Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Amitriptyline
Drug ID BADD_D00118
Description Amitriptyline hydrochloride, also known as _Elavil_, is a tricyclic antidepressant (TCA) with analgesic properties, widely used to treat depression and neuropathic pain [A174658]. It was originally approved by the FDA in 1977 and manufactured by Sandoz [L5308].
Indications and Usage Amitriptyline, a tertiary amine tricyclic antidepressant, is structurally related to both the skeletal muscle relaxant cyclobenzaprine and the thioxanthene antipsychotics such as thiothixene. It is extremely sedating, and thus improvement of sleep patterns can be the first benefit of treatment. Amitriptyline exhibits strong anticholinergic activity, cardiovascular effects including orthostatic hypotension, changes in heart rhythm and conduction, and a lowering of the seizure threshold. As with other antidepressants, several weeks of therapy may be required in order to realize the full clinical benefit of amitriptyline. Although not a labelled indication, amitriptyline is widely used in the management of chronic nonmalignant pain (e.g., post-herpetic neuralgia, fibromyalgia).
Marketing Status Prescription; Discontinued
ATC Code N06AA09
DrugBank ID DB00321
KEGG ID D07448
MeSH ID D000639
PubChem ID 2160
TTD Drug ID D0Y5UG
NDC Product Code 51927-0198
Synonyms Amitriptyline | Tryptine | Amineurin | Amitrip | Amitriptylin Beta | Amitriptylin Desitin | Desitin, Amitriptylin | Amitriptylin RPh | RPh, Amitriptylin | Amitriptylin-Neuraxpharm | Amitriptylin Neuraxpharm | Amitriptyline Hydrochloride | Amitrol | Anapsique | Apo-Amitriptyline | Apo Amitriptyline | Damilen | Domical | Laroxyl | Lentizol | Novoprotect | Saroten | Sarotex | Syneudon | Triptafen | Endep | Tryptizol | Elavil | Tryptanol
Chemical Information
Molecular Formula C20H23N
CAS Registry Number 50-48-6
SMILES CN(C)CCC=C1C2=CC=CC=C2CCC3=CC=CC=C31
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
ArrhythmiaCytochrome P450 2D6P10635T57392Not Available
ArrhythmiaCytochrome P450 2D6P10635T5739210772431; 15748098; 10983742
Atrioventricular blockCytochrome P450 3A4P08684T3784811903482; 9435993; 8941495; 11952767
Blood creatinine increasedCytochrome P450 3A4P08684T3784811903482; 9435993; 8941495; 11952767
HaemorrhageCytochrome P450 2C19P33261Not Available395826; 803187
HypotensionCytochrome P450 3A4P08684T3784811903482; 9435993; 8941495; 11952767
Platelet aggregation abnormalCytochrome P450 3A4P08684T3784811903482; 9435993; 8941495; 11952767
RhabdomyolysisCytochrome P450 3A4P08684T3784811903482; 9435993; 8941495; 11952767
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Accommodation disorder06.02.04.001--Not Available
Ageusia17.02.07.001; 07.14.03.003--Not Available
Agitation19.06.02.001; 17.02.05.012--
Agranulocytosis01.02.03.001--Not Available
Alopecia23.02.02.001--
Anxiety19.06.02.002--
Arrhythmia02.03.02.001--Not Available
Arthritis15.01.01.001--
Asthenia08.01.01.001--Not Available
Ataxia17.02.02.001; 08.01.02.004--
Atrioventricular block02.03.01.002--Not Available
Body temperature increased13.15.01.001--Not Available
Breast enlargement21.05.04.001--Not Available
Bundle branch block02.03.01.009--Not Available
Cardio-respiratory arrest22.02.06.007; 02.03.04.0020.000223%Not Available
Cardiomyopathy02.04.01.001--Not Available
Cerebrovascular accident24.03.05.001; 17.08.01.007--
Circulatory collapse24.06.02.0010.000321%Not Available
Coma17.02.09.0010.000321%Not Available
Completed suicide19.12.01.001; 08.04.01.0100.000586%Not Available
Conduction disorder02.03.01.008--
Confusional state19.13.01.001; 17.02.03.0050.000321%
Constipation07.02.02.001--
Coordination abnormal17.02.02.004--Not Available
Death08.04.01.001--
Delusion19.10.01.001--
Dermatitis23.03.04.002--Not Available
Diarrhoea07.02.01.001--
Discomfort08.01.08.003--Not Available
Disorientation19.13.01.002; 17.02.05.015--Not Available
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