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Description A dideoxynucleoside compound in which the 3'-hydroxy group on the sugar moiety has been replaced by an azido group.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)
Urethral disorder20.07.01.002--Not Available
Urinary hesitation20.02.02.009--Not Available
Urinary tract disorder20.08.01.001--Not Available
Urticaria10.01.06.001; 23.04.02.001--
Vasculitis24.05.02.001; 10.02.02.006--
Ventricular septal defect03.07.02.001; 02.04.02.0070.081044%Not Available
Vertigo17.02.12.002; 04.04.01.003--
Vomiting07.01.07.0030.050652%
Weight decreased13.15.01.0050.020261%
Wheezing22.03.01.009--
Fat redistribution14.08.04.002--Not Available
Hypoacusis04.02.01.006--
Localised oedema14.05.06.009; 08.01.07.011; 02.05.04.006--
Lipodystrophy acquired14.08.04.008; 23.07.01.0030.020261%Not Available
Left ventricular hypertrophy02.04.02.014--Not Available
Lipase13.05.01.011--Not Available
Necrotising colitis07.08.01.0130.020261%Not Available
Lymphatic disorder01.09.01.003--Not Available
Foetor hepaticus09.01.05.006; 07.01.06.026--Not Available
Musculoskeletal discomfort15.03.04.001--Not Available
Affect lability19.04.01.001--Not Available
Body fat disorder14.08.04.012--Not Available
Foetal death08.04.01.011; 18.01.02.0030.005285%
Nail pigmentation23.02.05.007--Not Available
Vasodilation procedure25.03.01.001--Not Available
Drug resistance08.06.01.0050.013214%Not Available
Urine output increased13.13.03.002--Not Available
Breast disorder21.05.04.004--Not Available
Cardiac disorder02.01.01.003--Not Available
Connective tissue disorder15.06.01.006--Not Available
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