nicotinic acid ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
nicotinic acid or nicotinoyl alcohol derivatives 2835 59-67-6

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • niacin potassium
  • niacin magnesium
  • nicotinic acid
  • vitamin b3 (niacin)
  • 3-pyridinecarboxylic acid
  • niaspan
  • niacin
  • niacor
  • Vitamin B3
A water-soluble vitamin of the B complex occurring in various animal and plant tissues. It is required by the body for the formation of coenzymes NAD and NADP. It has PELLAGRA-curative, vasodilating, and antilipemic properties.
  • Molecular weight: 123.11
  • Formula: C6H5NO2
  • CLOGP: 0.80
  • LIPINSKI: 0
  • HAC: 3
  • HDO: 1
  • TPSA: 50.19
  • ALOGS: -0.17
  • ROTB: 1

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

DoseUnitRoute
0.20 g O
0.20 g P
2 g O

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 1 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 18 mg/mL Bocci G, Oprea TI, Benet LZ
MRTD (Maximum Recommended Therapeutic Daily Dose) 101.53 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD

Approvals:

DateAgencyCompanyOrphan
July 24, 1957 FDA MEDPOINTE PHARM HLC

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Flushing 281.57 10.44 341 56304 74746 63357631
Contraindicated product administered 160.98 10.44 8 56637 217640 63214737
Synovitis 144.46 10.44 5 56640 186913 63245464
Systemic lupus erythematosus 117.63 10.44 22 56623 208896 63223481
Treatment failure 109.86 10.44 22 56623 199021 63233356
Completed suicide 108.82 10.44 5 56640 145668 63286709
Infusion related reaction 106.32 10.44 43 56602 245478 63186899
Glossodynia 104.70 10.44 17 56628 178859 63253518
Maternal exposure during pregnancy 101.21 10.44 35 56610 220027 63212350
Off label use 98.74 10.44 293 56352 674169 62758208
Drug intolerance 98.08 10.44 79 56566 308582 63123795
Drug ineffective 97.62 10.44 542 56103 1044223 62388154
Product use in unapproved indication 92.36 10.44 23 56622 179057 63253320
Pericarditis 90.77 10.44 7 56638 131572 63300805
Product use issue 84.10 10.44 46 56599 220474 63211903
Wound 80.34 10.44 23 56622 163240 63269137
Muscle spasms 79.94 10.44 313 56332 155837 63276540
Product dose omission issue 76.93 10.44 412 56233 233901 63198476
Skin burning sensation 72.34 10.44 72 56573 12662 63419715
Toxicity to various agents 64.87 10.44 75 56570 247175 63185202
Duodenal ulcer perforation 61.98 10.44 4 56641 87205 63345172
Diarrhoea 61.42 10.44 936 55709 714430 62717947
Lower respiratory tract infection 60.87 10.44 21 56624 132286 63300091
Fall 60.38 10.44 574 56071 391760 63040617
Helicobacter infection 58.54 10.44 7 56638 92778 63339599
Therapeutic product effect decreased 56.99 10.44 53 56592 193134 63239243
Arthropathy 54.58 10.44 78 56567 234714 63197663
Drug abuse 52.52 10.44 3 56642 72515 63359862
General physical health deterioration 48.71 10.44 65 56580 201337 63231040
Therapy cessation 48.63 10.44 93 56552 30364 63402013
Therapeutic product effect incomplete 47.77 10.44 26 56619 125030 63307347
Pruritus 46.10 10.44 509 56136 360944 63071433
Device expulsion 44.36 10.44 97 56548 34825 63397552
Unevaluable event 44.29 10.44 123 56522 51263 63381114
Dizziness 41.68 10.44 575 56070 429350 63003027
C-reactive protein increased 40.28 10.44 17 56628 94690 63337687
Psoriasis 40.23 10.44 169 56476 86788 63345589
Intentional product use issue 40.22 10.44 33 56612 127859 63304518
Myalgia 39.11 10.44 244 56401 146285 63286092
Rheumatoid arthritis 38.62 10.44 108 56537 253711 63178666
Full blood count decreased 38.56 10.44 77 56568 25947 63406430
Folliculitis 38.29 10.44 8 56637 70309 63362068
Paraesthesia 37.98 10.44 255 56390 156711 63275666
Joint swelling 37.90 10.44 157 56488 327509 63104868
Feeling abnormal 36.46 10.44 242 56403 148150 63284227
Discomfort 34.69 10.44 60 56585 167314 63265063
Alopecia 34.67 10.44 169 56476 337367 63095010
Neuropathy peripheral 33.98 10.44 195 56450 113472 63318905
Device dislocation 32.19 10.44 71 56574 25634 63406743
Hot flush 31.56 10.44 109 56536 51050 63381327
Exposure during pregnancy 31.12 10.44 57 56588 155490 63276887
Condition aggravated 30.89 10.44 221 56424 401996 63030381
COVID-19 29.96 10.44 34 56611 113069 63319308
Deep vein thrombosis 29.96 10.44 151 56494 83649 63348728
Fatigue 29.42 10.44 1016 55629 887012 62545365
Liver injury 28.89 10.44 9 56636 60511 63371866
Hepatic enzyme increased 27.95 10.44 90 56555 202238 63230139
Irritable bowel syndrome 27.52 10.44 20 56625 82392 63349985
Back pain 27.48 10.44 358 56287 263787 63168590
Burning sensation 26.94 10.44 108 56537 54299 63378078
Discoloured vomit 26.91 10.44 14 56631 880 63431497
Asthenia 26.86 10.44 486 56159 383118 63049259
Feeling hot 26.59 10.44 102 56543 50252 63382125
Blister 26.47 10.44 47 56598 129767 63302610
Nausea 26.15 10.44 969 55676 853502 62578875
Urticaria thermal 26.08 10.44 11 56634 428 63431949
Constipation 25.15 10.44 309 56336 224634 63207743
Femoral artery dissection 24.49 10.44 6 56639 36 63432341
Headache 24.41 10.44 738 55907 632503 62799874
Low density lipoprotein increased 24.00 10.44 29 56616 6328 63426049
Laboratory test abnormal 23.76 10.44 65 56580 26847 63405530
Plasma cell myeloma 23.47 10.44 78 56567 35827 63396550
Ill-defined disorder 23.42 10.44 23 56622 81732 63350645
Abdominal discomfort 22.40 10.44 181 56464 320704 63111673
Flatulence 22.34 10.44 75 56570 34627 63397750
Injection site pain 21.95 10.44 194 56451 129606 63302771
Product residue present 21.68 10.44 22 56623 3957 63428420
Tremor 21.52 10.44 196 56449 132043 63300334
Eye swelling 21.34 10.44 58 56587 23860 63408517
Intentional overdose 21.08 10.44 21 56624 74131 63358246
Memory impairment 20.94 10.44 162 56483 104096 63328281
Chest pain 20.92 10.44 289 56356 215670 63216707
Cardiac failure congestive 20.47 10.44 147 56498 92286 63340091
Administration site erythema 20.26 10.44 11 56634 754 63431623
Pelvic pain 20.02 10.44 40 56605 13479 63418898
Injection site bruising 19.80 10.44 82 56563 41828 63390549
Swelling face 19.69 10.44 110 56535 63365 63369012
Drug hypersensitivity 19.45 10.44 387 56258 310300 63122077
Impaired healing 19.26 10.44 39 56606 102503 63329874
Insomnia 19.23 10.44 284 56361 214968 63217409
Nervousness 19.10 10.44 66 56579 30913 63401464
Depression 19.05 10.44 263 56382 196229 63236148
Body height decreased 18.90 10.44 33 56612 10045 63422332
Fluid retention 18.89 10.44 104 56541 59582 63372795
Hepatic function abnormal 18.69 10.44 5 56640 37137 63395240
Swelling 18.45 10.44 157 56488 275221 63157156
Type 2 diabetes mellitus 18.25 10.44 18 56627 63850 63368527
Overdose 18.20 10.44 48 56597 115030 63317347
Oedema peripheral 18.11 10.44 253 56392 189258 63243119
Dry skin 17.92 10.44 99 56546 56788 63375589
Injection site haemorrhage 17.87 10.44 55 56590 24259 63408118
Hypoaesthesia 17.40 10.44 228 56417 168165 63264212
Nasal congestion 17.29 10.44 109 56536 65551 63366826
Pneumonia 17.19 10.44 531 56114 456236 62976141
Cyst 16.60 10.44 38 56607 14061 63418316
Atrial fibrillation 16.57 10.44 168 56477 116468 63315909
Coma 16.34 10.44 20 56625 64344 63368033
Sinoatrial block 16.15 10.44 10 56635 878 63431499
Febrile neutropenia 16.13 10.44 53 56592 118396 63313981
Dehydration 15.98 10.44 230 56415 173124 63259253
Hypersensitivity 15.76 10.44 176 56469 292509 63139868
Nocturia 15.72 10.44 27 56618 8114 63424263
Dyspnoea 15.39 10.44 729 55916 660584 62771793
Drug interaction 15.18 10.44 131 56514 229000 63203377
Depressed level of consciousness 15.03 10.44 20 56625 62058 63370319
Hip fracture 14.98 10.44 59 56586 29415 63402962
Dizziness postural 14.95 10.44 25 56620 7351 63425026
Injection site erythema 14.94 10.44 126 56519 83048 63349329
Rhinorrhoea 14.93 10.44 105 56540 65472 63366905
Pain in extremity 14.85 10.44 394 56251 331092 63101285
Injection site reaction 14.69 10.44 96 56549 58428 63373949
Haemoglobin decreased 14.20 10.44 195 56450 145290 63287087
Skin discolouration 14.10 10.44 69 56576 37759 63394618
Blood triglycerides increased 13.98 10.44 33 56612 12455 63419922
Internal haemorrhage 13.97 10.44 20 56625 5145 63427232
Anxiety 13.94 10.44 272 56373 217269 63215108
Interstitial lung disease 13.94 10.44 21 56624 61887 63370490
Chills 13.64 10.44 158 56487 113220 63319157
Erythema 13.46 10.44 226 56419 175525 63256852
Agranulocytosis 13.39 10.44 3 56642 25131 63407246
Urticaria 13.36 10.44 215 56430 165587 63266790
Pulmonary embolism 13.33 10.44 161 56484 116523 63315854
Prescribed overdose 13.18 10.44 7 56638 34146 63398231
Fibromyalgia 13.13 10.44 33 56612 80387 63351990
Red blood cell sedimentation rate increased 13.03 10.44 12 56633 43970 63388407
Pyrexia 13.01 10.44 320 56325 470158 62962219
Drug reaction with eosinophilia and systemic symptoms 12.96 10.44 7 56638 33829 63398548
Influenza like illness 12.95 10.44 103 56542 66721 63365656
Dry eye 12.88 10.44 71 56574 40690 63391687
Vision blurred 12.86 10.44 132 56513 91792 63340585
Dyspnoea exertional 12.83 10.44 95 56550 60207 63372170
Plasma cell myeloma recurrent 12.69 10.44 15 56630 3198 63429179
Infection 12.65 10.44 137 56508 229036 63203341
Gait disturbance 12.40 10.44 231 56414 182947 63249430
Hypervolaemia 12.19 10.44 54 56591 28359 63404018
Foetal exposure during pregnancy 11.69 10.44 7 56638 31955 63400422
Urinary tract infection 11.67 10.44 314 56331 264370 63168007
Altered state of consciousness 11.60 10.44 4 56641 25226 63407151
Adverse event 11.60 10.44 27 56618 67532 63364845
Cholestasis 11.41 10.44 6 56639 29428 63402949
Product complaint 11.37 10.44 31 56614 12778 63419599
Dysgeusia 11.35 10.44 76 56569 46634 63385743
Epilepsy 11.28 10.44 5 56640 27060 63405317
Blood potassium decreased 11.20 10.44 70 56575 41956 63390421
Pigmentation disorder 11.16 10.44 17 56628 4622 63427755
Blood pressure fluctuation 11.13 10.44 15 56630 46302 63386075
Cardio-respiratory arrest 11.09 10.44 23 56622 59936 63372441
Ageusia 10.98 10.44 32 56613 13696 63418681
Tooth disorder 10.96 10.44 52 56593 28105 63404272
Vaginal haemorrhage 10.87 10.44 51 56594 27436 63404941
Cardiac disorder 10.78 10.44 80 56565 50736 63381641
Lactic acidosis 10.70 10.44 11 56634 38276 63394101
Blood glucose decreased 10.70 10.44 42 56603 20910 63411467
Administration site swelling 10.56 10.44 9 56636 1298 63431079

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Flushing 707.48 10.61 463 43220 31957 34881291
Product residue present 178.58 10.61 81 43602 2665 34910583
Off label use 149.99 10.61 183 43500 419341 34493907
Drug abuse 109.84 10.61 3 43680 99093 34814155
Product use in unapproved indication 89.17 10.61 19 43664 117480 34795768
Toxicity to various agents 84.12 10.61 76 43607 200286 34712962
Completed suicide 70.25 10.61 18 43665 98150 34815098
Pruritus 67.62 10.61 353 43330 141628 34771620
Skin burning sensation 59.25 10.61 48 43635 4595 34908653
High density lipoprotein decreased 58.94 10.61 42 43641 3318 34909930
Myalgia 57.78 10.61 233 43450 83877 34829371
General physical health deterioration 51.02 10.61 51 43632 128218 34785030
Asthenia 43.54 10.61 483 43200 244768 34668480
Fatigue 41.77 10.61 672 43011 369981 34543267
Drug interaction 40.27 10.61 146 43537 225800 34687448
Dizziness 39.06 10.61 431 43252 218090 34695158
Myocardial infarction 39.00 10.61 272 43411 120813 34792435
Febrile neutropenia 36.84 10.61 72 43611 136777 34776471
Feeling hot 36.34 10.61 77 43606 19295 34893953
Muscle spasms 36.00 10.61 187 43496 74814 34838434
Blood glucose increased 35.30 10.61 171 43512 66547 34846701
Product dose omission issue 35.13 10.61 263 43420 119448 34793800
Plasma cell myeloma 35.09 10.61 124 43559 41913 34871335
Intentional overdose 33.23 10.61 7 43676 43667 34869581
Product use issue 32.96 10.61 19 43664 63197 34850051
Respiratory tract infection bacterial 32.94 10.61 23 43660 1759 34911489
Coronary artery occlusion 32.43 10.61 53 43630 10909 34902339
Paraesthesia 31.48 10.61 161 43522 64011 34849237
Burning sensation 30.97 10.61 70 43613 18324 34894924
Treatment failure 30.74 10.61 10 43673 46687 34866561
Laboratory test abnormal 29.34 10.61 73 43610 20318 34892930
Rash 28.91 10.61 414 43269 222338 34690910
Fall 28.73 10.61 383 43300 202502 34710746
Interstitial lung disease 28.25 10.61 24 43659 65258 34847990
Respiratory tract infection viral 27.92 10.61 24 43659 2493 34910755
Full blood count decreased 27.35 10.61 66 43617 18022 34895226
Diarrhoea 25.18 10.61 651 43032 389261 34523987
Hepatic function abnormal 25.10 10.61 12 43671 44351 34868897
Low density lipoprotein increased 24.54 10.61 29 43654 4407 34908841
Hypoaesthesia 24.02 10.61 145 43538 61299 34851949
Drug hypersensitivity 23.08 10.61 176 43507 80353 34832895
Coronary artery disease 22.86 10.61 120 43563 48185 34865063
Cardiac failure 22.85 10.61 50 43633 91198 34822050
Leukopenia 22.75 10.61 27 43656 62829 34850419
Renal impairment 22.69 10.61 53 43630 94460 34818788
Intentional product use issue 22.40 10.61 25 43658 59791 34853457
Foetal exposure during pregnancy 22.02 10.61 10 43673 38091 34875157
Drug reaction with eosinophilia and systemic symptoms 21.85 10.61 7 43676 33005 34880243
Blood triglycerides increased 21.77 10.61 52 43631 14107 34899141
Blood testosterone decreased 21.68 10.61 27 43656 4330 34908918
Flatulence 21.68 10.61 67 43616 21131 34892117
Drug ineffective 21.59 10.61 422 43261 456329 34456919
Suicide attempt 21.49 10.61 11 43672 39105 34874143
Condition aggravated 20.62 10.61 148 43535 192048 34721200
Eosinophilia 20.37 10.61 4 43679 26218 34887030
Overdose 19.58 10.61 54 43629 91005 34822243
Blood creatine phosphokinase increased 19.57 10.61 109 43574 44748 34868500
Psoriasis 19.46 10.61 98 43585 38714 34874534
Adverse drug reaction 19.10 10.61 80 43603 29262 34883986
Coma 18.32 10.61 18 43665 45660 34867588
Cardiac disorder 18.29 10.61 104 43579 43022 34870226
Drug resistance 18.06 10.61 5 43678 25922 34887326
Agranulocytosis 17.75 10.61 4 43679 23817 34889431
Urticaria 17.69 10.61 136 43547 62241 34851007
Muscular weakness 17.48 10.61 153 43530 72744 34840504
Contraindicated product administered 17.28 10.61 3 43680 21478 34891770
Cerebrovascular accident 16.84 10.61 171 43512 84640 34828608
Altered state of consciousness 16.75 10.61 4 43679 22889 34890359
Hot flush 16.56 10.61 55 43628 18011 34895237
Viral infection 16.47 10.61 54 43629 17569 34895679
Gastrointestinal haemorrhage 16.43 10.61 176 43507 88301 34824947
Sinusitis 16.36 10.61 98 43585 41304 34871944
Oedema peripheral 16.03 10.61 224 43459 119588 34793660
Multiple organ dysfunction syndrome 16.02 10.61 46 43637 76520 34836728
Therapy cessation 15.85 10.61 52 43631 16921 34896327
Haemoglobin decreased 15.84 10.61 225 43458 120547 34792701
Cardiac failure congestive 15.63 10.61 166 43517 83104 34830144
Thrombosis 15.43 10.61 112 43571 50346 34862902
Dyspepsia 15.20 10.61 88 43595 36644 34876604
Malignant neoplasm progression 14.92 10.61 58 43625 87988 34825260
Cytomegalovirus infection 14.89 10.61 7 43676 26128 34887120
Transaminases abnormal 14.61 10.61 7 43676 261 34912987
Drug dependence 14.56 10.61 6 43677 24211 34889037
Rash pruritic 14.20 10.61 69 43614 26872 34886376
Hepatocellular injury 14.19 10.61 5 43678 22206 34891042
Cholestasis 14.18 10.61 8 43675 26940 34886308
Infusion related reaction 14.18 10.61 28 43655 53029 34860219
Increased tendency to bruise 13.90 10.61 21 43662 4040 34909208
COVID-19 13.85 10.61 50 43633 77500 34835748
Weight decreased 13.64 10.61 302 43381 175999 34737249
Chest pain 13.50 10.61 228 43455 126534 34786714
Neurotoxicity 13.47 10.61 3 43680 18007 34895241
Platelet count decreased 13.36 10.61 217 43466 119500 34793748
Dysgeusia 13.35 10.61 67 43616 26430 34886818
Influenza like illness 13.31 10.61 69 43614 27565 34885683
Therapeutic product effect incomplete 13.23 10.61 27 43656 50514 34862734
Myopathy 13.22 10.61 38 43645 11516 34901732
Mental status changes 13.09 10.61 87 43596 37996 34875252
Septic shock 13.03 10.61 46 43637 71788 34841460
Rash maculo-papular 12.88 10.61 10 43673 28441 34884807
Fluid retention 12.86 10.61 67 43616 26820 34886428
Delirium 12.84 10.61 22 43661 43969 34869279
Feeling abnormal 12.79 10.61 128 43555 63107 34850141
Contusion 12.46 10.61 83 43600 36281 34876967
Muscle fatigue 12.39 10.61 12 43671 1453 34911795
Injury 12.39 10.61 55 43628 20632 34892616
Disseminated intravascular coagulation 12.19 10.61 6 43677 21810 34891438
High density lipoprotein abnormal 12.12 10.61 4 43679 54 34913194
Fibrin D dimer increased 11.85 10.61 20 43663 4224 34909024
Drug eruption 11.85 10.61 5 43678 19893 34893355
Neutropenia 11.84 10.61 132 43551 156646 34756602
Influenza 11.77 10.61 104 43579 49562 34863686
Headache 11.74 10.61 331 43352 200304 34712944
Intentional product misuse 11.41 10.61 25 43658 45586 34867662
White blood cell count decreased 11.40 10.61 175 43508 95270 34817978
Myelosuppression 11.22 10.61 5 43678 19260 34893988
Drug ineffective for unapproved indication 11.16 10.61 8 43675 23707 34889541
Application site exfoliation 11.12 10.61 5 43678 161 34913087
Erythema 11.08 10.61 164 43519 88616 34824632
Unevaluable event 10.93 10.61 74 43609 32516 34880732
Back pain 10.84 10.61 213 43470 121576 34791672
Neoplasm progression 10.79 10.61 8 43675 23292 34889956
Abdominal discomfort 10.63 10.61 118 43565 59717 34853531

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Off label use 182.15 10.06 363 74717 906852 78762456
Completed suicide 157.92 10.06 22 75058 245745 79423563
Product use in unapproved indication 140.09 10.06 32 75048 250327 79418981
Flushing 139.84 10.06 277 74803 87991 79581317
Drug abuse 134.74 10.06 4 75076 162687 79506621
Synovitis 127.48 10.06 3 75077 150731 79518577
Toxicity to various agents 121.15 10.06 131 74949 421409 79247899
Contraindicated product administered 111.48 10.06 10 75070 157528 79511780
Treatment failure 98.99 10.06 20 75060 170466 79498842
Product dose omission issue 88.23 10.06 463 74617 247074 79422234
Hand deformity 84.45 10.06 3 75077 103916 79565392
Drug intolerance 81.60 10.06 77 75003 264042 79405266
Drug ineffective 80.87 10.06 642 74438 1080271 78589037
Infusion related reaction 79.87 10.06 60 75020 230177 79439131
Fall 72.41 10.06 739 74341 486890 79182418
Product use issue 72.36 10.06 55 75025 209767 79459541
Dizziness 69.86 10.06 780 74300 525661 79143647
General physical health deterioration 68.99 10.06 95 74985 275143 79394165
Myalgia 65.26 10.06 346 74734 185295 79484013
Muscle spasms 65.11 10.06 331 74749 174399 79494909
Systemic lupus erythematosus 62.89 10.06 18 75062 121131 79548177
Therapy cessation 58.39 10.06 117 74963 37445 79631863
Asthenia 54.31 10.06 727 74353 510962 79158346
Maternal exposure during pregnancy 53.52 10.06 31 75049 136507 79532801
Pericarditis 53.16 10.06 16 75064 104220 79565088
Lower respiratory tract infection 52.59 10.06 28 75052 129192 79540116
Glossodynia 52.46 10.06 16 75064 103321 79565987
Device expulsion 52.04 10.06 90 74990 25771 79643537
Plasma cell myeloma 46.93 10.06 133 74947 53126 79616182
Therapeutic product effect incomplete 46.47 10.06 39 75041 141606 79527702
Duodenal ulcer perforation 42.31 10.06 6 75074 66205 79603103
Fatigue 42.21 10.06 1159 73921 928568 78740740
Cardiac failure congestive 41.19 10.06 252 74828 142150 79527158
Diarrhoea 40.06 10.06 1098 73982 879391 78789917
Intentional product use issue 39.61 10.06 51 75029 152061 79517247
Drug interaction 39.09 10.06 230 74850 414953 79254355
Helicobacter infection 38.77 10.06 9 75071 69695 79599613
Intentional overdose 37.51 10.06 27 75053 105933 79563375
Myocardial infarction 37.44 10.06 299 74781 183830 79485478
Coronary artery disease 37.35 10.06 141 74939 65333 79603975
Respiratory tract infection bacterial 35.65 10.06 23 75057 2054 79667254
Haemoglobin decreased 34.97 10.06 341 74739 221778 79447530
Deep vein thrombosis 34.34 10.06 213 74867 120706 79548602
Full blood count decreased 34.12 10.06 77 75003 26742 79642566
Fluid retention 33.15 10.06 142 74938 69667 79599641
Hepatic function abnormal 32.56 10.06 14 75066 73093 79596215
Joint swelling 32.13 10.06 151 74929 288495 79380813
Blood triglycerides increased 32.06 10.06 65 75015 20975 79648333
Condition aggravated 31.79 10.06 310 74770 500814 79168494
Rheumatoid arthritis 31.69 10.06 96 74984 208374 79460934
Coma 31.45 10.06 29 75051 100620 79568688
Wound 31.24 10.06 38 75042 116141 79553167
Febrile neutropenia 31.23 10.06 112 74968 230887 79438421
COVID-19 30.65 10.06 64 75016 157610 79511698
Dehydration 29.37 10.06 360 74720 247827 79421481
Dyspnoea exertional 29.01 10.06 160 74920 86913 79582395
Interstitial lung disease 28.04 10.06 39 75041 112561 79556747
C-reactive protein increased 28.03 10.06 49 75031 128978 79540330
Overdose 27.87 10.06 85 74995 184121 79485187
Drug reaction with eosinophilia and systemic symptoms 27.51 10.06 13 75067 64231 79605077
Unevaluable event 27.12 10.06 114 74966 55471 79613837
Intentional product misuse 26.80 10.06 30 75050 95135 79574173
Hepatocellular injury 26.76 10.06 6 75074 47587 79621721
Arthropathy 26.60 10.06 82 74998 177029 79492279
High density lipoprotein decreased 26.48 10.06 27 75053 4628 79664680
Feeling abnormal 26.33 10.06 247 74833 158952 79510356
Chest pain 25.82 10.06 391 74689 281913 79387395
Folliculitis 25.64 10.06 10 75070 55370 79613938
Coronary artery occlusion 25.37 10.06 49 75031 15266 79654042
Urticaria thermal 25.37 10.06 11 75069 434 79668874
International normalised ratio increased 25.17 10.06 151 74929 84570 79584738
Myelosuppression 24.95 10.06 4 75076 40292 79629016
Respiratory tract infection viral 24.77 10.06 25 75055 4234 79665074
Agranulocytosis 24.67 10.06 6 75074 45024 79624284
Flatulence 24.35 10.06 92 74988 42632 79626676
Oedema peripheral 24.07 10.06 352 74728 251936 79417372
Device dislocation 24.00 10.06 66 75014 25904 79643404
Administration site erythema 23.89 10.06 10 75070 361 79668947
Mental status changes 23.63 10.06 125 74955 66834 79602474
Femoral artery dissection 23.02 10.06 6 75074 45 79669263
Low density lipoprotein increased 22.82 10.06 34 75046 8588 79660720
Therapeutic product effect decreased 22.44 10.06 79 75001 163784 79505524
Irritable bowel syndrome 21.84 10.06 16 75064 62225 79607083
Cardiac disorder 21.35 10.06 120 74960 65637 79603671
Eosinophilia 21.30 10.06 8 75072 45337 79623971
Dyspnoea 21.28 10.06 998 74082 856027 78813281
Pelvic pain 21.18 10.06 42 75038 13339 79655969
Blood glucose increased 20.85 10.06 182 74898 114793 79554515
Drug resistance 20.60 10.06 7 75073 42206 79627102
Depression 20.49 10.06 302 74778 216488 79452820
Leukopenia 20.44 10.06 50 75030 116463 79552845
Hypervolaemia 20.39 10.06 87 74993 42603 79626705
Renal impairment 20.34 10.06 78 75002 157705 79511603
Cholestasis 20.17 10.06 12 75068 52097 79617211
Altered state of consciousness 20.14 10.06 8 75072 43814 79625494
Nausea 20.14 10.06 1097 73983 956099 78713209
Nasal congestion 19.97 10.06 132 74948 76420 79592888
Discoloured vomit 19.71 10.06 14 75066 1464 79667844
Eye swelling 19.44 10.06 62 75018 26406 79642902
Cytomegalovirus infection 19.25 10.06 8 75072 42636 79626672
Dizziness postural 19.19 10.06 37 75043 11512 79657796
Depressed level of consciousness 18.97 10.06 39 75041 96613 79572695
Injection site pain 18.81 10.06 196 74884 129642 79539666
Dysgeusia 18.34 10.06 104 74976 57073 79612235
Cerebrovascular accident 18.24 10.06 225 74855 155067 79514241
Gastrointestinal haemorrhage 18.21 10.06 216 74864 147503 79521805
Pulmonary embolism 18.18 10.06 244 74836 171410 79497898
Back pain 18.15 10.06 394 74686 303786 79365522
Blood testosterone decreased 17.71 10.06 16 75064 2361 79666947
Suicide attempt 17.55 10.06 32 75048 82900 79586408
Rotator cuff syndrome 17.41 10.06 40 75040 14055 79655253
Thrombosis 17.31 10.06 137 74943 83963 79585345
Tremor 17.29 10.06 240 74840 169843 79499465
Rheumatic fever 17.29 10.06 3 75077 28522 79640786
Exposure during pregnancy 17.27 10.06 44 75036 101088 79568220
Neoplasm progression 17.23 10.06 14 75066 51668 79617640
Influenza like illness 17.13 10.06 121 74959 71586 79597722
Hospice care 17.06 10.06 33 75047 10291 79659017
Psoriasis 16.86 10.06 143 74937 89444 79579864
Haematocrit decreased 16.77 10.06 107 74973 61205 79608103
Blister 16.76 10.06 57 75023 119419 79549889
Injection site haemorrhage 16.71 10.06 61 75019 27809 79641499
Hepatic enzyme increased 16.71 10.06 102 74978 182508 79486800
Small intestinal obstruction 16.61 10.06 60 75020 27212 79642096
Hip fracture 16.52 10.06 65 75015 30696 79638612
Epilepsy 16.40 10.06 9 75071 40851 79628457
Viral infection 16.36 10.06 82 74998 42934 79626374
Weight decreased 16.34 10.06 444 74636 354754 79314554
Discomfort 16.25 10.06 62 75018 125555 79543753
Ill-defined disorder 16.22 10.06 23 75057 65852 79603456
Hypoaesthesia 15.84 10.06 247 74833 179105 79490203
Drug eruption 15.80 10.06 11 75069 43924 79625384
Liver injury 15.77 10.06 18 75062 56596 79612712
Alopecia 15.54 10.06 141 74939 231214 79438094
Pneumonia 15.32 10.06 764 74316 659482 79009826
Fibromyalgia 15.31 10.06 23 75057 64317 79604991
Burning sensation 15.23 10.06 101 74979 58531 79610777
Multiple organ dysfunction syndrome 15.14 10.06 60 75020 120186 79549122
Feeling hot 14.98 10.06 102 74978 59632 79609676
Toxic epidermal necrolysis 14.95 10.06 12 75068 44569 79624739
Myopathy 14.95 10.06 48 75032 20515 79648793
Headache 14.86 10.06 755 74325 653017 79016291
Neurotoxicity 14.84 10.06 6 75074 32512 79636796
Intentional self-injury 14.77 10.06 6 75074 32413 79636895
Skin burning sensation 14.59 10.06 36 75044 13236 79656072
Labelled drug-drug interaction medication error 14.54 10.06 4 75076 27646 79641662
Respiratory depression 14.53 10.06 4 75076 27626 79641682
Stomatitis 14.48 10.06 80 75000 146677 79522631
Product complaint 14.46 10.06 36 75044 13313 79655995
Cardio-respiratory arrest 14.40 10.06 53 75027 108457 79560851
Rash maculo-papular 14.39 10.06 19 75061 56059 79613249
Anaphylactic shock 14.35 10.06 8 75072 35988 79633320
Aspartate aminotransferase increased 14.23 10.06 196 74884 138445 79530863
Neutropenic sepsis 14.08 10.06 4 75076 27060 79642248
Hypoacusis 14.06 10.06 61 75019 30089 79639219
Blood glucose decreased 13.74 10.06 55 75025 26179 79643129
Bone marrow failure 13.44 10.06 17 75063 51090 79618218
Injection site bruising 13.42 10.06 75 75005 40927 79628381
Neuropathy peripheral 13.40 10.06 197 74883 141108 79528200
Lymphopenia 13.37 10.06 6 75074 30551 79638757
Lactic acidosis 13.30 10.06 29 75051 70330 79598978
Pneumocystis jirovecii pneumonia 13.28 10.06 7 75073 32501 79636807
Multiple sclerosis relapse 13.22 10.06 82 74998 46451 79622857
Influenza 13.21 10.06 183 74897 129423 79539885
Memory impairment 13.16 10.06 162 74918 111572 79557736
Chills 13.14 10.06 218 74862 160016 79509292
Internal haemorrhage 13.11 10.06 27 75053 8806 79660502
Therapeutic response decreased 13.10 10.06 27 75053 66826 79602482
Infection 13.08 10.06 155 74925 241557 79427751
Muscular weakness 12.94 10.06 218 74862 160511 79508797
Nervousness 12.92 10.06 64 75016 33351 79635957
Sedation 12.89 10.06 18 75062 51877 79617431
Serotonin syndrome 12.89 10.06 14 75066 45013 79624295
Pain in extremity 12.83 10.06 441 74639 364097 79305211
Cellulitis 12.79 10.06 158 74922 108902 79560406
Post procedural haemorrhage 12.77 10.06 35 75045 13709 79655599
Mitral valve repair 12.75 10.06 6 75074 287 79669021
Blood potassium decreased 12.62 10.06 81 74999 46431 79622877
Occult blood positive 12.62 10.06 23 75057 6860 79662448
Laboratory test abnormal 12.51 10.06 56 75024 27992 79641316
Muscle fatigue 12.51 10.06 16 75064 3503 79665805
Gait disturbance 12.44 10.06 269 74811 207237 79462071
Blood pressure fluctuation 12.42 10.06 28 75052 67117 79602191
Red blood cell sedimentation rate increased 12.37 10.06 15 75065 45927 79623381
Paraesthesia 12.37 10.06 234 74846 176089 79493219
Atrial fibrillation 12.34 10.06 258 74822 197628 79471680
Vision blurred 12.24 10.06 153 74927 105745 79563563
Platelet count decreased 12.20 10.06 254 74826 194410 79474898
Electrocardiogram QT prolonged 12.09 10.06 44 75036 90342 79578966
Transient ischaemic attack 12.05 10.06 88 74992 52607 79616701
Radioisotope scan abnormal 11.99 10.06 7 75073 523 79668785
Complication associated with device 11.96 10.06 40 75040 17456 79651852
Haemodialysis 11.95 10.06 41 75039 18127 79651181
Sinoatrial block 11.89 10.06 10 75070 1341 79667967
Scratch 11.76 10.06 25 75055 8338 79660970
Insomnia 11.70 10.06 308 74772 244862 79424446
Blood creatine phosphokinase increased 11.66 10.06 104 74976 65986 79603322
Disseminated intravascular coagulation 11.59 10.06 10 75070 35832 79633476
Asthma 11.56 10.06 77 75003 135018 79534290
Drug ineffective for unapproved indication 11.54 10.06 19 75061 51219 79618089
Rhabdomyolysis 11.50 10.06 148 74932 102983 79566325
Body height decreased 11.32 10.06 25 75055 8555 79660753
Rash pruritic 11.27 10.06 110 74970 71519 79597789
Very low density lipoprotein increased 11.24 10.06 5 75075 210 79669098
Constipation 11.14 10.06 347 74733 282703 79386605
Transaminases abnormal 11.12 10.06 8 75072 854 79668454
Poisoning 11.00 10.06 5 75075 25267 79644041
Failure to thrive 10.84 10.06 30 75050 11814 79657494
Blood pressure systolic increased 10.79 10.06 30 75050 66956 79602352
Left atrial dilatation 10.68 10.06 14 75066 3139 79666169
Anxiety 10.68 10.06 308 74772 248204 79421104
Sinus headache 10.64 10.06 18 75062 5062 79664246
Mucosal inflammation 10.64 10.06 36 75044 75544 79593764
Accidental overdose 10.58 10.06 13 75067 39568 79629740
Atelectasis 10.56 10.06 59 75021 32198 79637110
Swelling face 10.55 10.06 108 74972 71104 79598204
Septic shock 10.51 10.06 70 75010 122731 79546577
Bronchitis 10.44 10.06 177 74903 130467 79538841
Meniscus injury 10.42 10.06 21 75059 6747 79662561
Injection site erythema 10.37 10.06 116 74964 78081 79591227
Pulmonary hypertension 10.27 10.06 79 75001 48001 79621307
Lymphocyte count decreased 10.23 10.06 18 75062 47271 79622037
Skin laceration 10.17 10.06 54 75026 28908 79640400
Ventricular hypertrophy 10.06 10.06 21 75059 6917 79662391

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC C04AC01 CARDIOVASCULAR SYSTEM
PERIPHERAL VASODILATORS
PERIPHERAL VASODILATORS
Nicotinic acid and derivatives
ATC C10AD02 CARDIOVASCULAR SYSTEM
LIPID MODIFYING AGENTS
LIPID MODIFYING AGENTS, PLAIN
Nicotinic acid and derivatives
ATC C10AD52 CARDIOVASCULAR SYSTEM
LIPID MODIFYING AGENTS
LIPID MODIFYING AGENTS, PLAIN
Nicotinic acid and derivatives
ATC C10BA01 CARDIOVASCULAR SYSTEM
LIPID MODIFYING AGENTS
LIPID MODIFYING AGENTS, COMBINATIONS
Combinations of various lipid modifying agents
FDA CS M0014839 Nicotinic Acids
FDA EPC N0000175594 Nicotinic Acid
MeSH PA D000963 Antimetabolites
MeSH PA D002317 Cardiovascular Agents
MeSH PA D000960 Hypolipidemic Agents
MeSH PA D057847 Lipid Regulating Agents
MeSH PA D018977 Micronutrients
MeSH PA D014665 Vasodilator Agents
MeSH PA D014803 Vitamin B Complex
MeSH PA D014815 Vitamins
CHEBI has role CHEBI:25212 metabolites
CHEBI has role CHEBI:35620 vasodilator agents
CHEBI has role CHEBI:35679 antilipemic drugs
CHEBI has role CHEBI:50247 antidotes
CHEBI has role CHEBI:75771 Mus musculus metabolites
CHEBI has role CHEBI:76924 plant metabolites
CHEBI has role CHEBI:76971 Escherichia coli metabolites
CHEBI has role CHEBI:84087 human urinary metabolites
CHEBI has role CHEBI:84264 nicotinamide deaminase inhibitors
CHEBI has role CHEBI:22586 antioxidants
CHEBI has role CHEBI:23357 cofactor
CHEBI has role CHEBI:61115 histone deacetylase inhibitors
CHEBI has role CHEBI:62913 PARP
CHEBI has role CHEBI:63726 neuroprotective agents
CHEBI has role CHEBI:67079 anti-inflammatory agents
CHEBI has role CHEBI:71181 Sir2 inhibitors
CHEBI has role CHEBI:75772 S. cerevisiae metabolites
CHEBI has role CHEBI:176497 geroprotectors

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Hypercholesterolemia indication 13644009
Hyperlipidemia indication 55822004 DOID:1168
Vitamin deficiency indication 85670002
Familial hypercholesterolemia - heterozygous indication 238079002
Mixed hyperlipidemia indication 267434003
Hypertriglyceridemia indication 302870006




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 2.31 acidic
pKa2 4.85 Basic

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Hydroxycarboxylic acid receptor 2 GPCR AGONIST Ki 7.30 CHEMBL SCIENTIFIC LITERATURE
Nicotinamide N-methyltransferase Enzyme WOMBAT-PK
Nicotinate-nucleotide pyrophosphorylase [carboxylating] Enzyme WOMBAT-PK
Nicotinamide phosphoribosyltransferase Enzyme WOMBAT-PK
Hydroxycarboxylic acid receptor 3 GPCR AGONIST EC50 6.52 IUPHAR
Amyloid beta A4 protein Unclassified IC50 4.88 CHEMBL
Hydroxycarboxylic acid receptor 2 GPCR IC50 6.85 CHEMBL
Hydroxycarboxylic acid receptor 2 GPCR Ki 7.48 CHEMBL

External reference:

IDSource
4019440 VUID
N0000147570 NUI
D00049 KEGG_DRUG
4017632 VANDF
4017661 VANDF
4017718 VANDF
4019440 VANDF
4020285 VANDF
4021898 VANDF
C0027996 UMLSCUI
CHEBI:15940 CHEBI
NIO PDB_CHEM_ID
CHEMBL573 ChEMBL_ID
938 PUBCHEM_CID
DB00627 DRUGBANK_ID
1588 IUPHAR_LIGAND_ID
218728 RXNORM
2275 MMSL
4947 MMSL
5169 MMSL
5170 MMSL
5684 MMSL
7159 MMSL
7161 MMSL
72420 MMSL
d00314 MMSL
d03739 MMSL
001052 NDDF
001055 NDDF
173196005 SNOMEDCT_US
273943001 SNOMEDCT_US
63639004 SNOMEDCT_US
D009525 MESH_DESCRIPTOR_UI
373 INN_ID
2679MF687A UNII

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3074 TABLET, FILM COATED, EXTENDED RELEASE 500 mg ORAL NDA 29 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3074 TABLET, FILM COATED, EXTENDED RELEASE 500 mg ORAL NDA 29 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3079 TABLET, FILM COATED, EXTENDED RELEASE 750 mg ORAL NDA 29 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3079 TABLET, FILM COATED, EXTENDED RELEASE 750 mg ORAL NDA 29 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3080 TABLET, FILM COATED, EXTENDED RELEASE 1000 mg ORAL NDA 29 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3080 TABLET, FILM COATED, EXTENDED RELEASE 1000 mg ORAL NDA 29 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3265 TABLET, FILM COATED, EXTENDED RELEASE 500 mg ORAL NDA 29 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3265 TABLET, FILM COATED, EXTENDED RELEASE 500 mg ORAL NDA 29 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3274 TABLET, FILM COATED, EXTENDED RELEASE 750 mg ORAL NDA 29 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3274 TABLET, FILM COATED, EXTENDED RELEASE 750 mg ORAL NDA 29 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3275 TABLET, FILM COATED, EXTENDED RELEASE 1000 mg ORAL NDA 29 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 0074-3275 TABLET, FILM COATED, EXTENDED RELEASE 1000 mg ORAL NDA 29 sections
VitafolOne HUMAN PRESCRIPTION DRUG LABEL 16 0642-0070 CAPSULE, GELATIN COATED 15 mg ORAL unapproved drug other 14 sections
Vitafol Caplet HUMAN PRESCRIPTION DRUG LABEL 12 0642-0072 CAPSULE 15 mg ORAL UNAPPROVED DRUG OTHER 13 sections
Select OB HUMAN PRESCRIPTION DRUG LABEL 15 0642-0077 TABLET, CHEWABLE 15 mg ORAL UNAPPROVED DRUG OTHER 14 sections
Vitafol OB Caplet HUMAN PRESCRIPTION DRUG LABEL 15 0642-0079 TABLET 18 mg ORAL Unapproved drug other 14 sections
Vitafol OB Caplet HUMAN PRESCRIPTION DRUG LABEL 15 0642-0079 TABLET 18 mg ORAL Unapproved drug other 14 sections
Vitafol Plus HUMAN PRESCRIPTION DRUG LABEL 17 0642-0092 CAPSULE, LIQUID FILLED 15 mg ORAL UNAPPROVED DRUG OTHER 13 sections
Strovite Forte Caplet HUMAN PRESCRIPTION DRUG LABEL 19 0642-0204 TABLET, COATED 100 mg ORAL UNAPPROVED DRUG OTHER 15 sections
Reaphirm Plant Source DHA HUMAN PRESCRIPTION DRUG LABEL 16 0642-3010 CAPSULE, GELATIN COATED 15 mg ORAL unapproved drug other 7 sections
O-Cal Prenatal Vitamin HUMAN PRESCRIPTION DRUG LABEL 16 0813-0202 TABLET 17 mg ORAL UNAPPROVED DRUG OTHER 6 sections
Niacin HUMAN PRESCRIPTION DRUG LABEL 1 10135-612 TABLET, EXTENDED RELEASE 500 mg ORAL ANDA 25 sections
Niacin HUMAN PRESCRIPTION DRUG LABEL 1 10135-613 TABLET, EXTENDED RELEASE 750 mg ORAL ANDA 25 sections
Niacin HUMAN PRESCRIPTION DRUG LABEL 1 10135-614 TABLET, EXTENDED RELEASE 1000 mg ORAL ANDA 25 sections
TriStart DHA HUMAN PRESCRIPTION DRUG LABEL 15 15370-250 CAPSULE, LIQUID FILLED 5 mg ORAL UNAPPROVED DRUG OTHER 12 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 21695-852 TABLET, FILM COATED, EXTENDED RELEASE 500 mg ORAL NDA 26 sections
Niaspan HUMAN PRESCRIPTION DRUG LABEL 1 21695-865 TABLET, FILM COATED, EXTENDED RELEASE 1000 mg ORAL NDA 26 sections
Niacin Human Prescription Drug Label 1 33342-187 TABLET 500 mg ORAL ANDA 25 sections
Niacin Human Prescription Drug Label 1 33342-189 TABLET 1000 mg ORAL ANDA 25 sections
NIACIN Human Prescription Drug Label 1 47335-539 TABLET, FILM COATED, EXTENDED RELEASE 500 mg ORAL ANDA 27 sections