Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Mannitol
Drug ID BADD_D01349
Description Mannitol is an osmotic diuretic that is metabolically inert in humans and occurs naturally, as a sugar or sugar alcohol, in fruits and vegetables. Mannitol elevates blood plasma osmolality, resulting in enhanced flow of water from tissues, including the brain and cerebrospinal fluid, into interstitial fluid and plasma. As a result, cerebral edema, elevated intracranial pressure, and cerebrospinal fluid volume and pressure may be reduced. Mannitol may also be used for the promotion of diuresis before irreversible renal failure becomes established; the promotion of urinary excretion of toxic substances; as an Antiglaucoma agent; and as a renal function diagnostic aid. On October 30, 2020, mannitol was approved by the FDA as add-on maintenance therapy for the control of pulmonary symptoms associated with cystic fibrosis in adult patients and is currently marketed for this indication under the name BRONCHITOL® by Chiesi USA Inc.[L20024]
Indications and Usage Used for the promotion of diuresis before irreversible renal failure becomes established, the reduction of intracranial pressure, the treatment of cerebral edema, and the promotion of urinary excretion of toxic substances.
Marketing Status Prescription; Discontinued
ATC Code A06AD16; B05BC01; B05CX04; R05CB16; V04CX04
DrugBank ID DB00742
KEGG ID D00062
MeSH ID D008353
PubChem ID 6251
TTD Drug ID D0P7EK
NDC Product Code 0264-7578; 58103-137; 63323-024; 51552-0380; 10122-212; 14639-5303; 0338-0355; 58103-135; 52584-031; 0990-7715; 0404-9905; 0338-0353; 0409-4031; 0338-0357; 38779-0599; 67850-552; 51662-1468; 50516-002
Synonyms Mannitol | Osmitrol | Osmofundin | (L)-Mannitol
Chemical Information
Molecular Formula C6H14O6
CAS Registry Number 69-65-8
SMILES C(C(C(C(C(CO)O)O)O)O)O
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
ApoptosisCaspase-3P42574T5794312011046; 14670178; 12167618; 9721762
ApoptosisFocal adhesion kinase 1Q05397T1506812011046; 14670178; 12167618; 9721762
ApoptosisRAC-alpha serine/threonine-protein kinaseP31749T6761912011046; 14670178; 12167618; 9721762
ApoptosisCaspase-9P55211T9390312011046; 14670178; 12167618; 9721762
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Fungal test positive13.08.06.002--Not Available
Blood alkaline phosphatase increased13.04.02.004--
Connective tissue disorder15.06.01.006--Not Available
Infestation23.09.05.001; 11.09.01.001--Not Available
Lung infection22.07.01.008; 11.01.09.008--
Malnutrition14.03.02.004--Not Available
Mediastinal disorder22.09.03.001--Not Available
Mental disorder19.07.01.002--Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Ill-defined disorder08.01.03.049--Not Available
Inner ear disorder04.04.02.002--Not Available
Obstructive airways disorder22.03.01.011--Not Available
Pulmonary function test decreased13.19.01.001--Not Available
Renal impairment20.01.03.0100.000532%Not Available
Post-tussive vomiting22.02.03.009; 12.02.05.042; 07.01.07.011--Not Available
Oropharyngeal discomfort22.02.05.027; 07.05.05.008--Not Available
Oropharyngeal pain22.02.05.022; 07.05.05.004--
Acute kidney injury20.01.03.0160.003456%
Candida infection11.03.03.021--
Intestinal angioedema23.04.01.019; 10.01.05.019; 07.08.03.0120.000798%Not Available
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