Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Ketamine
Drug ID BADD_D01228
Description Ketamine is an NMDA receptor antagonist with a potent anesthetic effect.[A31869] It was developed in 1963 as a replacement for phencyclidine (PCP) by Calvin Stevens at Parke Davis Laboratories. It started being used for veterinary purposes in Belgium and in 1964 was proven that compared to PCP, it produced minor hallucinogenic effects and shorter psychotomimetic effects. It was FDA approved in 1970, and from there, it has been used as an anesthetic for children or patients undergoing minor surgeries but mainly for veterinary purposes.[L1332]
Indications and Usage Ketamine is indicated as an anesthetic agent for recommended diagnostic and surgical procedures. If skeletal muscle relaxation is needed, it should be combined with a muscle relaxant. If the surgical procedure involves visceral pain, it should be supplemented with an agent that obtunds visceral pain. Ketamine can be used for induction of anesthesia prior other general anesthetic agents and as a supplement of low potency agents.[L1336, FDA label] Reports have indicated a potential use of ketamine as a therapeutic tool for the management of depression when administered in lower doses.[A31873] These reports have increased the interest for ketamine in this area and several clinical trials are launched for this indication.[L1337, A31874]
Marketing Status approved; vet_approved
ATC Code N01AX03
DrugBank ID DB01221
KEGG ID D08098
MeSH ID D007649
PubChem ID 3821
TTD Drug ID D0UM7O
NDC Product Code Not Available
UNII 690G0D6V8H
Synonyms Ketamine | 2-(2-Chlorophenyl)-2-(methylamino)cyclohexanone | CI-581 | CI 581 | CI581 | Ketalar | Ketaset | Ketanest | Calipsol | Kalipsol | Calypsol | Ketamine Hydrochloride
Chemical Information
Molecular Formula C13H16ClNO
CAS Registry Number 6740-88-1
SMILES CNC1(CCCCC1=O)C2=CC=CC=C2Cl
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)
Urinary tract obstruction20.08.01.0040.000268%
Obstructive airways disorder22.03.01.011---
Pulmonary function test decreased13.19.01.001---
Ureteral disorder20.06.01.0040.000893%-
Renal impairment20.01.03.0100.001250%-
Increased bronchial secretion22.12.01.0020.000268%-
Cystitis noninfective20.03.02.0010.000357%
Chronic kidney disease20.01.03.0170.000179%
Liver injury09.01.07.022; 12.01.17.0120.000447%-
Acute kidney injury20.01.03.0160.001072%
Bladder dysfunction20.03.03.0020.000179%-
Lower urinary tract symptoms20.02.02.0230.002143%-
Drug-induced liver injury09.01.07.023; 12.03.01.0440.000179%-
Cystitis ulcerative20.03.02.0100.000268%-
Ureteric stenosis20.06.01.0100.001161%-
Urogenital fistula20.08.01.013; 21.10.05.0190.000447%-
Acute chest syndrome01.04.02.004; 22.06.03.004; 24.03.08.0060.000179%-
Biliary dilatation09.02.03.0040.002054%-
Reduced bladder capacity20.03.01.0220.001161%-
Bladder hypertrophy20.03.01.0250.000268%-
Drug ineffective for unapproved indication08.06.01.038; 12.09.02.002---
Drug use disorder19.07.06.0120.000179%-
Sterile pyuria20.08.02.0170.000447%-
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ADReCS-Target
Drug Name ADR Term Target
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