Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Bivalirudin
Drug ID BADD_D00279
Description Bivalirudin is a synthetic 20 residue peptide (thrombin inhibitor) which reversibly inhibits thrombin. Once bound to the active site, thrombin cannot activate fibrinogen into fibrin, the crucial step in the formation of thrombus. It is administered intravenously. Because it can cause blood stagnation, it is important to monitor changes in hematocrit, activated partial thromboplastin time, international normalized ratio and blood pressure.
Indications and Usage For treatment of heparin-induced thrombocytopenia and for the prevention of thrombosis. Bivalirudin is indicated for use in patients undergoing percutaneous coronary intervention (PCI), in patients at moderate to high risk acute coronary syndromes due to unstable angina or non-ST segment elevation in whom a PCI is planned.
Marketing Status Prescription
ATC Code B01AE06
DrugBank ID DB00006
KEGG ID D03136
MeSH ID C074619
PubChem ID 16129704
TTD Drug ID D09HVL
NDC Product Code 0781-3447; 63323-562; 72572-035; 55111-652; 65129-1225; 71288-427; 70436-025; 55463-0029; 52958-112; 0781-3158; 41524-0001; 0781-9158; 16729-275; 36974-0066; 0409-8300; 32861-0001; 70860-403; 70860-402; 68225-041; 55111-918; 52958-034; 55150-210; 76177-001; 67457-256; 70511-141; 0781-3453
Synonyms bivalirudin | Phe-Pro-Arg-Pro-(Gly)4-desulfohirudin-(53-64) | Phe-Pro-Arg-Pro-(Gly)4 desulfato-Tyr63'-hirugen | Phe-Pro-Arg-Pro-(Gly)4-Asn-Gly-Asp-Phe-Glu-Glu-Ile-Pro-Glu-Glu-Tyr-Leu | CTB-001 | Hirulog | Hirulog-1 | Angiomax | BG 8967 | BG8967 | BG-8967
Chemical Information
Molecular Formula C98H138N24O33
CAS Registry Number 128270-60-0
SMILES CCC(C)C(C(=O)N1CCCC1C(=O)NC(CCC(=O)O)C(=O)NC(CCC(=O)O)C(=O)NC(CC2=CC=C(C=C2)O)C( =O)NC(CC(C)C)C(=O)O)NC(=O)C(CCC(=O)O)NC(=O)C(CCC(=O)O)NC(=O)C(CC3=CC=CC=C3)NC(=O )C(CC(=O)O)NC(=O)CNC(=O)C(CC(=O)N)NC(=O)CNC(=O)CNC(=O)CNC(=O)CNC(=O)C4CCCN4C(=O) C(CCCNC(=N)N)NC(=O)C5CCCN5C(=O)C(CC6=CC=CC=C6)N
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)
Hypersensitivity10.01.03.003--
Hypertension24.08.02.001--
Hypotension24.06.03.0020.001298%
Immune system disorder10.02.01.001--Not Available
Increased tendency to bruise24.07.06.012; 23.06.01.009; 01.01.03.005--Not Available
Infection11.01.08.002--Not Available
Injection site haemorrhage24.07.01.010; 12.07.03.005; 08.02.03.005--Not Available
Injection site pain12.07.03.011; 08.02.03.010--Not Available
Injection site reaction12.07.03.015; 08.02.03.014--
Insomnia19.02.01.002; 17.15.03.002--
International normalised ratio increased13.01.02.008--
Loss of consciousness17.02.04.004--Not Available
Melaena24.07.02.013; 07.12.02.004--Not Available
Mouth haemorrhage24.07.02.014; 07.05.02.0010.000371%
Myocardial infarction24.04.04.009; 02.02.02.0070.000194%
Nausea07.01.07.001--
Nervous system disorder17.02.10.001--Not Available
Nervousness19.06.02.003--Not Available
Oesophageal haemorrhage24.07.02.021; 07.12.01.002--
Oliguria20.01.03.004--Not Available
Pain08.01.08.004--
Pelvic pain21.10.01.001; 20.02.03.007; 07.01.06.012--
Pericardial haemorrhage24.07.01.013; 02.06.01.003--Not Available
Peritoneal haemorrhage24.07.02.016; 07.07.02.001--Not Available
Petechiae24.07.06.004; 23.06.01.003; 01.01.03.002--Not Available
Pharyngeal haemorrhage24.07.02.017; 22.04.05.002--
Pleural effusion22.05.02.002--
Pneumothorax22.05.02.003--
Presyncope24.06.02.010; 17.02.05.009; 02.01.02.0070.000371%
Pulmonary alveolar haemorrhage24.07.01.015; 22.01.02.0050.000145%Not Available
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