Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Olanzapine pamoate
Drug ID BADD_D01600
Description Olanzapine is a thienobenzodiazepine classified as an atypical or second-generation antipsychotic agent.[A176996] The second-generation antipsychotics were introduced in the 90s and quickly gained traction due to their impressive efficacy, reduced risk for extrapyramidal side effects and reduced susceptibility to drug-drug interactions.[A177011] Olanzapine very closely resembles [clozapine] and only differs by two additional methyl groups and the absence of a chloride moiety.[T554] It was discovered by scientists at Eli Lilly and approved to be marketed in the US in 1996.[T548]
Indications and Usage For the acute and maintenance treatment of schizophrenia and related psychotic disorders, as well as acute treatment of manic or mixed episodes of bipolar 1 disorder. Intramuscular olanzapine is indicated for the rapid control of agitated patients.
Marketing Status Prescription; Discontinued
ATC Code N05AH03
DrugBank ID DB00334
KEGG ID D06623
MeSH ID D000077152
PubChem ID 135566032
TTD Drug ID D0V4QS
NDC Product Code 71161-143; 0002-2344; 0002-7637; 0002-2003; 71161-144; 0002-7635; 71161-142; 0002-7636; 0002-1606
Synonyms Olanzapine | 2-Methyl-4-(4-methyl-1-piperazinyl)-10H-thieno(2,3-b)(1,5)benzodiazepine | LY-170052 | LY 170052 | LY170052 | Zyprexa | Zolafren | LY 170053 | Olanzapine Pamoate
Chemical Information
Molecular Formula C40H38N4O7S
CAS Registry Number 221373-18-8
SMILES CC1=CC2=C(S1)NC3=CC=CC=C3N=C2N4CCN(CC4)C.C1=CC=C2C(=C1)C=C(C(=C2CC3=C(C(=CC4=CC= CC=C43)C(=O)O)O)O)C(=O)O.O
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Drug level changedCytochrome P450 3A4P08684T37848Not Available
Tardive dyskinesiaD(4) dopamine receptorP21917T24983Not Available
Tardive dyskinesiaD(2) dopamine receptorP14416T67162Not Available
Tardive dyskinesiaD(3) dopamine receptorP35462T02551Not Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Tongue oedema10.01.05.008; 07.14.02.007; 23.04.01.009--Not Available
Toothache07.09.06.001--
Torsade de pointes02.03.04.005--Not Available
Tremor17.01.06.002--
Upper respiratory tract infection22.07.03.011; 11.01.13.009--
Urinary hesitation20.02.02.009--Not Available
Urinary incontinence17.05.01.008; 20.02.02.010--
Urinary retention20.02.02.011--
Urticaria23.04.02.001; 10.01.06.001--
Vaginal discharge21.08.02.002--
Vasodilatation24.03.02.003; 23.06.05.006--Not Available
Ventricular arrhythmia02.03.04.006--
Viral infection11.05.04.001--Not Available
Vomiting07.01.07.003--
Weight decreased13.15.01.005--
Weight increased13.15.01.006--
White blood cell count increased13.01.06.013--Not Available
Tooth infection11.01.04.004; 07.09.01.004--
Blood bilirubin decreased13.03.01.014--Not Available
Deep vein thrombosis24.01.02.003--Not Available
Musculoskeletal stiffness15.03.01.005--Not Available
Musculoskeletal discomfort15.03.04.001--Not Available
Cognitive disorder19.21.02.001; 17.03.03.003--
Disturbance in sexual arousal19.08.04.003--Not Available
Blood alkaline phosphatase increased13.04.02.004--
Induration08.01.03.020--Not Available
Hepatic enzyme increased13.03.01.019--Not Available
Erectile dysfunction19.08.04.001; 21.03.01.007--
Parkinson's disease17.01.05.010--Not Available
Hepatobiliary disease09.01.08.003--Not Available
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