Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Fexofenadine
Drug ID BADD_D00893
Description Fexofenadine is an over-the-counter second-generation antihistamine used in the treatment of various allergic symptoms.[L4269] It is selective for the H1 receptor, carries little-to-no activity at off-targets, and does not cross the blood-brain barrier[L10779] - this is in contrast to previous first-generation antihistamines, such as [diphenhydramine], which readily bind to off-targets that contribute to side effects such as sedation.[A1452] Fexofenadine is the major active metabolite of [terfenadine][A1495] and is administered as a racemic mixture in which both enantiomers display approximately equivalent antihistamine activity.[L10779]
Indications and Usage For management of Seasonal allergic rhinitis
Marketing Status Prescription; OTC; Discontinued
ATC Code R06AX26
DrugBank ID DB00950
KEGG ID D07958
MeSH ID C093230
PubChem ID 3348
TTD Drug ID D01KPV
NDC Product Code 72189-305
Synonyms fexofenadine | alpha-(4-(1-carboxy-1-methylethyl)phenyl)-4-hydroxydiphenylmethyl-1-piperidinebutanol | fexofenadine hydrochloride | MDL 16.455 | MDL-16455 | MDL 16455 | Allegra | Telfast | MDL 16,455A
Chemical Information
Molecular Formula C32H39NO4
CAS Registry Number 83799-24-0
SMILES CC(C)(C1=CC=C(C=C1)C(CCCN2CCC(CC2)C(C3=CC=CC=C3)(C4=CC=CC=C4)O)O)C(=O)O
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)
Abdominal discomfort07.01.06.0010.001273%Not Available
Abdominal pain07.01.05.0020.001273%
Abnormal weight gain14.03.02.0100.000954%Not Available
Abortion spontaneous18.01.04.0010.000636%Not Available
Acne23.02.01.0010.000954%Not Available
Acute myocardial infarction02.02.02.001; 24.04.04.0010.000636%Not Available
Agitation17.02.05.012; 19.06.02.0010.000954%
Anaphylactic shock24.06.02.004; 10.01.07.002--Not Available
Angina pectoris24.04.04.002; 02.02.02.0020.000954%
Angioedema23.04.01.001; 10.01.05.0090.001591%Not Available
Arrhythmia02.03.02.0010.003500%Not Available
Asthenia08.01.01.0010.000954%Not Available
Asthma10.01.03.010; 22.03.01.0020.000636%Not Available
Atrial fibrillation02.03.03.002--
Back pain15.03.04.005--
Blister23.03.01.001; 12.01.06.0020.000636%Not Available
Blood creatine phosphokinase increased13.04.01.0010.000636%
Blood pressure increased13.14.03.0050.000636%Not Available
Body temperature increased13.15.01.001--Not Available
Cardiac failure congestive02.05.01.002--Not Available
Cerebral haemorrhage24.07.04.001; 17.08.01.0030.000166%Not Available
Chest discomfort22.02.08.001; 08.01.08.019; 02.02.02.0090.002227%Not Available
Chest pain02.02.02.011; 22.02.08.003; 08.01.08.0020.000636%Not Available
Cough22.02.03.001--
Crohn's disease10.02.01.005; 07.08.01.0150.000636%Not Available
Cystitis20.03.02.002; 11.01.14.0010.001273%
Dehydration14.05.05.0010.000636%
Depression19.15.01.0010.000636%
Dermatitis23.03.04.002--Not Available
Diarrhoea07.02.01.0010.002545%
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