Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Trientine
Drug ID BADD_D02279
Description Triethylenetatramine (TETA) is a highly selective divalent Cu(II) chelator and orphan drug that revereses copper overload in tissues. Its salt form, trientine (triethylenetetramine dihydrochloride or 2,2,2-tetramine) was introduced in 1969 as an alternative to D-penicillamine. It consists of a polyamine-like structure different from D-penicillamine, as it lack sulfhydryl groups. It was previously approved by FDA in 1985 as second-line pharmacotherapy for Wilson's disease. Although penicillamine treatment is believed to be more extensive, TETA therapy has been shown to be an effective initial therapy, even with patients with decompensated liver disease at the outset, and prolonged TETA treatment is not associated with adverse effects as expected in penicillamine treatment. Its clinical applications on cancer, diabetes mellitus, Alzheimer's disease and vascular demetia are being studied.
Indications and Usage Trientine is a copper chelator used in the treatment of Wilson's disease as an alternative to D-penicillamine. It tends to be used in patients who are experiencing serious adverse effects from penicillamine therapy or intolerance of penicillamine.
Marketing Status Prescription
ATC Code A16AX12
DrugBank ID DB06824
KEGG ID D00736
MeSH ID D014266
PubChem ID 5565
TTD Drug ID D09VAZ
NDC Product Code 69238-1545
Synonyms Trientine | Triethylenetetramine | Trien | Syprine | Trientine Hydrochloride | Trientine Dihydrochloride
Chemical Information
Molecular Formula C6H18N4
CAS Registry Number 112-24-3
SMILES C(CNCCNCCN)N
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)
Abdominal pain07.01.05.002--
Abdominal pain upper07.01.05.003--
Asthenia08.01.01.001--Not Available
Discomfort08.01.08.003--Not Available
Feeling abnormal08.01.09.014--Not Available
Gastritis07.08.02.001--
Gastrointestinal pain07.01.05.005--
Hypochromic anaemia01.03.02.004--Not Available
Iron deficiency14.13.02.002--Not Available
Malaise08.01.01.003--
Melaena24.07.02.013; 07.12.02.004--Not Available
Muscle spasms15.05.03.004--
Myalgia15.05.02.001--
Myasthenia gravis10.04.05.001; 17.05.04.001; 15.05.08.001--
Rhabdomyolysis15.05.05.002--
Systemic lupus erythematosus23.03.02.006; 15.06.02.003; 10.04.03.004--Not Available
Tenderness08.01.08.005--Not Available
Ulcer08.03.06.001--Not Available
Musculoskeletal discomfort15.03.04.001--Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Ill-defined disorder08.01.03.049--Not Available
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