Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Pentoxifylline
Drug ID BADD_D01731
Description Pentoxifylline (PTX) is a synthetic dimethylxanthine derivative that modulates the rheological properties of blood and also has both anti-oxidant and anti-inflammatory properties.[A226415, L30300] Although originally developed to treat intermittent claudication, a form of exertion-induced leg pain common in patients with peripheral arterial disease, PTX has been investigated for its possible use in diverse conditions, including osteoradionecrosis, diabetic kidney disease, and generally any condition associated with fibrosis.[A226410, A226415, A226455] More recently, PTX has been suggested as a possible treatment for COVID-19-induced pulmonary complications due to its ability to regulate the production of inflammatory cytokines.[A226608] Pentoxifylline has been marketed in Europe since 1972; PTX extended-release tablets sold under the trade name TRENTAL by US Pharm Holdings were first approved by the FDA on Aug 30, 1984, but have since been discontinued. A branded product, PENTOXIL, marketed by Upsher-Smith Laboratories, and generic forms marketed by Valeant Pharmaceuticals and APOTEX have been available since the late 1990s.[L30300]
Indications and Usage For the treatment of patients with intermittent lameness or immobility arising from chronic occlusive arterial disease of the limbs.
Marketing Status Prescription; Discontinued
ATC Code C04AD03
DrugBank ID DB00806
KEGG ID D00501
MeSH ID D010431
PubChem ID 4740
TTD Drug ID D09QEI
NDC Product Code 61281-3500; 72189-025; 0395-8071; 63629-2910; 66651-912; 68071-4532; 0615-8305; 38779-2560; 62991-2521; 60592-432; 43353-123; 0904-5448; 62756-117; 60505-0033; 51927-4389; 51552-1059; 70518-1285; 49452-5080
Synonyms Pentoxifylline | Oxpentifylline | Trental | Pentoxil | Torental | Agapurin | BL-191 | BL 191 | BL191
Chemical Information
Molecular Formula C13H18N4O3
CAS Registry Number 6493-05-6
SMILES CC(=O)CCCCN1C(=O)C2=C(N=CN2C)N(C1=O)C
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Blood and lymphatic system disordersThrombomodulinP07204T085838867727; 8948657; 12683694; 9576643; 9722070; 10820959; 11835412
Cell deathGranzyme BP10144T08298Not Available
Cell deathPerforin-1P14222Not AvailableNot Available
Collagen disorderMetalloproteinase inhibitor 1P01033Not Available9401768; 12024107; 8937713; 11007820; 1447320; 12000730
Collagen disorderMatrix metalloproteinase-14P50281T650199401768; 12024107; 8937713; 11007820; 1447320; 12000730
InflammationTumor necrosis factorP01375T201789172017; 9089006
InflammationInterleukin-6P05231T325789172017; 9089006
InflammationInterleukin-1 alphaP01583T163409172017; 9089006
Iron and trace metal metabolism disordersMetalloproteinase inhibitor 1P01033Not Available9401768; 12024107; 8937713; 11007820; 1447320; 12000730
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal discomfort07.01.06.0010.035808%Not Available
Abdominal distension07.01.04.001--
Abdominal pain07.01.05.002--
Agitation19.06.02.001; 17.02.05.012--
Anaemia01.03.02.0010.035808%
Anaphylactic reaction24.06.03.006; 10.01.07.001--
Anaphylactic shock24.06.02.004; 10.01.07.002--Not Available
Anaphylactoid reaction24.06.03.007; 10.01.07.003--Not Available
Angina pectoris24.04.04.002; 02.02.02.002--
Angioedema23.04.01.001; 10.01.05.009--Not Available
Anxiety19.06.02.002--
Aplastic anaemia01.03.03.002--Not Available
Arrhythmia02.03.02.001--Not Available
Asthenia08.01.01.0010.035808%Not Available
Back pain15.03.04.005--
Blood fibrinogen decreased13.01.02.003--
Body temperature increased13.15.01.001--Not Available
Bronchospasm22.03.01.004; 10.01.03.012--
Chest pain22.02.08.003; 08.01.08.002; 02.02.02.011--Not Available
Cholecystitis09.03.01.001--
Cholestasis09.01.01.001--Not Available
Coma17.02.09.0010.089521%Not Available
Confusional state19.13.01.001; 17.02.03.0050.035808%
Conjunctivitis11.01.06.012; 06.04.01.002--
Constipation07.02.02.001--
Depression19.15.01.001--
Dermatitis23.03.04.002--Not Available
Diarrhoea07.02.01.001--
Discomfort08.01.08.003--Not Available
Dizziness24.06.02.007; 17.02.05.003; 02.01.02.0040.035808%
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