Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Azathioprine
Drug ID BADD_D00195
Description Azathioprine is a prodrug of 6-mercaptopurine, first synthesized in 1956 by Gertrude Elion, William Lange, and George Hitchings in an attempt to produce a derivative of 6-mercaptopurine with a better therapeutic index.[A189678,A189687,A189690] Azathioprine is used to treat inflammatory conditions like rheumatoid arthritis and as an immunosuppressant in the prevention of renal transplant rejection.[L11214] Azathiprine was granted FDA approval on 20 March 1968.[L11214]
Indications and Usage Anstey A, Lear JT: Azathioprine: clinical pharmacology and current indications in autoimmune disorders. BioDrugs. 1998 Jan;9(1):33-47.
Marketing Status Prescription; Discontinued
ATC Code L04AX01
DrugBank ID DB00993
KEGG ID D00238
MeSH ID D001379
PubChem ID 2265
TTD Drug ID D07QCE
NDC Product Code 72789-129; 51407-182; 46014-1110; 62991-2189; 12780-0300; 51927-2258; 48954-909; 51552-0779; 15308-0732; 42973-143; 68382-120; 38779-0312; 68382-119; 67877-492; 70771-1139; 65649-241; 68382-118; 67877-494; 54766-590; 68462-502; 0378-1005; 71610-124; 60219-2036; 70771-1140; 51927-0071; 65841-602; 68382-003; 71610-306; 42291-071; 60219-2037; 68084-229; 60219-1076; 70771-1141; 49452-0783; 65649-231; 67877-495; 67877-493; 66122-0009
Synonyms Azathioprine | Azothioprine | Imurel | Imuran | Immuran | Azathioprine Sodium | Sodium, Azathioprine | Azathioprine Sodium Salt | Azathioprine Sulfate
Chemical Information
Molecular Formula C9H7N7O2S
CAS Registry Number 446-86-6
SMILES CN1C=NC(=C1SC2=NC=NC3=C2NC=N3)[N+](=O)[O-]
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Adverse drug reactionThiopurine S-methyltransferaseP51580Not Available15228171; 9893619; 12525681; 7818564; 7979599; 9778228; 8984938; 12429535; 7774088; 12509611; 14505127
Adverse drug reactionInosine triphosphate pyrophosphataseQ9BY32Not Available15167706; 15571265; 15973722
Adverse drug reactionThiopurine S-methyltransferaseP51580Not Available10461478; 12021625; 14566029; 8738760; 12021625
Bone marrow toxicityThiopurine S-methyltransferaseP51580Not Available15228171; 9893619; 12525681; 7818564; 7979599; 9778228; 8984938; 12429535; 7774088; 12509611; 14505127
Bone marrow toxicityCytosolic 5'-nucleotidase 1AQ9BXI3Not Available7818564; 7979599; 9778228; 8984938; 12429535; 7774088; 12509611; 14505127
Bone marrow toxicityPurine nucleoside phosphorylaseP00491T781987818564; 7979599; 9778228; 8984938; 12429535; 7774088; 12509611; 14505127
Bone marrow toxicityThiopurine S-methyltransferaseP51580Not Available10461478; 12021625; 14566029; 8738760; 12021625
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Glaucoma06.03.01.0020.001436%
Granuloma23.03.15.001; 08.01.05.0010.002154%Not Available
Haemangioma congenital24.03.06.005; 16.02.01.004; 03.07.03.0020.002872%Not Available
Haematemesis24.07.02.011; 07.12.02.0020.003590%Not Available
Haematochezia24.07.02.012; 07.12.02.0030.017232%Not Available
Haematoma24.07.01.001--
Haematuria24.07.01.047; 20.02.01.006--
Haemoglobin13.01.05.018--Not Available
Haemoglobin decreased13.01.05.003--Not Available
Haemorrhoids24.10.02.002; 07.15.03.0010.002872%
Headache17.14.01.001--
Heart rate increased13.14.04.0020.005744%Not Available
Hemiplegia17.01.04.0020.001436%Not Available
Henoch-Schonlein purpura24.07.06.003; 10.02.02.004; 01.01.04.001; 23.06.01.0020.002154%Not Available
Hepatic cirrhosis09.01.04.0010.000937%Not Available
Hepatic cyst16.06.02.001; 09.01.08.0080.001436%Not Available
Hepatic encephalopathy17.13.01.003; 09.01.03.0060.002872%Not Available
Hepatic failure09.01.03.0020.001873%
Hepatic fibrosis24.08.06.002; 09.01.04.0020.000375%Not Available
Hepatic function abnormal09.01.02.0010.004308%Not Available
Hepatic necrosis09.01.07.0020.000375%
Hepatic steatosis14.08.04.005; 09.01.07.0030.002154%Not Available
Hepatitis09.01.07.0040.011488%Not Available
Hepatitis acute09.01.07.0050.002872%Not Available
Hepatitis B11.05.06.002; 09.01.09.0030.000749%
Hepatitis cholestatic09.01.01.0020.006462%Not Available
Hepatitis toxic09.01.07.017; 12.03.01.0160.001436%Not Available
Hepatitis viral11.05.04.011; 09.01.09.0070.001436%
Hepatocellular injury09.01.07.0080.002872%Not Available
Hepatosplenomegaly09.01.05.002; 01.09.03.0010.005744%Not Available
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