Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Methylnaltrexone bromide
Drug ID BADD_D01430
Description Methylnaltrexone is a pheriphally-acting μ-opioid antagonist that acts on the gastrointestinal tract to decrease opioid-induced constipation without producing analgesic effects or withdrawal symptoms. It is also a weak CYP2D6 inhibitor. FDA approved in 2008.
Indications and Usage Treatment of opioids induced constipation in palliative patients that are inadequately responding to laxative therapy.
Marketing Status approved
ATC Code A06AH01
DrugBank ID DB06800
KEGG ID D06618
MeSH ID C032257
PubChem ID 5361917
TTD Drug ID D03YVO
NDC Product Code 65649-150; 65649-551; 0406-1251; 65649-552; 66406-0219
UNII RFO6IL3D3M
Synonyms methylnaltrexone | quaternary ammonium naltrexone | (5alpha)-17-(cyclopropylmethyl)-3,14-dihydroxy-17-methyl-4,5-epoxymorphinan-17-ium-6-one | 17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxymorphinanium-6-one | morphinanium, 17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxy-17-methyl-6-oxo-, (5alpha)- | morphinan-17-ium-6-one, 17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxy-17-methyl-, (5alpha)- | naltrexone methylbromide | N-methylnaltrexone bromide | morphinan-17-ium-6-one, 17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxy-17-methyl-, bromide, (5alpha,17R)- | naltrexone MB | naltrexone methobromide | methylnaltrexone bromide | methyl-naltrexone hydrobromide | MRZ 2663BR | Relistor | MRZ-2663 | naltrexonium methiodide
Chemical Information
Molecular Formula C21H26BrNO4
CAS Registry Number 73232-52-7
SMILES C[N+]1(CCC23C4C(=O)CCC2(C1CC5=C3C(=C(C=C5)O)O4)O)CC6CC6.[Br-]
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--
Diarrhoea07.02.01.001--
Dizziness02.11.04.006; 17.02.05.003; 24.06.02.007--
Erythema23.03.06.001---
Flatulence07.01.04.002--
Flushing08.01.03.025; 23.06.05.003; 24.03.01.002--
Gastrointestinal disorder07.11.01.001---
Gastrointestinal pain07.01.05.005--
Gastrointestinal perforation07.04.04.001---
Hyperhidrosis08.01.03.028; 23.02.03.004--
Injection site reaction08.02.03.014; 12.07.03.015--
Malaise08.01.01.003--
Muscle spasms15.05.03.004--
Nausea07.01.07.001--
Nervous system disorder17.02.10.001---
Oedema08.01.07.006; 14.05.06.010---
Pain08.01.08.004--
Skin disorder23.03.03.007---
Vomiting07.01.07.003--
Perforation08.01.03.058---
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