Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Methylene blue
Drug ID BADD_D02475
Description Methylene blue is an oxidation-reduction agent. The intravenous form of methylene blue is approved by the FDA for the treatment of pediatric and adult patients with acquired methemoglobinemia. Historically, it has been widely used in Africa to treat malaria, but now it disappeared when chloroquine (CQ) and other drugs entered the market. Its use as an urinary tract antiseptic has also been investigated. Methylthioninium chloride (INN, or methylene blue, proposed trade name Rember) is an investigational drug being developed by the University of Aberdeen and TauRx Therapeutics that has been shown in early clinical trials to be an inhibitor of Tau protein aggregation. The drug is of potential interest for the treatment of patients with Alzheimer's disease.
Indications and Usage Methylene blue has several indications in medicine: 1. found to improve the hypotension associated with various clinical states. 2. Antiseptic in urinary tract infections. 3. Improves hypoxia and hyper dynamic circulation in cirrhosis of liver and severe hepatopulmonary syndrome. 4. Results in transient and reproducible improvement in blood pressure and cardiac function in septic shock. 5. Investigated for the treatment of Alzheimer's disease. 6. Treatment of ifofosamide induced neurotoxicity.
Marketing Status Not Available
ATC Code V03AB17; V04CG05
DrugBank ID DB09241
KEGG ID C00220
MeSH ID D008751
PubChem ID 6099
TTD Drug ID D09NYS
NDC Product Code 17223-0030; 73379-101; 69575-4026; 0517-0381; 68022-7067; 17223-0029; 0517-0371; 0517-0374; 12598-9541; 17478-504; 0517-0125; 54288-147
Synonyms Methylene Blue | Blue, Methylene | Methylthioninium Chloride | Methylthionine Chloride | Swiss Blue | Blue, Swiss | Basic Blue 9 | Blue 9, Basic | Methylene Blue N | Blue N, Methylene | Chromosmon | Urolene Blue | Blue, Urolene
Chemical Information
Molecular Formula C16H18ClN3S
CAS Registry Number 61-73-4
SMILES CN(C)C1=CC2=C(C=C1)N=C3C=CC(=[N+](C)C)C=C3S2.[Cl-]
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Mucosal findings abnormalTumor necrosis factorP01375T20178Not Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Agitation19.06.02.001; 17.02.05.0120.001455%
Anaemia01.03.02.0010.000727%
Anaphylactic reaction24.06.03.006; 10.01.07.0010.000727%
Anaphylactic shock24.06.02.004; 10.01.07.0020.001091%Not Available
Blindness17.17.01.003; 06.02.02.0010.000727%Not Available
Cellulitis23.09.01.001; 11.02.01.0010.001091%Not Available
Chromaturia20.02.01.0020.000727%
Clonus17.02.05.0020.000727%Not Available
Confusional state19.13.01.001; 17.02.03.0050.001455%
Delirium19.13.02.0010.000727%
Depressed level of consciousness17.02.04.0020.000727%
Dyskinesia17.01.02.0060.000727%
Encephalopathy17.13.02.0010.004728%
Haemolytic anaemia01.06.03.0020.001091%Not Available
Hyperreflexia17.02.01.0020.000727%Not Available
Hypertension24.08.02.0010.000727%
Hypotension24.06.03.0020.000727%
Leukopenia01.02.02.0010.000727%Not Available
Muscle rigidity17.05.02.005; 15.05.04.0010.000727%Not Available
Mydriasis17.02.11.003; 06.05.03.0040.000727%Not Available
Necrosis24.04.02.006; 08.03.03.0010.000727%Not Available
Nervous system disorder17.02.10.0010.000727%Not Available
Neurotoxicity17.02.10.002; 12.03.01.0110.000727%Not Available
Neutropenia01.02.03.0040.000727%Not Available
Pain08.01.08.0040.000727%
Pruritus23.03.12.0010.000727%
Pupillary reflex impaired17.02.11.007; 06.05.03.0090.000727%Not Available
Renal failure20.01.03.0050.000727%Not Available
Serotonin syndrome17.05.02.004; 15.05.04.016; 12.03.01.0410.001455%Not Available
Skin discolouration23.03.03.0050.004001%Not Available
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