Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Daptomycin
Drug ID BADD_D00581
Description Daptomycin is a cyclic lipopeptide antibacterial agent with a broad spectrum of activity against Gram-positive bacteria, including methicillin-susceptible and -resistant _Staphylococcus aureus_ (MSSA/MRSA) and vancomycin-resistant Enterococci (VRE).[A231379, A231384, L32534] Chemically, daptomycin comprises 13 amino acids, including several non-standard and D-amino acids, with the C-terminal 10 amino acids forming an ester-linked ring and the N-terminal tryptophan covalently bonded to decanoic acid.[A231374, L32534] Daptomycin was first discovered in the early 1980s by researchers at Eli Lilly in soil samples from Mount Ararat in Turkey.[A231384] Early work on developing daptomycin was abandoned due to observed myopathy but was resumed in 1997 when Cubist Pharmaceuticals Inc. licensed daptomycin; it was found that a once-daily dosing scheme reduced side effects while retaining efficacy.[A231379] Daptomycin was approved by the FDA on September 12, 2003, and is marketed under the name CUBICIN® by Cubist Pharmaceuticals LLC (Merck & Co.).[L32534]
Indications and Usage Daptomycin is indicated for the treatment of complicated skin and skin structure infections (cSSSI) in patients one year of age and older. It is also indicated for the treatment of _Staphylococcus aureus_ bloodstream infections (bacteremia) in patients one year of age and older, including in adult patients with right-sided infective endocarditis.[L32534] Daptomycin is not indicated for the treatment of pneumonia or left-sided infective endocarditis due to _S. aureus_. Use is not recommended in pediatric patients younger than one year of age due to the risk of potential effects on muscular, neuromuscular, and/or nervous systems (either peripheral and/or central).[L32534] As with all antibacterial drugs, it is strongly suggested to perform sufficient testing before treatment initiation in order to confirm an infection caused by susceptible bacteria. Failure to do so may result in suboptimal treatment, treatment failure, and the development of drug-resistant bacteria.[L32534]
Marketing Status approved; investigational
ATC Code J01XX09
DrugBank ID DB00080
KEGG ID D01080
MeSH ID D017576
PubChem ID 16134395
TTD Drug ID D05HPI
NDC Product Code 16729-435; 43598-413; 67457-813; 71288-017; 71839-107; 72603-147; 65897-2011; 73402-111; 67919-011; 51187-0002; 70436-033; 0409-0120; 69097-807; 70594-053; 71288-016; 71839-108; 42513-0004; 42513-0015; 57885-0011; 43598-476; 55150-344; 70594-034; 67254-515; 0143-9378; 63323-371; 67919-012; 68001-376; 0409-5933; 72572-100; 72603-152; 31722-102; 60505-6229; 60977-145; 63323-871; 69097-850; 72572-102; 17337-0261; 68225-082; 16714-892; 25021-179; 63323-585; 67184-0549; 0409-0122; 72201-1009; 68001-467; 65897-1011; 16729-434; 25021-174; 31722-215; 0409-2757; 68225-052; 31722-216
UNII NWQ5N31VKK
Synonyms Daptomycin | Deptomycin | Cubicin | Daptomycin, 9-L beta-Aspartic Acid | Daptomycin, 9 L beta Aspartic Acid | LY-146032 | LY 146032 | LY146032
Chemical Information
Molecular Formula C72H101N17O26
CAS Registry Number 103060-53-3
SMILES CCCCCCCCCC(=O)NC(CC1=CNC2=CC=CC=C21)C(=O)NC(CC(=O)N)C(=O)NC(CC(=O)O)C(=O)NC3C(OC (=O)C(NC(=O)C(NC(=O)C(NC(=O)CNC(=O)C(NC(=O)C(NC(=O)C(NC(=O)C(NC(=O)CNC3=O)CCCN)C C(=O)O)C)CC(=O)O)CO)C(C)CC(=O)O)CC(=O)C4=CC=CC=C4N)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)
Monoparesis17.01.04.011---
Muscle disorder15.05.03.0140.000107%-
Muscle spasms15.05.03.004--
Muscle twitching15.05.03.0050.000073%-
Muscular weakness15.05.06.001; 17.05.03.005--
Myalgia15.05.02.0010.001686%
Myocarditis02.04.03.0010.000049%
Myoclonus17.02.05.0080.000049%-
Myoglobin blood increased13.16.02.001---
Myoglobinuria02.04.02.006; 15.05.03.009; 20.02.01.0100.000097%-
Myopathy15.05.05.0010.000122%-
Myopathy toxic12.03.01.035; 15.05.05.0060.000122%-
Myositis15.05.01.0010.000326%
Nausea07.01.07.001--
Nephropathy toxic12.03.01.010; 20.05.03.0020.000170%-
Nervous system disorder17.02.10.001---
Nervousness19.06.02.003---
Neuropathy peripheral17.09.03.0030.000267%-
Neurotoxicity12.03.01.011; 17.02.10.0020.000049%-
Neutropenia01.02.03.0040.000608%-
Night sweats08.01.03.031; 23.02.03.0060.000097%-
Oedema08.01.07.006; 14.05.06.010---
Oedema peripheral02.05.04.007; 08.01.07.007; 14.05.06.011--
Oral candidiasis07.05.07.001; 11.03.03.004---
Oropharyngeal swelling07.05.04.002; 10.01.05.014; 22.04.05.005; 23.04.01.013---
Osteomyelitis11.01.01.001; 15.02.05.001--
Pain08.01.08.004--
Pain in extremity15.03.04.010--
Pallor08.01.03.032; 23.03.03.031; 24.03.04.0010.000146%-
Pancreatitis acute07.18.01.0020.000073%-
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