Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Daptomycin
Drug ID BADD_D00581
Description Daptomycin is a cyclic lipopeptide antibacterial agent with a broad spectrum of activity against Gram-positive bacteria, including methicillin-susceptible and -resistant _Staphylococcus aureus_ (MSSA/MRSA) and vancomycin-resistant Enterococci (VRE).[A231379, A231384, L32534] Chemically, daptomycin comprises 13 amino acids, including several non-standard and D-amino acids, with the C-terminal 10 amino acids forming an ester-linked ring and the N-terminal tryptophan covalently bonded to decanoic acid.[A231374, L32534] Daptomycin was first discovered in the early 1980s by researchers at Eli Lilly in soil samples from Mount Ararat in Turkey.[A231384] Early work on developing daptomycin was abandoned due to observed myopathy but was resumed in 1997 when Cubist Pharmaceuticals Inc. licensed daptomycin; it was found that a once-daily dosing scheme reduced side effects while retaining efficacy.[A231379] Daptomycin was approved by the FDA on September 12, 2003, and is marketed under the name CUBICIN® by Cubist Pharmaceuticals LLC (Merck & Co.).[L32534]
Indications and Usage Daptomycin is indicated for the treatment of complicated skin and skin structure infections (cSSSI) in patients one year of age and older. It is also indicated for the treatment of _Staphylococcus aureus_ bloodstream infections (bacteremia) in patients one year of age and older, including in adult patients with right-sided infective endocarditis.[L32534] Daptomycin is not indicated for the treatment of pneumonia or left-sided infective endocarditis due to _S. aureus_. Use is not recommended in pediatric patients younger than one year of age due to the risk of potential effects on muscular, neuromuscular, and/or nervous systems (either peripheral and/or central).[L32534] As with all antibacterial drugs, it is strongly suggested to perform sufficient testing before treatment initiation in order to confirm an infection caused by susceptible bacteria. Failure to do so may result in suboptimal treatment, treatment failure, and the development of drug-resistant bacteria.[L32534]
Marketing Status approved; investigational
ATC Code J01XX09
DrugBank ID DB00080
KEGG ID D01080
MeSH ID D017576
PubChem ID 16134395
TTD Drug ID D05HPI
NDC Product Code 16729-435; 43598-413; 67457-813; 71288-017; 71839-107; 72603-147; 65897-2011; 73402-111; 67919-011; 51187-0002; 70436-033; 0409-0120; 69097-807; 70594-053; 71288-016; 71839-108; 42513-0004; 42513-0015; 57885-0011; 43598-476; 55150-344; 70594-034; 67254-515; 0143-9378; 63323-371; 67919-012; 68001-376; 0409-5933; 72572-100; 72603-152; 31722-102; 60505-6229; 60977-145; 63323-871; 69097-850; 72572-102; 17337-0261; 68225-082; 16714-892; 25021-179; 63323-585; 67184-0549; 0409-0122; 72201-1009; 68001-467; 65897-1011; 16729-434; 25021-174; 31722-215; 0409-2757; 68225-052; 31722-216
UNII NWQ5N31VKK
Synonyms Daptomycin | Deptomycin | Cubicin | Daptomycin, 9-L beta-Aspartic Acid | Daptomycin, 9 L beta Aspartic Acid | LY-146032 | LY 146032 | LY146032
Chemical Information
Molecular Formula C72H101N17O26
CAS Registry Number 103060-53-3
SMILES CCCCCCCCCC(=O)NC(CC1=CNC2=CC=CC=C21)C(=O)NC(CC(=O)N)C(=O)NC(CC(=O)O)C(=O)NC3C(OC (=O)C(NC(=O)C(NC(=O)C(NC(=O)CNC(=O)C(NC(=O)C(NC(=O)C(NC(=O)C(NC(=O)CNC3=O)CCCN)C C(=O)O)C)CC(=O)O)CO)C(C)CC(=O)O)CC(=O)C4=CC=CC=C4N)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)
Pre-existing disease08.01.03.0590.000049%Not Available
Alcoholic pancreatitis07.18.01.005--Not Available
Hypoaesthesia oral17.02.06.021; 07.05.05.003--Not Available
Toxic skin eruption10.01.01.008; 12.03.01.073; 23.03.05.0030.000170%Not Available
Staphylococcal infection11.02.05.002--Not Available
Angiopathy24.03.02.007--Not Available
Blood alkaline phosphatase increased13.04.02.004--
Drug resistance08.06.01.0050.000690%Not Available
Breast disorder21.05.04.004--Not Available
Cardiac disorder02.11.01.003--Not Available
Connective tissue disorder15.06.01.006; 10.04.04.026--Not Available
Embolism24.01.01.0090.000073%
Infestation23.11.01.002; 11.09.01.001--Not Available
Malnutrition14.03.02.004--Not Available
Mediastinal disorder22.09.03.001--Not Available
Mental disorder19.07.01.002--Not Available
Sudden hearing loss04.02.01.0090.000073%Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Inner ear disorder04.04.02.002--Not Available
Blood disorder01.05.01.004--Not Available
Disease recurrence08.01.03.0500.000156%Not Available
Pulmonary toxicity22.01.02.007; 12.03.01.0130.000219%Not Available
Hepatobiliary disease09.01.08.003--Not Available
Renal impairment20.01.03.010--Not Available
Oral mucosa erosion07.05.06.0090.000073%Not Available
Infusion site extravasation12.07.05.008; 08.02.05.0070.000248%
Vulvovaginal mycotic infection11.03.05.004; 21.14.02.004--Not Available
Acute interstitial pneumonitis22.01.02.0160.000146%Not Available
Treatment failure08.06.01.0170.001920%Not Available
Liver injury12.01.17.012; 09.01.07.0220.000156%Not Available
The 10th Page    First    Pre   10 11    Next   Last    Total 11 Pages