Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Ganirelix
Drug ID BADD_D02460
Description Ganirelix is an injectable competitive gonadotropin-releasing hormone antagonist (GnRH antagonist). It is utilized frequently in assisted reproduction therapy to control the occurrence of ovulation. The drug exerts its effects by inhibiting the action of GnRH in the pituitary gland, leading to fast suppression of luteinizing hormone (LH) and follicle-stimulating hormone (FSH). Ganirelix is used in fertility treatment to prevent premature ovulation that could result in the harvesting of eggs that are too immature to be used in procedures such as in vitro fertilization. Ganirelix is marketed by Merck & Co., Inc. as Orgalutran®.
Indications and Usage For the inhibition of premature LH surges in women undergoing controlled ovarian hyperstimulation.
Marketing Status approved
ATC Code H01CC01
DrugBank ID DB06785
KEGG ID D08010
MeSH ID C061018
PubChem ID 16130957
TTD Drug ID D00RJJ
NDC Product Code 35207-0010
UNII IX503L9WN0
Synonyms ganirelix | LHRH, N-acetyl-2-naphthylalanyl(1)-(4-chlorophenylalanyl)(2)-3-pyrdinylalanyl(3)-diethylhomoarginyl(6,8)-alaninamide(10)- | N-Ac-(2-naphthyl)Ala-2-(4-Cl-Phe)-3-(3-pyridinyl-Ala)-6,8-Et2-hArg-10-AlaNH2-LHRH | GnRH, N-Ac-2-Nal(1)-4-Cl-Phe(2)-3-Pal(3)-Et2-hArg(6,8)-AlaNH2(10)- | LHRH,N-Ac-2-Nal(1)-4-Cl-Phe(2)-3-Pal(3)-Et2-hArg(6,8)-AlaNH2(10)- | ganirelix acetate | N-acetyl-3-(2-naphthyl)-D-alanyl-p-chloro-D-phenylalanyl-3-(3-pyridyl)-D-alanyl-L-seryl-L-tyrosyl-N(sup 6)-(N,N'-diethylamidino)-D-lysyl-L-leucyl-N(sup 6)-(N,N'-diethylamidino)-L-lysyl-L-prolyl-D-alaninamide diacetate (salt) | ganirelix diacetate | RS-26306-298 | RS 26306 | RS-26306 | Antagon | orgalutran
Chemical Information
Molecular Formula C80H113ClN18O13
CAS Registry Number 124904-93-4
SMILES CCNC(=NCCCCC(C(=O)NC(CC(C)C)C(=O)NC(CCCCN=C(NCC)NCC)C(=O)N1CCCC1C(=O)NC(C)C(=O)N )NC(=O)C(CC2=CC=C(C=C2)O)NC(=O)C(CO)NC(=O)C(CC3=CN=CC=C3)NC(=O)C(CC4=CC=C(C=C4)C l)NC(=O)C(CC5=CC6=CC=CC=C6C=C5)NC(=O)C)NCC
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 discomfort07.01.06.0010.000279%Not Available
Abdominal distension07.01.04.0010.000410%
Abdominal pain07.01.05.0020.000559%
Abdominal pain lower07.01.05.0100.000279%Not Available
Abdominal pain upper07.01.05.0030.000279%
Anovulatory cycle21.01.01.011; 05.05.01.0170.000633%Not Available
Ascites09.01.05.003; 07.07.01.001; 02.05.04.0020.002515%
Cardiovascular disorder02.11.01.010; 24.03.02.0090.000186%Not Available
Cough22.02.03.0010.000186%
Drug ineffective08.06.01.0060.003167%Not Available
Dyspnoea22.02.01.004; 02.11.05.0030.000838%
Hepatocellular injury09.01.07.0080.000373%Not Available
Hyperkalaemia14.05.03.0010.000466%
Hypervolaemia02.05.04.019; 14.05.06.0030.000279%Not Available
Hypoalbuminaemia14.10.01.002; 09.01.02.0030.000186%
Hyponatraemia14.05.04.0020.000186%
Metabolic acidosis14.01.01.0030.000279%Not Available
Oliguria20.01.03.0040.000186%Not Available
Orthopnoea02.11.05.010; 22.02.01.0200.000279%Not Available
Ovarian hyperstimulation syndrome21.11.02.007; 05.05.01.0130.017343%Not Available
Pain08.01.08.0040.000876%
Pelvic pain21.10.01.001; 20.02.03.007; 07.01.06.0120.000689%
Pleural effusion22.05.02.0020.000838%
Premature baby18.04.02.0010.000186%Not Available
Foetal death18.01.02.003; 08.04.01.0110.000186%
Acute kidney injury20.01.03.0160.000279%
Adnexal torsion21.11.02.0120.000186%Not Available
Haemoperitoneum24.07.02.065; 12.01.17.007; 07.07.02.0070.000652%Not Available
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