Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Beclomethasone dipropionate
Drug ID BADD_D00219
Description Beclomethasone dipropionate is a second-generation synthetic corticosteroid agent [A179842] and a diester of beclomethasone, which is structurally similar to [dexamethasone].[L6871] It is a prodrug of an active metabolite beclomethasone 17-monopropionate (17-BMP)[A179839] which acts on the glucocorticoid receptor to mediates its therapeutic action. Beclomethasone dipropionate itself posesses weak glucocorticoid receptor binding affinity and is rapidly converted into 17-BMP upon administration.[A179839] Formulations for oral inhalation, intranasal, and topical use are available for beclomethasone dipropionate. Beclomethasone dipropionate became first available in a pressurized metered-dose inhaler in 1972 and later in a dry powder inhaler and an aqueous nasal spray.[A179839] Due to its anti-inflammatory, antipruritic, and anti-allergy properties, beclomethasone dipropionate is used in various inflammatory conditions, such as asthma, allergic rhinitis, and dermatoses to reduce symptoms. When inhaled, it is proposed that beclomethasone dipropionate remains active locally in the lung without causing significant side effects associated with systemic corticosteroids.[A180010] Compared to earlier corticosteroids such as [dexamethasone] and [prednisolone], beclomethasone dipropionate is reported to be less irritating to the nasal mucosa with a longer duration of action when administered intranasally.[A179848]
Indications and Usage Indicated for oral inhalation use in the maintenance treatment of asthma as prophylactic therapy in patients 5 years of age and older. The aerosol form of beclomethasone diproprionate is not indicated for the relief of acute bronchospasm.[L6871] Indicated for intranasal use to relieve the symptoms of seasonal or perennial allergic and nonallergic (vasomotor) rhinitis and prevent the recurrence of nasal polyps following surgical removal.[L6880] Indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses in patients 13 years of age and older.[L10782] Corticosteroid-responsive dermatoses include psoriasis, contact dermatitis (dermatitis venenata), atopic dermatitis (infantile eczema, allergic dermatitis), neurodermatitis (lichen simplex chronicus, lichen planus, eczema, eczematous dermatitis), intertrigo, dyshidroses (pompholyx), seborrheic dermatitis, exfoliative dermatitis, solar dermatitis, stasis dermatitis, and anogenital and senile pruritus.[L6886]
Marketing Status approved; investigational
ATC Code R01AD01; R03BA01; A07EA07; D07AC15
DrugBank ID DB00394
KEGG ID D00689
MeSH ID D001507
PubChem ID 21700
TTD Drug ID D07DVK
NDC Product Code 22552-0038; 49452-0802; 59310-406; 46439-8714; 52221-105; 53104-7632; 38779-0364; 51927-1641; 52128-167; 51552-0883; 65089-0010; 59310-410
UNII 5B307S63B2
Synonyms Beclomethasone | Beclometasone | Asmabec Clickhaler | Ascocortonyl | Beclamet | Beclo Asma | Beclo AZU | Beclocort | Beclomet | Bemedrex Easyhaler | Beclomethasone Dipropionate | Dipropionate, Beclomethasone | Beclorhinol | Sanasthmax | Becloturmant | Beclovent | Beconase | Becloforte | Becodisk | Becodisks | Propaderm | Becotide | Sanasthmyl | Beconase AQ | Bronchocort | Junik | Qvar | Ecobec | Beclazone | Beclazone Easy Breathe | Ventolair | Prolair | Filair | Filair Forte | AeroBec Forte | Aerobec | Nasobec Aqueous | Respocort | Vancenase | Vanceril | Aldecin | Viarin | Apo-Beclomethasone
Chemical Information
Molecular Formula C28H37ClO7
CAS Registry Number 5534-09-8
SMILES CCC(=O)OCC(=O)C1(C(CC2C1(CC(C3(C2CCC4=CC(=O)C=CC43C)Cl)O)C)C)OC(=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)
Swelling face08.01.03.100; 10.01.05.018; 23.04.01.0180.000090%-
Syncope02.11.04.015; 17.02.04.008; 24.06.02.012--
Tachycardia02.03.02.0070.000505%-
Therapeutic response decreased08.06.01.016---
Therapeutic response unexpected08.06.01.0010.000613%-
Throat irritation07.05.05.037; 22.12.03.0290.000198%-
Throat tightness19.01.02.005; 22.12.03.0310.000306%-
Tremor17.01.06.002--
Ulcer08.03.06.001---
Upper respiratory tract infection11.01.13.009; 22.07.03.011--
Urticaria10.01.06.001; 23.04.02.0010.000243%
Vision blurred06.02.06.007; 17.17.01.0100.000198%
Visual impairment06.02.10.0130.000351%-
Wheezing22.03.01.009--
Chapped lips07.05.01.0040.000306%-
Oropharyngeal candidiasis07.05.07.003; 11.03.03.006; 22.07.03.003---
Rhinalgia22.12.03.0200.000306%-
Nasal discomfort22.12.03.0120.005866%-
Type IV hypersensitivity reaction10.01.03.022---
Growth retardation05.03.02.007; 14.03.02.031; 15.03.05.016--
Adverse event08.06.01.0100.000658%-
Nasal disorder22.04.03.0040.000460%-
Oral disorder07.05.01.005---
Oropharyngeal discomfort07.05.05.008; 22.12.03.0150.000198%-
Oropharyngeal pain07.05.05.004; 22.12.03.0160.000460%
Therapeutic product effect decreased08.06.01.0500.001072%-
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