Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Indapamide
Drug ID BADD_D01149
Description The most significant modifiable risk factor for cardiovascular disease and the most prominent contributor to all-cause mortality is hypertension.[A204155] Characterized by an office blood pressure of ≥140/90, hypertension is pervasive and impacts an estimated 25% of adults globally.[A204155] Treatment for hypertension should include a number of lifestyle changes (ie. reduced sodium intake) along with pharmacotherapy - it should be noted that treatment with several antihypertensive agents may be required in order to achieve blood pressure targets.[A204155] Thiazide-like diuretics such as indapamide are a valuable tool for the treatment of hypertension and continue to grow in popularity, falling behind only ACE inhibitors in terms of prescription frequency.[A204134] When compared to [hydrochlorothiazide] (another commonly prescribed diuretic), indapamide has been shown to be superior at lowering systolic blood pressure, reducing left ventricular mass index, lowering oxidative stress, inhibiting platelet aggregation, and reducing microalbuminuria associated with diabetes.[A204134] Interestingly, unlike thiazide diuretics, several sources suggest that indapamide is not associated with glucose or lipid disturbances.[A204134,A204161] Indapamide is characterized by both a methylindoline and a sulfamoyl chlorobenzamide functional group, with the former being largely responsible for the molecule’s lipid solubility.[A204158]
Indications and Usage For the treatment of hypertension, alone or in combination with other antihypertensive drugs, as well as for the treatment of salt and fluid retention associated with congestive heart failure or edema from pregnancy (appropriate only in the management of edema of pathologic origin during pregnancy when clearly needed). Also used for the management of edema as a result of various causes.
Marketing Status Prescription; Discontinued
ATC Code C03BA11
DrugBank ID DB00808
KEGG ID D00345
MeSH ID D007190
PubChem ID 3702
TTD Drug ID D0H8FH
NDC Product Code 62559-510; 62559-511; 51407-025; 53069-0090; 63190-0200; 42291-349; 0228-2597; 42291-348; 51407-024; 68788-7247; 57451-1171; 63629-1954; 63629-1953; 71335-1541; 63809-1053; 0228-2571
Synonyms Indapamide | Metindamide | S-1520 | S 1520 | S1520 | SE-1520 | SE 1520 | SE1520
Chemical Information
Molecular Formula C16H16ClN3O3S
CAS Registry Number 26807-65-8
SMILES CC1CC2=CC=CC=C2N1NC(=O)C3=CC(=C(C=C3)Cl)S(=O)(=O)N
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
TremorCholecystokininP09240Not Available6310434; 6291014; 6140174; 6289160; 2859544; 2879254; 6093075
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Blood creatine phosphokinase increased13.04.01.0010.001727%
Blood creatinine increased13.13.01.0040.004318%
Blood glucose increased13.02.02.002--Not Available
Blood potassium decreased13.11.01.0100.001727%Not Available
Blood pressure increased13.14.03.0050.002591%Not Available
Blood sodium decreased13.11.01.0120.002591%Not Available
Blood urea increased13.13.01.006--Not Available
Blood uric acid increased13.02.04.001--Not Available
Body temperature increased13.15.01.001--Not Available
Bone disorder15.02.04.004--Not Available
Bone pain15.02.01.001--
Bronchitis22.07.01.001; 11.01.09.001--
Bundle branch block02.03.01.009--Not Available
Cardiac arrest02.03.04.0010.000901%
Cataract06.06.01.001--
Cerebrovascular accident24.03.05.001; 17.08.01.007--
Chest pain08.01.08.002; 02.02.02.011; 22.02.08.003--Not Available
Chondrodystrophy15.11.03.001; 03.11.03.001--Not Available
Choroidal detachment12.01.04.006; 06.09.01.0030.001727%Not Available
Coma17.02.09.0010.001727%Not Available
Confusional state17.02.03.005; 19.13.01.0010.005182%
Conjunctivitis11.01.06.012; 06.04.01.002--
Constipation07.02.02.001--
Cough22.02.03.001--
Creatinine renal clearance decreased13.13.01.0130.001727%Not Available
Cystitis11.01.14.001; 20.03.02.002--
Dehydration14.05.05.0010.007772%
Delirium19.13.02.0010.005182%
Depression19.15.01.001--
Dermatitis23.03.04.002--Not Available
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