Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Brexpiprazole
Drug ID BADD_D00293
Description Brexpiprazole is a novel D2 dopamine and serotonin 1A partial agonist, called serotonin-dopamine activity modulator (SDAM), and a potent antagonist of serotonin 2A receptors, noradrenergic alpha 1B and 2C receptors. Brexpiprazole is approved for the treatment of schizophrenia, and as an adjunctive treatment for major depressive disorder (MDD). Although it failed Phase II clinical trials for ADHD, it has been designed to provide improved efficacy and tolerability (e.g., less akathisia, restlessness and/or insomnia) over established adjunctive treatments for major depressive disorder (MDD).
Indications and Usage As an adjunctive treatment of major depressive disorder (MDD) and for treatment of schizophrenia.
Marketing Status Prescription
ATC Code N05AX16
DrugBank ID DB09128
KEGG ID D10309
MeSH ID C000591922
PubChem ID 11978813
TTD Drug ID D0P0OU
NDC Product Code 59148-038; 59651-328; 46602-0036; 65129-1401; 46602-0039; 59148-040; 59148-035; 46602-0037; 46602-0038; 59148-039; 59148-036; 76055-0040; 46708-911; 46602-0040; 59148-037; 69766-041; 46602-0035; 65372-1201; 69037-0035; 53747-084
Synonyms brexpiprazole | 7-(4-(4-(1-benzothiophen-4-yl)piperazin-1-yl)butoxy)quinolin-2(1H)-one | Rexulti
Chemical Information
Molecular Formula C25H27N3O2S
CAS Registry Number 913611-97-9
SMILES C1CN(CCN1CCCCOC2=CC3=C(C=C2)C=CC(=O)N3)C4=C5C=CSC5=CC=C4
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)
Psychomotor hyperactivity19.11.02.003; 17.01.02.0110.001204%Not Available
Pyrexia08.05.02.003--
Rash23.03.13.0010.008127%Not Available
Rash generalised23.03.13.0020.000903%Not Available
Respiratory distress22.02.01.0120.000602%Not Available
Restlessness19.11.02.002; 17.02.05.0210.007525%
Rhabdomyolysis15.05.05.0020.002107%
Salivary hypersecretion07.06.01.009--Not Available
Schizophrenia19.03.04.0010.003010%Not Available
Sedation17.02.04.0050.003913%Not Available
Seizure17.12.03.001--
Sinus bradycardia02.03.03.0090.000602%
Sleep disorder19.02.04.001--Not Available
Somnambulism19.02.03.006; 17.15.02.0040.000602%Not Available
Somnolence19.02.05.003; 17.02.04.006--
Suicidal ideation19.12.01.0030.006321%
Suicide attempt19.12.01.0040.001505%
Swelling08.01.03.015--Not Available
Swollen tongue23.04.01.014; 10.01.05.015; 07.14.02.0030.001204%Not Available
Syncope17.02.04.008; 24.06.02.012; 02.01.02.008--
Tachycardia02.03.02.007--Not Available
Tardive dyskinesia17.01.02.0120.004515%Not Available
Thinking abnormal17.02.05.023; 19.10.03.0010.000602%Not Available
Thirst14.03.02.007; 08.01.09.0210.000602%Not Available
Throat tightness22.02.05.015; 19.01.02.0050.000602%Not Available
Tongue movement disturbance17.02.05.049; 07.14.02.0160.000602%Not Available
Transient ischaemic attack24.04.06.005; 17.08.04.001--
Tremor17.01.06.0020.005418%
Urinary retention20.02.02.0110.001505%
Urinary tract infection11.01.14.004; 20.08.02.001--
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