Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Mifepristone
Drug ID BADD_D01463
Description Mifepristone is a progestational and glucocorticoid hormone antagonist. Its inhibition of progesterone induces bleeding during the luteal phase and in early pregnancy by releasing endogenous prostaglandins from the endometrium or decidua. As a glucocorticoid receptor antagonist, the drug has been used to treat hypercortisolism in patients with nonpituitary cushing syndrome. The two marketed forms of mifepristone are Mifeprex® (mifepristone 200mg) and Korlym™ (mifepristone 300mg). Currently under investigation for use in psychotic depression (phase 3 trials).
Indications and Usage For the medical termination of intrauterine pregnancy through 49 days' pregnancy. Also indicated to control hyperglycemia secondary to hypercortisolism in adult patients with endogenous Cushing's syndrome who have type 2 diabetes mellitus or glucose intolerance and are not candidates for surgery or have had unsuccessful surgery.
Marketing Status Prescription
ATC Code G03XB01
DrugBank ID DB00834
KEGG ID D00585
MeSH ID D015735
PubChem ID 55245
TTD Drug ID D0Z4EI
NDC Product Code 51508-011; 68925-0004; 43393-001; 69989-0003; 44132-005; 65089-0043; 66499-0056; 76346-073; 60722-3002; 44132-013
Synonyms Mifepristone | ZK-98296 | ZK 98296 | ZK98296 | R-38486 | R 38486 | RU-486 | RU 486 | RU486 | R38486 | RU-38486 | RU 38486 | RU38486 | Mifegyne | Mifégyne | Mifeprex
Chemical Information
Molecular Formula C29H35NO2
CAS Registry Number 84371-65-3
SMILES CC#CC1(CCC2C1(CC(C3=C4CCC(=O)C=C4CCC23)C5=CC=C(C=C5)N(C)C)C)O
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
HyperphagiaPro-neuropeptide YP01303T516711653393; 2373052; 2019270; 1363327; 1597158; 1407382; 10799663; 10792576; 1564428; 2967189; 10369453; 1657667; 8049712; 9176325; 8603777; 12746327; 11737554; 8505677; 15256810; 7737322
Intestinal congestionPro-neuropeptide YP01303T516711653393; 2373052; 2019270; 1363327; 1597158; 1407382; 10799663; 10792576; 1564428; 2967189; 10369453; 1657667; 8049712; 9176325; 8603777; 12746327; 11737554; 8505677; 15256810; 7737322
ObesityPro-neuropeptide YP01303T516711653393; 2373052; 2019270; 1363327; 1597158; 1407382; 10799663; 10792576; 1564428; 2967189; 10369453; 1657667; 8049712; 9176325; 8603777; 12746327; 11737554; 8505677; 15256810; 7737322
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal pain07.01.05.002--
Abortion incomplete18.01.01.0030.008661%Not Available
Adrenal insufficiency14.11.01.004; 05.01.02.0010.001237%
Amenorrhoea21.01.02.001; 05.05.01.0020.001650%
Anaemia01.03.02.0010.002475%
Angioedema23.04.01.001; 10.01.05.009--Not Available
Anxiety19.06.02.0020.000825%
Arthralgia15.01.02.0010.000825%
Asthenia08.01.01.0010.000825%Not Available
Back pain15.03.04.005--
Blood creatinine increased13.13.01.0040.000825%
Blood glucose increased13.02.02.0020.001237%Not Available
Blood potassium decreased13.11.01.0100.002062%Not Available
Blood potassium increased13.11.01.0110.000825%Not Available
Blood pressure increased13.14.03.0050.001237%Not Available
Blood thyroid stimulating hormone increased13.10.03.0060.000825%
Blood triglycerides increased13.12.03.001--Not Available
Body temperature increased13.15.01.001--Not Available
Chills15.05.03.016; 08.01.09.001--
Constipation07.02.02.001--
Death08.04.01.0010.001184%
Depression19.15.01.0010.000825%
Dermatitis23.03.04.002--Not Available
Dermatitis exfoliative23.03.07.001; 10.01.01.004--
Diarrhoea07.02.01.001--
Discomfort08.01.08.003--Not Available
Dizziness17.02.05.003; 02.01.02.004; 24.06.02.0070.002475%
Dry mouth07.06.01.002--
Dyspnoea22.02.01.004; 02.01.03.0020.001650%
Ectopic ACTH syndrome16.32.02.002; 05.08.02.003--Not Available
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