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)
Insomnia19.02.01.002; 17.15.03.0020.001591%
Interstitial lung disease22.01.02.003; 10.02.01.0330.000954%Not Available
Lacrimation increased06.08.02.0040.000636%
Laryngeal oedema22.04.02.001; 10.01.05.003; 23.04.01.0050.000636%
Lethargy19.04.04.004; 17.02.04.003; 08.01.01.0080.000636%
Lip swelling23.04.01.007; 10.01.05.005; 07.05.04.0050.004136%Not Available
Liver disorder09.01.08.0010.000636%Not Available
Loss of consciousness17.02.04.0040.000636%Not Available
Malaise08.01.01.0030.002227%
Mitral valve incompetence02.07.01.0020.000954%Not Available
Myalgia15.05.02.0010.000954%
Nasopharyngitis22.07.03.002; 11.01.13.0020.000636%Not Available
Nausea07.01.07.001--
Nervousness19.06.02.003--Not Available
Nightmare19.02.03.0030.001273%Not Available
Otitis media11.01.05.004; 04.05.01.001--
Pain08.01.08.004--
Pain in extremity15.03.04.010--
Palpitations02.01.02.0030.002545%
Paranoia19.05.01.005--Not Available
Pharyngeal oedema23.04.01.016; 22.04.05.003; 10.01.05.0160.000954%Not Available
Pollakiuria20.02.02.007--
Pruritus23.03.12.0010.001273%
Pulmonary embolism24.01.06.001; 22.06.02.0010.000636%Not Available
Pyrexia08.05.02.0030.000954%
Rash23.03.13.001--Not Available
Rash generalised23.03.13.0020.001273%Not Available
Rhabdomyolysis15.05.05.0020.000249%
Rhinitis perennial22.04.04.006; 10.01.04.007--Not Available
Rhinorrhoea22.02.05.0100.001273%
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