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)
Kounis syndrome24.04.04.020; 10.01.03.037; 02.02.02.0200.000057%Not Available
Multiple organ dysfunction syndrome08.01.03.0570.000085%
Neonatal respiratory distress syndrome22.11.02.010; 18.04.10.0030.000057%Not Available
Acquired dysfibrinogenaemia01.01.02.0150.000085%Not Available
Stress cardiomyopathy24.04.04.026; 02.04.01.0120.000057%Not Available
Unmasking of previously unidentified disease08.01.03.0800.000057%Not Available
Infantile apnoea22.11.02.004; 18.04.15.0030.000085%Not Available
Cross sensitivity reaction10.01.01.0360.000085%Not Available
Drug effect less than expected08.06.01.0360.000251%Not Available
Hypersensitivity myocarditis10.01.03.055; 02.04.03.0060.000057%Not Available
Idiopathic intracranial hypertension17.07.02.0110.000057%Not Available
Inadequate analgesia12.02.20.006; 08.06.01.0400.000057%Not Available
Therapeutic product effect decreased08.06.01.0500.004407%Not Available
Therapeutic product effect delayed08.06.01.0510.000279%Not Available
Therapeutic product effect incomplete08.06.01.0520.001002%Not Available
Therapeutic product effect increased08.06.01.0530.000541%Not Available
Therapeutic product effect prolonged08.06.01.0540.000296%Not Available
Therapeutic response shortened08.06.01.0620.000251%Not Available
Therapy non-responder08.06.01.0630.000239%Not Available
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