Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Glycopyrronium
Drug ID BADD_D02432
Description Glycopyrronium, also known as NVA237 or glycopyrrolate, is a racemic mixture of two enantiomers.[L33110] They are both quaternary ammonium compounds and long acting muscarinic antagonists.[L33110] It is one of the most commonly prescribed anticholinergic medications.[A233535,A233540] Early research into glycopyrronium use was for its indication as an adjunct therapy in the treatment of peptic ulcers.[A233570,L33090] Later research, taking advantage of the systemic distribution of muscarinic receptors through the body, found that glycopyrronium could also be used for reducing sweat gland,[L4755] oral,[L33140] airway, and gastric secretions;[L33120] as well as reducing cardiac inhibitory reflexes;[L33120] and reducing bronchoconstriction in COPD.[L33105] Glycopyrronium is commonly prescribed as a first line treatment for a wide variety indications and is considered to have a wider therapeutic window than [tiotropium].[A233565] Glycopyrronium was originally granted FDA approval on 11 August 1961.[L33090]
Indications and Usage For use as a preoperative antimuscarinic to reduce salivary, tracheobronchial, and pharyngeal secretions, to reduce the volume and free acidity of gastric secretions and to block cardiac vagal inhibitory reflexes during induction of anesthesia and intubation. Also used to treat chronic obstructive pulmonary disease (COPD).
Marketing Status Not Available
ATC Code D11AA01
DrugBank ID DB00986
KEGG ID D10938
MeSH ID D006024
PubChem ID 9933193
TTD Drug ID D0M0AM
NDC Product Code 69489-411; 70428-011
Synonyms Glycopyrrolate | Glycopyrronium Bromide | Bromide, Glycopyrronium | Pyrrolidinium, 3-((cyclopentylhydroxyphenylacetyl)oxy)-1,1-dimethyl-, bromide | Glycopyrronium | NVA237 | NVA 237 | NVA-237
Chemical Information
Molecular Formula C19H28NO3+
CAS Registry Number 746600-85-1
SMILES C[N+]1(CCC(C1)OC(=O)C(C2CCCC2)(C3=CC=CC=C3)O)C
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)
Dyspnoea22.02.01.004; 02.01.03.0020.088974%
Dysuria20.02.02.0020.015970%
Emphysema22.01.02.0020.002976%Not Available
Eye pain06.08.03.0020.004563%
Eye swelling06.08.03.0030.004563%Not Available
Fatigue08.01.01.002--
Forced expiratory volume decreased13.19.01.0030.006844%
Gait disturbance17.02.05.016; 08.01.02.0020.004563%
Hallucination19.10.02.0020.004563%
Headache17.14.01.0010.043346%
Hyperhidrosis23.02.03.004; 08.01.03.0280.020532%
Hypersensitivity10.01.03.0030.004563%
Hypertension24.08.02.0010.018251%
Hypertensive crisis24.08.01.0010.004563%Not Available
Hypokinesia17.01.02.0090.004563%Not Available
Hypotension24.06.03.002--
Lethargy19.04.04.004; 17.02.04.003; 08.01.01.0080.004563%
Loss of consciousness17.02.04.0040.006844%Not Available
Lung disorder22.02.07.0010.002976%Not Available
Malaise08.01.01.0030.018251%
Mydriasis17.02.11.003; 06.05.03.0040.127757%Not Available
Nausea07.01.07.001--
Oxygen saturation decreased13.02.01.0040.004563%Not Available
Paralysis17.01.04.0040.004563%Not Available
Pharyngeal haemorrhage24.07.02.017; 22.04.05.0020.004563%
Photophobia06.01.01.004; 17.17.02.0060.009126%
Productive cough22.02.03.0050.006844%
Pulmonary oedema22.01.03.003; 02.05.02.0030.001190%
Pyrexia08.05.02.003--
Rash23.03.13.0010.018251%Not Available
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