Adverse Drug Reaction Classification System

         

Pharmaceutical Information
Drug Name Rivaroxaban
Drug ID BADD_D01954
Description Rivaroxaban is an anticoagulant and the first orally active direct factor Xa inhibitor. Unlike warfarin, routine lab monitoring of INR is not necessary. However there is no antidote available in the event of a major bleed. Only the 10 mg tablet can be taken without regard to food. The 15 mg and 20 mg tablet should be taken with food. FDA approved on July 1, 2011.
Indications and Usage Rivaroxaban is indicated for the prevention of venous thromboembolic events (VTE) in patients who have undergone total hips replacements and total knee replacement surgery; prevention of stroke and systemic embolism in patients with nonvalvular atrial fibrillation; treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE); to reduce risk of recurrent DVT and/or PE. Rivaroxaban is also indicated, in combination with aspirin, for reducing the risk of major cardiovascular events in patients with chronic coronary artery disease or peripheral artery disease. Its use is also not recommended in those with severe renal impairment (<30mL/min).[L12819] Rivaroxaban is also indicated for the treatment and prevention of VTE in pediatric patients (from birth to 18 years of age) and for thromboprophylaxis in pediatric patients ≥2 years old with congenital heart disease following the Fontan procedure.[L12819]
Marketing Status approved
ATC Code B01AF01
DrugBank ID DB06228
KEGG ID D07086
MeSH ID D000069552
PubChem ID 9875401
TTD Drug ID D0KG3R
NDC Product Code 66174-0087; 69218-0500; 50458-577; 53296-0109; 63415-0523; 64552-4049; 65862-971; 66039-913; 71610-690; 75945-050; 76072-1008; 86051-002; 14501-0079; 16436-0109; 86051-004; 50458-578; 50458-579; 50458-580; 50458-584; 55154-1422; 55111-966; 50458-575; 14799-2023; 58032-2029; 65015-898; 65977-0139; 86051-001; 55154-1423; 12658-0516; 53747-068; 83137-0007; 53104-7730; 59285-009; 65727-050; 47848-039; 52286-0025; 64220-176; 65372-1193; 66022-0203; 86051-003; 55154-1424; 62512-0079; 82513-0001
UNII 9NDF7JZ4M3
Synonyms Rivaroxaban | 5-chloro-N-(((5S)-2-oxo-3-(4-(3-oxomorpholin-4-yl)phenyl)-1,3-oxazolidin-5-yl)methyl)thiophene-2-carboxamide | Xarelto | BAY 59-7939 | BAY 59 7939 | BAY 597939
Chemical Information
Molecular Formula C19H18ClN3O5S
CAS Registry Number 366789-02-8
SMILES C1COCC(=O)N1C2=CC=C(C=C2)N3CC(OC3=O)CNC(=O)C4=CC=C(S4)Cl
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Vascular stent thrombosis24.01.01.044; 08.07.05.0020.000475%Not Available
Retinal aneurysm24.02.02.003; 06.10.01.0110.000063%Not Available
Gastrointestinal inflammation07.08.03.0070.000158%Not Available
Skin haemorrhage24.07.01.103; 23.06.07.0010.002818%Not Available
Tumour invasion16.16.01.0080.000095%Not Available
Muscle swelling15.05.03.0150.000063%Not Available
Exfoliative rash23.03.07.0060.000171%Not Available
Chronic kidney disease20.01.03.017--
Spontaneous haematoma24.07.01.054; 01.01.03.0060.001146%Not Available
Aortic arteriosclerosis24.04.01.0040.000095%Not Available
Cerebral arteriosclerosis24.04.06.019; 17.08.02.0080.000063%Not Available
Bronchial haemorrhage22.03.02.007; 24.07.01.0450.000127%Not Available
Laryngeal haemorrhage24.07.01.051; 22.04.01.005; 12.01.09.0090.000095%
Cardiovascular insufficiency02.11.01.011; 24.06.03.0050.000063%Not Available
Haematological malignancy16.21.01.002; 01.13.01.0030.000063%Not Available
Haemorrhagic erosive gastritis24.07.02.037; 07.04.03.0080.000348%Not Available
Abdominal wall haemorrhage07.16.05.002; 12.01.17.002; 24.07.02.0360.000253%Not Available
Oropharyngeal pain22.12.03.016; 07.05.05.004--
Neurological decompensation17.02.05.0300.000222%Not Available
Brain stem stroke17.08.01.033; 24.04.06.0240.000253%Not Available
Acute kidney injury20.01.03.0160.014029%
Gastrointestinal tract irritation07.08.03.0080.000063%Not Available
Central nervous system haemorrhage24.07.04.016; 17.08.01.0350.000412%Not Available
Peripheral artery stenosis24.04.03.0170.000158%Not Available
Peripheral artery thrombosis24.01.02.0100.001013%Not Available
White matter lesion24.04.06.027; 17.11.01.0090.000063%Not Available
Rheumatic disorder15.03.04.018; 10.02.01.0480.000063%Not Available
Hepatic cancer09.04.02.008; 16.07.02.004--Not Available
Epidural haemorrhage12.01.10.013; 24.07.04.017; 17.08.05.004--Not Available
Microembolism24.01.01.0250.000095%Not Available
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ADReCS-Target
Drug Name ADR Term Target
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