Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Esmolol
Drug ID BADD_D00813
Description Esmolol, commonly marketed under the trade name Brevibloc, is a cardioselective beta-1 receptor blocker. It has a rapid onset but short duration of action without causing significant intrinsic sympathomimetic or membrane stabilizing activities at recommended therapeutic doses. It works by blocking beta-adrenergic receptors in the heart, which leads to decreased force and rate of heart contractions. Esmolol prevents the action of two naturally occurring substances: epinephrine and norepinephrine.
Indications and Usage For the rapid control of ventricular rate in patients with atrial fibrillation or atrial flutter in perioperative, postoperative, or other emergent circumstances where short term control of ventricular rate with a short-acting agent is desirable. Also used in noncompensatory sinus tachycardia where the rapid heart rate requires specific intervention.
Marketing Status approved
ATC Code C07AB09
DrugBank ID DB00187
KEGG ID D07916
MeSH ID C036604
PubChem ID 59768
TTD Drug ID D03XTC
NDC Product Code Not Available
UNII MDY902UXSR
Synonyms esmolol | Brevibloc | esmolol hydrochloride | ASL 8052 | ASL-8052
Chemical Information
Molecular Formula C16H25NO4
CAS Registry Number 81147-92-4
SMILES CC(C)NCC(COC1=CC=C(C=C1)CCC(=O)OC)O
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)
Dyspnoea02.11.05.003; 22.02.01.004--
Dysuria20.02.02.002--
Ecchymosis01.01.03.001; 23.06.01.001; 24.07.06.002---
Electrocardiogram abnormal13.14.05.001---
Electrocardiogram ST segment depression13.14.05.005---
Erythema23.03.06.001---
Extravasation08.01.03.008---
Fatigue08.01.01.002--
Feeling abnormal08.01.09.014---
Flushing08.01.03.025; 23.06.05.003; 24.03.01.002--
Gastrointestinal disorder07.11.01.001---
Generalised tonic-clonic seizure17.12.01.002---
Headache17.14.01.001--
Heart rate13.14.04.012---
Hyperhidrosis08.01.03.028; 23.02.03.004--
Hypertensive crisis24.08.01.001---
Hypotension24.06.03.002--
Irritability08.01.03.011; 19.04.02.013--
Loss of consciousness17.02.04.004---
Mental disability26.01.01.001---
Musculoskeletal pain15.03.04.007--
Myocardial infarction02.02.02.007; 24.04.04.009--
Myocardial ischaemia02.02.02.008; 24.04.04.010---
Nasal congestion22.04.04.001--
Nasopharyngitis11.01.13.002; 22.07.03.002---
Nausea07.01.07.001--
Nervous system disorder17.02.10.001---
Neuropathy peripheral17.09.03.003---
Nodal rhythm02.03.03.021---
Oedema08.01.07.006; 14.05.06.010---
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