Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Prochlorperazine
Drug ID BADD_D01848
Description Prochlorperazine, also known as compazine, is a piperazine phenothiazine and first-generation antipsychotic drug that is used for the treatment of severe nausea and vomiting, as well as short-term management of psychotic disorders such as generalized non-psychotic anxiety and schizophrenia.[label] It mainly works by depressing the chemoreceptor trigger zone and blocking D2 dopamine receptors in the brain. It was shown to also block histaminergic, cholinergic and noradrenergic receptors.[L6637] Prochlorperazine was first developed in the 1950s [L6643] and was first approved by the FDA in 1956. Although newer antiemetic agents such as 5-HT3 antagonists are more heavily promoted, prochlorperazine is still widely used in nausea and vomiting.[L6640]
Indications and Usage For the symptomatic management of psychotic disorders, short term management of nonpsychotic anxiety in patients with generalized anxiety disorder, and for the control of severe nausea and vomiting of various causes.
Marketing Status Prescription; Discontinued
ATC Code N05AB04
DrugBank ID DB00433
KEGG ID D00493
MeSH ID D011346
PubChem ID 4917
TTD Drug ID D0B2UZ
NDC Product Code 69575-4017; 0713-0135; 54348-114; 63629-8444; 55289-119; 54348-989; 46204-0007; 50090-0636; 0574-7226
Synonyms Prochlorperazine | Prochlorperazine Edisylate Salt | Edisylate Salt, Prochlorperazine | Salt, Prochlorperazine Edisylate | Prochlorperazine Edisylate | Edisylate, Prochlorperazine | Prochlorperazine Maleate | Maleate, Prochlorperazine | Compazine
Chemical Information
Molecular Formula C20H24ClN3S
CAS Registry Number 58-38-8
SMILES CN1CCN(CC1)CCCN2C3=CC=CC=C3SC4=C2C=C(C=C4)Cl
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Metabolic disorderGlucose-6-phosphatase catalytic subunit 1P35575Not Available2833274; 2106830; 2116902
Metabolic disorderUDP-glucuronosyltransferase 1A1P22309T934802833274; 2106830; 2116902
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Sudden death08.04.01.003; 02.03.04.013--
Supraventricular tachycardia02.03.03.0120.001046%
Syncope17.02.04.008; 02.01.02.008; 24.06.02.0120.001046%
Systemic lupus erythematosus23.03.02.006; 15.06.02.003; 10.04.03.004--Not Available
Tachycardia02.03.02.0070.001046%Not Available
Tardive dyskinesia17.01.02.012--Not Available
Tetanus17.05.02.011; 11.02.02.007--Not Available
Throat tightness22.02.05.015; 19.01.02.005--Not Available
Thrombocytopenia01.08.01.002--Not Available
Thrombocytopenic purpura23.06.01.007; 01.08.01.003--Not Available
Tongue disorder07.14.01.002--Not Available
Tremor17.01.06.0020.002091%
Trismus17.01.03.004; 15.05.04.0040.001568%
Unresponsive to stimuli17.02.05.0310.001568%Not Available
Urinary retention20.02.02.011--
Urticaria23.04.02.001; 10.01.06.001--
Vision blurred17.17.01.010; 06.02.06.007--
Vomiting07.01.07.0030.001046%
Weight increased13.15.01.006--
Mental status changes19.07.01.0010.001046%Not Available
Brain oedema17.07.02.003; 12.01.10.010--
Electrocardiogram T wave abnormal13.14.05.009--
Deep vein thrombosis24.01.02.003--Not Available
Electrocardiogram Q wave abnormal13.14.05.023--Not Available
Parkinsonian rest tremor17.01.05.009--Not Available
Lactation disorder21.05.02.004; 18.06.02.003--
Erectile dysfunction21.03.01.007; 19.08.04.001--
Blood disorder01.05.01.004--Not Available
Epinephrine abnormal13.10.01.003--Not Available
Psychotic disorder19.03.01.002--
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