Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Acipimox
Drug ID BADD_D00035
Description Acipimox is a niacin derivative used as a hypolipidemic agent. It is used in low doses and may have less marked adverse effects, although it is unclear whether the recommended dose is as effective as are standard doses of nicotinic acid. Acipimox inhibits the production of triglycerides by the liver and the secretion of VLDL, which leads indirectly to a modest reduction in LDL and increase in HDL. Long-term administration is associated with reduced mortality, but unwanted effects limit its clinical use. Adverse effects include flushing (associated with Prostaglandin D2), palpitations, and GI disturbances. Flushing can be reduced by taking aspirin 20-30 min before taking Acipimox. High doses can cause disorders of liver function, impair glucose tolerance and precipitate gout.
Indications and Usage Used in the treatment of hyperlipidemias (abnormally elevated levels of any or all lipids and/or lipoproteins in the blood).
Marketing Status approved; investigational
ATC Code C10AD06
DrugBank ID DB09055
KEGG ID D07190
MeSH ID C027696
PubChem ID 5310993
TTD Drug ID D0S1NZ
NDC Product Code Not Available
UNII K9AY9IR2SD
Synonyms acipimox | 5-methylpyrazine-2-carboxylic acid 4-oxide | 5-methylpyrazinecarboxylic acid 4-oxide | Nedios | Olbetam | Olbemox
Chemical Information
Molecular Formula C6H6N2O3
CAS Registry Number 51037-30-0
SMILES CC1=CN=C(C=[N+]1[O-])C(=O)O
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice.
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal pain upper07.01.05.003--
Anaphylactic shock10.01.07.002; 24.06.02.004---
Anaphylactoid reaction10.01.07.003; 24.06.03.007---
Angioedema10.01.05.009; 22.04.02.008; 23.04.01.001---
Arthralgia15.01.02.001--
Asthenia08.01.01.001---
Bronchospasm10.01.03.012; 22.03.01.004--
Dermatitis23.03.04.002---
Diarrhoea07.02.01.001--
Discomfort08.01.08.003---
Dyspepsia07.01.02.001--
Erythema23.03.06.001---
Feeling abnormal08.01.09.014---
Feeling hot08.01.09.009---
Flushing08.01.03.025; 23.06.05.003; 24.03.01.002--
Headache17.14.01.001--
Malaise08.01.01.003--
Myalgia15.05.02.001--
Myositis15.05.01.001--
Nausea07.01.07.001--
Pruritus23.03.12.001--
Rash23.03.13.001---
Urticaria10.01.06.001; 23.04.02.001--
Musculoskeletal discomfort15.03.04.001---
Vasodilation procedure25.03.01.001---
Ill-defined disorder08.01.03.049---
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