Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Tiotropium
Drug ID BADD_D02443
Description Tiotropium is a long-acting, antimuscarinic bronchodilator used in the management of chronic obstructive pulmonary disease (COPD) and asthma.[A180163,L7084,L7087,L7090,L7093] Tiotropium acts mainly on M3 muscarinic receptors located in the airways to produce smooth muscle relaxation and bronchodilation.[A180163,L7084,L7087,L7090,L7093] Tiotropium is more specific for the subset of muscarinic receptors commonly found in the lungs than [ipratropium].[A180163] Tiotropium was granted FDA approval on 30 January 2004.[L7084]
Indications and Usage Tiotropium powder for inhalation is indicated for the maintenance of bronchospasm in COPD and to prevent exacerbations of COPD.[L7084] A combination tiotropium and [olodaterol] metered inhalation spray is indicated for maintenance of COPD.[L7087] A tiotropium inhalation spray is indicated for the maintenance of bronchospasm in COPD, to prevent exacerbations of COPD, and to treat asthma in patients 12 or more years old.[L7090] A tiotropium metered inhalation spray is indicated for the maintenance of bronchospasm in COPD, to prevent exacerbations of COPD, and to treat asthma in patients 6 or more years old.[L7093]
Marketing Status approved
ATC Code R03BB04
DrugBank ID DB01409
KEGG ID D01929
MeSH ID D000069447
PubChem ID 5487427
TTD Drug ID D0P1WA
NDC Product Code Not Available
UNII 0EB439235F
Synonyms Tiotropium Bromide | Bromide, Tiotropium | 7-((hydroxybis(2-thienyl)acetyl)oxy)-9,9-dimethyl-3-oxa-9-azoniatricyclo(3.3.1.0(2,4))nonane bromide | Tiotropium | Spiriva | BA 679 BR | 679 BR, BA | BR, BA 679 | BA-679 BR | BA679 BR
Chemical Information
Molecular Formula C19H22NO4S2+
CAS Registry Number 186691-13-4
SMILES C[N+]1(C2CC(CC1C3C2O3)OC(=O)C(C4=CC=CS4)(C5=CC=CS5)O)C
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)
Lower gastrointestinal haemorrhage07.12.03.011; 24.07.02.0300.000086%
Cardiopulmonary failure02.05.01.004; 22.02.06.0040.000057%-
Respiratory tract congestion22.02.07.0030.000195%-
Inappropriate antidiuretic hormone secretion05.03.03.001; 14.05.07.0010.000172%-
Secretion discharge08.01.03.0190.000351%-
Cardiac discomfort02.11.04.001---
Pulmonary mass22.02.07.0040.000086%-
Hypoaesthesia oral07.05.05.003; 17.02.06.0210.000224%-
Paraesthesia oral07.05.05.035; 17.02.06.0080.000126%-
Toxic skin eruption10.01.01.008; 12.03.01.073; 23.03.05.0030.000057%-
Lung neoplasm malignant16.19.02.001; 22.08.01.0010.001207%-
Restless legs syndrome15.05.03.012; 17.02.07.0080.000253%-
Metastases to central nervous system16.22.02.004; 17.02.10.0130.000086%-
Bladder disorder20.03.01.0020.000253%-
Cardiac disorder02.11.01.0030.000345%-
Motor dysfunction15.05.06.006; 17.01.02.0310.000195%-
Parkinson's disease17.01.05.010---
Sensation of foreign body08.01.09.0020.000351%-
Urinary tract obstruction20.08.01.0040.000126%
Vocal cord disorder22.04.01.0030.000126%-
Cardiac fibrillation02.03.02.0210.000057%-
Obstructive airways disorder22.03.01.0110.000529%-
Lung neoplasm16.19.04.001; 22.08.01.0060.000057%-
Unevaluable event08.01.03.0510.001523%-
Arterial occlusive disease24.04.02.021---
Increased upper airway secretion22.12.03.0070.000546%-
Pharyngeal disorder22.04.05.0070.000155%-
Low birth weight baby18.04.02.0030.000144%-
Oral disorder07.05.01.0050.000126%-
Oropharyngeal discomfort07.05.05.008; 22.12.03.0150.000213%-
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