Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Trientine hydrochloride
Drug ID BADD_D02280
Description Triethylenetatramine (TETA) is a highly selective divalent Cu(II) chelator and orphan drug that revereses copper overload in tissues. Its salt form, trientine (triethylenetetramine dihydrochloride or 2,2,2-tetramine) was introduced in 1969 as an alternative to D-penicillamine. It consists of a polyamine-like structure different from D-penicillamine, as it lack sulfhydryl groups. It was previously approved by FDA in 1985 as second-line pharmacotherapy for Wilson's disease. Although penicillamine treatment is believed to be more extensive, TETA therapy has been shown to be an effective initial therapy, even with patients with decompensated liver disease at the outset, and prolonged TETA treatment is not associated with adverse effects as expected in penicillamine treatment. Its clinical applications on cancer, diabetes mellitus, Alzheimer's disease and vascular demetia are being studied.
Indications and Usage Trientine is a copper chelator used in the treatment of Wilson's disease as an alternative to D-penicillamine. It tends to be used in patients who are experiencing serious adverse effects from penicillamine therapy or intolerance of penicillamine.
Marketing Status approved; investigational
ATC Code A16AX12
DrugBank ID DB06824
KEGG ID D00736
MeSH ID D014266
PubChem ID 71433
TTD Drug ID D09VOK
NDC Product Code 58159-031; 76339-133; 43598-459; 49884-060; 65392-2901; 68022-7052; 0591-4910; 72205-008; 50379-0017; 68682-212; 70771-1438; 0527-4068; 42973-184; 0187-2120; 64980-450; 69539-078; 16571-810; 59285-026; 68475-200; 69575-4003; 70710-1203; 70966-0016; 31722-683
UNII HC3NX54582
Synonyms Trientine | Triethylenetetramine | Trien | Syprine | Trientine Hydrochloride | Trientine Dihydrochloride
Chemical Information
Molecular Formula C6H20Cl2N4
CAS Registry Number 38260-01-4
SMILES C(CNCCNCCN)N.Cl.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)
Abdominal pain07.01.05.002--
Abdominal pain upper07.01.05.003--
Aphthous ulcer07.05.06.002---
Asthenia08.01.01.001---
Dyspepsia07.01.02.001--
Dystonia17.01.03.001---
Gastritis07.08.02.001--
Hypochromic anaemia01.03.02.004---
Iron deficiency14.13.02.002---
Malaise08.01.01.003--
Melaena07.12.02.004; 24.07.02.013---
Muscle spasms15.05.03.004--
Myalgia15.05.02.001--
Myasthenia gravis10.04.05.001; 15.05.08.001; 17.05.04.001--
Pain of skin23.03.03.003--
Rhabdomyolysis15.05.05.002--
Skin exfoliation23.03.07.003---
Skin fissures23.03.03.008---
Skin hypertrophy23.01.04.002---
Systemic lupus erythematosus10.04.03.004; 15.06.02.003; 23.03.02.006---
Decreased appetite08.01.09.028; 14.03.01.005--
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