Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Ziconotide
Drug ID BADD_D02381
Description Ziconotide (also known as SNX-111) is a neurotoxic peptide derived from the cone snail _Conus magus_ comprising 25 amino acids with three disulphide bonds.[A202835, L13389] Other such peptides, collectively termed conotoxins, exist, and some have shown efficacy in binding specific subsets of calcium channels; ziconotide is used in part because it can be synthesized without loss of proper bond formation or structural elements.[A202829, A202832] Ziconotide is used to manage severe chronic pain refractory to other methods, through its ability to inhibit N-type calcium channels involved in nociceptive signalling.[A202829, A202835, A202838, A202841, A202850, A202859, L13389] Ziconotide was granted FDA approval on December 28, 2004 for marketing by TerSera therapeutics LLC. under the name Prialt.[L13389] To date, ziconotide is the only calcium channel blocking peptide approved for use by the FDA.[A202835]
Indications and Usage Ziconotide is indicated for the management of severe chronic pain in patients refractory to other treatments, and for whom intrathecal therapy is warranted.[L13389]
Marketing Status approved
ATC Code N02BG08
DrugBank ID DB06283
KEGG ID D06363
MeSH ID C078452
PubChem ID 16135415
TTD Drug ID D01NLB
NDC Product Code 52416-777
UNII 7I64C51O16
Synonyms ziconotide | CYS-LYS-GLY-LYS-GLY-ALA-LYS-CYS-SER-ARG-LEU-MET-TYR-ASP-CYS-CYS-THR-GLY-SER-CYS-ARG-SER-GLY-LYS-CYS-NH2 | omega-conotoxin MVIIA | omega-conotoxin M VIIA | omega-conopeptide MVIIA | leconotide | SNX 111 | SNX-111 | omega-conotoxin MVIIA, Conus magus | Prialt
Chemical Information
Molecular Formula C102H172N36O32S7
CAS Registry Number 107452-89-1
SMILES CC1C(=O)NC(C(=O)NC2CSSCC3C(=O)NC(C(=O)NC(C(=O)NCC(=O)NC(C(=O)NC(CSSCC(C(=O)NC(CS SCC(C(=O)NC(C(=O)NCC(=O)NC(C(=O)NCC(=O)N1)CCCCN)CCCCN)N)C(=O)NC(C(=O)NCC(=O)NC(C (=O)N3)CO)C(C)O)NC(=O)C(NC(=O)C(NC(=O)C(NC(=O)C(NC(=O)C(NC(=O)C(NC2=O)CO)CCCNC(= N)N)CC(C)C)CCSC)CC4=CC=C(C=C4)O)CC(=O)O)C(=O)N)CCCCN)CO)CCCNC(=N)N)CCCCN
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)
Swelling08.01.03.015---
Tension19.06.02.005---
Thought blocking19.10.03.003---
Tinnitus04.04.01.002; 17.04.07.004--
Tremor17.01.06.002--
Urethral disorder20.07.01.002---
Urinary hesitation20.02.02.009---
Urinary incontinence17.05.01.008; 20.02.02.010--
Urinary retention20.02.02.011--
Urinary tract disorder20.08.01.001---
Vertigo04.04.01.003; 17.02.12.002--
Vision blurred06.02.06.007; 17.17.01.010--
Visual impairment06.02.10.013---
Vomiting07.01.07.003--
Weight decreased13.15.01.005--
Mental status changes19.07.01.001---
Peripheral swelling02.05.04.015; 08.01.03.053---
Balance disorder08.01.03.081; 17.02.02.007---
Musculoskeletal discomfort15.03.04.001---
Walking disability26.01.01.009---
Clonic convulsion17.12.03.008---
Affect lability19.04.01.001---
Skin burning sensation17.02.06.009; 23.03.03.021---
Cognitive disorder17.03.03.003; 19.21.02.001--
Angiopathy24.03.02.007---
Cardiac disorder02.11.01.003---
Connective tissue disorder10.04.04.026; 15.06.01.006---
Infestation11.09.01.001; 23.11.01.002---
Malnutrition14.03.02.004---
Mediastinal disorder22.09.03.001---
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