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)
Swelling08.01.03.0150.001039%Not Available
Swelling face10.01.05.018; 23.04.01.0180.002078%Not Available
Syncope24.06.02.012; 17.02.04.008; 02.01.02.0080.002598%
Upper respiratory tract infection11.01.13.009; 22.07.03.011--
Urticaria23.04.02.001; 10.01.06.0010.003637%
Vomiting07.01.07.0030.006755%
Weight decreased13.15.01.005--
Weight increased13.15.01.0060.006755%
Viral diarrhoea11.05.04.012; 07.19.02.008--Not Available
Pruritus generalised23.03.12.0030.001039%Not Available
Angiopathy24.03.02.007--Not Available
Hepatic enzyme increased13.03.01.0190.001559%Not Available
Hot flush24.03.01.005; 21.02.02.001; 08.01.03.0270.001559%
Gastrointestinal motility disorder07.02.03.0010.001039%Not Available
Infestation11.09.01.001; 23.09.05.001--Not Available
Malnutrition14.03.02.004--Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Renal impairment20.01.03.010--Not Available
Unevaluable event08.01.03.0510.001559%Not Available
Bowel movement irregularity07.02.03.0030.002078%Not Available
Anal incontinence17.05.01.021; 07.01.06.0290.005196%
Clostridium difficile infection11.02.02.0090.003118%Not Available
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