Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Rocuronium
Drug ID BADD_D01959
Description Rocuronium (rapid onset-curonium) is a desacetoxy analogue of vecuronium with a more rapid onset of action. It is an aminosteroid non-depolarizing neuromuscular blocker or muscle relaxant used in modern anaesthesia, to facilitate endotracheal intubation and to provide skeletal muscle relaxation during surgery or mechanical ventilation. Introduced in 1994, rocuronium has rapid onset, and intermediate duration of action. It is commonly marketed under the trade names Zemuron and Esmeron. The drug is associated with the risk of developing allergic reactions in some high-risk patients, such as those with asthma. However, there was a similar incidence of allergic reactions associated with other non-depolarizing neuromuscular blocking agents. [Sugammadex] is a γ-cyclodextrin derivative that has been introduced as a novel agent to reverse the action of rocuronium.
Indications and Usage For inpatients and outpatients as an adjunct to general anesthesia to facilitate both rapid sequence and routine tracheal intubation, and to provide skeletal muscle relaxation during surgery or mechanical ventilation.
Marketing Status Prescription; Discontinued
ATC Code M03AC09
DrugBank ID DB00728
KEGG ID D00765
MeSH ID D000077123
PubChem ID 441290
TTD Drug ID D0L5CZ
NDC Product Code 66794-229; 66794-228
Synonyms Rocuronium | 1-(17-(Acetoyl)-3-hydroxy-2-(4-morpholinyl)androstan-16-yl)-1-(2-propenyl)pyrrolidinium | Androstane-3,17-diol, 2-(4-morpholinyl)-16-(1-(2-propen-1-yl)-1-pyrrolidiniumyl)-, 17-acetate, (2beta,3alpha,5alpha,16beta,17beta)- | ORG-9426 | ORG9426 | ORG 9426 | Esmeron | Esmerone | Zemuron | Rocuronium Bromide | Pyrrolidinium, 1-((2beta,3alpha,5alpha,16beta,17beta)-17-(acetyloxy)-3-hydroxy-2-(4-morpholinyl)androstan-16-yl)-1-(2-propenyl)-, bromide
Chemical Information
Molecular Formula C32H53N2O4+
CAS Registry Number 143558-00-3
SMILES CC(=O)OC1C(CC2C1(CCC3C2CCC4C3(CC(C(C4)O)N5CCOCC5)C)C)[N+]6(CCCC6)CC=C
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)
Acute respiratory failure22.02.06.001; 14.01.04.0040.000065%Not Available
Anaphylactic reaction24.06.03.006; 10.01.07.0010.017354%
Anaphylactic shock24.06.02.004; 10.01.07.0020.003496%Not Available
Anaphylactoid reaction10.01.07.003; 24.06.03.0070.000250%Not Available
Angioedema23.04.01.001; 10.01.05.0090.000999%Not Available
Apnoea22.02.01.0010.000375%
Arrhythmia02.03.02.001--Not Available
Aspiration22.02.07.0070.000065%
Asthma22.03.01.002; 10.01.03.010--Not Available
Blood pressure decreased13.14.03.0020.000375%Not Available
Bradycardia02.03.02.0020.001373%Not Available
Bronchospasm22.03.01.004; 10.01.03.0120.002747%
Cardiac arrest02.03.04.0010.001726%
Cardio-respiratory arrest22.02.06.007; 02.03.04.0020.000130%Not Available
Cardiovascular disorder02.01.01.001; 24.03.02.009--Not Available
Circulatory collapse24.06.02.0010.001623%Not Available
Cough22.02.03.001--
Dermatitis23.03.04.002--Not Available
Drug hypersensitivity10.01.01.001--Not Available
Dysarthria19.19.03.001; 17.02.08.0010.000250%
Dysphagia07.01.06.0030.000375%
Dysphonia19.19.03.002; 17.02.08.004; 22.02.05.0050.000250%
Dyspnoea22.02.01.004; 02.01.03.002--
Electrocardiogram abnormal13.14.05.001--Not Available
Erythema23.03.06.0010.000999%Not Available
Eyelid oedema23.04.01.003; 10.01.05.001; 06.04.04.0040.000375%Not Available
Flushing08.01.03.025; 24.03.01.002; 23.06.05.0030.000999%
Gait disturbance17.02.05.016; 08.01.02.0020.000250%
Hiccups22.02.04.002; 07.01.06.009--
Hypersensitivity10.01.03.003--
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