Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Roflumilast
Drug ID BADD_D01962
Description Roflumilast is a phosphodiesterase-4 (PDE-4) inhibitor. Due to its selective inhibition of the PDE4 isoenzyme in lung cells, roflumilast is indicated for the management of chronic obstrtuctive pulmonary disease (COPD) exacerbations. Treatment with Roflumilast is associated with an increase in psychiatric adverse reactions, including suicide and suicidal attempts.
Indications and Usage Roflumilast is indicated as a treatment to reduce the risk of COPD exacerbations in patients with severe COPD associated with chronic bronchitis and a history of exacerbations. Roflumilast is not a bronchodilator and is not indicated for the relief of acute bronchospasm.
Marketing Status Prescription
ATC Code R03DX07
DrugBank ID DB01656
KEGG ID D05744
MeSH ID C424423
PubChem ID 449193
TTD Drug ID D0R4UW
NDC Product Code 43265-7463; 47234-0088; 64552-4053; 54245-7016; 65977-0111; 82245-0118; 43265-7462; 0310-0088; 0310-0095; 47234-0095; 14501-0078; 65015-850; 59651-222
Synonyms Roflumilast | 3-cyclopropylmethoxy-4-difluoromethoxy-N-(3,5-di-chloropyrid-4-yl)benzamide | daliresp
Chemical Information
Molecular Formula C17H14Cl2F2N2O3
CAS Registry Number 162401-32-3
SMILES C1CC1COC2=C(C=CC(=C2)C(=O)NC3=C(C=NC=C3Cl)Cl)OC(F)F
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)
Drug tolerance decreased08.06.01.0240.004796%Not Available
Musculoskeletal stiffness15.03.01.0050.007194%Not Available
Musculoskeletal discomfort15.03.04.001--Not Available
Pulmonary mass22.02.07.0040.004796%Not Available
Lung neoplasm malignant22.08.01.001; 16.19.02.0010.001877%Not Available
Hot flush24.03.01.005; 21.02.02.001; 08.01.03.0270.004796%
Prostate cancer21.04.02.002; 16.25.01.001--Not Available
Bacterial infection11.02.01.0050.004796%Not Available
Appetite disorder19.09.01.002; 14.03.01.0040.007194%Not Available
Cardiac disorder02.01.01.0030.002502%Not Available
Connective tissue disorder15.06.01.006--Not Available
Infestation23.09.05.001; 11.09.01.001--Not Available
Lung infection22.07.01.008; 11.01.09.0080.011989%
Malnutrition14.03.02.004--Not Available
Mediastinal disorder22.09.03.001--Not Available
Mental disorder19.07.01.0020.009591%Not Available
Decreased appetite14.03.01.005; 08.01.09.0280.083925%
Ill-defined disorder08.01.03.049--Not Available
Drug intolerance08.06.01.013--Not Available
Psychotic disorder19.03.01.0020.004796%
Hepatobiliary disease09.01.08.003--Not Available
Respiratory tract infection22.07.07.001; 11.01.08.0170.002502%Not Available
Unevaluable event08.01.03.0510.014387%Not Available
Increased bronchial secretion22.02.04.0070.007194%Not Available
Increased upper airway secretion22.02.05.0210.009591%Not Available
Acute kidney injury20.01.03.016--
Vocal cord polyp16.38.02.001; 22.04.01.0090.004796%Not Available
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