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)
Skin disorder23.03.03.007--Not Available
Skin exfoliation23.03.07.003--Not Available
Skin hyperpigmentation23.05.01.003--
Somnolence19.02.05.003; 17.02.04.0060.000799%
Stomatitis07.05.06.0050.001332%
Tachycardia02.03.02.0070.001066%Not Available
Tachypnoea22.02.01.0140.000533%Not Available
Tension19.06.02.005--Not Available
Thrombocytopenia01.08.01.0020.002131%Not Available
Thrombosis24.01.01.006--Not Available
Thrombotic microangiopathy24.01.01.013; 20.01.07.004; 01.01.02.006--Not Available
Tooth hypoplasia07.09.08.003; 03.04.01.0020.000533%Not Available
Toxoplasmosis11.06.01.0010.000139%Not Available
Tumour lysis syndrome16.32.03.002; 14.05.01.004--
Upper respiratory tract infection22.07.03.011; 11.01.13.0090.000533%
Urethral disorder20.07.01.002--Not Available
Urinary tract disorder20.08.01.001--Not Available
Urticaria23.04.02.001; 10.01.06.001--
Venoocclusive liver disease09.01.06.002; 24.04.07.0020.001737%
Ventricular extrasystoles02.03.04.007--Not Available
Vomiting07.01.07.003--
Weight decreased13.15.01.005--
Weight increased13.15.01.006--
Mental status changes19.07.01.0010.000533%Not Available
Histiocytosis haematophagic10.02.01.042; 01.05.01.0150.001332%Not Available
Cardiotoxicity12.03.01.007; 02.01.01.0020.000208%Not Available
Left ventricular dysfunction02.04.02.0110.000799%
Shock haemorrhagic24.06.02.014; 14.05.05.0030.000799%Not Available
Cerebral haemorrhage foetal24.07.04.013; 18.03.02.007; 17.08.01.023--Not Available
Ejection fraction decreased13.14.02.003--
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