Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Ziconotide
Drug ID BADD_D02381
Description Ziconotide (also known as SNX-111) is a neurotoxic peptide derived from the cone snail _Conus magus_ comprising 25 amino acids with three disulphide bonds.[A202835, L13389] Other such peptides, collectively termed conotoxins, exist, and some have shown efficacy in binding specific subsets of calcium channels; ziconotide is used in part because it can be synthesized without loss of proper bond formation or structural elements.[A202829, A202832] Ziconotide is used to manage severe chronic pain refractory to other methods, through its ability to inhibit N-type calcium channels involved in nociceptive signalling.[A202829, A202835, A202838, A202841, A202850, A202859, L13389] Ziconotide was granted FDA approval on December 28, 2004 for marketing by TerSera therapeutics LLC. under the name Prialt.[L13389] To date, ziconotide is the only calcium channel blocking peptide approved for use by the FDA.[A202835]
Indications and Usage
Marketing Status Prescription; Discontinued
ATC Code N02BG08
DrugBank ID DB06283
KEGG ID D06363
MeSH ID C078452
PubChem ID 16135415
TTD Drug ID D01NLB
NDC Product Code 18860-723; 18860-722; 52416-777; 18860-720
Synonyms ziconotide | CYS-LYS-GLY-LYS-GLY-ALA-LYS-CYS-SER-ARG-LEU-MET-TYR-ASP-CYS-CYS-THR-GLY-SER-CYS-ARG-SER-GLY-LYS-CYS-NH2 | omega-conotoxin MVIIA | omega-conotoxin M VIIA | omega-conopeptide MVIIA | leconotide | SNX 111 | SNX-111 | omega-conotoxin MVIIA, Conus magus | Prialt
Chemical Information
Molecular Formula C102H172N36O32S7
CAS Registry Number 107452-89-1
SMILES CC1C(=O)NC(C(=O)NC2CSSCC3C(=O)NC(C(=O)NC(C(=O)NCC(=O)NC(C(=O)NC(CSSCC(C(=O)NC(CS SCC(C(=O)NC(C(=O)NCC(=O)NC(C(=O)NCC(=O)N1)CCCCN)CCCCN)N)C(=O)NC(C(=O)NCC(=O)NC(C (=O)N3)CO)C(C)O)NC(=O)C(NC(=O)C(NC(=O)C(NC(=O)C(NC(=O)C(NC(=O)C(NC2=O)CO)CCCNC(= N)N)CC(C)C)CCSC)CC4=CC=C(C=C4)O)CC(=O)O)C(=O)N)CCCCN)CO)CCCNC(=N)N)CCCCN
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 pain07.01.05.0020.000457%
Abdominal pain upper07.01.05.003--
Abnormal dreams17.15.02.001; 19.02.03.001--Not Available
Abortion spontaneous18.01.04.0010.000457%Not Available
Acute psychosis19.03.01.0010.000457%Not Available
Affective disorder19.04.04.001--Not Available
Ageusia17.02.07.001; 07.14.03.003--Not Available
Aggression19.05.01.0010.000913%Not Available
Agitation19.06.02.001; 17.02.05.0120.001218%
Altered state of consciousness17.02.04.001; 19.07.01.003--Not Available
Amnesia19.20.01.001; 17.03.02.0010.000609%
Angioedema23.04.01.001; 10.01.05.009--Not Available
Anxiety19.06.02.0020.001370%
Aphasia19.21.01.001; 17.02.03.0010.000457%
Areflexia17.02.01.001--Not Available
Arthralgia15.01.02.0010.000457%
Arthropathy15.01.01.0030.000304%Not Available
Aspartate aminotransferase increased13.03.01.006--
Asthenia08.01.01.001--Not Available
Ataxia17.02.02.001; 08.01.02.0040.000304%
Atrial fibrillation02.03.03.002--
Back pain15.03.04.0050.000304%
Blister23.03.01.001; 12.01.06.0020.000457%Not Available
Blood creatine phosphokinase increased13.04.01.0010.000761%
Blood creatine phosphokinase MM increased13.04.01.012--Not Available
Body temperature increased13.15.01.001--Not Available
Burning sensation17.02.06.001; 08.01.09.0290.000761%Not Available
Cerebrospinal fluid leakage17.02.05.001; 12.01.10.0040.000761%
Cerebrovascular accident24.03.05.001; 17.08.01.007--
Chest pain08.01.08.002; 02.02.02.011; 22.02.08.003--Not Available
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