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)
Visual field defect06.02.07.003; 17.17.01.001--Not Available
Vomiting07.01.07.003--
Vulvovaginal candidiasis21.14.02.003; 11.03.03.005--Not Available
Mental status changes19.07.01.0010.000338%Not Available
Brain oedema17.07.02.003; 12.01.10.010--
Affect lability19.04.01.001--Not Available
Rectal tenesmus15.05.03.011; 07.03.03.001--Not Available
Paraesthesia oral07.05.03.003; 17.02.06.008--Not Available
Anticonvulsant drug level increased13.17.01.0090.000676%Not Available
Toxic skin eruption23.03.05.003; 10.01.01.0080.000338%Not Available
Purple glove syndrome24.04.05.010; 15.03.02.0130.001014%Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Disease recurrence08.01.03.0500.000338%Not Available
Psychotic disorder19.03.01.002--
Skin mass23.07.04.014--Not Available
Acute kidney injury20.01.03.0160.000088%
Respiratory symptom22.02.08.0160.001690%Not Available
Sinus node dysfunction02.03.03.0170.000507%
Depersonalisation/derealisation disorder19.14.01.004--Not Available
Anticonvulsant drug level above therapeutic13.17.01.0220.000338%Not Available
Anticonvulsant drug level below therapeutic13.17.01.0230.000676%Not Available
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