal complex with the synthetic repellent DEET: implications for structure-based design of novel mosquito repellents. Cell Mol Life Sci. 2012 Jan;69(2):283-97. doi: 10.1007/s00018-011-0745-z. Epub 2011 Jun 14.
  • PMID: 25101788
    Swale DR, Sun B, Tong F, Bloomquist JR: Neurotoxicity and mode of action of N, N-diethyl-meta-toluamide (DEET). PLoS One. 2014 Aug 7;9(8):e103713. doi: 10.1371/journal.pone.0103713. eCollection 2014.
  • PMID: 12900480
    Koren G, Matsui D, Bailey B: DEET-based insect repellents: safety implications for children and pregnant and lactating women. CMAJ. 2003 Aug 5;169(3):209-12.

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