Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Adefovir dipivoxil
Drug ID BADD_D00044
Description Adefovir dipivoxil, previously called bis-POM PMEA, with trade names Preveon and Hepsera, is an orally-administered acyclic nucleotide analog reverse transcriptase inhibitor (ntRTI) used for treatment of hepatitis B. It is ineffective against HIV-1. Adefovir dipivoxil is the diester prodrug of adefovir.
Indications and Usage For the treatment of chronic hepatitis B in adults with evidence of active viral replication and either evidence of persistent elevations in serum aminotransferases (ALT or AST) or histologically active disease.
Marketing Status Prescription
ATC Code J05AF08
DrugBank ID DB00718
KEGG ID D01655
MeSH ID C106812
PubChem ID 60871
TTD Drug ID D0ML1F
NDC Product Code 60505-3947; 53104-7602; 61958-0501; 42794-003; 65977-0051
Synonyms adefovir dipivoxil | adefovir depivoxil | 9-(2-((-bis((pivaloyloxy)methoxy)phosphinyl)methoxy)ethyl)adenine | Hepsera | Preveon | GS 840 | GS-0840
Chemical Information
Molecular Formula C20H32N5O8P
CAS Registry Number 142340-99-6
SMILES CC(C)(C)C(=O)OCOP(=O)(COCCN1C=NC2=C(N=CN=C21)N)OCOC(=O)C(C)(C)C
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Urinary tract disorder20.08.01.001--Not Available
Vitamin D deficiency14.12.03.0030.002893%Not Available
Vomiting07.01.07.003--
Weight decreased13.15.01.0050.008680%
Tubulointerstitial nephritis20.05.02.0020.003617%Not Available
Mobility decreased17.02.05.018; 08.01.03.030; 15.03.01.0030.002170%Not Available
Musculoskeletal disorder15.03.01.0040.003617%Not Available
Osteopenia15.02.03.003; 14.04.04.0040.001447%Not Available
Abasia17.02.05.035; 08.01.02.0070.002893%Not Available
Bone density decreased13.16.01.0010.018083%Not Available
Blood phosphorus decreased13.11.01.0150.042676%Not Available
Muscle tightness15.05.03.0070.001447%Not Available
Dysstasia17.02.02.0120.001447%Not Available
Urine calcium increased13.11.01.0390.002893%Not Available
Intervertebral disc protrusion15.10.01.0040.007233%Not Available
Musculoskeletal chest pain15.03.04.012; 22.09.01.0010.009403%
Hyperphosphaturia20.02.01.025; 14.04.03.0060.003617%Not Available
Hepatitis B e antigen positive13.08.03.007--Not Available
Foetor hepaticus09.01.05.006; 07.01.06.026--Not Available
Fanconi syndrome acquired14.01.01.013; 20.05.03.0120.078118%Not Available
Drug tolerance08.06.01.0030.003617%Not Available
Protein urine present13.13.02.0060.005787%Not Available
Musculoskeletal discomfort15.03.04.001--Not Available
Blood 25-hydroxycholecalciferol decreased13.02.05.0090.002893%Not Available
Transaminases decreased13.03.01.0340.001447%Not Available
Urine phosphorus increased13.11.01.0470.007233%Not Available
Body height decreased13.15.01.0290.003617%Not Available
Muscle enzyme increased13.04.01.0030.001447%Not Available
Toxic skin eruption23.03.05.003; 10.01.01.0080.002170%Not Available
Bone metabolism disorder15.02.03.009; 14.04.04.0090.006510%Not Available
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