Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Methacholine
Drug ID BADD_D01403
Description Asthma is a complex condition associated with phenomena such as airway hyperresponsiveness (AHR), in which the smooth muscle in the airways (ASM) excessively contracts in response to stimuli, reducing pulmonary function and causing symptoms such as difficulty breathing.[A229598, A229603] Although the underlying pathology of AHR is complex, ASM contraction can be stimulated by cholinergic agonists that activate M3 muscarinic receptors that stimulate ASM contraction.[A229603, A229618, A229643] Methacholine is a non-specific cholinergic agonist (parasympathomimetic) that acts through muscarinic receptors in the lungs to induce bronchoconstriction.[L31763] In patients with AHR, a lower dose of methacholine is required to induce bronchoconstriction, which forms the basis for the methacholine challenge test to diagnose AHR.[A229648, L31763] Methacholine was granted FDA approval on October 31, 1986, and is marketed under the trademark PROVOCHOLINE® by Methapharm Inc.[L31763]
Indications and Usage It is most commonly used for diagnosing bronchial hyperreactivity, using the bronchial challenge test.
Marketing Status Prescription; Discontinued
ATC Code V04CX03
DrugBank ID DB06709
KEGG ID D04970
MeSH ID D016210
PubChem ID 1993
TTD Drug ID D04MWJ
NDC Product Code Not Available
Synonyms Methacholine Chloride | Chloride, Methacholine | Acetyl-beta-methacholine Chloride | Acetyl beta methacholine Chloride | Mecholine | 2-(Acetyloxy)-N,N,N-trimethyl-1-propanaminium Chloride | Acetyl-2-methylcholine Chloride | Acetyl 2 methylcholine Chloride | Mecholyl | Provocholine | Provokit | Acetyl-beta-methylcholine | Acetyl beta methylcholine | Methacholine
Chemical Information
Molecular Formula C8H18NO2+
CAS Registry Number 55-92-5
SMILES CC(C[N+](C)(C)C)OC(=O)C
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)
Atrioventricular block complete02.03.01.003--
Bradycardia02.03.02.002--Not Available
Bronchospasm22.03.01.004; 10.01.03.012--
Cardiac arrest02.03.04.001--
Chest discomfort08.01.08.019; 02.02.02.009; 22.02.08.001--Not Available
Chest pain22.02.08.003; 08.01.08.002; 02.02.02.011--Not Available
Cholinergic syndrome17.05.01.002--Not Available
Cough22.02.03.001--
Dizziness17.02.05.003; 02.01.02.004; 24.06.02.007--
Headache17.14.01.001--
Hypotension24.06.03.002--
Loss of consciousness17.02.04.004--Not Available
Nausea07.01.07.001--
Pregnancy18.08.02.004--Not Available
Pruritus23.03.12.001--
Respiratory distress22.02.01.012--Not Available
Shock24.06.02.002--Not Available
Syncope24.06.02.012; 17.02.04.008; 02.01.02.008--
Teratogenicity12.03.01.032; 03.02.01.004--Not Available
Throat irritation07.05.03.004; 22.02.05.013--Not Available
Vomiting07.01.07.003--
Wheezing22.03.01.009--
Seasonal allergy22.04.04.008; 10.01.04.001; 06.04.01.013--Not Available
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