Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Trandolapril
Drug ID BADD_D02259
Description Trandolapril is a non-sulhydryl prodrug that belongs to the angiotensin-converting enzyme (ACE) inhibitor class of medications. It is metabolized to its biologically active diacid form, trandolaprilat, in the liver. Trandolaprilat inhibits ACE, the enzyme responsible for the conversion of angiotensin I (ATI) to angiotensin II (ATII). ATII regulates blood pressure and is a key component of the renin-angiotensin-aldosterone system (RAAS). Trandolapril may be used to treat mild to moderate hypertension, to improve survival following myocardial infarction in clinically stable patients with left ventricular dysfunction, as an adjunct treatment for congestive heart failure, and to slow the rate of progression of renal disease in hypertensive individuals with diabetes mellitus and microalbuminuria or overt nephropathy.
Indications and Usage For the treatment of mild to moderate hypertension, as an adjunct in the treatment of congestive heart failure (CHF), to improve survival following myocardial infarction (MI) in individuals who are hemodynamically stable and demonstrate symptoms of left ventricular systolic dysfunction or signs of CHF within a few days following acute MI, and to slow progression of renal disease in hypertensive patients with diabetes mellitus and microalbuminuria or overt nephropathy.
Marketing Status approved
ATC Code C09AA10
DrugBank ID DB00519
KEGG ID D00383
MeSH ID C052035
PubChem ID 5484727
TTD Drug ID D0M5OC
NDC Product Code 65862-165; 57237-089; 50370-0004; 65862-386; 63629-8003; 71335-1431; 57237-090; 68180-567; 65862-164; 66039-811; 68180-566; 68180-568; 65862-166; 57237-091; 63827-0003
UNII 1T0N3G9CRC
Synonyms trandolapril | 1-(2-((1-(ethoxycarbonyl)-3-phenylpropyl)amino)-1-oxopropyl)octahydro-1H-indol-2-carboxylic acid | Odrik | Udrik | RU 44570 | RU44570 | RU-44570 | Mavik | Gopten
Chemical Information
Molecular Formula C24H34N2O5
CAS Registry Number 87679-37-6
SMILES CCOC(=O)C(CCC1=CC=CC=C1)NC(C)C(=O)N2C3CCCCC3CC2C(=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)
Visual impairment06.02.10.013---
Vomiting07.01.07.003--
White blood cell count decreased13.01.06.012--
Red blood cell sedimentation rate increased13.01.03.001---
Upper respiratory tract inflammation22.12.03.034---
Muscle tightness15.05.03.007---
Blood pressure inadequately controlled24.06.01.007---
Acute coronary syndrome02.02.02.015; 24.04.04.011---
Upper respiratory tract congestion22.12.03.033---
Lymphatic disorder01.09.01.003---
Migraine without aura17.14.02.003; 24.03.05.006---
Musculoskeletal discomfort15.03.04.001---
Transaminases increased13.03.04.036---
Lung neoplasm malignant16.19.02.001; 22.08.01.001---
Disturbance in sexual arousal19.08.04.003---
Angiopathy24.03.02.007---
Blood alkaline phosphatase increased13.04.02.004--
Urine output increased13.13.03.002---
Antinuclear antibody positive13.06.01.003---
Hepatic enzyme increased13.03.04.028---
Hot flush08.01.03.027; 21.02.02.001; 24.03.01.005--
Breast disorder21.05.04.004---
Cardiac disorder02.11.01.003---
Connective tissue disorder10.04.04.026; 15.06.01.006---
Infarction24.04.02.017---
Infestation11.09.01.001; 23.11.01.002---
Malnutrition14.03.02.004---
Mediastinal disorder22.09.03.001---
Mental disorder19.07.01.002---
Decreased appetite08.01.09.028; 14.03.01.005--
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ADReCS-Target
Drug Name ADR Term Target
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