Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Cysteamine
Drug ID BADD_D00556
Description Cystinosis is a rare disease caused by mutations in the CTNS gene that encodes for cystinosin, a protein responsible for transporting cystine out of the cell lysosome. A defect in cystinosin function is followed by cystine accumulation throughout the body, especially the eyes and kidneys.[A218721] Several preparations of cysteamine exist for the treatment of cystinosis manifestations, some in capsule form, and others in ophthalmic solution form.[L15606,L15616] In particular, cystine deposits on the eye can cause significant discomfort throughout the day and require frequent treatment with eye drops, typically every waking hour.[L15611] On August 25th 2020, the first ophthalmic solution for cystinosis requiring only 4 daily treatments was granted FDA approval.[L15606] Cysteamine eye drops are a practical and effective option for those affected by ocular cystinosis. Marketed by Recordati Rare Diseases Inc., CYSTADROPS® reduce the burden of multiple frequent medications normally administered to those with cystinosis.[L15601]
Indications and Usage The bitartrate salt of cysteamine is used for the oral treatment of nephropathic cystinosis and cystinuria in children 6 years old and above, and adults.[L15616] The hydrochloride salt, used in eye drop preparations, is indicated for the treatment of corneal cystine crystal accumulation in patients with cystinosis.[L15601,L15606]
Marketing Status approved; investigational
ATC Code A16AA04; S01XA21
DrugBank ID DB00847
KEGG ID D03634
MeSH ID D003543
PubChem ID 6058
TTD Drug ID D0V0LB
NDC Product Code Not Available
UNII 5UX2SD1KE2
Synonyms Cysteamine | beta-Mercaptoethylamine | beta Mercaptoethylamine | Mercaptoethylamine | Mercamine | Mercaptamine | 2-Aminoethanethiol | 2 Aminoethanethiol | Cysteinamine | Cystagon | Cysteamine Bitartrate | Bitartrate, Cysteamine | Cysteamine Tartrate (1:1) | Cysteamine Tartrate | Tartrate, Cysteamine | Cysteamine Dihydrochloride | Dihydrochloride, Cysteamine | Cysteamine Hydrochloride | Hydrochloride, Cysteamine | Cysteamine Maleate (1:1) | Cysteamine Tosylate | Tosylate, Cysteamine | Cysteamine, 35S-Labeled | 35S-Labeled Cysteamine | Cysteamine, 35S Labeled | Becaptan | Cysteamine Hydrobromide | Hydrobromide, Cysteamine
Chemical Information
Molecular Formula C2H7NS
CAS Registry Number 60-23-1
SMILES C(CS)N
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 discomfort07.01.06.0010.000776%Not Available
Abdominal pain07.01.05.0020.001720%
Abdominal pain upper07.01.05.0030.001028%
Abortion spontaneous18.01.04.0010.000210%Not Available
Agitation19.06.02.001; 17.02.05.012--
Anaemia01.03.02.001--
Anaphylactic shock24.06.02.004; 10.01.07.002--Not Available
Asthenia08.01.01.001--Not Available
Ataxia17.02.02.001; 08.01.02.004--
Body temperature increased13.15.01.001--Not Available
Bone disorder15.02.04.004--Not Available
Breath odour07.01.06.002--Not Available
Burning sensation17.02.06.001; 08.01.09.0290.001070%Not Available
Cardiac failure02.05.01.0010.000315%
Cerebral ischaemia17.08.01.005; 24.04.06.003--
Cerebrovascular accident24.03.05.001; 17.08.01.0070.000210%
Chest pain22.12.02.003; 08.01.08.002; 02.02.02.0110.000461%Not Available
Chills08.01.09.001; 15.05.03.0160.000566%
Completed suicide19.12.01.001; 08.04.01.0100.000566%Not Available
Compression fracture15.08.02.004; 12.04.02.008--Not Available
Confusional state19.13.01.001; 17.02.03.005--
Constipation07.02.02.001--
Dehydration14.05.05.001--
Depression19.15.01.0010.000210%
Dermatitis23.03.04.002--Not Available
Diarrhoea07.02.01.0010.000881%
Diffuse large B-cell lymphoma16.28.02.001; 01.15.02.001--Not Available
Discomfort08.01.08.003--Not Available
Dizziness17.02.05.003; 02.11.04.006; 24.06.02.007--
Duodenitis07.08.03.001--Not Available
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