Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Alprazolam
Drug ID BADD_D00085
Description Alprazolam is a triazolobenzodiazepine indicated for the treatment of anxiety and panic disorders.[L34783, L34788] It is mainly metabolized by CYP3As and so is contraindicated with CYP3A inhibitors like ketoconazole and itraconazole.[L34783, L34788] Benzodiazepine treatment should be stopped gradually by tapering down a patient's dose to avoid withdrawal symptoms.[A18125] Alprazolam's adverse effects are generally related to the sedation it can cause.[A18125] Alprazolam has been mixed with alcohol as a drug of abuse to potentiate the sedative effects of the drug which may lead to coma and death.[A18125] Alprazolam was given FDA approval on October 16, 1981.[L6148]
Indications and Usage Alprazolam is indicated for the acute treatment of generalized anxiety disorder in adults.[L34783] Alprazolam is also indicated, either as a standard or extended-release formulation, for the treatment of panic disorder with or without agoraphobia in adults.[L34783, L34788] Alprazolam may also be prescribed off-label for insomnia, premenstrual syndrome, and depression.[A177973]
Marketing Status approved; illicit; investigational
ATC Code N05BA12
DrugBank ID DB00404
KEGG ID D00225
MeSH ID D000525
PubChem ID 2118
TTD Drug ID D0L9GG
NDC Product Code 72789-151; 49452-0295; 0009-0055; 45865-972; 49884-213; 0228-2039; 0228-3084; 53002-3952; 59762-3719; 60760-550; 63187-966; 68071-2220; 68071-5243; 68788-7595; 70518-2870; 70518-3763; 71335-1386; 71335-1669; 71335-9666; 71335-9667; 71610-696; 72189-213; 0228-2031; 65862-678; 49884-110; 51991-706; 0228-3086; 53002-0340; 59762-0066; 59762-3722; 60760-678; 65862-677; 67296-1748; 68071-2976; 68788-7596; 0054-3068; 71205-652; 71335-0849; 71335-1576; 71335-1839; 72189-240; 72789-313; 0781-1079; 80425-0110; 42816-0055; 42816-0094; 65862-454; 65862-457; 71554-013; 59762-0057; 61919-005; 63187-444; 63187-445; 63187-916; 65162-813; 68071-2965; 71205-284; 71205-718; 71335-1907; 65162-810; 71335-1291; 71610-112; 0615-8295; 0228-2029; 12780-4630; 64330-013; 0009-0068; 49884-214; 50090-2819; 50090-5258; 0228-2027; 51991-705; 51991-707; 59762-3721; 65862-676; 67296-0757; 67544-414; 68071-2236; 68071-2794; 70518-3259; 70954-510; 71205-614; 71335-1894; 72189-121; 72189-450; 0781-1061; 12828-0040; 42816-0029; 42816-0057; 0009-0057; 0009-0059; 43063-609; 45865-424; 50090-5262; 0228-4019; 0228-4022; 55700-929; 59762-0059; 59762-3720; 63187-443; 65862-456; 68071-2292; 68071-4831; 70954-509; 70954-511; 71205-227; 71335-1477; 80425-0161; 0009-5144; 42816-0090; 65015-634; 65862-679; 0009-0066; 50090-5078; 51991-704; 0228-3083; 67544-415; 68071-5263; 68788-8410; 70518-2785; 70518-3730; 0781-1077; 80425-0099; 80425-0100; 80425-0284; 42816-0059; 42816-0066; 42816-0068; 63187-518; 68071-5113; 68071-5128; 68788-7613; 68788-9682; 71335-1092; 71610-113; 72789-042; 83008-010; 65862-455; 0009-0029; 0009-0090; 45865-993; 49884-111; 0228-4024; 63187-971; 65162-809; 65162-812; 68788-7594; 68788-8394; 71335-2133; 71335-9660; 49999-252; 50090-2896; 50090-5261; 63187-225; 67544-347; 68071-2966; 68788-8414; 70954-508; 71335-0427; 71335-0920; 71335-1129; 72162-1059; 72789-024; 72789-328; 0781-1089; 57218-312; 0009-0094; 0228-3087; 0228-4025; 53002-4181; 55289-523; 59762-0068
UNII YU55MQ3IZY
Synonyms Alprazolam | Alprazolan | Trankimazin | U-31,889 | U31,889 | Xanax | Alprox | Esparon | Cassadan | D-65MT | D65MT | Kalma | Novo-Alprazol | Novo Alprazol | Nu-Alpraz | Nu Alpraz | Ralozam | Tafil | Apo-Alpraz | Apo Alpraz
Chemical Information
Molecular Formula C17H13ClN4
CAS Registry Number 28981-97-7
SMILES CC1=NN=C2N1C3=C(C=C(C=C3)Cl)C(=NC2)C4=CC=CC=C4
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)
Perforation08.01.03.0580.000019%Not Available
Intrusive thoughts19.10.03.0080.000097%Not Available
Anal incontinence17.05.01.021; 07.01.06.0290.000058%
Depersonalisation/derealisation disorder19.14.01.004--Not Available
Alcohol interaction08.06.03.0030.000116%Not Available
Coeliac disease14.02.01.007; 10.04.04.012; 07.17.01.0080.000019%Not Available
Coombs negative haemolytic anaemia01.06.03.0010.000049%Not Available
Drop attacks17.05.02.016; 15.05.04.0180.000019%Not Available
Drug withdrawal headache17.14.01.006; 08.06.02.0110.000019%Not Available
Impulsive behaviour19.18.01.0010.000029%Not Available
Neglect of personal appearance19.01.02.0150.000049%Not Available
Neonatal respiratory distress syndrome22.11.02.010; 18.04.10.0030.000078%Not Available
Nephroblastoma20.01.04.011; 16.08.02.0050.000019%Not Available
Paramnesia19.20.01.0070.000078%Not Available
Persecutory delusion19.10.01.0070.000049%Not Available
Pneumothorax spontaneous22.05.02.0070.000029%Not Available
Post-traumatic stress disorder19.06.06.0020.000019%Not Available
Poverty of speech19.19.02.007; 17.02.08.0200.000019%Not Available
Primary hyperaldosteronism24.08.04.006; 14.05.04.010; 05.01.01.0070.000029%Not Available
Pulmonary artery stenosis24.04.09.011; 22.06.03.0060.000019%Not Available
Cardiomyopathy acute02.04.01.0080.000029%Not Available
Spinal cord ischaemia24.04.06.040; 17.10.01.0180.000039%Not Available
Tongue biting07.14.01.013; 12.01.17.023; 17.02.05.0640.000043%Not Available
Foetal macrosomia18.03.01.0030.000019%Not Available
Retroplacental haematoma24.07.03.029; 18.02.01.0060.000019%Not Available
Hepatic ischaemia24.04.07.008; 09.01.06.0180.000019%Not Available
Palatal oedema07.05.04.0080.000049%Not Available
Biliary dilatation09.02.03.0040.000019%Not Available
Cell death08.03.03.003; 14.11.02.0050.000019%Not Available
Subacute cutaneous lupus erythematosus10.04.03.012; 15.06.02.012; 23.03.02.0200.000019%Not Available
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ADReCS-Target
Drug Name ADR Term Target
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