Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Rosiglitazone
Drug ID BADD_D02419
Description Rosiglitazone is an anti-diabetic drug in the thiazolidinedione class of drugs. It is marketed by the pharmaceutical company GlaxoSmithKline as a stand-alone drug (Avandia) and in combination with metformin (Avandamet) or with glimepiride (Avandaryl). Like other thiazolidinediones, the mechanism of action of rosiglitazone is by activation of the intracellular receptor class of the peroxisome proliferator-activated receptors (PPARs), specifically PPARγ. Rosiglitazone is a selective ligand of PPARγ, and has no PPARα-binding action. Apart from its effect on insulin resistance, it appears to have an anti-inflammatory effect: nuclear factor kappa-B (NFκB) levels fall and inhibitor (IκB) levels increase in patients on rosiglitazone. Recent research has suggested that rosiglitazone may also be of benefit to a subset of patients with Alzheimer's disease not expressing the ApoE4 allele. This is the subject of a clinical trial currently underway.
Indications and Usage Rosiglitazone is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.
Marketing Status Not Available
ATC Code A10BG02
DrugBank ID DB00412
KEGG ID D08491
MeSH ID D000077154
PubChem ID 77999
TTD Drug ID Not Available
NDC Product Code Not Available
Synonyms Rosiglitazone | Rosiglitazone Maleate | 5-((4-(2-Methyl-2-(pyridinylamino)ethoxy)phenyl)methyl)-2,4-thiazolidinedione-2-butenedioate | Avandia | BRL 49653 | BRL-49653 | BRL49653
Chemical Information
Molecular Formula C18H19N3O3S
CAS Registry Number 122320-73-4
SMILES CN(CCOC1=CC=C(C=C1)CC2C(=O)NC(=O)S2)C3=CC=CC=N3
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)
Immune system disorder10.02.01.001--Not Available
Incontinence17.05.01.006; 07.01.06.011; 20.02.02.004--Not Available
Infection11.01.08.002--Not Available
Insomnia19.02.01.002; 17.15.03.002--
Intermittent claudication24.04.03.001--Not Available
Interstitial lung disease22.01.02.003; 10.02.01.033--Not Available
Intestinal ischaemia24.04.08.001; 07.15.02.001--Not Available
Intracranial aneurysm24.02.04.001; 17.08.06.0010.000601%Not Available
Jaundice23.03.03.030; 09.01.01.004; 01.06.04.004--Not Available
Joint swelling15.01.02.004--Not Available
Left ventricular failure02.05.02.0010.000801%Not Available
Lethargy19.04.04.004; 17.02.04.003; 08.01.01.008--
Libido decreased21.03.02.005; 19.08.03.001--
Liver disorder09.01.08.001--Not Available
Liver function test abnormal13.03.01.013--Not Available
Local swelling08.01.03.0130.002703%Not Available
Loss of consciousness17.02.04.004--Not Available
Loss of libido19.08.03.003--Not Available
Low density lipoprotein increased13.12.01.005--Not Available
Lung disorder22.02.07.001--Not Available
Macular degeneration06.09.03.001--Not Available
Macular oedema06.04.06.0050.007609%Not Available
Malaise08.01.01.003--
Malignant hypertension24.08.01.0020.000801%Not Available
Megacolon07.02.05.0020.000052%Not Available
Memory impairment17.03.02.003; 19.20.01.003--
Mental impairment19.21.02.003; 17.03.03.002--Not Available
Micturition disorder20.02.02.0050.000200%Not Available
Migraine24.03.05.003; 17.14.02.001--Not Available
Mitral valve incompetence02.07.01.0020.005507%Not Available
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