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)
Glomerular filtration rate abnormal13.13.01.0220.001447%Not Available
Hypermetabolism14.11.01.0180.001447%Not Available
IgA nephropathy20.05.01.016; 10.02.01.0630.003617%Not Available
Renal glycosuria20.05.03.0200.004340%Not Available
Tibia fracture12.04.01.016; 15.08.03.0160.003617%Not Available
Lumbar vertebral fracture15.08.05.007; 12.04.04.0070.001447%Not Available
Gastric varices24.10.02.005; 09.01.06.013; 07.15.03.0040.001447%Not Available
Bone marrow oedema15.02.01.005; 01.05.01.0190.003617%Not Available
Urine phosphorus decreased13.11.01.0540.002170%Not Available
Hyperphosphatasaemia15.02.04.011; 14.11.01.002; 09.01.08.0020.003617%Not Available
Bone scan abnormal13.16.01.0060.001447%Not Available
Viral load increased13.08.03.0350.013743%Not Available
Viral mutation identified13.08.03.0360.007957%Not Available
Virologic failure11.01.08.062; 08.06.01.0340.001447%Not Available
Prostatic calcification21.04.01.0080.001447%Not Available
Hepatitis B DNA increased13.08.03.0190.005787%Not Available
Hepatitis B surface antibody positive13.08.03.0200.001447%Not Available
Spinal pain17.10.01.020; 15.02.01.008; 08.01.08.0300.003617%Not Available
Acquired aminoaciduria20.02.01.031; 14.10.02.0020.003617%Not Available
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