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)
Dizziness24.06.02.007; 17.02.05.003; 02.01.02.0040.001909%
Drug hypersensitivity10.01.01.001--Not Available
Dry eye06.08.02.001--
Dry mouth07.06.01.0020.000954%
Dysgeusia17.02.07.003; 07.14.03.0010.000636%
Dysmenorrhoea21.01.01.002--
Dyspepsia07.01.02.001--
Dyspnoea02.01.03.002; 22.02.01.0040.005726%
Ear pain04.03.01.003--
Electrocardiogram QT prolonged13.14.05.0040.001273%
Epilepsy17.12.03.0020.000636%Not Available
Epistaxis22.04.03.001; 24.07.01.005--
Extrasystoles02.03.02.0030.000636%Not Available
Fatigue08.01.01.002--
Feeling abnormal08.01.09.0140.000636%Not Available
Flatulence07.01.04.002--
Flushing24.03.01.002; 23.06.05.003; 08.01.03.025--
Food allergy10.01.01.0120.000636%Not Available
Gastrointestinal pain07.01.05.005--
Headache17.14.01.0010.002227%
Heart rate increased13.14.04.0020.000636%Not Available
Heart rate irregular13.14.04.0030.000636%Not Available
Hyperhidrosis23.02.03.004; 08.01.03.0280.000636%
Hypersensitivity10.01.03.0030.002545%
Hypertension24.08.02.0010.001273%
Hypotension24.06.03.0020.000636%
Increased appetite14.03.01.003; 08.01.09.027--Not Available
Infection11.01.08.002--Not Available
Influenza22.07.02.001; 11.05.03.0010.000636%Not Available
Injury12.01.08.004--Not Available
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