Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Linaclotide
Drug ID BADD_D01291
Description Linaclotide is an orally administered, peptide agonist of guanylate cyclase 2C for the treatment of irritable bowel syndrome. Chemically, it is a heterodetic cyclic peptide and consists of fourteen amino acids. The protein sequence is as follows: Cys Cys Glu Tyr Cys Cys Asn Pro Ala Cys Thr Gly Cys Tyr. There are three disulfide bonds which are located between Cys1 and Cys6; between Cys2 and Cys10; and between Cys5 and Cys13. FDA approved on August 30, 2012.
Indications and Usage Treatment of irritable bowel syndrome (IBS) with constipation and chronic idiopathic constipation.
Marketing Status Prescription
ATC Code A06AX04
DrugBank ID DB08890
KEGG ID D09355
MeSH ID C523483
PubChem ID 16158208
TTD Drug ID D00GNJ
NDC Product Code 0456-1204; 0456-1201; 32861-0010; 59651-011; 63557-0014; 0456-1203; 68625-121; 12869-110; 0456-1202; 0456-1206; 68625-122; 69766-007; 0456-1205
Synonyms linaclotide | ASP-0456 | ASP0456 | Linzess | MD-1100 | Linaclotide Acetate | MD-1100 acetate
Chemical Information
Molecular Formula C59H79N15O21S6
CAS Registry Number 851199-59-2
SMILES CC1C(=O)NC2CSSCC3C(=O)NC(C(=O)NC(C(=O)NC(CSSCC(NC(=O)CNC(=O)C(NC2=O)C(C)O)C(=O)N C(CC4=CC=C(C=C4)O)C(=O)O)C(=O)NC(CSSCC(C(=O)N3)N)C(=O)NC(C(=O)N5CCCC5C(=O)N1)CC( =O)N)CC6=CC=C(C=C6)O)CCC(=O)O
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)
Discomfort08.01.08.0030.001039%Not Available
Diverticulitis11.01.07.003; 07.10.02.0010.003118%Not Available
Dizziness24.06.02.007; 17.02.05.003; 02.01.02.0040.008833%
Drug hypersensitivity10.01.01.001--Not Available
Dry mouth07.06.01.0020.001039%
Dyspepsia07.01.02.001--
Dyspnoea22.02.01.004; 02.01.03.002--
Ear pain04.03.01.0030.001039%
Electrolyte imbalance14.05.01.0020.002078%Not Available
Epistaxis22.04.03.001; 24.07.01.0050.002078%
Eye swelling06.08.03.0030.001039%Not Available
Faeces discoloured07.01.03.0020.003118%Not Available
Faeces hard07.01.03.0030.001559%Not Available
Fatigue08.01.01.002--
Feeling abnormal08.01.09.014--Not Available
Flatulence07.01.04.0020.006755%
Frequent bowel movements07.02.04.0020.001039%Not Available
Gait disturbance17.02.05.016; 08.01.02.002--
Gastrooesophageal reflux disease07.02.02.003--
Gastroenteritis viral07.19.03.005; 11.05.04.005--Not Available
Gastrointestinal disorder07.11.01.0010.003637%Not Available
Gastrointestinal pain07.01.05.0050.001039%
Haematochezia24.07.02.012; 07.12.02.0030.004677%Not Available
Haemorrhoids24.10.02.002; 07.15.03.0010.001039%
Headache17.14.01.001--
Heart rate increased13.14.04.0020.001039%Not Available
Hepatic function abnormal09.01.02.0010.001039%Not Available
Hyperhidrosis23.02.03.004; 08.01.03.0280.003118%
Hypersensitivity10.01.03.0030.002598%
Hypertension24.08.02.001--
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