Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Palonosetron hydrochloride
Drug ID BADD_D01660
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 D05343
MeSH ID D000077924
PubChem ID 6918303
TTD Drug ID D04FVU
NDC Product Code 65862-736; 16729-365; 53104-7733; 62856-797; 67262-0001; 60505-6193; 14593-846; 36000-326; 69639-104; 60862-003; 67457-317; 58032-0135; 25021-783; 69543-371; 47848-027; 14501-0070; 0781-3312; 62856-798; 62147-0218; 54893-0013; 67184-0515; 67184-0514; 50742-485; 69097-927; 63827-1011; 0143-9513; 68001-482; 67184-0013; 55111-914; 25021-788; 0703-4094; 58175-0543; 11014-0199; 0409-2504; 55150-186; 0781-3415
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 C19H25ClN2O
CAS Registry Number 135729-62-3
SMILES C1CC2CN(C(=O)C3=CC=CC(=C23)C1)C4CN5CCC4CC5.Cl
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)
Abdominal pain07.01.05.002--
Abdominal pain upper07.01.05.003--
Alanine aminotransferase increased13.03.01.003--
Amblyopia06.02.01.001--Not Available
Anxiety19.06.02.002--
Arrhythmia02.03.02.001--Not Available
Arthralgia15.01.02.001--
Aspartate aminotransferase increased13.03.01.006--
Asthenia08.01.01.001--Not Available
Blood bilirubin increased13.03.01.008--
Blood pressure decreased13.14.03.002--Not Available
Bradycardia02.03.02.002--Not Available
Chills15.05.03.016; 08.01.09.001--
Constipation07.02.02.001--
Dermatitis allergic23.03.04.003; 10.01.03.014--Not Available
Diarrhoea07.02.01.001--
Dizziness24.06.02.007; 17.02.05.003; 02.01.02.004--
Dry mouth07.06.01.002--
Dyspepsia07.01.02.001--
Electrocardiogram QT prolonged13.14.05.004--
Electrocardiogram T wave amplitude decreased13.14.05.006--Not Available
Electrolyte imbalance14.05.01.002--Not Available
Euphoric mood19.04.02.006--
Extrasystoles02.03.02.003--Not Available
Eye irritation06.04.05.003--Not Available
Fatigue08.01.01.002--
Flatulence07.01.04.002--
Generalised oedema14.05.06.007; 08.01.07.004--
Glycosuria20.02.01.005--
Headache17.14.01.001--
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