Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Misoprostol
Drug ID BADD_D01477
Description Misoprostol is a prostaglandin analog used to reduce the risk of NSAID related ulcers, manage miscarriages, prevent post partum hemorrhage, and also for first trimester abortions.[L7616,L7619,A181589,A181583,A181697] The stimulation of prostaglandin receptors in the stomach reduces gastric acid secretion, while stimulating these receptors in the uterus and cervix can increase the strength and frequency of contractions and decrease cervical tone.[A181586] Misoprostol was granted FDA approval on 27 December 1988.[L7616]
Indications and Usage Misoprostol is also indicated for other uses that are not approved in Canada, including the medical termination of an intrauterine pregnancy used alone or in combination with methotrexate,as well as the induction of labour in a selected population of pregnant women with unfavourable cervices. This indication is avoided in women with prior uterine surgery or cesarean surgery due to an increased risk of possible uterine rupture. Misoprostol is also used for the prevention or treatment of serious postpartum hemorrhage.
Marketing Status Prescription
ATC Code A02BB01; G02AD06
DrugBank ID DB00929
KEGG ID D00419
MeSH ID D016595
PubChem ID 5282381
TTD Drug ID D09ANG
NDC Product Code 59762-5007; 0025-1451; 55289-248; 38779-2778; 43393-022; 70710-1006; 0904-6806; 40032-160; 0025-1461; 43063-707; 54348-148; 60592-234; 72789-121; 71335-0460; 70954-443; 72789-111; 72789-128; 40016-002; 43393-020; 40032-161; 70954-444; 65035-103; 43386-161; 68071-4843; 0904-6807; 70771-1496; 59762-5008; 68084-041; 63704-008; 24584-1051; 70710-1007; 63629-7929; 68245-0001; 70771-1497; 12634-502; 68084-040; 43386-160
Synonyms Misoprostol | Novo-Misoprostol | Novo Misoprostol | SC-29333 | SC 29333 | SC29333 | SC-30249 | SC 30249 | SC30249 | Apo-Misoprostol | Apo Misoprostol | Misoprostol, (11beta,13E,16R)-Isomer | Glefos | Misoprostol, (11alpha,13E)-Isomer | Misoprostol, (11alpha,13E,16R)-Isomer | Misoprostol, (11alpha,13Z)-(+-)-Isomer | Misoprostol, (11alpha.13E,16S)-Isomer | Misoprostol, (11beta,13E)-(+-)-Isomer | Misoprostol, (11beta,13E,16S)-Isomer | Cytotec
Chemical Information
Molecular Formula C22H38O5
CAS Registry Number 59122-46-2
SMILES CCCCC(C)(CC=CC1C(CC(=O)C1CCCCCCC(=O)OC)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)
Nausea07.01.07.001--
Neck pain15.03.04.0090.004239%
Neuropathy peripheral17.09.03.003--Not Available
Neurosis19.06.01.001--Not Available
Oedema14.05.06.010; 08.01.07.006--Not Available
Oxygen saturation decreased13.02.01.0040.002826%Not Available
Pain08.01.08.0040.016954%
Pain in extremity15.03.04.010--
Pallor23.03.03.031; 08.01.03.032; 24.03.04.001--Not Available
Paraesthesia17.02.06.0050.007064%
Paralysis17.01.04.0040.002826%Not Available
Peritoneal haemorrhage24.07.02.016; 07.07.02.0010.005651%Not Available
Phlebitis24.05.03.001; 12.02.01.002--
Pneumonia22.07.01.003; 11.01.09.003--Not Available
Pneumonia aspiration22.01.01.0050.000737%Not Available
Polyhydramnios18.05.01.0020.005651%Not Available
Polyuria20.02.03.002--Not Available
Postpartum haemorrhage24.07.03.003; 18.06.01.0010.002826%Not Available
Pregnancy18.08.02.004--Not Available
Premature baby18.04.02.0010.009890%Not Available
Premature delivery18.07.01.006--
Premature rupture of membranes18.07.01.0030.005651%Not Available
Premature separation of placenta24.07.03.019; 18.02.01.0040.008477%Not Available
Presyncope24.06.02.010; 17.02.05.009; 02.01.02.0070.005651%
Pruritus23.03.12.001--
Psychomotor retardation19.15.02.0020.002826%Not Available
Pulmonary congestion24.03.08.001; 22.01.03.002; 02.05.02.0020.001106%Not Available
Pulmonary embolism24.01.06.001; 22.06.02.001--Not Available
Purpura24.07.06.005; 23.06.01.004; 01.01.04.003--
Pyrexia08.05.02.0030.028257%
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