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)
Electrocardiogram QT prolonged13.14.05.004--
Epistaxis24.07.01.005; 22.04.03.001--
Erythema23.03.06.001--Not Available
Fatigue08.01.01.002--
Feeling abnormal08.01.09.014--Not Available
Flatulence07.01.04.002--
Flushing24.03.01.002; 23.06.05.003; 08.01.03.025--
Gastroenteritis11.01.07.004; 07.19.03.001--Not Available
Gastrointestinal disorder07.11.01.001--Not Available
Gastrointestinal pain07.01.05.005--
Headache17.14.01.001--
Hyperglycaemia14.06.02.002; 05.06.02.002--
Hyperhidrosis23.02.03.004; 08.01.03.028--
Hyperpyrexia08.05.02.002--Not Available
Hypersensitivity10.01.03.003--
Hypertension24.08.02.001--
Hyperthermia malignant08.05.01.002--Not Available
Hypoaesthesia17.02.06.023--Not Available
Hypohidrosis23.02.03.005; 08.01.03.029--
Hypotension24.06.03.002--
Infection11.01.08.002--Not Available
Injection site reaction12.07.03.015; 08.02.03.014--
Insomnia19.02.01.002; 17.15.03.002--
Intestinal obstruction07.13.01.002--Not Available
Intraocular pressure increased13.07.04.002--Not Available
Irritability19.04.02.013; 08.01.03.011--
Moaning19.04.02.011--Not Available
Mood swings19.04.03.001--Not Available
Mydriasis17.02.11.003; 06.05.03.004--Not Available
Nasal congestion22.04.04.001--
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