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)
Respiratory distress22.02.01.0120.000057%-
Respiratory failure14.01.04.003; 22.02.06.002--
Retching07.01.07.0020.000057%-
Rhonchi22.12.01.013---
Shock24.06.02.002---
Sinus tachycardia02.03.03.0100.000085%
Sleep apnoea syndrome17.15.05.001; 19.02.05.002; 22.02.01.0130.000114%
Sputum increased22.02.03.0070.000057%-
Swelling face08.01.03.100; 10.01.05.018; 23.04.01.0180.000114%-
Swollen tongue07.14.02.003; 10.01.05.015; 23.04.01.0140.000142%-
Tachycardia02.03.02.0070.001321%-
Type I hypersensitivity10.01.03.0060.000142%-
Unresponsive to stimuli17.02.05.0310.000171%-
Urticaria10.01.06.001; 23.04.02.0010.000569%
Vascular resistance systemic13.14.03.019---
Vasodilatation23.06.05.006; 24.03.02.0030.000057%-
Vomiting07.01.07.003--
Wheezing22.03.01.0090.000057%
Paradoxical drug reaction08.06.01.0140.000125%-
Muscle tightness15.05.03.0070.000290%-
Facial paresis17.04.03.0020.000057%
Injection site swelling08.02.03.017; 12.07.03.018---
Pulseless electrical activity02.03.04.0200.000456%-
Drug resistance08.06.01.0050.000125%-
Eyelid disorder06.08.03.010; 23.03.03.0280.000057%-
Vocal cord disorder22.04.01.0030.000125%-
Obstructive airways disorder22.03.01.0110.000057%-
Immediate post-injection reaction08.06.01.019; 10.01.03.0320.000057%-
Vascular resistance pulmonary increased13.14.03.020---
Brain injury17.11.01.003; 19.07.03.0070.000057%-
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