Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Zidovudine
Drug ID BADD_D02383
Description A dideoxynucleoside compound in which the 3'-hydroxy group on the sugar moiety has been replaced by an azido group. This modification prevents the formation of phosphodiester linkages which are needed for the completion of nucleic acid chains. The compound is a potent inhibitor of HIV replication, acting as a chain-terminator of viral DNA during reverse transcription. It improves immunologic function, partially reverses the HIV-induced neurological dysfunction, and improves certain other clinical abnormalities associated with AIDS. Its principal toxic effect is dose-dependent suppression of bone marrow, resulting in anemia and leukopenia. [PubChem]
Indications and Usage Used in combination with other antiretroviral agents for the treatment of human immunovirus (HIV) infections.
Marketing Status Prescription; Discontinued
ATC Code J05AF01
DrugBank ID DB00495
KEGG ID D00413
MeSH ID D015215
PubChem ID 35370
TTD Drug ID D01XYJ
NDC Product Code 52343-045; 52343-044; 70159-003; 53104-7545; 65015-703; 65862-258; 58326-2172; 70518-1656; 65862-024; 65862-107; 49702-213; 65862-321; 49587-101; 49702-212; 53873-070; 65862-048; 68554-0017; 53104-0101; 65015-765; 49702-211; 68554-0047; 31722-509
Synonyms Zidovudine | Azidothymidine | AZT Antiviral | 3'-Azido-3'-deoxythymidine | 3' Azido 3' deoxythymidine | AZT (Antiviral) | 3'-Azido-2',3'-Dideoxythymidine | 3' Azido 2',3' Dideoxythymidine | AZT, Antiviral | Antiviral AZT | Retrovir | BW A509U | BWA-509U | BWA 509U | BWA509U
Chemical Information
Molecular Formula C10H13N5O4
CAS Registry Number 30516-87-1
SMILES CC1=CN(C(=O)NC1=O)C2CC(C(O2)CO)N=[N+]=[N-]
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Bone marrow failureErythropoietinP01588T07958Not Available
Bone marrow failureInterleukin-3P08700Not AvailableNot Available
Cell deathTumor suppressor ARFQ8N726Not AvailableNot Available
Cell deathp21 proteinP78460Not AvailableNot Available
Cell deathCyclin-dependent kinase inhibitor 1P38936T39855Not Available
Cytogenetic abnormalityDNA-directed RNA polymerase, mitochondrialO00411Not Available9168161; 14640394; 10908523; 10796851; 10535663; 11575436; 11131713; 11850253
Metabolic disorderADP/ATP translocase 2P05141Not Available9174103; 10851273; 6882372; 2553907; 7945440; 16720018; 12123740; 1825787
Mitochondrial toxicityNADH-cytochrome b5 reductase 3P00387Not Available8101441; 2174736; 9747509; 9852271; 2871147; 2864080; 6324685
Mitochondrial toxicityReplicase polyprotein 1abP0C6X7Not Available8101441; 2174736; 9747509; 9852271; 2871147; 2864080; 6324685
Mitochondrial toxicityTranscription factor A, mitochondrialQ91ZW1Not Available10535663; 9168161; 12902348
Mitochondrial toxicityThymidine kinase 2, mitochondrialO00142T2297611708900; 9870320; 7833221; 9174176
Mitochondrial toxicityCytochrome c oxidase subunit 1P00395Not Available10535663; 9168161; 12902348
Mitochondrial toxicityNuclear respiratory factor 1Q16656Not Available10535663; 9168161; 12902348
NeoplasmCellular tumor antigen p53P04637T1573916569765; 11042529; 10799578; 15263796
Toxicity to various agentsThymidine kinase, cytosolicP04183T30081Not Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal discomfort07.01.06.0010.020261%Not Available
Abdominal pain07.01.05.0020.020261%
Abortion18.01.01.0010.020261%Not Available
Abortion spontaneous18.01.04.0010.050652%Not Available
Acidosis14.01.03.0020.020261%
Acne23.02.01.001--Not Available
Acquired immunodeficiency syndrome11.05.17.007; 10.03.03.001--Not Available
Acute lymphocytic leukaemia01.10.01.001; 16.01.01.0010.015856%Not Available
Agranulocytosis01.02.03.001--Not Available
Alanine aminotransferase13.03.01.031--Not Available
Amblyopia06.02.01.001--Not Available
Amylase13.05.01.010--Not Available
Anaemia01.03.02.0010.050652%
Anaemia neonatal18.04.03.002; 01.03.02.0110.030391%Not Available
Anaphylactic reaction10.01.07.001; 24.06.03.006--
Anaphylactic shock24.06.02.004; 10.01.07.002--Not Available
Angioedema23.04.01.001; 10.01.05.009--Not Available
Anxiety19.06.02.002--
Aplasia pure red cell10.02.01.003; 01.03.03.001--Not Available
Aplastic anaemia01.03.03.002--Not Available
Arthralgia15.01.02.001--
Aspartate aminotransferase13.03.01.032--Not Available
Aspartate aminotransferase increased13.03.01.006--
Asthenia08.01.01.001--Not Available
Atrial septal defect03.07.02.002; 02.04.02.0090.121566%Not Available
Auricular swelling04.01.01.002--Not Available
Back pain15.03.04.005--
Bacteraemia11.01.11.001--
Bladder pain20.02.02.001--Not Available
Blood creatine phosphokinase increased13.04.01.001--
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