Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Sulindac
Drug ID BADD_D02097
Description Sulindac is a nonsteroidal anti-inflammatory drug (NSAID) of the arylalkanoic acid class that is marketed by Merck under the brand name Clinoril. Like other NSAIDs, it may be used in the treatment of acute or chronic inflammatory conditions. Sulindac is a prodrug, derived from sulfinylindene, that is converted _in vivo_ to an active sulfide compound by liver enzymes. There is evidence from some studies that sulindac may be associated with fewer gastrointestinal side effects than other NSAIDs, except for the cyclooxygenase-2 (COX-2) inhibitor drug class. This may be due to the sulfide metabolite undergoing enterohepatic circulation thus maintaining constant blood levels of the compound without inducing gastrointestinal effects, where the drug is excreted in the bile and then reabsorbed from the intestines. While its full mechanism of action is not fully understood, sulindac is thought to primarily mediate its action by inhibiting prostaglandin synthesis by inhibiting COX-1 and COX-2.
Indications and Usage For acute or long-term use in the relief of signs and symptoms of osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, acute painful shoulder (acute subacromial bursitis/supraspinatus tendinitis), and acute gouty arthritis.
Marketing Status Prescription; Discontinued
ATC Code M01AB02
DrugBank ID DB00605
KEGG ID D00120
MeSH ID D013467
PubChem ID 1548887
TTD Drug ID D0Z5IU
NDC Product Code 53489-479; 0904-6216; 0591-5660; 71335-0413; 0904-6217; 0591-5661; 63629-3208; 50090-4976; 49452-7583; 71335-0535; 53489-478; 24658-771; 55700-682; 42806-018; 52133-0007; 55111-059; 61919-211; 71205-648; 24658-770; 17337-0541; 55289-930; 50090-0529; 42806-011
Synonyms Sulindac | Apo-Sulin | Apo Sulin | Arthrobid | Clinoril | Arthrocine | Klinoril | Sulindal | Chibret | Kenalin | MK-231 | MK 231 | MK231 | Novo-Sundac | Novo Sundac | Nu-Sulindac | Nu Sulindac | Aclin | Copal
Chemical Information
Molecular Formula C20H17FO3S
CAS Registry Number 38194-50-2
SMILES CC1=C(C2=C(C1=CC3=CC=C(C=C3)S(=O)C)C=CC(=C2)F)CC(=O)O
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)
Toxic epidermal necrolysis10.01.01.006; 23.03.01.008; 12.03.01.015; 11.07.01.006--
Urticaria23.04.02.001; 10.01.06.001--
Vaginal haemorrhage24.07.03.005; 21.08.01.001--
Vascular purpura01.01.04.007; 24.07.06.011; 23.06.01.008--Not Available
Vertigo17.02.12.002; 04.04.01.003--
Vision blurred17.17.01.010; 06.02.06.007--
Visual impairment06.02.06.008--Not Available
Vomiting07.01.07.003--
Tubulointerstitial nephritis20.05.02.002--Not Available
Hypoacusis04.02.01.006--
Protein urine present13.13.02.006--Not Available
Musculoskeletal discomfort15.03.04.001--Not Available
Urine output13.13.03.003--Not Available
Mental disorder19.07.01.002--Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Ill-defined disorder08.01.03.049--Not Available
Renal impairment20.01.03.010--Not Available
Bone marrow failure01.03.03.005--
Nephritic syndrome20.05.01.006--Not Available
Drug reaction with eosinophilia and systemic symptoms23.03.05.005; 10.01.01.021--Not Available
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