Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Amisulpride
Drug ID BADD_D00117
Description Amisulpride is a benzamide derivative and a dopamine receptor antagonist that selectively works on dopamine D2 and D3 receptors. As an antipsychotic agent, amisulpride alleviates both positive and negative symptoms of schizophrenia, and it exhibits antidepressant properties in patients with psychiatric disorders, dysthymia, and major depression.[A6755] Amisulpride predominantly works in the limbic system, which explains its relatively lower risk of extrapyramidal adverse effects compared to other atypical antipsychotic agents.[A6752, L32764] Oral tablets of amisulpride is used in European countries as a treatment for acute and chronic schizophrenic disorders, as well as secondary negative symptoms in mental health disorders such as affective disorders, depressive mood, and mental retardation.[L32764] Amisulpride is also used as an antiemetic agent. In the US, the intravenous formulation of amisulpride is used to treat and prevent postoperative nausea and vomiting in adults, either as monotherapy or in combination with another antiemetic agent of a different drug class.[L32759] It is marketed under the brand name Barhemsys.
Indications and Usage Intravenous amisulpride is indicated in adults for the prevention of postoperative nausea and vomiting, either alone or in combination with an antiemetic of a different class. It is also indicated for the treatment of postoperative nausea and vomiting in patients who have received anti-emetic prophylaxis with an agent of a different class or have not received prophylaxis.[L32759] Oral amisulpride is indicated for the treatment of acute and chronic schizophrenic disorders, characterized by positive symptoms with delusions, hallucinations, thought disorders, hostility and suspicious behavior; or primarily negative symptoms (deficit syndrome) with blunted affect, emotional and social withdrawal. Amisulpride also controls secondary negative symptoms in productive conditions as well as affective disorders such as depressive mood or retardation.[L32764]
Marketing Status approved; investigational
ATC Code N05AL05
DrugBank ID DB06288
KEGG ID D07310
MeSH ID D000077582
PubChem ID 2159
TTD Drug ID D03ELL
NDC Product Code 71390-125; 51604-1156
UNII 8110R61I4U
Synonyms Amisulpride | 4-Amino-N-((1-ethyl-2-pyrrolidinyl)methyl)-5-(ethylsulfonyl)-2-methoxybenzamide | DAN 2163 | DAN-2163 | Solian | Sultopride | N-(Ethyl-1-pyrrolidinyl- 2-methyl)methoxy-2-ethylsulfonyl-5-benzamide | LIN 1418 | LIN-1418 | Barnetil | Sultopride Hydrochloride
Chemical Information
Molecular Formula C17H27N3O4S
CAS Registry Number 71675-85-9
SMILES CCN1CCCC1CNC(=O)C2=CC(=C(C=C2OC)N)S(=O)(=O)CC
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 pain07.01.05.002--
Aggression19.05.01.001---
Agitation17.02.05.012; 19.06.02.0010.000131%
Agranulocytosis01.02.03.001---
Akathisia17.01.02.002; 19.06.02.006--
Amenorrhoea05.05.01.002; 21.01.02.001--
Angioedema10.01.05.009; 22.04.02.008; 23.04.01.001---
Anxiety19.06.02.002--
Asthenia08.01.01.001---
Bradycardia02.03.02.002---
Breast pain21.05.05.003--
Cardiac arrest02.03.04.001--
Cardiovascular disorder02.11.01.010; 24.03.02.0090.000131%-
Coma17.02.09.0010.000131%-
Constipation07.02.02.0010.000131%
Depression19.15.01.001--
Diarrhoea07.02.01.001--
Dizziness02.11.04.006; 17.02.05.003; 24.06.02.007--
Drug abuse19.07.06.0100.000131%-
Drug ineffective08.06.01.0060.000418%-
Drug interaction08.06.03.0010.000131%-
Drug withdrawal syndrome08.06.02.004; 19.07.06.013---
Dry mouth07.06.01.002--
Dyskinesia17.01.02.0060.000131%
Dyspepsia07.01.02.001--
Dystonia17.01.03.001---
Embolism venous24.01.01.003---
Endocrine disorder05.09.01.001---
Extrapyramidal disorder17.01.02.0070.000131%
Fatigue08.01.01.002--
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