Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Glycopyrrolate
Drug ID BADD_D01034
Description Glycopyrronium, also known as NVA237 or glycopyrrolate, is a racemic mixture of two enantiomers.[L33110] They are both quaternary ammonium compounds and long acting muscarinic antagonists.[L33110] It is one of the most commonly prescribed anticholinergic medications.[A233535,A233540] Early research into glycopyrronium use was for its indication as an adjunct therapy in the treatment of peptic ulcers.[A233570,L33090] Later research, taking advantage of the systemic distribution of muscarinic receptors through the body, found that glycopyrronium could also be used for reducing sweat gland,[L4755] oral,[L33140] airway, and gastric secretions;[L33120] as well as reducing cardiac inhibitory reflexes;[L33120] and reducing bronchoconstriction in COPD.[L33105] Glycopyrronium is commonly prescribed as a first line treatment for a wide variety indications and is considered to have a wider therapeutic window than [tiotropium].[A233565] Glycopyrronium was originally granted FDA approval on 11 August 1961.[L33090]
Indications and Usage For use as a preoperative antimuscarinic to reduce salivary, tracheobronchial, and pharyngeal secretions, to reduce the volume and free acidity of gastric secretions and to block cardiac vagal inhibitory reflexes during induction of anesthesia and intubation. Also used to treat chronic obstructive pulmonary disease (COPD).
Marketing Status Prescription; Discontinued
ATC Code A03AB02; D11AA01; R03BB06
DrugBank ID DB00986
KEGG ID D00540
MeSH ID D006024
PubChem ID 11693
TTD Drug ID D0M0AM
NDC Product Code 51552-0042; 0143-9682; 71872-7174; 51662-1487; 51927-1575; 75834-196; 0143-9681; 70121-1394; 70700-166; 0517-4605; 71872-7237; 23155-606; 0517-4601; 70121-1396; 71288-407; 0781-3829; 71872-7224; 71872-7238; 65145-105; 0517-4620; 70199-008; 60505-6182; 0781-3827; 66794-203; 71335-0020; 68083-379; 71839-123; 55150-294; 62991-2886; 0404-9869; 16729-474; 60429-665; 0517-4602; 70700-903; 51754-6001; 70700-168; 68001-352; 52584-681; 75834-193; 71872-7227; 66794-202; 70710-1648; 66794-205; 38779-2087; 68001-351; 70700-167; 42291-304; 55154-8225; 16729-472; 15955-305; 50268-363; 60505-6181; 55150-292; 63323-578; 49884-065; 71872-7152; 51662-1425; 14335-250; 75834-195; 60505-6180; 16729-471; 71335-1225; 0143-9680; 70518-3152; 68083-376; 0781-3831; 51662-1554; 54239-012; 68001-354; 13107-014; 71839-124; 51662-1431; 71839-125; 50090-4513; 76045-203; 71288-414; 75834-194; 69315-140; 70121-1395; 70710-1646; 0143-9586; 23155-607; 71872-7148; 65145-102; 42291-303; 52584-682; 43547-543; 76045-208; 13107-015; 60687-458; 70710-1645; 70700-902; 60505-6179; 0259-0501; 50090-5227; 70700-165; 55150-295; 50090-5226; 59115-809; 69076-475; 69076-476; 71872-7094; 16571-743; 63402-301; 16714-906; 0904-6709; 51014-7146; 71872-7208; 0143-9584; 50090-4522; 49452-3358; 52584-396; 52584-679; 70069-616; 49884-042; 70199-007; 43547-640; 60429-666; 55154-7475; 66794-204; 71872-7013; 71288-408; 76045-206; 15955-318; 71872-7179; 63629-2206; 43547-639; 63629-7207; 65145-103; 68083-378; 71335-1458; 71839-126; 63402-201; 0404-9868; 71872-7181; 71872-7175; 72572-225; 72887-160; 51662-1484; 0143-9585; 65145-104; 63629-2207; 62938-0042; 55150-293; 0404-9870; 49884-066; 51754-6015; 16571-744; 71288-415; 43547-544; 70121-1397; 68001-353; 16714-998; 16729-473; 66064-3100; 0143-9587; 68083-377; 71872-7093; 55111-648; 79739-7097; 72572-226; 55111-649; 17373-1036; 71872-7012; 0143-9679; 70710-1647; 68022-7048; 51754-6000; 0404-9867; 69315-139; 64567-0018; 0781-3825; 71872-7196; 70518-3031
Synonyms Glycopyrrolate | Glycopyrronium Bromide | Bromide, Glycopyrronium | Pyrrolidinium, 3-((cyclopentylhydroxyphenylacetyl)oxy)-1,1-dimethyl-, bromide | Glycopyrronium | NVA237 | NVA 237 | NVA-237
Chemical Information
Molecular Formula C19H28BrNO3
CAS Registry Number 596-51-0
SMILES C[N+]1(CCC(C1)OC(=O)C(C2CCCC2)(C3=CC=CC=C3)O)C.[Br-]
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)
Abdominal discomfort07.01.06.001--Not Available
Abdominal distension07.01.04.001--
Abdominal pain07.01.05.002--
Accommodation disorder06.02.04.001--Not Available
Ageusia17.02.07.001; 07.14.03.003--Not Available
Aggression19.05.01.001--Not Available
Agitation19.06.02.001; 17.02.05.012--
Anaphylactic reaction24.06.03.006; 10.01.07.001--
Anaphylactic shock24.06.02.004; 10.01.07.002--Not Available
Anaphylactoid reaction24.06.03.007; 10.01.07.003--Not Available
Asthenia08.01.01.001--Not Available
Atrial fibrillation02.03.03.002--
Atrioventricular block02.03.01.002--Not Available
Bladder pain20.02.02.001--Not Available
Body temperature increased13.15.01.001--Not Available
Bradycardia02.03.02.002--Not Available
Cardiac arrest02.03.04.001--
Confusional state19.13.01.001; 17.02.03.005--
Constipation07.02.02.001--
Cycloplegia17.17.02.003; 06.05.03.002--Not Available
Cystitis20.03.02.002; 11.01.14.001--
Dehydration14.05.05.001--
Dental caries07.09.01.001--
Dermatitis23.03.04.002--Not Available
Dizziness24.06.02.007; 17.02.05.003; 02.01.02.004--
Dry mouth07.06.01.002--
Dry skin23.03.03.001--
Dysgeusia17.02.07.003; 07.14.03.001--
Dyspepsia07.01.02.001--
Dysuria20.02.02.002--
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