Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Anastrozole
Drug ID BADD_D00142
Description Anastrozole is a non-steroidal aromatase inhibitor (AI), similar to [letrozole], used to decrease circulating estrogen levels in the treatment of postmenopausal women with estrogen-responsive breast cancer.[L8863] Anastrozole is also related to [exemestane], a steroidal AI, but its non-steroidal nature provides stark advantages including a lack of steroid-associated adverse effects such as weight gain and acne.[A186865] Aromatase inhibitors, including anastrozole, have become endocrine drugs of choice in the treatment of postmenopausal breast cancer due to a more favourable efficacy and adverse effect profile as compared to earlier estrogen receptor modulators such as [tamoxifen].[A186877,A186955] Anastrozole was first approved for use in the United States in 1995.[L8863]
Indications and Usage Anastrozole is indicated as adjunct therapy in the treatment of hormone receptor-positive early breast cancer in postmenopausal women, and as a first-line treatment for hormone receptor-positive (or hormone receptor-unknown) locally advanced or metastatic breast cancer in postmenopausal women.[L8863] It may also be used in the treatment of advanced breast cancer in postmenopausal women who experience disease progression despite treatment with [tamoxifen].[L8866,L8863]
Marketing Status approved; investigational
ATC Code L02BG03
DrugBank ID DB01217
KEGG ID D00960
MeSH ID D000077384
PubChem ID 2187
TTD Drug ID D0W0BF
NDC Product Code 38779-2555; 58623-0041; 73377-120; 65841-743; 70518-2420; 0310-0201; 51927-4435; 68071-1543; 68071-2791; 46014-1009; 69988-0013; 71052-248; 63187-080; 63629-5269; 70518-2484; 59651-236; 63850-0010; 71335-1879; 0904-6195; 46014-1160; 61200-104; 68554-0026; 16571-421; 0093-7536; 51991-620; 68382-209; 63850-6527; 50090-2453; 50090-5812; 68001-155; 65072-0702; 65129-1119; 16729-035; 42291-016; 50268-075; 60687-112; 68071-5203; 62991-3176; 43063-383; 62559-670; 72789-008; 55111-814; 62135-490; 72189-415; 53104-7627; 65096-0117; 42291-085; 76420-004; 51552-1568; 60440-2921; 62157-077; 62756-428; 82393-201
UNII 2Z07MYW1AZ
Synonyms Anastrozole | 2,2'-(5-(1H-1,2,4-triazol-1-ylmethyl)-1,3-phenylene)bis(2-methylpropionitrile) | Anastrazole | Arimidex | ICI D1033 | ZD-1033 | ZD 1033 | Zeneca ZD 1033 | ZD1033
Chemical Information
Molecular Formula C17H19N5
CAS Registry Number 120511-73-1
SMILES CC(C)(C#N)C1=CC(=CC(=C1)CN2C=NC=N2)C(C)(C)C#N
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)
Deep vein thrombosis24.01.02.0030.000953%-
Foreign body sensation in eyes06.01.01.0060.000159%-
Central nervous system lesion17.02.10.0110.000159%-
Malignant neoplasm progression16.16.01.0050.005561%-
Acute coronary syndrome02.02.02.015; 24.04.04.0110.000636%-
Metastases to peritoneum07.21.03.003; 16.22.02.0080.000397%-
Eye pruritus06.04.05.0060.001049%-
Drug tolerance08.06.01.0030.000159%-
Musculoskeletal stiffness15.03.05.0270.001414%-
Musculoskeletal discomfort15.03.04.0010.000397%-
Growth retardation05.03.02.007; 14.03.02.031; 15.03.05.0160.001621%
Haemorrhage24.07.01.002---
Cutaneous lupus erythematosus10.04.03.007; 15.06.02.007; 23.03.02.0080.000429%-
Neuroectodermal neoplasm16.30.01.006; 17.20.01.0060.000238%-
Paraesthesia oral07.05.05.035; 17.02.06.008---
Breast cancer female16.10.01.004; 21.05.01.0110.000397%-
Cognitive disorder17.03.03.003; 19.21.02.0010.000397%
Reflux gastritis07.08.02.0040.000159%-
Toxic skin eruption10.01.01.008; 12.03.01.073; 23.03.05.0030.000477%-
Metabolic disorder14.11.01.0010.000350%-
Cystoid macular oedema06.04.06.010; 12.02.02.0050.001907%-
Lung neoplasm malignant16.19.02.001; 22.08.01.0010.000794%-
Vasodilation procedure25.03.01.001---
Blood alkaline phosphatase increased13.04.02.004--
Drug resistance08.06.01.0050.000874%-
Hot flush08.01.03.027; 21.02.02.001; 24.03.01.0050.006213%
Adverse event08.06.01.0100.001478%-
Embolism24.01.01.009--
Inflammation08.01.05.007; 10.02.01.0890.000318%-
Limb discomfort15.03.04.0140.000397%-
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ADReCS-Target
Drug Name ADR Term Target
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