Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Zafirlukast
Drug ID BADD_D02377
Description Zafirlukast is an oral leukotriene receptor antagonist (LTRA) for the maintenance treatment of asthma, often used in conjunction with an inhaled steroid and/or long-acting bronchodilator. It is available as a tablet and is usually dosed twice daily. Another leukotriene receptor antagonist is montelukast (Singulair), which is usually taken just once daily. Zafirlukast blocks the action of the cysteinyl leukotrienes on the CysLT1 receptors, thus reducing constriction of the airways, build-up of mucus in the lungs and inflammation of the breathing passages.
Indications and Usage For the prophylaxis and chronic treatment of asthma.
Marketing Status Prescription
ATC Code R03DC01
DrugBank ID DB00549
KEGG ID D00411
MeSH ID C062735
PubChem ID 5717
TTD Drug ID D05DVP
NDC Product Code 55111-626; 49884-549; 55111-625; 68084-059; 49884-590; 49884-554; 0904-6646; 31722-007; 31722-008; 50370-0008; 63629-2102; 49884-589; 52562-800; 65977-0113; 52562-801; 55111-886
Synonyms zafirlukast | 4-(5-cyclopentyloxycarbonylamino-2-methylindol-3-yl-methyl)-3-methoxy-N-O-tolylsulfonylbenzamide | Olmoran | ICI 204,219 | ICI-204219 | ICI 204219 | Accolate | Aeronix
Chemical Information
Molecular Formula C31H33N3O6S
CAS Registry Number 107753-78-6
SMILES CC1=CC=CC=C1S(=O)(=O)NC(=O)C2=CC(=C(C=C2)CC3=CN(C4=C3C=C(C=C4)NC(=O)OC5CCCC5)C)O C
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Drug level decreasedCytochrome P450 2C9P11712T19244806430; 5458032; 1109248
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Hepatic function abnormal09.01.02.001--Not Available
Hepatitis09.01.07.004--Not Available
Hepatitis fulminant09.01.07.007; 11.07.01.003--Not Available
Hepatotoxicity12.03.01.008; 09.01.07.009--Not Available
Hyperbilirubinaemia14.11.01.010; 09.01.01.003; 01.06.04.003--Not Available
Hypersensitivity10.01.03.003--
Hypersensitivity vasculitis01.01.04.008; 24.05.02.012; 23.06.02.005; 10.02.02.017--Not Available
Hypoaesthesia17.02.06.023--Not Available
Increased tendency to bruise24.07.06.012; 23.06.01.009; 01.01.03.005--Not Available
Infection11.01.08.002--Not Available
Influenza like illness08.01.03.010--
Injury12.01.08.004--Not Available
Insomnia17.15.03.002; 19.02.01.002--
Jaundice23.03.03.030; 09.01.01.004; 01.06.04.004--Not Available
Liver function test abnormal13.03.01.013--Not Available
Liver transplant25.09.02.001--Not Available
Malaise08.01.01.003--
Myalgia15.05.02.001--
Nausea07.01.07.001--
Neuropathy peripheral17.09.03.003--Not Available
Neutropenia01.02.03.004--Not Available
Oedema14.05.06.010; 08.01.07.006--Not Available
Pain08.01.08.004--
Pruritus23.03.12.001--
Pyrexia08.05.02.003--
Rash23.03.13.001--Not Available
Rectal haemorrhage24.07.02.018; 07.12.03.001--
Sensory loss17.02.07.007--Not Available
Sinusitis22.07.03.007; 11.01.13.005--
Swelling08.01.03.015--Not Available
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