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)
Blood alkaline phosphatase increased13.04.02.0040.038336%
Drug resistance08.06.01.0050.006982%Not Available
Anti-thyroid antibody positive13.10.06.0100.001447%Not Available
Connective tissue disorder15.06.01.006--Not Available
Pelvic fracture12.04.06.001; 15.08.06.0010.002170%Not Available
Intervertebral disc degeneration15.10.01.0020.001447%Not Available
Malnutrition14.03.02.004--Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Renal injury20.01.03.015; 12.01.05.0010.009403%Not Available
Bone lesion15.02.04.0160.004340%Not Available
Diabetic nephropathy20.05.03.011; 14.07.02.003; 05.07.02.0030.001447%Not Available
Hepatic lesion09.01.08.0050.002170%Not Available
Hepatobiliary disease09.01.08.003--Not Available
Vitamin D decreased13.02.05.0060.004340%Not Available
Renal impairment20.01.03.0100.031103%Not Available
Unevaluable event08.01.03.0510.002170%Not Available
Amino acid level increased13.09.01.0170.001447%Not Available
Chronic kidney disease20.01.03.0170.003617%
Bone marrow failure01.03.03.0050.003617%
Treatment failure08.06.01.0170.000377%Not Available
Cholestatic liver injury09.01.07.0160.001447%Not Available
Penile curvature21.12.01.0090.001447%Not Available
Drug-induced liver injury12.03.01.044; 09.01.07.0230.002170%Not Available
Hepatic cancer16.07.02.004; 09.04.02.0080.001321%Not Available
Hepatocellular carcinoma16.07.02.005; 09.04.02.0100.003396%Not Available
Oncogenic osteomalacia15.02.03.012; 14.04.04.012; 16.32.01.0050.018806%Not Available
Alpha 1 foetoprotein increased13.09.01.0200.001447%Not Available
Ammonia abnormal13.03.01.0300.001447%Not Available
Beta-N-acetyl-D-glucosaminidase increased13.04.03.0010.001447%Not Available
Concomitant disease aggravated08.01.03.0630.002893%Not Available
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