Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Gadobutrol
Drug ID BADD_D00984
Description Intravenous gadobutrol is a second-generation extracellular non-ionic macrocyclic GBCA (gadolinium-based contrast agent) used in magnetic resonance imaging (MRI) in adults and children older than 2 years of age. It may help visualize and detect vascular abnormalities in the blood brain barrier (BBB) and central nervous system (CNS). In patients with impaired renal function, gadolinium based contrast agents increase the risk of nephrogenic systemic fibrosis (NSF). A physician should be contacted if symptoms of NSF are encountered, such as dark or red patches on the skin; stiffness in joints; trouble moving, bending or straightening arms, hands, legs or feet; burning, itching, swelling, scaling, hardening and tightening of skin; pain in hip bones or ribs; or muscle weakness. Common adverse reactions that may be experienced include headache, nausea, feeling hot, abnormal taste, and warmth, burning or pain local to the injection site. General precautions should be taken in patients who are pregnant or breastfeeding, or who have a history of allergic reaction to contrast media, bronchial asthma or an allergic respiratory disorder.
Indications and Usage For diagnostic use only. Indicated for adults and children age 2 and over for contrast enhancement during cranial and spinal MRI, and for contrast-enhanced magnetic resonance angiography (CE-MRA). Gadobutrol is particularly suited for the detection of very small lesions and for the visualization of tumors that do not readily take up contrast media. It may be a desired agent when the exclusion or demonstration of an additional pathology may influence the choice of therapy or patient management. It may also be suitable for perfusion studies in the diagnosis of stroke, detection of focal cerebral ischemia, and in studies of tumor perfusion.
Marketing Status approved
ATC Code V08CA09
DrugBank ID DB06703
KEGG ID D07420
MeSH ID C090600
PubChem ID 189914
TTD Drug ID D0P1IZ
NDC Product Code 50419-325; 57884-0035; 70436-122; 65219-281
UNII 1BJ477IO2L
Synonyms gadobutrol | Gadovist | gadolinium-DO3A-butriol | Gd-DO3A-butriol
Chemical Information
Molecular Formula C18H34N4O9
CAS Registry Number 770691-21-9
SMILES C1CN(CCN(CCN(CCN1CC(=O)O)CC(=O)O)C(CO)C(CO)O)CC(=O)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)
Abdominal pain07.01.05.002--
Acidosis14.01.03.0020.007113%
Acute pulmonary oedema02.05.02.004; 22.01.03.0050.007113%-
Acute respiratory distress syndrome10.02.01.067; 22.01.03.001; 24.03.02.0340.028454%
Anaphylactic reaction10.01.07.001; 24.06.03.0060.189927%
Anaphylactic shock10.01.07.002; 24.06.02.0040.049794%-
Anaphylactoid reaction10.01.07.003; 24.06.03.0070.014227%-
Angioedema10.01.05.009; 22.04.02.008; 23.04.01.001---
Apathy19.04.04.002---
Aphasia17.02.03.001; 19.21.01.0010.014227%
Aphonia17.02.08.009; 19.19.01.002; 22.12.03.0010.024186%
Application site pain08.02.01.004; 12.07.01.004---
Blister12.01.06.002; 23.03.01.001---
Blood pressure increased13.14.03.005---
Body temperature increased13.15.01.001---
Bone pain15.02.01.0010.052639%
Breast feeding26.05.01.001---
Bronchospasm10.01.03.012; 22.03.01.0040.017783%
Burning sensation08.01.09.029; 17.02.06.0010.178546%-
Cardiac arrest02.03.04.0010.085361%
Cardio-respiratory arrest02.03.04.002; 22.02.06.0070.024897%-
Cardiovascular disorder02.11.01.010; 24.03.02.0090.017783%-
Chest discomfort02.02.02.009; 08.01.08.019; 22.12.02.0020.252525%-
Chest pain02.02.02.011; 08.01.08.002; 22.12.02.0030.204154%-
Chills08.01.09.001; 15.05.03.0160.099587%
Choking22.12.03.0030.007113%-
Choking sensation19.01.02.002; 22.12.03.0040.022763%-
Circulatory collapse24.06.02.001---
Clonus17.02.05.002---
Cold sweat08.01.03.024; 23.02.03.0020.064732%-
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