Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Tibolone
Drug ID BADD_D02213
Description Tibolone is a synthetic steroid hormone drug, which is mainly non-selective in its binding profile, acting as an agonist primarily at estrogen receptors (ER), with a preference for ER alpha [L1874]. Tibolone (Livial, Org OD 14), produced by Organon (West Orange, NJ), is a synthetic steroid that possesses estrogenic, androgenic and progestogenic properties. It has been used in Europe for almost 2 decades, primarily for the prevention of postmenopausal osteoporosis and the treatment of post-menopausal symptoms [L1720]. Tibolone is approved in 90 countries to manage menopausal symptoms and in 45 countries to prevent the development of osteoporosis [L1876]. In June 2006, Organon Pharmaceuticals announced the receipt of a Not Approvable Letter from the U.S. Food and Drug Administration (FDA), advising the company that the New Drug Application (NDA) for tibolone had not been approved [L1722]. Interestingly, the use of tibolone in the treatment cardiovascular disease has been studied with inconclusive results [A32164]. Tibolone has been to have anti-resorptive effects on bone [L1874].
Indications and Usage For the relief of post-menopausal symptoms and for the prevention of osteoporosis [L1724].
Marketing Status Not Available
ATC Code G03CX01
DrugBank ID DB09070
KEGG ID D01639
MeSH ID C027385
PubChem ID 444008
TTD Drug ID D0W3OS
NDC Product Code 51508-010; 24002-0033
Synonyms tibolone | tibilone | Org OD 14 | Org OD14 | Livial | Liviella | Boltin
Chemical Information
Molecular Formula C21H28O2
CAS Registry Number 5630-53-5
SMILES CC1CC2=C(CCC(=O)C2)C3C1C4CCC(C4(CC3)C)(C#C)O
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 pain lower07.01.05.010--Not Available
Acne23.02.01.001--Not Available
Arthralgia15.01.02.001--
Breast tenderness21.05.05.004--Not Available
Cerebrovascular accident17.08.01.007; 24.03.05.001--
Cervical dysplasia21.06.01.002--Not Available
Cervix carcinoma16.12.01.001; 21.06.02.001--Not Available
Chloasma18.08.02.002; 23.05.01.001--Not Available
Dementia17.03.01.001; 19.20.02.001--Not Available
Dermatitis23.03.04.002--Not Available
Dizziness02.01.02.004; 17.02.05.003; 24.06.02.007--
Embolism venous24.01.01.003--Not Available
Endometrial cancer16.12.02.001; 21.07.02.002--Not Available
Erythema multiforme10.01.03.015; 23.03.01.003--
Erythema nodosum10.02.01.020; 23.07.02.001--Not Available
Fungal infection11.03.05.001--Not Available
Gallbladder disorder09.03.02.001--Not Available
Gastrointestinal disorder07.11.01.001--Not Available
Hair growth abnormal23.02.06.006--Not Available
Headache17.14.01.001--
Hyperaesthesia17.02.06.004--Not Available
Migraine17.14.02.001; 24.03.05.003--Not Available
Myalgia15.05.02.001--
Myocardial infarction02.02.02.007; 24.04.04.009--
Neoplasm16.16.02.001--Not Available
Nipple pain21.05.05.009--Not Available
Oedema08.01.07.006; 14.05.06.010--Not Available
Pelvic pain07.01.06.012; 20.02.03.007; 21.10.01.001--
Pelvic venous thrombosis24.01.02.008--Not Available
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