Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Scopolamine hydrobromide
Drug ID BADD_D01995
Description Scopolamine is a tropane alkaloid isolated from members of the _Solanaceae_ family of plants, similar to [atropine] and [hyoscyamine], all of which structurally mimic the natural neurotransmitter [acetylcholine].[A228423, A228763] Scopolamine was first synthesized in 1959, but to date, synthesis remains less efficient than extracting scopolamine from plants.[A228763] As an acetylcholine analogue, scopolamine can antagonize muscarinic acetylcholine receptors (mAChRs) in the central nervous system and throughout the body, inducing several therapeutic and adverse effects related to alteration of parasympathetic nervous system and cholinergic signalling.[A228758, L31578] Due to its dose-dependent adverse effects, scopolamine was the first drug to be offered commercially as a transdermal delivery system, Scopoderm TTS®, in 1981.[A228423, A228758] As a result of its anticholinergic effects, scopolamine is being investigated for diverse therapeutic applications; currently, it is approved for the prevention of nausea and vomiting associated with motion sickness and surgical procedures.[A228773, L31578] Scopolamine was first approved by the FDA on December 31, 1979, and is currently available as both oral tablets and a transdermal delivery system.[L31578]
Indications and Usage For the treatment of excessive salivation, colicky abdominal pain, bradycardia, sialorrhoea, diverticulitis, irritable bowel syndrome and motion sickness.
Marketing Status Prescription
ATC Code A04AD01; N05CM05; S01FA02
DrugBank ID DB00747
KEGG ID D02071
MeSH ID D012601
PubChem ID 517999
TTD Drug ID D0B7YT
NDC Product Code 55742-011; 51886-0101
Synonyms Scopolamine | Hyoscine | Transderm Scop | Scopoderm TTS | Transderm-V | Transderm V | Travacalm HO | Vorigeno | Boro-Scopol | Boro Scopol | Isopto Hyoscine | Kwells | Scoburen | Scopace | Scopolamine Cooper | Scopolamine Hydrobromide
Chemical Information
Molecular Formula C17H21NO4.BrH
CAS Registry Number 114-49-8
SMILES CN1C2CC(CC1C3C2O3)OC(=O)C(CO)C4=CC=CC=C4.Br
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Memory impairmentDNA (cytosine-5)-methyltransferase 1P26358T88304Not Available
Memory impairmentHistone deacetylase 2Q92769T51191Not Available
Memory impairmentTumor necrosis factorP16599Not AvailableNot Available
Memory impairmentAcetylcholinesteraseP37136Not AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Agitation19.06.02.001; 17.02.05.012--
Angle closure glaucoma06.03.01.001--Not Available
Arrhythmia02.03.02.001--Not Available
Bradycardia02.03.02.002--Not Available
Confusional state19.13.01.001; 17.02.03.005--
Conjunctivitis11.01.06.012; 06.04.01.002--
Constipation07.02.02.001--
Depressed level of consciousness17.02.04.002--
Dermatitis23.03.04.002--Not Available
Disorientation19.13.01.002; 17.02.05.015--Not Available
Dizziness24.06.02.007; 17.02.05.003; 02.01.02.004--
Dry mouth07.06.01.002--
Eczema23.03.04.006--
Erythema23.03.06.001--Not Available
Feeling abnormal08.01.09.014--Not Available
Hallucination19.10.02.002--
Hallucination, visual19.10.02.004--Not Available
Hypotension24.06.03.002--
Injection site irritation12.07.03.027; 08.02.03.027--Not Available
Irritability19.04.02.013; 08.01.03.011--
Mydriasis17.02.11.003; 06.05.03.004--Not Available
Oedema14.05.06.010; 08.01.07.006--Not Available
Pain08.01.08.004--
Pericardial effusion02.06.01.002--
Rash23.03.13.001--Not Available
Somnolence17.02.04.006; 19.02.05.003--
Tachycardia02.03.02.007--Not Available
Tremor17.01.06.002--
Vision blurred17.17.01.010; 06.02.06.007--
Vascular occlusion24.04.02.015--Not Available
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