Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Rocuronium
Drug ID BADD_D01959
Description Rocuronium (rapid onset-curonium) is a desacetoxy analogue of vecuronium with a more rapid onset of action. It is an aminosteroid non-depolarizing neuromuscular blocker or muscle relaxant used in modern anaesthesia, to facilitate endotracheal intubation and to provide skeletal muscle relaxation during surgery or mechanical ventilation. Introduced in 1994, rocuronium has rapid onset, and intermediate duration of action. It is commonly marketed under the trade names Zemuron and Esmeron. The drug is associated with the risk of developing allergic reactions in some high-risk patients, such as those with asthma. However, there was a similar incidence of allergic reactions associated with other non-depolarizing neuromuscular blocking agents. [Sugammadex] is a γ-cyclodextrin derivative that has been introduced as a novel agent to reverse the action of rocuronium.
Indications and Usage For inpatients and outpatients as an adjunct to general anesthesia to facilitate both rapid sequence and routine tracheal intubation, and to provide skeletal muscle relaxation during surgery or mechanical ventilation.
Marketing Status approved
ATC Code M03AC09
DrugBank ID DB00728
KEGG ID D00765
MeSH ID D000077123
PubChem ID 441290
TTD Drug ID D0L5CZ
NDC Product Code 66794-229; 66794-228
UNII WRE554RFEZ
Synonyms Rocuronium | 1-(17-(Acetoyl)-3-hydroxy-2-(4-morpholinyl)androstan-16-yl)-1-(2-propenyl)pyrrolidinium | Androstane-3,17-diol, 2-(4-morpholinyl)-16-(1-(2-propen-1-yl)-1-pyrrolidiniumyl)-, 17-acetate, (2beta,3alpha,5alpha,16beta,17beta)- | ORG-9426 | ORG9426 | ORG 9426 | Esmeron | Esmerone | Zemuron | Rocuronium Bromide | Pyrrolidinium, 1-((2beta,3alpha,5alpha,16beta,17beta)-17-(acetyloxy)-3-hydroxy-2-(4-morpholinyl)androstan-16-yl)-1-(2-propenyl)-, bromide
Chemical Information
Molecular Formula C32H53N2O4+
CAS Registry Number 143558-00-3
SMILES CC(=O)OC1C(CC2C1(CCC3C2CCC4C3(CC(C(C4)O)N5CCOCC5)C)C)[N+]6(CCCC6)CC=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)
Hiccups07.01.06.009; 22.12.01.001--
Hypersensitivity10.01.03.003--
Hypertension24.08.02.001--
Hypocapnia22.02.02.0080.000114%-
Hypokalaemia14.05.03.0020.000057%
Hypotension24.06.03.0020.002261%
Hypotonia15.05.04.008; 17.05.02.0020.000085%-
Hypoventilation22.02.01.0070.000342%-
Hypoxia22.02.02.0030.000484%
Injection site pain08.02.03.010; 12.07.03.0110.000057%-
Lip swelling07.05.04.005; 10.01.05.005; 23.04.01.0070.000171%-
Movement disorder17.01.02.0100.000125%-
Muscle rigidity15.05.04.001; 17.05.02.0050.000125%-
Muscle twitching15.05.03.0050.001088%-
Muscular weakness15.05.06.001; 17.05.03.005--
Myasthenic syndrome10.04.05.005; 15.05.08.003; 16.32.01.002; 17.05.04.0040.000171%-
Myopathy15.05.05.001---
Nausea07.01.07.001--
Oliguria20.01.03.0040.000057%-
Paralysis17.01.04.0040.000399%-
Peripheral circulatory failure24.06.02.0200.000085%-
Peripheral sensory neuropathy17.09.03.0050.000057%
Premature baby18.04.02.0010.000057%-
Pruritus23.03.12.001--
Pulmonary haemorrhage22.12.01.009; 24.07.01.0160.000057%
Rash23.03.13.0010.000683%-
Rash erythematous23.03.13.0290.000057%-
Respiratory arrest22.02.01.0090.000495%-
Respiratory depression17.02.05.047; 22.02.01.0100.000239%-
Respiratory disorder22.02.07.0020.000085%-
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