Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Busulfan
Drug ID BADD_D00318
Description Busulfan is a bifunctional alkylating agent, having a selective immunosuppressive effect on bone marrow. It is not a structural analog of the nitrogen mustards. It has been used in the palliative treatment of chronic myeloid leukemia (myeloid leukemia, chronic), but although symptomatic relief is provided, no permanent remission is brought about. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), busulfan is listed as a known carcinogen.
Indications and Usage For use in combination with cyclophosphamide as a conditioning regimen prior to allogeneic hematopoietic progenitor cell transplantation for chronic myelogenous (myeloid, myelocytic, granulocytic) leukemia (FDA has designated busulfan as an orphan drug for this use). It is also used as a component of pretransplant conditioning regimens in patients undergoing bone marrow transplantation for acute myeloid leukemia and nonmalignant diseases.
Marketing Status Prescription
ATC Code L01AB01
DrugBank ID DB01008
KEGG ID D00248
MeSH ID D002066
PubChem ID 2478
TTD Drug ID D07SUG
NDC Product Code 46014-1116; 72485-210; 50683-0363; 60505-6177; 71288-158; 51817-170; 48957-0010; 65219-160; 14096-147; 29902-0007; 67457-893; 0409-1112; 76388-713; 46439-8734; 0517-0920; 70121-1244; 59148-070; 72606-559; 25021-241; 69443-500; 16729-351; 63759-0008; 71288-116
Synonyms Busulfan | Busulphan | Busulfan Wellcome | Wellcome, Busulfan | Busulfex | Myleran | Myléran | Myelosan | Mylecytan | n-Butane-1,3-di(methylsulfonate) | Glyzophrol
Chemical Information
Molecular Formula C6H14O6S2
CAS Registry Number 55-98-1
SMILES CS(=O)(=O)OCCCCOS(=O)(=O)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)
Malnutrition14.03.02.004--Not Available
Mediastinal disorder22.09.03.001--Not Available
Mental disorder19.07.01.002--Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Erectile dysfunction19.08.04.001; 21.03.01.007--
Pseudomonas infection11.02.12.0010.000533%Not Available
Urinary tract obstruction20.08.01.0040.000208%
Blood disorder01.05.01.004--Not Available
Cardiac fibrillation02.03.02.021--Not Available
Disease progression08.01.03.0380.000208%
Disease recurrence08.01.03.0500.000347%Not Available
Obstructive airways disorder22.03.01.0110.000533%Not Available
Pulmonary toxicity22.01.02.007; 12.03.01.013--Not Available
Hepatobiliary disease09.01.08.003--Not Available
Pigmentation disorder23.05.03.001--Not Available
Venoocclusive disease24.03.02.0160.000834%Not Available
Renal impairment20.01.03.010--Not Available
Neutropenic colitis07.08.01.014; 01.02.03.0100.000799%Not Available
Cystitis noninfective20.03.02.001--
Idiopathic pneumonia syndrome22.01.02.015; 12.02.07.0060.000278%Not Available
Breath sounds abnormal13.15.01.008--Not Available
Epstein-Barr viraemia11.05.10.0020.001332%Not Available
Bone marrow failure01.03.03.0050.002131%
Acute graft versus host disease12.02.09.002; 10.02.01.0280.000764%Not Available
Chronic graft versus host disease12.02.09.003; 10.02.01.0290.000486%Not Available
Cytopenia01.03.03.012--Not Available
Haematological malignancy16.21.01.002; 01.13.01.003--Not Available
Anorectal discomfort07.03.03.003--Not Available
Acute kidney injury20.01.03.0160.000417%
Pulmonary ossification22.01.02.020--Not Available
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