Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Duloxetine hydrochloride
Drug ID BADD_D00735
Description Duloxetine is a dual serotonin and norepinephrine reuptake inhibitor.[label] It was originally discovered in 1993 and developed by Eli Lilly and Company as LY248686.[A178741] Duloxetine first received approval from the FDA in August, 2004 as Cymbalta for the treatment of Major Depressive Disorder.[L6454] It has since received approval for a variety of indications including the treatment of neuropathic pain, Generalized Anxiety disorder, osteoarthritis, and stress incontinence. Duloxetine continues to be investigated for the treatment of pain in cancer, surgery, and more.
Indications and Usage **Indicated** for: 1) Management of Major Depressive Disorder.[label] 2) Management of Generalized Anxiety Disorder.[label] 3) Management of diabetic peripheral neuropathy.[label] 4) Management of fibromyalgia.[label] 5) Management of chronic musculoskeletal pain.[label] 6) Management of osteoarthritis of the knee in adults.[L6364] 7) Management of chronic lower back pain in adults.[L6364] 8) Management of stress urinary incontinence in adult women.[L6367] **Off-label** uses include: 1) Management of chemotherapy-induced peripheral neuropathy.[A178603] 2) Management of stress urinary incontinence in adult men after prostatectomy until recovery is complete.[L6370]
Marketing Status approved
ATC Code N06AX21
DrugBank ID DB00476
KEGG ID D01179
MeSH ID D000068736
PubChem ID 60834
TTD Drug ID D01AXB
NDC Product Code 0110-3235; 43063-877; 43353-960; 50090-3205; 51991-746; 59651-280; 60687-745; 71335-0392; 71610-401; 0110-3270; 0110-9542; 0904-7043; 59651-282; 62128-0386; 73476-750; 51407-817; 63187-720; 82009-032; 65015-713; 25000-610; 33342-161; 43353-106; 51407-818; 57237-019; 63187-181; 63187-612; 68001-413; 57237-018; 61919-482; 63629-1990; 68788-8362; 71335-0165; 55111-859; 55745-0004; 59651-279; 68071-2711; 68788-7897; 71335-0509; 71610-402; 82009-029; 82009-030; 0110-9544; 49587-111; 73476-747; 25000-609; 60429-164; 60429-166; 60687-723; 61919-042; 68001-414; 68001-415; 82009-031; 0904-7044; 43353-025; 45865-815; 50090-2226; 55154-2341; 70518-0937; 0110-9543; 17337-0017; 51927-0059; 71554-015; 73476-746; 33342-162; 0002-3270; 51407-819; 60429-165; 63187-716; 63629-1991; 63629-2063; 68788-9301; 59286-1046; 68108-0705; 25000-608; 33342-160; 0002-3235; 43063-878; 51991-747; 51991-748; 60505-2995; 60687-734; 63187-666; 63187-702; 63187-735; 63629-1992; 63629-9187; 17337-0046; 73476-748; 0002-3240; 51991-750; 55154-2342; 57237-017; 63187-172; 68001-368; 71610-218; 0110-3240; 0110-9545; 14501-0005; 0904-7045; 51927-4999; 65862-463
UNII 9044SC542W
Synonyms Duloxetine Hydrochloride | Hydrochloride, Duloxetine | Duloxetine HCl | HCl, Duloxetine | LY 248686 | LY-248686 | LY248686 | Duloxetine Ethanedioate (1:1), (+-)-isomer - T353987 | LY 227942 | LY-227942 | LY227942 | Duloxetine | N-methyl-3-(1-naphthalenyloxy)-3-(2-thiophene)propanamide | N-methyl-3-(1-naphthalenyloxy)-2-thiophenepropanamine | Duloxetine, (+)-isomer | Cymbalta
Chemical Information
Molecular Formula C18H20ClNOS
CAS Registry Number 136434-34-9
SMILES CNCCC(C1=CC=CS1)OC2=CC=CC3=CC=CC=C32.Cl
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Feeding disorder19.09.01.003; 14.03.02.003--Not Available
Infestation23.11.01.002; 11.09.01.001--Not Available
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 dysfunction21.03.01.007; 19.08.04.001--
Ill-defined disorder08.01.03.049--Not Available
Inner ear disorder04.04.02.002--Not Available
Blood disorder01.05.01.004--Not Available
Cardiac fibrillation02.03.02.021--Not Available
Hepatobiliary disease09.01.08.003--Not Available
Hyperlipidaemia14.08.03.001--
Renal impairment20.01.03.010--Not Available
Poor quality sleep19.02.05.005; 17.15.04.002--Not Available
Orthostatic hypertension24.08.02.010; 17.05.01.018--Not Available
Suicidal behaviour19.12.01.006--Not Available
Liver injury12.01.17.012; 09.01.07.022--Not Available
Traumatic liver injury12.01.17.027; 09.01.08.010--Not Available
Oropharyngeal pain07.05.05.004; 22.12.03.016--
Genital hypoaesthesia21.10.05.012; 17.02.06.028--Not Available
Terminal insomnia19.02.01.004; 17.15.03.004--Not Available
Functional gastrointestinal disorder07.11.01.016--Not Available
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