Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Tiotropium
Drug ID BADD_D02443
Description Tiotropium is a long-acting, antimuscarinic bronchodilator used in the management of chronic obstructive pulmonary disease (COPD) and asthma.[A180163,L7084,L7087,L7090,L7093] Tiotropium acts mainly on M3 muscarinic receptors located in the airways to produce smooth muscle relaxation and bronchodilation.[A180163,L7084,L7087,L7090,L7093] Tiotropium is more specific for the subset of muscarinic receptors commonly found in the lungs than [ipratropium].[A180163] Tiotropium was granted FDA approval on 30 January 2004.[L7084]
Indications and Usage Tiotropium powder for inhalation is indicated for the maintenance of bronchospasm in COPD and to prevent exacerbations of COPD.[L7084] A combination tiotropium and [olodaterol] metered inhalation spray is indicated for maintenance of COPD.[L7087] A tiotropium inhalation spray is indicated for the maintenance of bronchospasm in COPD, to prevent exacerbations of COPD, and to treat asthma in patients 12 or more years old.[L7090] A tiotropium metered inhalation spray is indicated for the maintenance of bronchospasm in COPD, to prevent exacerbations of COPD, and to treat asthma in patients 6 or more years old.[L7093]
Marketing Status approved
ATC Code R03BB04
DrugBank ID DB01409
KEGG ID D01929
MeSH ID D000069447
PubChem ID 5487427
TTD Drug ID D0P1WA
NDC Product Code Not Available
UNII 0EB439235F
Synonyms Tiotropium Bromide | Bromide, Tiotropium | 7-((hydroxybis(2-thienyl)acetyl)oxy)-9,9-dimethyl-3-oxa-9-azoniatricyclo(3.3.1.0(2,4))nonane bromide | Tiotropium | Spiriva | BA 679 BR | 679 BR, BA | BR, BA 679 | BA-679 BR | BA679 BR
Chemical Information
Molecular Formula C19H22NO4S2+
CAS Registry Number 186691-13-4
SMILES C[N+]1(C2CC(CC1C3C2O3)OC(=O)C(C4=CC=CS4)(C5=CC=CS5)O)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)
Hypokinesia17.01.02.0090.000057%Not Available
Hypoventilation22.02.01.007--Not Available
Hypoxia22.02.02.0030.000287%
Ileus07.13.01.0010.000144%
Ingrowing nail23.02.05.011--Not Available
Intestinal obstruction07.13.01.0020.000144%Not Available
Iron deficiency anaemia01.03.01.002; 14.13.02.0010.000057%Not Available
Lacrimation increased06.08.02.0040.000293%
Laryngeal oedema23.04.01.005; 22.04.02.001; 10.01.05.0030.000213%
Leukoplakia oral07.05.01.0090.000057%Not Available
Loss of consciousness17.02.04.0040.000557%Not Available
Lung disorder22.02.07.0010.001040%Not Available
Lymphadenopathy01.09.01.0020.000253%Not Available
Lymphoma16.20.01.001; 01.12.01.0010.000057%Not Available
Macular degeneration06.09.03.0010.000241%Not Available
Malignant melanoma23.08.01.001; 16.03.01.001--Not Available
Middle insomnia19.02.01.003; 17.15.03.0030.000057%Not Available
Miosis17.02.11.002; 06.05.03.0030.000086%Not Available
Mydriasis17.02.11.003; 06.05.03.0040.000195%Not Available
Myelodysplastic syndrome16.01.04.001; 01.10.04.0010.000086%
Myocardial infarction02.02.02.007; 24.04.04.0090.000948%
Nasal dryness22.04.03.0020.000224%Not Available
Neck pain15.03.04.009--
Neoplasm16.16.02.0010.000213%Not Available
Neoplasm malignant16.16.01.0010.000460%Not Available
Nervousness19.06.02.0030.000810%Not Available
Neuralgia17.02.07.005--
Neurogenic bladder20.03.03.001; 17.10.01.0020.000195%Not Available
Night sweats08.01.03.031; 23.02.03.0060.000224%Not Available
Nocturia20.02.03.0010.000195%Not Available
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