Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Methacholine chloride
Drug ID BADD_D01404
Description Asthma is a complex condition associated with phenomena such as airway hyperresponsiveness (AHR), in which the smooth muscle in the airways (ASM) excessively contracts in response to stimuli, reducing pulmonary function and causing symptoms such as difficulty breathing.[A229598, A229603] Although the underlying pathology of AHR is complex, ASM contraction can be stimulated by cholinergic agonists that activate M3 muscarinic receptors that stimulate ASM contraction.[A229603, A229618, A229643] Methacholine is a non-specific cholinergic agonist (parasympathomimetic) that acts through muscarinic receptors in the lungs to induce bronchoconstriction.[L31763] In patients with AHR, a lower dose of methacholine is required to induce bronchoconstriction, which forms the basis for the methacholine challenge test to diagnose AHR.[A229648, L31763] Methacholine was granted FDA approval on October 31, 1986, and is marketed under the trademark PROVOCHOLINE® by Methapharm Inc.[L31763]
Indications and Usage Methacholine is indicated in adult and pediatric patients aged five years and older without clinically apparent asthma for the diagnosis of bronchial airway hyperactivity via the methacholine challenge test.[L31763]
Marketing Status approved; investigational
ATC Code V04CX03
DrugBank ID DB06709
KEGG ID D04970
MeSH ID D016210
PubChem ID 6114
TTD Drug ID D04MWJ
NDC Product Code 64281-100; 54236-010
UNII 0W5ETF9M2K
Synonyms Methacholine Chloride | Chloride, Methacholine | Acetyl-beta-methacholine Chloride | Acetyl beta methacholine Chloride | Mecholine | 2-(Acetyloxy)-N,N,N-trimethyl-1-propanaminium Chloride | Acetyl-2-methylcholine Chloride | Acetyl 2 methylcholine Chloride | Mecholyl | Provocholine | Provokit | Acetyl-beta-methylcholine | Acetyl beta methylcholine | Methacholine
Chemical Information
Molecular Formula C8H18ClNO2
CAS Registry Number 62-51-1
SMILES CC(C[N+](C)(C)C)OC(=O)C.[Cl-]
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)
Atrioventricular block complete02.03.01.003--
Chest discomfort02.02.02.009; 08.01.08.019; 22.12.02.002---
Chest pain02.02.02.011; 08.01.08.002; 22.12.02.003---
Dizziness02.11.04.006; 17.02.05.003; 24.06.02.007--
Headache17.14.01.001--
Hypotension24.06.03.002--
Nausea07.01.07.001--
Pruritus23.03.12.001--
Syncope02.11.04.015; 17.02.04.008; 24.06.02.012--
Throat irritation07.05.05.037; 22.12.03.029---
Vomiting07.01.07.003--
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