Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Histrelin acetate
Drug ID BADD_D01074
Description Histrelin is a gonadotropin releasing hormone (GnRH) agonist that acts as a potent inhibitor of gonadotropin when administered as an implant that delivers continuous therapeutic doses. Following an initial stimulatory phase with increased circulating levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), leading to a transient increase in concentration of gonadal steroids (testosterone and dihydrotestosterone in males), continuous administration of histrelin acetate results in decreased levels of LH and FSH due to a reversible down-regulation of the GnRH receptors in the pituitary gland and desensitization of the pituitary gonadotropes. As the product Supprelin LA (FDA), histrelin is indicated for the treatment of children with central precocious puberty (CPP). As the product Vantas (FDA), histrelin is indicated for the palliative treatment of advanced prostate cancer.
Indications and Usage As the product Supprelin LA (FDA), histrelin is indicated for the treatment of children with central precocious puberty (CPP). As the product Vantas (FDA), histrelin is indicated for the palliative treatment of advanced prostate cancer.
Marketing Status approved
ATC Code L02AE05
DrugBank ID DB06788
KEGG ID D02116
MeSH ID C029256
PubChem ID 25084151
TTD Drug ID D0O7DG
NDC Product Code 73309-097; 55463-0008; 67979-002; 71052-142
UNII QMG7HLD1ZE
Synonyms histrelin | 6-His(imBzl)-9-N-Et-ProNH2-10-des-GlyNH2-LHRH | GnRH, His(imBzl)(6)-N-Et-ProNH2(9)- | LHRH, His(imBzl)(6)-N-Et-ProNH2(9)- | LHRH, histidyl(imBzl)(6)-N-ethylprolinamide(9)-des-glycinamide(10)- | imbzl-His(6), Pro(9)-NET-GNRH | ((im bzl)-D-His(6), Pro(9)-NEt)LHRH | IBHPE-LHRH | Supprelin
Chemical Information
Molecular Formula C68H90N18O14
CAS Registry Number 220810-26-4
SMILES CCNC(=O)C1CCCN1C(=O)C(CCCN=C(N)N)NC(=O)C(CC(C)C)NC(=O)C(CC2=CN(C=N2)CC3=CC=CC=C3 )NC(=O)C(CC4=CC=C(C=C4)O)NC(=O)C(CO)NC(=O)C(CC5=CNC6=CC=CC=C65)NC(=O)C(CC7=CN=CN 7)NC(=O)C8CCC(=O)N8.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)
Application site pain08.02.01.004; 12.07.01.004---
Blood gonadotrophin increased13.10.03.008---
Breast tenderness21.05.05.004---
Dysmenorrhoea21.01.01.002--
Epistaxis22.04.03.001; 24.07.01.005--
Erythema23.03.06.001---
Feeling cold08.01.09.008---
Gynaecomastia05.05.02.003; 21.05.04.003--
Headache17.14.01.001--
Implant site reaction08.02.02.009; 12.07.02.009---
Influenza like illness08.01.03.010--
Keloid scar23.01.03.002---
Migraine17.14.02.001; 24.03.05.003---
Mood swings19.04.03.001---
Myalgia15.05.02.001--
Pain08.01.08.004--
Pruritus23.03.12.001--
Scar12.01.06.008; 23.03.11.008---
Swelling08.01.03.015---
Weight increased13.15.01.006--
Wound infection11.01.08.010; 12.01.08.012--
Contusion12.01.06.001; 15.03.05.007; 23.03.11.002; 24.07.06.001--
Steroid activity13.10.09.008---
Suture related complication12.02.05.025---
Pituitary tumour benign05.03.05.003; 16.37.02.001---
Disease progression08.01.03.038--
Procedural pain08.01.08.009; 12.02.05.007---
Heavy menstrual bleeding21.01.03.005---
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