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)
Loss of libido19.08.03.0030.001727%Not Available
Lung disorder22.02.07.001--Not Available
Lung infiltration22.01.02.0040.001727%Not Available
Malaise08.01.01.0030.007772%
Metabolic acidosis14.01.01.0030.001727%Not Available
Metabolic alkalosis14.01.02.0040.005182%Not Available
Migraine24.03.05.003; 17.14.02.001--Not Available
Multiple fractures15.08.02.005; 12.04.02.009--Not Available
Muscle spasms15.05.03.004--
Muscle twitching15.05.03.005--Not Available
Muscular weakness17.05.03.005; 15.05.06.0010.004318%
Myalgia15.05.02.0010.007772%
Myoglobin urine present13.16.02.0020.001727%Not Available
Myopathy15.05.05.0010.003454%Not Available
Myopia06.02.04.002--Not Available
Myositis15.05.01.0010.002591%
Nail disorder23.02.05.002--
Nasopharyngitis22.07.03.002; 11.01.13.002--Not Available
Nausea07.01.07.001--
Neoplasm malignant16.16.01.001--Not Available
Nervous system disorder17.02.10.001--Not Available
Nervousness19.06.02.003--Not Available
Nightmare19.02.03.0030.001727%Not Available
Nocturia20.02.03.001--Not Available
Oedema14.05.06.010; 08.01.07.006--Not Available
Oedema peripheral02.05.04.007; 14.05.06.011; 08.01.07.0070.004318%
Oesophagitis07.08.05.001--
Oliguria20.01.03.004--Not Available
Optic neuritis17.04.05.001; 10.04.10.002; 06.04.08.002--Not Available
Oral candidiasis07.05.07.001; 11.03.03.004--Not Available
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