Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Hydromorphone
Drug ID BADD_D01096
Description Hydromorphone is a pure opioid,[A176468] a semi-synthetic hydrogenated ketone derivative of [morphine] that has been available clinically since 1920. Structurally, hydromorphone derived from [morphine] in the modification of the hydroxyl group in the carbon 6 to a carbonyl and the absence of a double bond between the carbon 7 and 8. Due to these modifications, it presents a very high potency and comparable side effect profile to the parent compound.[A176471] Even though hydromorphone does not present a 6-hydroxyl group, it is categorized under the family of phenanthrenes and it is considered a chemical under the schedule II (medical purposes with high addiction potential).[A176495] The first reported approved product containing hydromorphone in the form of hydromorphone hydrochloride was developed by Fresenius Kabi USA and FDA approved in 1984.[L5795]
Indications and Usage For the relief of moderate to severe pain such as that due to surgery, cancer, trauma/injury, or burns.
Marketing Status Prescription; Discontinued
ATC Code N02AA03
DrugBank ID DB00327
KEGG ID D08047
MeSH ID D004091
PubChem ID 5284570
TTD Drug ID D04JHN
NDC Product Code Not Available
Synonyms Hydromorphone | Dihydromorphinone | Hydromorphon | Palladone | Laudacon | Dilaudid | Hydromorphone Hydrochloride
Chemical Information
Molecular Formula C17H19NO3
CAS Registry Number 466-99-9
SMILES CN1CCC23C4C1CC5=C2C(=C(C=C5)O)OC3C(=O)CC4
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)
Inner ear disorder04.04.02.002--Not Available
Drug intolerance08.06.01.0130.004128%Not Available
Psychotic disorder19.03.01.002--
Pulmonary function test decreased13.19.01.001--Not Available
Hepatobiliary disease09.01.08.003--Not Available
Unevaluable event08.01.03.0510.001651%Not Available
Tumour invasion16.16.01.008--Not Available
Breakthrough pain16.32.03.016; 08.01.08.026--Not Available
Urethral stenosis20.07.03.003--Not Available
Cardiovascular insufficiency02.01.01.011; 24.06.03.005--Not Available
Hyperpathia17.02.07.015--Not Available
Substance abuse19.07.02.0060.002890%Not Available
Treatment failure08.06.01.0170.000215%Not Available
Acute kidney injury20.01.03.016--
Traumatic lung injury22.01.02.013; 12.01.03.0030.000826%Not Available
Granulomatosis with polyangiitis24.05.02.013; 22.01.01.015; 20.05.01.013; 10.02.02.0180.000826%Not Available
Medication residue present13.15.01.0320.000826%Not Available
Respiratory rate increased13.15.01.0040.000826%Not Available
Toxicologic test abnormal13.17.02.0140.000215%Not Available
Vital functions abnormal13.15.01.0150.000826%Not Available
Oncologic complication16.32.03.0250.000215%Not Available
Spinal pain17.10.01.020; 15.02.01.008; 08.01.08.0300.001238%Not Available
Substance dependence19.07.02.0190.001238%Not Available
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