Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Tibolone
Drug ID BADD_D02213
Description Tibolone is a synthetic steroid hormone drug, which is mainly non-selective in its binding profile, acting as an agonist primarily at estrogen receptors (ER), with a preference for ER alpha [L1874]. Tibolone (Livial, Org OD 14), produced by Organon (West Orange, NJ), is a synthetic steroid that possesses estrogenic, androgenic and progestogenic properties. It has been used in Europe for almost 2 decades, primarily for the prevention of postmenopausal osteoporosis and the treatment of post-menopausal symptoms [L1720]. Tibolone is approved in 90 countries to manage menopausal symptoms and in 45 countries to prevent the development of osteoporosis [L1876]. In June 2006, Organon Pharmaceuticals announced the receipt of a Not Approvable Letter from the U.S. Food and Drug Administration (FDA), advising the company that the New Drug Application (NDA) for tibolone had not been approved [L1722]. Interestingly, the use of tibolone in the treatment cardiovascular disease has been studied with inconclusive results [A32164]. Tibolone has been to have anti-resorptive effects on bone [L1874].
Indications and Usage For the relief of post-menopausal symptoms and for the prevention of osteoporosis [L1724].
Marketing Status approved; investigational
ATC Code G03CX01
DrugBank ID DB09070
KEGG ID D01639
MeSH ID C027385
PubChem ID 444008
TTD Drug ID D0W3OS
NDC Product Code 51508-010; 73774-006; 24002-0033
UNII FF9X0205V2
Synonyms tibolone | tibilone | Org OD 14 | Org OD14 | Livial | Liviella | Boltin
Chemical Information
Molecular Formula C21H28O2
CAS Registry Number 5630-53-5
SMILES CC1CC2=C(CCC(=O)C2)C3C1C4CCC(C4(CC3)C)(C#C)O
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 discomfort07.01.06.001--Not Available
Abdominal pain lower07.01.05.010--Not Available
Acne23.02.01.001--Not Available
Arthralgia15.01.02.001--
Breast tenderness21.05.05.004--Not Available
Cerebrovascular accident24.03.05.001; 17.08.01.007--
Cervical dysplasia21.06.01.002--Not Available
Cervix carcinoma21.06.02.001; 16.12.01.001--Not Available
Chloasma23.05.01.001; 18.08.02.002--Not Available
Dementia17.03.01.001; 19.20.02.001--Not Available
Dermatitis23.03.04.002--Not Available
Dizziness02.11.04.006; 24.06.02.007; 17.02.05.003--
Embolism venous24.01.01.003--Not Available
Endometrial cancer21.07.02.002; 16.12.02.001--Not Available
Erythema multiforme23.03.01.003; 10.01.03.015--
Erythema nodosum23.07.02.001; 10.02.01.020--Not Available
Fungal infection11.03.05.001--Not Available
Gallbladder disorder09.03.02.001--Not Available
Gastrointestinal disorder07.11.01.001--Not Available
Hair growth abnormal23.02.06.006--Not Available
Headache17.14.01.001--
Hyperaesthesia23.03.03.080; 17.02.06.004--Not Available
Migraine24.03.05.003; 17.14.02.001--Not Available
Myalgia15.05.02.001--
Myocardial infarction02.02.02.007; 24.04.04.009--
Neoplasm16.16.02.001--Not Available
Nipple pain21.05.05.009--Not Available
Oedema14.05.06.010; 08.01.07.006--Not Available
Pelvic pain21.10.01.001; 20.02.03.007; 07.01.06.012--
Pelvic venous thrombosis24.01.02.008--Not Available
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