Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Melphalan
Drug ID BADD_D01376
Description An alkylating nitrogen mustard that is used as an antineoplastic in the form of the levo isomer - melphalan, the racemic mixture - merphalan, and the dextro isomer - medphalan; toxic to bone marrow, but little vesicant action; potential carcinogen.
Indications and Usage For the palliative treatment of multiple myeloma and for the palliation of non-resectable epithelial carcinoma of the ovary. Has also been used alone or as part of various chemotherapeutic regimens as an adjunct to surgery in the treatment of breast cancer, alone or in combination regimens for palliative treatment of locally recurrent or unresectable in-transit metastatic melanoma of the extremities, as well as for the treatment of amyloidosis with prednisone.
Marketing Status approved
ATC Code L01AA03
DrugBank ID DB01042
KEGG ID D00369
MeSH ID D008558
PubChem ID 460612
TTD Drug ID D00FGO
NDC Product Code 71052-158; 50683-0385; 76055-0021; 68554-0076; 72893-001
UNII Q41OR9510P
Synonyms Melphalan | L-PAM | Phenylalanine Mustard | Mustard, Phenylalanine | 4-(Bis(2-chloroethyl)amino)phenylalanine | Medphalan | Sarkolysin | Sarcolysine | Merphalan | Alkeran
Chemical Information
Molecular Formula C13H18Cl2N2O2
CAS Registry Number 148-82-3
SMILES C1=CC(=CC=C1CC(C(=O)O)N)N(CCCl)CCCl
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Impaired healing08.03.02.001--Not Available
Infection11.01.08.002--Not Available
Infertility21.03.02.001--Not Available
Injection site reaction12.07.03.015; 08.02.03.014--
Insomnia19.02.01.002; 17.15.03.0020.000392%
Interstitial lung disease22.01.02.003; 10.02.01.033--Not Available
Iris adhesions06.06.06.0030.000168%Not Available
Iris atrophy06.06.06.0040.000112%Not Available
Jaundice23.03.03.030; 09.01.01.004; 01.06.04.004--Not Available
Lenticular opacities06.06.01.0030.000112%Not Available
Lethargy17.02.04.003; 08.01.01.008; 19.04.04.0040.000112%
Leukaemia16.01.03.001; 01.10.03.001--
Leukopenia01.02.02.0010.000112%Not Available
Liver disorder09.01.08.001--Not Available
Liver function test abnormal13.03.04.030--Not Available
Local reaction08.01.03.012--Not Available
Loss of consciousness17.02.04.0040.000112%Not Available
Lung disorder22.02.07.0010.000112%Not Available
Lymphoma16.20.01.001; 01.12.01.0010.000112%Not Available
Mouth ulceration07.05.06.004--Not Available
Mucosal inflammation08.01.06.0020.000616%Not Available
Muscle atrophy15.05.03.003; 17.05.03.004--Not Available
Muscle injury15.05.07.001; 12.01.07.002--Not Available
Muscle necrosis15.05.05.007--Not Available
Muscular weakness17.05.03.005; 15.05.06.0010.000224%
Myalgia15.05.02.0010.000112%
Nausea07.01.07.0010.001198%
Neoplasm16.16.02.001--Not Available
Neoplasm malignant16.16.01.001--Not Available
Neuropathy peripheral17.09.03.003--Not Available
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ADReCS-Target
Drug Name ADR Term Target
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