Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Nicorandil
Drug ID BADD_D01562
Description Nicorandil is an orally efficacious vasodilatory drug and antianginal agent marketed in the UK, Australia, most of Europe, India, Philippines, Japan, South Korea, and Taiwan. It is not an approved drug by FDA. It is a niacinamide derivative that induces vasodilation of arterioles and large coronary arteries by activating potassium channels. It is often used for patients with angina who remain symptomatic despite optimal treatment with other antianginal drugs [T28]. Nicorandil is a dual-action potassium channel opener that relaxes vascular smooth muscle through membrane hyperpolarization via increased transmembrane potassium conductance and increased intracellular concentration of cyclic GMP. It is shown to dilate normal and stenotic coronary arteries and reduces both ventricular preload and afterload [A20325].
Indications and Usage Indicated for the prevention and treatment of chronic stable angina pectoris and reduction in the risk of acute coronary syndromes.
Marketing Status approved; investigational
ATC Code C01DX16
DrugBank ID DB09220
KEGG ID D01810
MeSH ID D020108
PubChem ID 47528
TTD Drug ID D0O2SR
NDC Product Code Not Available
UNII 260456HAM0
Synonyms Nicorandil | 2-Nicotinamidoethyl Nitrate | 2 Nicotinamidoethyl Nitrate | Nitrate, 2-Nicotinamidoethyl | 2-Nicotinamidethyl Nitrate | 2 Nicotinamidethyl Nitrate | Nitrate, 2-Nicotinamidethyl | SG-75 | SG 75 | SG75 | Ikorel | Adancor | Dancor
Chemical Information
Molecular Formula C8H9N3O4
CAS Registry Number 65141-46-0
SMILES C1=CC(=CN=C1)C(=O)NCCO[N+](=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)
Gastrointestinal pain07.01.05.005--
Genital ulceration21.10.05.001; 23.07.03.004---
Headache17.14.01.001--
Hepatitis09.01.07.004---
Hepatocellular injury09.01.07.008---
Hyperhidrosis08.01.03.028; 23.02.03.004--
Hypertension24.08.02.001--
Hypotension24.06.03.002--
Infection11.01.08.002---
Insomnia17.15.03.002; 19.02.01.002--
Jaundice01.06.04.004; 09.01.01.004; 23.03.03.030---
Large intestinal ulcer07.04.06.004--
Lethargy08.01.01.008; 17.02.04.003; 19.04.04.004--
Liver disorder09.01.08.001---
Loss of consciousness17.02.04.004---
Malaise08.01.01.003--
Mouth ulceration07.05.06.004---
Myalgia15.05.02.001--
Myocardial infarction02.02.02.007; 24.04.04.009--
Nausea07.01.07.001--
Neck pain15.03.04.009--
Nervousness19.06.02.003---
Oedema08.01.07.006; 14.05.06.010---
Oedema peripheral02.05.04.007; 08.01.07.007; 14.05.06.011--
Orthostatic hypotension17.05.01.020; 24.06.03.004---
Pain08.01.08.004--
Pain in extremity15.03.04.010--
Palpitations02.11.04.012--
Paraesthesia17.02.06.005; 23.03.03.094--
Peripheral vascular disorder24.03.01.003---
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