Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Palonosetron
Drug ID BADD_D01659
Description Palonosetron (INN, trade name Aloxi) is an antagonist of 5-HT3 receptors that is indicated for the prevention and treatment of chemotherapy-induced nausea and vomiting (CINV). It is the most effective of the 5-HT3 antagonists in controlling delayed CINV nausea and vomiting that appear more than 24 hours after the first dose of a course of chemotherapy and is the only drug of its class approved for this use by the U.S. Food and Drug Administration. As of 2008, it is the most recent 5-HT3 antagonist to enter clinical use.
Indications and Usage For the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of moderately emetogenic cancer chemotherapy, as well as prevention of acute nausea and vomiting associated with highly emetogenic cancer chemotherapy. Also used for the prevention of postoperative nausea and vomiting for up to 24 hours post operation.
Marketing Status Prescription; Discontinued
ATC Code A04AA05
DrugBank ID DB00377
KEGG ID D07175
MeSH ID D000077924
PubChem ID 6337614
TTD Drug ID D04FVU
NDC Product Code 16714-834; 63323-673; 68001-355; 55111-694
Synonyms Palonosetron | 2-QHBIQO | Palonosetron, (R-(R*,R*))-isomer | Palonosetron, (3R)- | Palonosetron, (R-(R*,S*))-isomer | RS 25259-198 | RS 25259 198 | RS 25259198 | RS-25259-198 | RS25259198 | 2-(1-azabicyclo(2.2.2)oct-3-yl)-2,3,3a,4,5,6-hexahydro-1H-benz(de)isoquinolin-1-one | RS 25233-198 | RS 25233 198 | RS 25233198 | RS-25233-198 | RS25233198 | RS 25259 | RS-25259 | RS25259 | RS 25259-197 | RS 25259 197 | RS 25259197 | RS-25259-197 | RS25259197 | Aloxi | Palonosetron, (S-(R*,S*))-isomer | Palonosetron Hydrochloride | RS 25233-197 | RS 25233 197 | RS 25233197 | RS-25233-197 | RS25233197
Chemical Information
Molecular Formula C19H24N2O
CAS Registry Number 135729-61-2
SMILES C1CC2CN(C(=O)C3=CC=CC(=C23)C1)C4CN5CCC4CC5
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)
Generalised oedema14.05.06.007; 08.01.07.004--
Glycosuria20.02.01.005--
Headache17.14.01.001--
Heart rate abnormal13.14.04.0060.000374%Not Available
Heart rate increased13.14.04.0020.000374%Not Available
Hiccups22.02.04.002; 07.01.06.009--
Hyperbilirubinaemia14.11.01.010; 09.01.01.003; 01.06.04.003--Not Available
Hyperglycaemia14.06.02.002; 05.06.02.002--
Hyperkalaemia14.05.03.001--
Hypersensitivity10.01.03.0030.000374%
Hypersomnia19.02.05.001; 17.15.01.001--
Hypertension24.08.02.001--
Hypocalcaemia14.04.01.004--
Hypokalaemia14.05.03.0020.000374%
Hypotension24.06.03.002--
Hypoventilation22.02.01.007--Not Available
Hypoxia22.02.02.003--
Immune system disorder10.02.01.001--Not Available
Infection11.01.08.002--Not Available
Influenza like illness08.01.03.010--
Initial insomnia17.15.03.005; 19.02.01.0050.000374%Not Available
Injection site reaction12.07.03.015; 08.02.03.014--
Insomnia19.02.01.002; 17.15.03.002--
Joint stiffness15.01.02.003--Not Available
Laryngospasm22.04.02.002--
Loss of consciousness17.02.04.0040.000374%Not Available
Malaise08.01.01.0030.000374%
Menopausal symptoms21.02.02.002--Not Available
Metabolic acidosis14.01.01.003--Not Available
Motion sickness17.02.12.001; 04.04.01.001--Not Available
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