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 For adjuvant treatment of hormone receptor positive breast cancer , as well as hormonal treatment of advanced breast cancer in post-menopausal women. Has also been used to treat pubertal gynecomastia and McCune-Albright syndrome; however, manufacturer states that efficacy for these indications have not been established.
Marketing Status Prescription; Discontinued
ATC Code L02BG03
DrugBank ID DB01217
KEGG ID D00960
MeSH ID D000077384
PubChem ID 2187
TTD Drug ID D0W0BF
NDC Product Code 63850-6527; 0395-8157; 68554-0026; 0310-0201; 71335-1879; 65129-1119; 16729-035; 68071-1682; 71052-248; 72789-008; 65096-0117; 51991-620; 59651-236; 65072-0702; 63629-5269; 16571-421; 63850-0010; 82393-201; 62135-490; 63187-080; 62559-670; 50090-2453; 58623-0041; 55111-814; 68382-209; 51927-4435; 68001-155; 50090-5002; 65841-743; 76420-004; 50268-075; 0093-7536; 61200-104; 42291-085; 46014-1160; 70518-2484; 73377-120; 69988-0013; 50090-5812; 62756-428; 62157-077; 70934-488; 70518-2420; 60429-286; 68071-5203; 60687-112; 51552-1568; 46014-1009; 38779-2555; 0904-6195; 43063-383; 60440-2921; 53104-7627; 62175-710
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
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Eyelid oedema06.04.04.004; 10.01.05.001; 23.04.01.0030.001131%Not Available
Face oedema08.01.07.003; 10.01.05.002; 23.04.01.0040.001508%
Fatigue08.01.01.002--
Fear19.06.03.0010.000754%Not Available
Feeling abnormal08.01.09.014--Not Available
Feeling hot08.01.09.0090.001508%Not Available
Femoral neck fracture12.04.01.002; 15.08.03.0020.000754%Not Available
Femur fracture12.04.01.003; 15.08.03.0030.002263%Not Available
Flank pain08.01.08.007; 15.03.04.003; 20.02.03.0060.000754%
Fluid retention14.05.06.002; 20.01.02.0030.001508%Not Available
Fracture12.04.02.001; 15.08.02.0010.015838%
Gait disturbance08.01.02.002; 17.02.05.016--
Gamma-glutamyltransferase increased13.03.01.0110.001886%
Gastrooesophageal reflux disease07.02.02.0030.001508%
Gastrointestinal disorder07.11.01.001--Not Available
Gastrointestinal pain07.01.05.005--
Glaucoma06.03.01.0020.001508%
Glomerular filtration rate decreased13.13.01.0090.000754%Not Available
Glomerulonephritis rapidly progressive10.04.04.008; 20.05.01.0040.002640%Not Available
Gynaecomastia05.05.02.003; 21.05.04.0030.001131%
Haematochezia07.12.02.003; 24.07.02.0120.003017%Not Available
Haematuria20.02.01.006; 24.07.01.047--
Haemoglobin13.01.05.018--Not Available
Hair growth abnormal23.02.06.0060.001508%Not Available
Hallucination19.10.02.002--
Headache17.14.01.0010.015084%
Heart rate decreased13.14.04.0010.000754%Not Available
Henoch-Schonlein purpura01.01.04.001; 10.02.02.004; 23.06.01.002; 24.07.06.0030.000754%Not Available
Hepatic cirrhosis09.01.04.0010.000295%Not Available
Hepatic function abnormal09.01.02.001--Not Available
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ADReCS-Target
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