Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Rocuronium bromide
Drug ID BADD_D01960
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 441351
TTD Drug ID D0L5CZ
NDC Product Code 60722-1005; 55150-225; 65219-065; 55150-226; 70860-651; 51662-1545; 0781-3220; 71872-7202; 63592-0178; 43066-007; 0143-9250; 72611-756; 68083-364; 12860-0450; 43066-013; 58175-0395; 71872-7211; 25021-662; 55486-1593; 60870-0450; 39822-4200; 10695-023; 71872-7207; 71872-7262; 51662-1354; 0409-9558; 68083-365; 67457-228; 72611-757; 65089-0018; 71872-7036; 51662-1546; 63323-426; 81565-204; 17404-1022; 0143-9251; 51662-1355; 72572-651; 72572-650; 38779-3051
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 C32H53BrN2O4
CAS Registry Number 119302-91-9
SMILES CC(=O)OC1C(CC2C1(CCC3C2CCC4C3(CC(C(C4)O)N5CCOCC5)C)C)[N+]6(CCCC6)CC=C.[Br-]
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)
Anaphylactic reaction24.06.03.006; 10.01.07.001--
Arrhythmia02.03.02.001--Not Available
Asthma22.03.01.002; 10.01.03.010--Not Available
Bronchospasm22.03.01.004; 10.01.03.012--
Electrocardiogram abnormal13.14.05.001--Not Available
Hiccups22.02.04.002; 07.01.06.009--
Hypertension24.08.02.001--
Hypotension24.06.03.002--
Injection site oedema12.07.03.024; 08.02.03.024--Not Available
Myopathy15.05.05.001--Not Available
Nausea07.01.07.001--
Paralysis17.01.04.004--Not Available
Pruritus23.03.12.001--
Pulmonary vascular resistance abnormality22.06.03.001; 24.03.08.002--Not Available
Rash23.03.13.001--Not Available
Rhonchi22.02.04.005--Not Available
Tachycardia02.03.02.007--Not Available
Vomiting07.01.07.003--
Wheezing22.03.01.009--
Vascular resistance pulmonary increased13.14.03.020--Not Available
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