Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Clarithromycin
Drug ID BADD_D00480
Description Clarithromycin, a semisynthetic macrolide antibiotic derived from erythromycin, inhibits bacterial protein synthesis by binding to the bacterial 50S ribosomal subunit. Binding inhibits peptidyl transferase activity and interferes with amino acid translocation during the translation and protein assembly process. Clarithromycin may be bacteriostatic or bactericidal depending on the organism and drug concentration.
Indications and Usage An alternative medication for the treatment of acute otitis media caused by H. influenzae, M. catarrhalis, or S. pneumoniae in patients with a history of type I penicillin hypersensitivity. Also for the treatment of pharyngitis and tonsillitis caused by susceptible Streptococcus pyogenes, as well as respiratory tract infections including acute maxillary sinusitis, acute bacterial exacerbations of chronic bronchitis, mild to moderate community-acquired pneuomia, Legionnaires' disease, and pertussis. Other indications include treatment of uncomplicated skin or skin structure infections, helicobacter pylori infection, duodenal ulcer disease, bartonella infections, early Lyme disease, and encephalitis caused by Toxoplasma gondii (in HIV infected patients in conjunction with pyrimethamine). Clarithromycin may also decrease the incidence of cryptosporidiosis, prevent the occurence of α-hemolytic (viridans group) streptococcal endocarditis, as well as serve as a primary prevention for Mycobacterium avium complex (MAC) bacteremia or disseminated infections (in adults, adolescents, and children with advanced HIV infection).
Marketing Status Prescription; Discontinued
ATC Code J01FA09
DrugBank ID DB01211
KEGG ID D00276
MeSH ID D017291
PubChem ID 84029
TTD Drug ID D0Z1ZM
NDC Product Code 62135-616; 62332-344; 50090-5282; 43063-752; 70934-507; 50090-4059; 62135-615; 62991-2687; 68071-3116; 0527-1931; 63415-0018; 64679-949; 67296-1632; 49452-2112; 27241-065; 63629-8222; 0781-6023; 38779-1937; 71335-1567; 67296-0464; 60592-429; 43063-823; 50268-178; 57237-045; 76420-051; 61919-643; 71335-0795; 68788-7933; 63629-7832; 68071-5045; 0527-1932; 65862-225; 60687-435; 63187-625; 50268-179; 64679-954; 65862-226; 50090-1830; 43063-520; 71335-0017; 50090-0994; 0781-1961; 27241-064; 67296-1360; 64380-905; 50090-5285; 0904-6872; 46708-829; 43063-942; 70934-905; 51552-1566; 0781-1962; 50090-2441; 43063-565; 43781-0403; 59566-0123; 70518-2773; 15894-0026; 63187-376; 64380-906; 71335-1493; 46708-839; 57237-044; 0395-8158; 0781-6022; 67296-1072; 0051-6552; 70934-530; 51862-194; 0591-2805; 50090-2515; 0527-1930; 53002-7561; 62332-345; 63629-6763; 43063-530; 68788-7125; 43666-0001; 72189-299; 65096-0100
Synonyms Clarithromycin | 6-O-Methylerythromycin | TE-031 | TE 031 | TE031 | A-56268 | A 56268 | A56268 | Biaxin
Chemical Information
Molecular Formula C38H69NO13
CAS Registry Number 81103-11-9
SMILES CCC1C(C(C(C(=O)C(CC(C(C(C(C(C(=O)O1)C)OC2CC(C(C(O2)C)O)(C)OC)C)OC3C(C(CC(O3)C)N( C)C)O)(C)OC)C)C)O)(C)O
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Torsade de pointesPotassium voltage-gated channel subfamily H member 2Q12809T2025110219239; 10984545; 10868744
Torsade de pointesPotassium voltage-gated channel subfamily KQT member 1P51787T4952610219239; 10984545; 10868744
Torsade de pointesMisshapen-like kinase 1Q8N4C8Not Available10219239; 10984545; 10868744
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Anaemia01.03.02.001--
Anaphylactic reaction24.06.03.006; 10.01.07.0010.002039%
Anaphylactic shock24.06.02.004; 10.01.07.0020.001234%Not Available
Anaphylactoid reaction24.06.03.007; 10.01.07.003--Not Available
Angioedema23.04.01.001; 10.01.05.0090.016451%Not Available
Anosmia22.04.03.006; 17.04.04.0010.002468%
Anxiety19.06.02.0020.016040%
Apathy19.04.04.0020.002056%Not Available
Aphasia19.21.01.001; 17.02.03.001--
Aphthous ulcer07.05.06.0020.001234%Not Available
Arrhythmia02.03.02.001--Not Available
Arthralgia15.01.02.0010.015629%
Arthritis15.01.01.001--
Ascites09.01.05.003; 07.07.01.001; 02.05.04.002--
Aspartate aminotransferase13.03.01.032--Not Available
Aspartate aminotransferase increased13.03.01.006--
Asthenia08.01.01.001--Not Available
Asthma22.03.01.002; 10.01.03.0100.005347%Not Available
Atrial fibrillation02.03.03.002--
Atrial flutter02.03.03.0030.000823%
Atrioventricular block complete02.03.01.0030.000751%
Azotaemia20.01.01.0010.001234%Not Available
Back pain15.03.04.005--
Bacteraemia11.01.11.001--
Benign intracranial hypertension17.07.02.0010.002468%Not Available
Bile duct stone09.02.02.0030.001645%Not Available
Bilirubin conjugated increased13.03.01.007--Not Available
Blindness06.02.02.001; 17.17.01.003--Not Available
Blister23.03.01.001; 12.01.06.0020.002468%Not Available
Blood bilirubin increased13.03.01.008--
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