Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Hydromorphone
Drug ID BADD_D01096
Description Hydromorphone is a pure opioid,[A176468] a semi-synthetic hydrogenated ketone derivative of [morphine] that has been available clinically since 1920. Structurally, hydromorphone derived from [morphine] in the modification of the hydroxyl group in the carbon 6 to a carbonyl and the absence of a double bond between the carbon 7 and 8. Due to these modifications, it presents a very high potency and comparable side effect profile to the parent compound.[A176471] Even though hydromorphone does not present a 6-hydroxyl group, it is categorized under the family of phenanthrenes and it is considered a chemical under the schedule II (medical purposes with high addiction potential).[A176495] The first reported approved product containing hydromorphone in the form of hydromorphone hydrochloride was developed by Fresenius Kabi USA and FDA approved in 1984.[L5795]
Indications and Usage For the relief of moderate to severe pain such as that due to surgery, cancer, trauma/injury, or burns.
Marketing Status Prescription; Discontinued
ATC Code N02AA03
DrugBank ID DB00327
KEGG ID D08047
MeSH ID D004091
PubChem ID 5284570
TTD Drug ID D04JHN
NDC Product Code Not Available
Synonyms Hydromorphone | Dihydromorphinone | Hydromorphon | Palladone | Laudacon | Dilaudid | Hydromorphone Hydrochloride
Chemical Information
Molecular Formula C17H19NO3
CAS Registry Number 466-99-9
SMILES CN1CCC23C4C1CC5=C2C(=C(C=C5)O)OC3C(=O)CC4
Chemical Structure
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal discomfort07.01.06.001--Not Available
Abdominal distension07.01.04.0010.002064%
Abdominal pain07.01.05.0020.004128%
Abdominal pain upper07.01.05.003--
Abnormal dreams17.15.02.001; 19.02.03.001--Not Available
Abnormal faeces07.01.03.001--Not Available
Accidental overdose12.06.03.002--Not Available
Addison's disease05.01.02.006; 10.04.08.008; 14.11.01.025--Not Available
Aggression19.05.01.001--Not Available
Agitation17.02.05.012; 19.06.02.0010.002064%
Alcohol abuse19.07.02.007--Not Available
Alcoholism19.07.02.001--Not Available
Altered state of consciousness17.02.04.001; 19.07.01.003--Not Available
Amnesia17.03.02.001; 19.20.01.001--
Amylase increased13.05.01.009--
Anaemia01.03.02.001--
Anal fissure07.03.01.002--
Anaphylactic reaction10.01.07.001; 24.06.03.0060.004541%
Anaphylactic shock10.01.07.002; 24.06.02.004--Not Available
Anaphylactoid reaction10.01.07.003; 24.06.03.007--Not Available
Angioedema10.01.05.009; 23.04.01.0010.003715%Not Available
Anxiety19.06.02.002--
Apathy19.04.04.002--Not Available
Aphasia17.02.03.001; 19.21.01.0010.001651%
Apnoea22.02.01.0010.000861%
Application site pain08.02.01.004; 12.07.01.004--Not Available
Arachnoiditis12.02.04.002; 17.06.01.0010.000826%
Arrhythmia02.03.02.001--Not Available
Arthralgia15.01.02.001--
Arthropathy15.01.01.003--Not Available
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