Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Argatroban
Drug ID BADD_D00161
Description Argatroban is a direct, selective thrombin inhibitor. The American College of Cardiologists (ACC) recommend using bivalirudin or argatroban in patients who have had, or at risk for, heparin induced thrombocytopenia (HIT) and are undergoing percutaneous coronary intervention. Argatroban is a non-heparin anticoagulant shown to both normalize platelet count in patients with HIT and prevent the formation of thrombi. Parental anticoagulants must be stopped and a baseline activated partial thromboplastin time must be obtained prior to administering argatroban.
Indications and Usage Argatroban is indicated for prevention and treatment of thrombosis caused by heparin-induced thrombocytopenia (HIT). It is also indicated for use in patients with, or at risk for, HIT who are undergoing percutaneous coronary intervention.
Marketing Status approved; investigational
ATC Code B01AE03
DrugBank ID DB00278
KEGG ID D00181
MeSH ID C031942
PubChem ID 92722
TTD Drug ID D07UWV
NDC Product Code 42023-182; 0143-9288; 0143-9674; 63323-526; 62227-015; 16729-430; 0143-9559; 70121-1037; 55150-241; 65145-126; 45562-1124; 65219-429; 68083-141; 25021-414; 0143-9377; 0409-1140; 55486-1582; 67457-212; 70333-1191; 76339-118
UNII IY90U61Z3S
Synonyms argatroban | MPQA | (2R,4R)-1-(5-((aminoiminomethyl)amino)-1-oxo-2-(((1,2,3,4-tetrahydro-3-methyl-8-quinolinyl)sulfonyl)amino)pentyl)-4-methyl-2-piperidinecarboxylic acid monohydrate | MMTQAP | argatroban monohydrate | argatroban hydrate | Acova | (21R)-argatroban anhydrous | (2R,4R)-1-((2S)-5-((aminoiminomethyl)amino)-1-oxo-2-((((3R)-1,2,3,4-tetrahydro-3-methyl-8-quinolinyl)sulfonyl)amino)pentyl)-4-methyl-2-piperidinecarboxylic acid | (21S)-argatroban anhydrous | (2R,4R)-1-((2S)-5-((aminoiminomethyl)amino)-1-oxo-2-((((3S)-1,2,3,4-tetrahydro-3-methyl-8-quinolinyl)sulfonyl)amino)pentyl)-4-methyl-2-piperidinecarboxylic acid | (21S)-argatroban | (21R)-argatroban | MD 805 | MD805 | MD-805 | Novastan | argatroban anhydrous | (2R,4R)-1-(5-((aminoiminomethyl)amino)-1-oxo-2-(((1,2,3,4-tetrahydro-3-methyl-8-quinolinyl)sulfonyl)amino)pentyl)-4-methyl-2-piperidinecarboxylic acid | MCI 9038 | MCI-9038
Chemical Information
Molecular Formula C23H36N6O5S
CAS Registry Number 74863-84-6
SMILES CC1CCN(C(C1)C(=O)O)C(=O)C(CCCN=C(N)N)NS(=O)(=O)C2=CC=CC3=C2NCC(C3)C
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)
Intracardiac thrombus02.11.01.017; 24.01.05.0030.000123%-
Deep vein thrombosis24.01.02.0030.000247%-
Acute coronary syndrome02.02.02.015; 24.04.04.011---
Haemorrhage24.07.01.0020.000781%-
Pulseless electrical activity02.03.04.0200.000082%-
Vasodilation procedure25.03.01.001---
Angiopathy24.03.02.007---
Drug resistance08.06.01.0050.000403%-
Ischaemic stroke17.08.01.018; 24.04.06.0100.000164%-
Disease progression08.01.03.0380.000123%
Renal impairment20.01.03.0100.000082%-
Heparin-induced thrombocytopenia01.08.01.004; 10.02.01.007; 24.01.01.0200.001316%-
Treatment failure08.06.01.0170.000082%-
Acute kidney injury20.01.03.0160.000123%
Amputation stump pain08.01.08.025; 17.02.07.018---
Hypoxic-ischaemic encephalopathy17.13.02.006; 22.02.02.011; 24.04.06.0210.000082%-
Peripheral artery thrombosis24.01.02.0100.000082%-
Multiple organ dysfunction syndrome08.01.03.0570.000123%
Antiphospholipid syndrome01.01.02.016; 10.04.01.009; 18.02.04.002; 24.01.01.0290.000082%-
Haemorrhagic cerebral infarction17.08.01.050; 24.07.04.0260.000082%-
Atrial thrombosis02.11.01.002; 24.01.05.0050.000082%-
Cardiac ventricular thrombosis02.11.01.008; 24.01.05.0060.000082%-
Cerebellar stroke17.08.01.070; 24.04.06.0460.000082%-
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