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)
Pharyngitis07.05.07.004; 22.07.03.004; 11.01.13.003--
Pleural effusion22.05.02.002--
Pneumonia22.07.01.003; 11.01.09.0030.001332%Not Available
Pneumothorax22.05.02.003--
Porphyria non-acute09.01.10.003; 03.08.01.004; 23.03.01.012; 14.14.01.004--Not Available
Premature menopause05.05.01.016; 21.02.02.0040.000533%
Prothrombin level increased13.01.02.011--Not Available
Prothrombin time prolonged13.01.02.012--Not Available
Pruritus23.03.12.001--
Pulmonary alveolar haemorrhage24.07.01.015; 22.01.02.005--Not Available
Pulmonary fibrosis22.01.02.0060.000278%
Pulmonary hypertension24.08.03.002; 22.06.01.0010.000208%
Pulmonary oedema22.01.03.003; 02.05.02.0030.000533%
Pulmonary valve incompetence02.07.04.001--Not Available
Pyrexia08.05.02.0030.004263%
Rales22.02.04.004--Not Available
Rash23.03.13.001--Not Available
Rash maculo-papular23.03.13.004--
Rash pustular11.01.12.002; 23.03.10.003--
Rash vesicular23.03.13.009--Not Available
Renal failure20.01.03.0050.000695%Not Available
Respiratory failure22.02.06.002; 14.01.04.0030.000208%
Restrictive cardiomyopathy02.04.01.005--
Rhinitis22.07.03.006; 11.01.13.004--
Seizure17.12.03.0010.001332%
Sepsis11.01.11.0030.000625%
Septic shock11.01.11.004; 24.06.02.0110.000417%Not Available
Serum sickness12.02.08.004; 10.01.03.004--
Sinusitis22.07.03.007; 11.01.13.005--
Skin discolouration23.03.03.005--Not Available
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