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)
Sputum increased22.02.03.0070.000250%Not Available
Swelling face10.01.05.018; 23.04.01.0180.000375%Not Available
Swollen tongue23.04.01.014; 10.01.05.015; 07.14.02.0030.000624%Not Available
Tachycardia02.03.02.0070.004120%Not Available
Unresponsive to stimuli17.02.05.0310.000375%Not Available
Urticaria23.04.02.001; 10.01.06.0010.001873%
Vascular resistance systemic13.14.03.019--Not Available
Vasodilatation23.06.05.006; 24.03.02.0030.000250%Not Available
Vomiting07.01.07.003--
Wheezing22.03.01.0090.000250%
Muscle tightness15.05.03.0070.000375%Not Available
Injection site swelling12.07.03.018; 08.02.03.017--Not Available
Haemorrhage24.07.01.002--Not Available
Pulseless electrical activity02.03.04.0200.001998%Not Available
Obstructive airways disorder22.03.01.0110.000250%Not Available
Procedural hypotension12.02.05.026; 24.06.03.0100.000250%Not Available
Vascular resistance pulmonary increased13.14.03.020--Not Available
Recurrence of neuromuscular blockade17.05.04.006; 12.02.12.0080.000250%Not Available
Acute kidney injury20.01.03.0160.000499%
Multiple organ dysfunction syndrome08.01.03.0570.000098%
Spirometry abnormal13.19.01.0120.000261%Not Available
Acquired dysfibrinogenaemia01.01.02.0150.000375%Not Available
Tryptase increased13.06.03.0130.000499%Not Available
Airway peak pressure increased13.19.01.0070.000874%Not Available
Unmasking of previously unidentified disease08.01.03.0800.000250%Not Available
Infantile apnoea18.04.15.003; 22.11.02.0040.000375%Not Available
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