Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Levodopa
Drug ID BADD_D02439
Description Levodopa is a prodrug of dopamine that is administered to patients with Parkinson's due to its ability to cross the blood-brain barrier[Label]. Levodopa can be metabolised to dopamine on either side of the blood-brain barrier and so it is generally administered with a dopa decarboxylase inhibitor like carbidopa to prevent metabolism until after it has crossed the blood-brain barrier[Label,A177781]. Once past the blood-brain barrier, levodopa is metabolized to dopamine and supplements the low endogenous levels of dopamine to treat symptoms of Parkinson's[Label]. The first developed drug product that was approved by the FDA was a levodopa and carbidopa combined product called Sinemet that was approved on May 2, 1975[A177781,L6133].
Indications and Usage Levodopa on its own is formulated as an oral inhalation powder indicated for intermittent treatment of off episodes in Parkinson's patients who are already being treated with carbidopa and levodopa[FDA Label]. Levodopa is most commonly formulated as an oral tablet with a peripheral dopa decarboxylase inhibitor indicated for treatment of Parkinson's disease, post-encephalitic parkinsonism, and symptomatic parkinsonism following carbon monoxide intoxication or manganese intoxication[F4579].
Marketing Status approved
ATC Code N04BA01
DrugBank ID DB01235
KEGG ID D00059
MeSH ID D007980
PubChem ID 6047
TTD Drug ID D08HVR
NDC Product Code 51552-1348; 51846-1053; 70600-019; 58624-0234; 11014-0443; 51927-0049; 17333-059; 58624-0238; 64220-199; 49452-2680; 51846-1052; 62331-013; 10144-342; 65977-0126
UNII 46627O600J
Synonyms Levodopa | L-Dopa | L Dopa | 3-Hydroxy-L-tyrosine | 3 Hydroxy L tyrosine | L-3,4-Dihydroxyphenylalanine | L 3,4 Dihydroxyphenylalanine | Levopa | Larodopa | Dopaflex | Dopar
Chemical Information
Molecular Formula C9H11NO4
CAS Registry Number 59-92-7
SMILES C1=CC(=C(C=C1CC(C(=O)O)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)
Tension19.06.02.0050.000367%-
Throat irritation07.05.05.037; 22.12.03.0290.001431%-
Torticollis15.05.04.003; 17.01.03.0030.000367%-
Tremor17.01.06.0020.004586%
Vitamin B12 deficiency14.12.02.0040.000367%-
Mobility decreased08.01.03.030; 15.03.05.023; 17.02.05.0180.001724%-
General physical health deterioration08.01.03.0180.001284%-
Balance disorder08.01.03.081; 17.02.02.0070.001174%-
Bradyphrenia17.03.03.004; 19.10.03.0020.000917%-
Dyschezia07.02.03.0050.000367%-
Musculoskeletal stiffness15.03.05.0270.001981%-
Musculoskeletal discomfort15.03.04.0010.000807%-
Medical device discomfort08.07.01.0100.000367%-
Mucosal discolouration08.01.06.0080.001247%-
Cognitive disorder17.03.03.003; 19.21.02.0010.001724%
Freezing phenomenon17.01.05.0060.002788%-
Adverse event08.06.01.0100.003485%-
Bladder disorder20.03.01.0020.000367%-
Cardiac disorder02.11.01.0030.000550%-
Impulse-control disorder19.18.01.0020.000917%-
Motor dysfunction15.05.06.006; 17.01.02.0310.000367%-
Abnormal behaviour19.01.01.0010.000991%-
Decreased appetite08.01.09.028; 14.03.01.0050.001468%
Ill-defined disorder08.01.03.0490.002678%-
Parkinson's disease17.01.05.0100.011227%-
Adverse drug reaction08.06.01.0090.000807%-
Drug intolerance08.06.01.0130.002495%-
Psychotic disorder19.03.01.0020.000367%
Unevaluable event08.01.03.0510.002091%-
Poor quality sleep17.15.04.002; 19.02.05.0050.000807%-
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ADReCS-Target
Drug Name ADR Term Target
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