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)
Injection site reaction12.07.03.015; 08.02.03.014--
Injury12.01.08.004--Not Available
Insomnia19.02.01.002; 17.15.03.002--
Intracranial pressure increased17.07.02.002--Not Available
Ketosis14.01.01.001--Not Available
Leukocytosis01.02.01.002--
Leukopenia01.02.02.001--Not Available
Liver function test abnormal13.03.01.013--Not Available
Lymphadenopathy01.09.01.002--Not Available
Malaise08.01.01.003--
Meningitis17.06.03.001; 11.01.03.001--
Migraine17.14.02.001; 24.03.05.003--Not Available
Muscle spasms15.05.03.004--
Muscle twitching15.05.03.005--Not Available
Muscular weakness17.05.03.005; 15.05.06.001--
Myalgia15.05.02.001--
Mydriasis17.02.11.003; 06.05.03.004--Not Available
Myoclonus17.02.05.008--Not Available
Myopathy15.05.05.001--Not Available
Nausea07.01.07.001--
Nervousness19.06.02.003--Not Available
Neuroleptic malignant syndrome17.05.02.003; 15.05.04.015; 12.03.01.003; 08.05.01.0050.000338%Not Available
Neurosis19.06.01.001--Not Available
Neurotoxicity17.02.10.002; 12.03.01.0110.000338%Not Available
Nodal arrhythmia02.03.02.0050.000507%Not Available
Nystagmus17.02.02.006; 06.05.02.0060.001014%
Oedema genital21.10.01.011--
Oedema peripheral14.05.06.011; 08.01.07.007; 02.05.04.0070.000507%
Oliguria20.01.03.004--Not Available
Orthostatic hypotension17.05.01.020; 24.06.03.004--Not Available
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