Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Dalteparin
Drug ID BADD_D02459
Description Dalteparin, a low molecular weight heparin (LMWH) prepared by nitrous acid degradation of unfractionated heparin of porcine intestinal mucosa origin, is an anticoagulant. It is composed of strongly acidic sulphated polysaccharide chains with an average molecular weight of 5000 and about 90% of the material within the range of 2000-9000. LMWHs have a more predictable response, a greater bioavailability, and a longer anti-Xa half life than unfractionated heparin. Dalteparin can also be safely used in most pregnant women. Low molecular weight heparins are less effective at inactivating factor IIa due to their shorter length compared to unfractionated heparin.
Indications and Usage Dalteparin is used as a prophylaxis for deep-vein thrombosis and pulmonary embolisms in patients undergoing general surgery (e.g., abdominal, gynecologic, urologic), and in patients with acute medical conditions (e.g. cancer, bed rest, heart failure, severe lung disease). It is also used in patients who have severely restricted mobility, which poses a risk for thromboembolic complications. Dalteparin is also used concomitantly with aspirin and/or other therapy (e.g., nitrates, β-adrenergic blockers, clopidogrel, platelet glycoprotein [GP] IIb/IIIa-receptor inhibitors) to reduce the risk of acute cardiac ischemic events. The patients who undergo this treatment combination have unstable angina or non-ST-segment elevation/non-Q-wave myocardial infarction (i.e., non-ST-segment elevation acute coronary syndromes). It is also used in the prevention of clotting during hemodialysis and hemofiltration in connection with acute renal failure or chronic renal insufficiency.
Marketing Status Not Available
ATC Code B01AB04
DrugBank ID DB06779
KEGG ID D03353
MeSH ID D017985
PubChem ID 772
TTD Drug ID D01ZJK
NDC Product Code Not Available
Synonyms Dalteparin | Tedelparin | FR-860 | FR 860 | FR860 | Kabi-2165 | Kabi 2165 | Kabi2165 | Dalteparin Sodium | Sodium, Dalteparin | Fragmin | Fragmine
Chemical Information
Molecular Formula C26H42N2O37S5
CAS Registry Number 9005-49-6
SMILES CC(=O)NC1C(C(C(OC1O)COS(=O)(=O)O)OC2C(C(C(C(O2)C(=O)O)OC3C(C(C(C(O3)CO)OC4C(C(C( C(O4)C(=O)O)O)O)OS(=O)(=O)O)OS(=O)(=O)O)NS(=O)(=O)O)O)OS(=O)(=O)O)O
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)
Abdominal discomfort07.01.06.0010.019057%Not Available
Abdominal pain07.01.05.0020.044465%
Abdominal pain upper07.01.05.0030.019057%
Activated partial thromboplastin time prolonged13.01.02.0010.012704%
Acute hepatic failure09.01.03.0010.003314%Not Available
Agranulocytosis01.02.03.0010.012704%Not Available
Alanine aminotransferase increased13.03.01.0030.038113%
Anaemia01.03.02.0010.044465%
Anal atresia07.13.05.001; 03.04.06.0010.012704%Not Available
Arthralgia15.01.02.001--
Ascites09.01.05.003; 07.07.01.001; 02.05.04.0020.012704%
Aspartate aminotransferase increased13.03.01.0060.025409%
Back pain15.03.04.0050.031761%
Blister23.03.01.001; 12.01.06.0020.012704%Not Available
Blood potassium increased13.11.01.0110.012704%Not Available
Blood pressure increased13.14.03.0050.019057%Not Available
Cardiac arrest02.03.04.0010.004971%
Cardiac failure02.05.01.0010.004971%
Cardio-respiratory arrest22.02.06.007; 02.03.04.0020.003314%Not Available
Cardiogenic shock24.06.02.006; 02.05.01.0030.003314%Not Available
Cerebral haemorrhage24.07.04.001; 17.08.01.0030.009943%Not Available
Cerebral infarction24.04.06.002; 17.08.01.0040.012704%Not Available
Cerebrovascular accident24.03.05.001; 17.08.01.007--
Chest pain22.02.08.003; 08.01.08.002; 02.02.02.0110.004971%Not Available
Circulatory collapse24.06.02.0010.003314%Not Available
Coma17.02.09.0010.003314%Not Available
Compartment syndrome24.04.05.006; 15.05.05.0050.012704%Not Available
Confusional state19.13.01.001; 17.02.03.005--
Constipation07.02.02.001--
Death08.04.01.001--
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