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Description A dideoxynucleoside compound in which the 3'-hydroxy group on the sugar moiety has been replaced by an azido group.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 failureInterleukin-3P08700Not AvailableNot Available
Bone marrow failureErythropoietinP01588T07958Not Available
Cell deathp21 proteinP78460Not AvailableNot Available
Cell deathCyclin-dependent kinase inhibitor 1P38936T39855Not Available
Cell deathTumor suppressor ARFQ8N726Not AvailableNot 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 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
Mitochondrial toxicityNADH-cytochrome b5 reductase 3P00387Not Available8101441; 2174736; 9747509; 9852271; 2871147; 2864080; 6324685
Mitochondrial toxicityReplicase polyprotein 1abP0C6X7Not Available8101441; 2174736; 9747509; 9852271; 2871147; 2864080; 6324685
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)
Dysuria20.02.02.002--
Ear pain04.03.01.003--
Ear swelling04.03.01.014--Not Available
Electrocardiogram abnormal13.14.05.001--Not Available
Epistaxis24.07.01.005; 22.04.03.001--
Eructation07.01.02.003--
Erythema23.03.06.001--Not Available
Erythema multiforme23.03.01.003; 10.01.03.015--
Fallot's tetralogy03.07.06.001; 02.08.01.0020.020261%Not Available
Fatigue08.01.01.002--
Feeling abnormal08.01.09.014--Not Available
Flatulence07.01.04.002--
Fluid retention20.01.02.003; 14.05.06.002--Not Available
Gastrointestinal disorder07.11.01.001--Not Available
Gastrointestinal pain07.01.05.005--
Generalised oedema14.05.06.007; 08.01.07.004--
Gingival bleeding07.09.07.001; 24.07.02.010--Not Available
Granulocytopenia01.02.03.003--Not Available
Gynaecomastia21.05.04.003; 05.05.02.003--
Haematoma24.07.01.0010.020261%
Haematuria24.07.01.047; 20.02.01.006--
Haemoglobin13.01.05.018--Not Available
Haemolytic anaemia01.06.03.002--Not Available
Headache17.14.01.001--
Heart disease congenital03.07.07.001; 02.01.01.0090.015856%Not Available
Hepatitis09.01.07.004--Not Available
Hepatitis C11.05.06.004; 09.01.09.005--Not Available
Hepatocellular injury09.01.07.008--Not Available
Hepatomegaly09.01.05.0010.020261%Not Available
Hepatotoxicity12.03.01.008; 09.01.07.0090.020261%Not Available
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