Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Fosphenytoin
Drug ID BADD_D00970
Description Fosphenytoin is a water-soluble phenytoin prodrug used only in hospitals for the treatment of epileptic seizures. It works by slowing down impulses in the brain that cause seizures. Its main mechanism is to block frequency-dependent, use-dependent and voltage-dependent neuronal sodium channels, and therefore limit repetitive firing of action potentials.
Indications and Usage For the control of generalized convulsive status epilepticus and prevention and treatment of seizures occurring during neurosurgery. It can also be substituted, short-term, for oral phenytoin.
Marketing Status Prescription; Discontinued
ATC Code N03AB05
DrugBank ID DB01320
KEGG ID D07993
MeSH ID C043114
PubChem ID 56339
TTD Drug ID D0J5YC
NDC Product Code 70121-1381; 70121-1390
Synonyms fosphenytoin | 3-(hydroxymethyl)phenytoin phosphate ester | ACC 9653 | ACC-9653 | Prodilantin | fosphenytoin sodium | fosphenytoin, disodium salt | 3-(hydroxymethyl)phenytoin disodium phosphate | HMPDP | Cerebyx
Chemical Information
Molecular Formula C16H15N2O6P
CAS Registry Number 93390-81-9
SMILES C1=CC=C(C=C1)C2(C(=O)N(C(=O)N2)COP(=O)(O)O)C3=CC=CC=C3
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)
Acidosis14.01.03.002--
Acute respiratory failure22.02.06.001; 14.01.04.0040.000220%Not Available
Ageusia17.02.07.001; 07.14.03.003--Not Available
Agitation19.06.02.001; 17.02.05.0120.000338%
Akathisia19.06.02.006; 17.01.02.002--
Alanine aminotransferase increased13.03.01.0030.000338%
Albuminuria20.02.01.001--Not Available
Alkalosis14.01.02.001--
Altered state of consciousness19.07.01.003; 17.02.04.0010.000507%Not Available
Amblyopia06.02.01.001--Not Available
Amnesia17.03.02.001; 19.20.01.001--
Anaemia01.03.02.001--
Anaphylactic reaction24.06.03.006; 10.01.07.001--
Anaphylactoid reaction24.06.03.007; 10.01.07.003--Not Available
Anxiety19.06.02.002--
Aphasia19.21.01.001; 17.02.03.001--
Apnoea22.02.01.0010.000338%
Arthralgia15.01.02.001--
Aspartate aminotransferase increased13.03.01.0060.000507%
Asthenia08.01.01.001--Not Available
Asthma22.03.01.002; 10.01.03.010--Not Available
Ataxia17.02.02.001; 08.01.02.0040.000338%
Atelectasis22.01.02.001--
Atrial flutter02.03.03.003--
Back pain15.03.04.005--
Blood creatine phosphokinase increased13.04.01.0010.000845%
Blood pressure decreased13.14.03.0020.002028%Not Available
Bradycardia02.03.02.0020.000485%Not Available
Bronchitis11.01.09.001; 22.07.01.001--
Bundle branch block02.03.01.009--Not Available
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