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)
Hypertension24.08.02.001--
Hypotension24.06.03.0020.007990%
Hypotonia17.05.02.002; 15.05.04.0080.000375%Not Available
Hypoventilation22.02.01.0070.000999%Not Available
Hypoxia22.02.02.0030.001498%
Lip swelling23.04.01.007; 10.01.05.005; 07.05.04.0050.000624%Not Available
Muscle rigidity17.05.02.005; 15.05.04.0010.000250%Not Available
Muscle twitching15.05.03.0050.002122%Not Available
Muscular weakness17.05.03.005; 15.05.06.0010.000250%
Myasthenic syndrome17.05.04.004; 15.05.08.003; 16.32.01.002; 10.04.05.0050.000749%Not Available
Myocarditis02.04.03.0010.000098%
Myopathy15.05.05.001--Not Available
Nausea07.01.07.001--
Neuromuscular block prolonged17.05.04.005; 12.02.12.0040.001373%Not Available
Oxygen saturation decreased13.02.01.0040.002372%Not Available
Paralysis17.01.04.0040.001124%Not Available
Peripheral circulatory failure24.06.02.0200.000375%Not Available
Pruritus23.03.12.001--
Rash23.03.13.0010.001873%Not Available
Rash erythematous23.03.06.0030.000250%Not Available
Rash generalised23.03.13.0020.000874%Not Available
Respiratory arrest22.02.01.0090.000423%Not Available
Respiratory depression22.02.01.010; 17.02.05.0470.000375%Not Available
Respiratory disorder22.02.07.0020.000250%Not Available
Respiratory distress22.02.01.0120.000250%Not Available
Respiratory failure22.02.06.002; 14.01.04.003--
Retching07.01.07.0020.000250%Not Available
Rhonchi22.02.04.005--Not Available
Shock24.06.02.002--Not Available
Sinus tachycardia02.03.03.0100.000250%
The 2th Page    First    Pre   2 3    Next   Last    Total 3 Pages