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

Stem definitionDrug idCAS RN
uridine derivatives used as antiviral agents and as antineoplastics 2861 30516-87-1

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • zidovudine
  • azidothymidine
  • azitidin
  • AZT
A dideoxynucleoside compound in which the 3'-hydroxy group on the sugar moiety has been replaced by an azido group. This modification prevents the formation of phosphodiester linkages which are needed for the completion of nucleic acid chains. The compound is a potent inhibitor of HIV replication, acting as a chain-terminator of viral DNA during reverse transcription. It improves immunologic function, partially reverses the HIV-induced neurological dysfunction, and improves certain other clinical abnormalities associated with AIDS. Its principal toxic effect is dose-dependent suppression of bone marrow, resulting in anemia and leukopenia.
  • Molecular weight: 267.25
  • Formula: C10H13N5O4
  • CLOGP: 0.04
  • LIPINSKI: 0
  • HAC: 9
  • HDO: 2
  • TPSA: 108.30
  • ALOGS: -1.21
  • ROTB: 3

  • Status: OFP

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

Drug dosage:

DoseUnitRoute
0.60 g O
0.60 g P

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 1 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 20.10 mg/mL Bocci G, Oprea TI, Benet LZ
EoM (Fraction excreted unchanged in urine) 2.80 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 37.42 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 63 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 1.80 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 25 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.80 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 1.30 hours Lombardo F, Berellini G, Obach RS

Approvals:

DateAgencyCompanyOrphan
March 18, 1998 EMA ViiV Healthcare BV
March 19, 1987 FDA VIIV HLTHCARE

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
Exposure during pregnancy 2270.07 24.31 984 14773 154563 63318702
Foetal exposure during pregnancy 1450.88 24.31 467 15290 31495 63441770
Stillbirth 875.89 24.31 224 15533 6526 63466739
Premature baby 814.60 24.31 272 15485 20463 63452802
Abortion spontaneous 803.45 24.31 335 15422 46860 63426405
Viral mutation identified 501.42 24.31 111 15646 1699 63471566
Virologic failure 492.81 24.31 110 15647 1752 63471513
Caesarean section 441.01 24.31 164 15593 16868 63456397
Drug resistance 438.00 24.31 177 15580 22756 63450509
Abortion induced 432.42 24.31 142 15615 10100 63463165
Pregnancy 378.49 24.31 184 15573 36652 63436613
Immune reconstitution inflammatory syndrome 367.91 24.31 111 15646 5973 63467292
Pathogen resistance 341.24 24.31 106 15651 6292 63466973
Premature rupture of membranes 310.09 24.31 93 15664 4900 63468365
Maternal drugs affecting foetus 305.63 24.31 93 15664 5149 63468116
Maternal exposure during pregnancy 279.70 24.31 307 15450 219755 63253510
Live birth 257.07 24.31 126 15631 25504 63447761
Foetal death 241.83 24.31 94 15663 10886 63462379
Premature labour 233.41 24.31 95 15662 12409 63460856
Lipodystrophy acquired 227.03 24.31 56 15701 1396 63471869
Foetal growth restriction 192.71 24.31 72 15685 7481 63465784
Anaemia 185.06 24.31 290 15467 293140 63180125
Pre-eclampsia 169.10 24.31 69 15688 9064 63464201
Treatment noncompliance 154.63 24.31 103 15654 37222 63436043
Premature delivery 138.71 24.31 89 15668 30192 63443073
Congenital anomaly 136.32 24.31 39 15718 1737 63471528
Patent ductus arteriosus 132.57 24.31 47 15710 4203 63469062
Polydactyly 124.59 24.31 26 15731 295 63472970
Blood HIV RNA increased 123.13 24.31 30 15727 709 63472556
Amniotic cavity infection 121.02 24.31 33 15724 1230 63472035
Sudden infant death syndrome 119.77 24.31 25 15732 284 63472981
Trisomy 21 119.21 24.31 26 15731 369 63472896
Human immunodeficiency virus transmission 116.90 24.31 19 15738 41 63473224
Atrial septal defect 116.86 24.31 49 15708 6889 63466376
Hypertriglyceridaemia 114.88 24.31 47 15710 6212 63467053
Hydrops foetalis 113.22 24.31 27 15730 581 63472684
Ventricular septal defect 112.64 24.31 42 15715 4336 63468929
Meningomyelocele 107.63 24.31 26 15731 592 63472673
Drug ineffective 105.58 24.31 65 15692 1044700 62428565
Neonatal disorder 103.97 24.31 25 15732 558 63472707
CD4 lymphocytes decreased 103.56 24.31 30 15727 1397 63471868
Foetal distress syndrome 100.98 24.31 29 15728 1309 63471956
Umbilical cord abnormality 100.77 24.31 25 15732 638 63472627
Alpha 1 foetoprotein abnormal 100.58 24.31 17 15740 51 63473214
Pain 98.38 24.31 31 15726 740597 62732668
Small for dates baby 89.30 24.31 34 15723 3717 63469548
Blood lactic acid increased 86.78 24.31 40 15717 7046 63466219
Low birth weight baby 86.55 24.31 40 15717 7089 63466176
Fatigue 85.81 24.31 58 15699 887970 62585295
Normal newborn 83.54 24.31 41 15716 8300 63464965
Neonatal respiratory distress syndrome 83.49 24.31 30 15727 2788 63470477
Neural tube defect 82.11 24.31 17 15740 185 63473080
Acquired gene mutation 81.82 24.31 23 15734 960 63472305
Hepatomegaly 80.62 24.31 45 15712 11844 63461421
Gestational diabetes 80.32 24.31 40 15717 8356 63464909
Mitochondrial toxicity 77.46 24.31 19 15738 462 63472803
Congenital heart valve disorder 77.33 24.31 14 15743 69 63473196
Meconium stain 76.39 24.31 16 15741 185 63473080
Placental disorder 76.32 24.31 24 15733 1480 63471785
Anal atresia 75.80 24.31 18 15739 380 63472885
Congenital pulmonary valve disorder 75.27 24.31 13 15744 46 63473219
Lipoatrophy 74.16 24.31 17 15740 306 63472959
Anaemia macrocytic 74.00 24.31 29 15728 3425 63469840
Genitalia external ambiguous 73.51 24.31 15 15742 151 63473114
Necrotising colitis 73.19 24.31 19 15738 584 63472681
Off label use 69.23 24.31 41 15716 674421 62798844
Bladder agenesis 68.25 24.31 14 15743 145 63473120
Portal hypertension 67.77 24.31 28 15729 3791 63469474
Premature separation of placenta 67.36 24.31 23 15734 1838 63471427
Fall 67.19 24.31 9 15748 392325 63080940
Arthralgia 66.85 24.31 29 15728 569681 62903584
Viral load increased 65.88 24.31 21 15736 1353 63471912
Exomphalos 64.95 24.31 17 15740 540 63472725
Hepatic cytolysis 64.93 24.31 43 15714 15364 63457901
Abdominal discomfort 63.86 24.31 4 15753 320881 63152384
Ultrasound antenatal screen abnormal 63.43 24.31 13 15744 134 63473131
Congenital genital malformation 62.66 24.31 13 15744 143 63473122
Anaemia neonatal 62.49 24.31 15 15742 332 63472933
Cardiac murmur 62.26 24.31 41 15716 14511 63458754
Cloacal exstrophy 61.85 24.31 13 15744 153 63473112
CSF HIV escape syndrome 61.39 24.31 12 15745 95 63473170
Aspartate aminotransferase increased 60.51 24.31 92 15665 90185 63383080
Gastrointestinal malformation 60.24 24.31 13 15744 175 63473090
Alanine aminotransferase increased 58.89 24.31 98 15659 103672 63369593
Malaria 58.20 24.31 13 15744 207 63473058
Neutropenia neonatal 57.98 24.31 11 15746 73 63473192
Spina bifida 57.66 24.31 17 15740 842 63472423
Mitochondrial cytopathy 56.71 24.31 13 15744 234 63473031
Neonatal respiratory arrest 55.80 24.31 10 15747 46 63473219
Caudal regression syndrome 55.37 24.31 12 15745 165 63473100
Tethered cord syndrome 54.90 24.31 13 15744 271 63472994
Necrotising enterocolitis neonatal 53.05 24.31 12 15745 203 63473062
Gastrointestinal disorder congenital 52.06 24.31 11 15746 133 63473132
Rheumatoid arthritis 50.98 24.31 3 15754 253816 63219449
Hyperlactacidaemia 50.93 24.31 21 15736 2828 63470437
Meningitis cryptococcal 49.77 24.31 17 15740 1360 63471905
Astrocytoma malignant 49.63 24.31 8 15749 16 63473249
Cleft lip and palate 48.98 24.31 14 15743 621 63472644
Twin pregnancy 48.41 24.31 16 15741 1157 63472108
Hyperbilirubinaemia 46.28 24.31 31 15726 11283 63461982
Pulmonary valve sclerosis 45.96 24.31 8 15749 30 63473235
Enlarged clitoris 45.46 24.31 10 15747 148 63473117
Macrocephaly 44.82 24.31 9 15748 83 63473182
Developmental delay 44.73 24.31 16 15741 1467 63471798
Arnold-Chiari malformation 43.94 24.31 13 15744 652 63472613
Anencephaly 43.78 24.31 11 15746 296 63472969
Sepsis neonatal 43.57 24.31 12 15745 464 63472801
Product dose omission issue 43.54 24.31 4 15753 234309 63238956
Congenital ectopic bladder 43.46 24.31 9 15748 98 63473167
Condition aggravated 43.25 24.31 23 15734 402194 63071071
Hepatotoxicity 42.24 24.31 49 15708 36992 63436273
Rickets 41.79 24.31 8 15749 56 63473209
Alopecia 41.43 24.31 16 15741 337520 63135745
Coarctation of the aorta 41.25 24.31 12 15745 567 63472698
Swelling 41.21 24.31 9 15748 275369 63197896
Ventricular hypertrophy 40.83 24.31 19 15738 3417 63469848
Pain in extremity 40.21 24.31 16 15741 331470 63141795
HIV antibody positive 40.18 24.31 6 15751 5 63473260
Genotype drug resistance test positive 40.03 24.31 11 15746 422 63472843
Neonatal aspiration 39.58 24.31 9 15748 156 63473109
Ultrasound scan abnormal 39.55 24.31 10 15747 276 63472989
Complication of delivery 39.05 24.31 9 15748 166 63473099
Large for dates baby 38.84 24.31 11 15746 472 63472793
Cleft palate 38.56 24.31 13 15744 999 63472266
Isoimmune haemolytic disease 38.42 24.31 7 15750 36 63473229
Fanconi syndrome acquired 38.26 24.31 13 15744 1023 63472242
Adrenogenital syndrome 37.79 24.31 7 15750 40 63473225
Rash maculo-papular 37.72 24.31 43 15714 31853 63441412
Oligohydramnios 37.53 24.31 22 15735 6344 63466921
Hydromyelia 37.22 24.31 6 15751 12 63473253
Ultrasound antenatal screen 36.76 24.31 9 15748 217 63473048
Acute lymphocytic leukaemia 36.53 24.31 16 15741 2500 63470765
AIDS cholangiopathy 36.30 24.31 6 15751 15 63473250
Single umbilical artery 35.44 24.31 9 15748 253 63473012
Trisomy 18 34.74 24.31 8 15749 147 63473118
Placenta praevia 34.52 24.31 12 15745 1012 63472253
Arthropathy 34.47 24.31 8 15749 234784 63238481
Pruritus 34.20 24.31 24 15733 361429 63111836
Congenital anomaly in offspring 34.19 24.31 8 15749 158 63473107
Drug intolerance 34.13 24.31 17 15740 308644 63164621
Congenital genital malformation female 33.77 24.31 6 15751 26 63473239
Haemorrhage in pregnancy 33.77 24.31 14 15743 1911 63471354
Stevens-Johnson syndrome 33.59 24.31 36 15721 24914 63448351
Fallot's tetralogy 33.18 24.31 7 15750 84 63473181
Hydrocephalus 33.06 24.31 19 15738 5281 63467984
Neutropenia 33.03 24.31 107 15650 174898 63298367
HIV test positive 32.74 24.31 6 15751 32 63473233
Ergot poisoning 32.45 24.31 7 15750 94 63473171
Dyspnoea 32.25 24.31 73 15684 661240 62812025
Jaundice 32.19 24.31 38 15719 29213 63444052
Urinary tract infection 31.72 24.31 13 15744 264671 63208594
Hyperandrogenism 31.67 24.31 7 15750 106 63473159
Hepatitis 31.66 24.31 44 15713 39744 63433521
Foetal heart rate abnormal 31.63 24.31 10 15747 627 63472638
Microcephaly 31.62 24.31 11 15746 929 63472336
Product use issue 31.42 24.31 8 15749 220512 63252753
Pneumonia 30.83 24.31 41 15716 456726 63016539
Respiratory distress 30.76 24.31 40 15717 33911 63439354
Gestational hypertension 30.71 24.31 14 15743 2403 63470862
Neonatal hepatomegaly 30.39 24.31 5 15752 12 63473253
Ectopic pregnancy 29.90 24.31 14 15743 2553 63470712
Cardiac malposition 29.81 24.31 6 15751 56 63473209
Musculoskeletal stiffness 29.80 24.31 5 15752 184613 63288652
Micrognathia 29.71 24.31 8 15749 284 63472981
Infection 29.56 24.31 10 15747 229163 63244102
Weight increased 29.37 24.31 14 15743 260778 63212487
Anxiety 28.93 24.31 9 15748 217532 63255733
Heart disease congenital 28.16 24.31 11 15746 1288 63471977
Alpha 1 foetoprotein increased 27.91 24.31 7 15750 187 63473078
Chlamydial infection 27.81 24.31 8 15749 363 63472902
Hypotonia 27.72 24.31 21 15736 9264 63464001
Induced labour 27.70 24.31 10 15747 941 63472324
Hepatic displacement 27.23 24.31 5 15752 27 63473238
Placental insufficiency 27.05 24.31 11 15746 1430 63471835
Foetal cardiac disorder 26.93 24.31 5 15752 29 63473236
Foetal anaemia 26.84 24.31 6 15751 96 63473169
Pallor 26.13 24.31 35 15722 30533 63442732
Diastasis recti abdominis 25.88 24.31 5 15752 37 63473228
Glycosuria 25.72 24.31 10 15747 1156 63472109
Constipation 25.44 24.31 12 15745 224931 63248334
Polyhydramnios 25.27 24.31 12 15745 2259 63471006
Pulmonary tuberculosis 25.03 24.31 15 15742 4502 63468763
Proteinuria 24.68 24.31 27 15730 19118 63454147
Anembryonic gestation 24.49 24.31 8 15749 557 63472708
Bovine tuberculosis 24.35 24.31 5 15752 52 63473213

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
Foetal exposure during pregnancy 1208.39 16.11 528 18513 37573 34900317
Exposure during pregnancy 947.74 16.11 301 18740 8633 34929257
Lipodystrophy acquired 818.57 16.11 216 18825 3128 34934762
Viral mutation identified 624.58 16.11 170 18871 2784 34935106
Mitochondrial toxicity 620.80 16.11 166 18875 2533 34935357
Virologic failure 588.01 16.11 168 18873 3312 34934578
Pathogen resistance 530.13 16.11 198 18843 9284 34928606
Immune reconstitution inflammatory syndrome 471.78 16.11 178 18863 8581 34929309
Eyelid ptosis 441.40 16.11 152 18889 5614 34932276
Premature baby 403.25 16.11 202 18839 19431 34918459
Progressive external ophthalmoplegia 305.17 16.11 83 18958 1352 34936538
Diplopia 284.45 16.11 152 18889 16691 34921199
Pinealoblastoma 271.86 16.11 52 18989 137 34937753
Drug resistance 243.07 16.11 160 18881 25767 34912123
Lipoatrophy 209.89 16.11 50 18991 461 34937429
Maternal drugs affecting foetus 182.77 16.11 72 18969 3893 34933997
Caesarean section 153.78 16.11 54 18987 2110 34935780
Blood lactic acid increased 152.19 16.11 74 18967 6654 34931236
Hypertriglyceridaemia 144.68 16.11 77 18964 8371 34929519
Volvulus 136.48 16.11 46 18995 1586 34936304
Anaemia 124.85 16.11 342 18699 232993 34704897
Neonatal disorder 122.07 16.11 36 19005 794 34937096
Hyperlactacidaemia 119.08 16.11 49 18992 2967 34934923
Hepatic fibrosis 114.30 16.11 54 18987 4553 34933337
Blood HIV RNA increased 108.13 16.11 36 19005 1194 34936696
HIV-associated neurocognitive disorder 102.46 16.11 26 19015 318 34937572
Ophthalmoplegia 101.18 16.11 38 19003 1802 34936088
CSF HIV escape syndrome 100.12 16.11 23 19018 178 34937712
Anaemia macrocytic 95.69 16.11 42 18999 2984 34934906
CD4 lymphocytes decreased 88.68 16.11 34 19007 1707 34936183
Congenital anomaly 88.52 16.11 32 19009 1361 34936529
Trisomy 18 85.85 16.11 27 19014 744 34937146
Small for dates baby 82.26 16.11 41 19000 3886 34934004
Pregnancy 82.15 16.11 21 19020 265 34937625
Polydactyly 81.35 16.11 29 19012 1184 34936706
Off label use 81.25 16.11 66 18975 419458 34518432
Trisomy 21 79.97 16.11 24 19017 563 34937327
Cleft lip and palate 77.42 16.11 26 19015 886 34937004
Osteonecrosis 76.40 16.11 64 18977 14826 34923064
Anaemia neonatal 75.23 16.11 20 19021 297 34937593
Hydrops foetalis 74.72 16.11 25 19016 842 34937048
Ultrasound antenatal screen 72.60 16.11 22 19019 534 34937356
Hyperlipidaemia 69.53 16.11 60 18981 14469 34923421
Hypospadias 65.81 16.11 33 19008 3168 34934722
Low birth weight baby 64.95 16.11 45 18996 7860 34930030
Aspartate aminotransferase increased 64.57 16.11 125 18916 67658 34870232
Multiple-drug resistance 63.27 16.11 38 19003 5201 34932689
Acquired immunodeficiency syndrome 61.28 16.11 19 19022 499 34937391
Treatment noncompliance 59.59 16.11 75 18966 28025 34909865
Human immunodeficiency virus transmission 59.28 16.11 11 19030 23 34937867
Kaposi's sarcoma 58.80 16.11 21 19020 862 34937028
Cryptorchism 57.09 16.11 26 19015 2015 34935875
Fall 56.54 16.11 20 19021 202865 34735025
Hydrocele 56.53 16.11 26 19015 2061 34935829
Drug-induced liver injury 56.50 16.11 74 18967 28758 34909132
Ventricular septal defect 56.18 16.11 32 19009 3969 34933921
Alanine aminotransferase increased 54.99 16.11 130 18911 80685 34857205
Viral load increased 54.76 16.11 27 19014 2500 34935390
Chordee 54.74 16.11 12 19029 73 34937817
Drug ineffective 53.76 16.11 105 18936 456646 34481244
Dyslipidaemia 53.16 16.11 39 19002 7449 34930441
Optic nerve neoplasm 52.37 16.11 10 19031 26 34937864
Cardiac murmur 51.58 16.11 39 19002 7798 34930092
Congenital neoplasm 51.31 16.11 10 19031 30 34937860
Product dose omission issue 50.14 16.11 4 19037 119707 34818183
Blood antidiuretic hormone increased 47.96 16.11 10 19031 46 34937844
Portal hypertension 47.85 16.11 29 19012 4033 34933857
Pain 47.83 16.11 26 19015 204649 34733241
Patent ductus arteriosus 47.56 16.11 27 19014 3327 34934563
Foetal distress syndrome 47.28 16.11 19 19022 1081 34936809
Atrial septal defect 46.92 16.11 36 19005 7356 34930534
Splenomegaly 44.90 16.11 48 18993 15069 34922821
Pneumonia 44.68 16.11 81 18960 362546 34575344
Death 44.66 16.11 94 18947 397955 34539935
Mitochondrial myopathy 44.24 16.11 12 19029 193 34937697
Osteoporotic fracture 43.93 16.11 18 19023 1077 34936813
Product use in unapproved indication 43.89 16.11 6 19035 117493 34820397
Rhabdomyosarcoma 43.79 16.11 9 19032 38 34937852
HIV infection 43.68 16.11 19 19022 1320 34936570
Congenital naevus 43.35 16.11 8 19033 16 34937874
Nodular regenerative hyperplasia 42.50 16.11 17 19024 956 34936934
Cytomegalovirus chorioretinitis 40.68 16.11 25 19016 3564 34934326
Lipohypertrophy 40.63 16.11 12 19029 266 34937624
Congenital hydronephrosis 39.80 16.11 15 19026 718 34937172
Atrial fibrillation 39.73 16.11 9 19032 122384 34815506
Lymphadenopathy 39.50 16.11 62 18979 28401 34909489
Meningomyelocele 39.45 16.11 11 19030 197 34937693
Hypotension 38.99 16.11 38 19003 221611 34716279
Blood creatine phosphokinase increased 38.22 16.11 79 18962 44778 34893112
Hepatomegaly 38.14 16.11 37 19004 10359 34927531
Blood pyruvic acid increased 37.93 16.11 7 19034 14 34937876
Mycobacterium avium complex infection 37.74 16.11 21 19020 2490 34935400
Foetal growth restriction 37.54 16.11 25 19016 4092 34933798
Febrile neutropenia 37.23 16.11 14 19027 136835 34801055
Astrocytoma, low grade 37.18 16.11 8 19033 44 34937846
Hypertonia 36.84 16.11 25 19016 4221 34933669
Malignant neoplasm progression 36.70 16.11 3 19038 88043 34849847
Abortion spontaneous 36.33 16.11 12 19029 388 34937502
Oesophageal candidiasis 36.05 16.11 25 19016 4371 34933519
Jaundice 35.60 16.11 63 18978 31819 34906071
Limb deformity 35.38 16.11 13 19028 579 34937311
White matter lesion 34.78 16.11 14 19027 800 34937090
Congenital cytomegalovirus infection 34.77 16.11 7 19034 26 34937864
Pulmonary tuberculosis 34.29 16.11 25 19016 4729 34933161
Gamma-glutamyltransferase increased 34.25 16.11 59 18982 29172 34908718
Blood pressure increased 34.10 16.11 4 19037 88098 34849792
Constipation 34.07 16.11 16 19025 136966 34800924
Acquired gene mutation 33.97 16.11 16 19025 1339 34936551
Neutropenia neonatal 33.05 16.11 13 19028 699 34937191
Neonatal hyponatraemia 32.99 16.11 8 19033 80 34937810
Macrocytosis 32.08 16.11 14 19027 980 34936910
Speech disorder developmental 31.98 16.11 18 19023 2182 34935708
Blood triglycerides increased 31.95 16.11 39 19002 14120 34923770
Talipes 31.43 16.11 17 19024 1906 34935984
COVID-19 31.35 16.11 3 19038 77547 34860343
Dyspnoea 30.81 16.11 104 18937 376678 34561212
Hepatic cytolysis 29.63 16.11 38 19003 14458 34923432
Congenital mitral valve incompetence 28.81 16.11 8 19033 141 34937749
Live birth 28.79 16.11 9 19032 243 34937647
Congenital anaemia 28.64 16.11 5 19036 6 34937884
Facial wasting 28.40 16.11 8 19033 149 34937741
Developmental delay 28.11 16.11 18 19023 2757 34935133
Congenital hydrocephalus 27.19 16.11 7 19034 91 34937799
Genotype drug resistance test positive 27.11 16.11 13 19028 1132 34936758
Ear malformation 26.87 16.11 9 19032 304 34937586
Mitochondrial cytopathy 26.80 16.11 8 19033 184 34937706
Completed suicide 26.76 16.11 10 19031 98158 34839732
Transaminases increased 26.16 16.11 50 18991 26773 34911117
Pneumocystis jirovecii pneumonia 26.05 16.11 42 18999 19668 34918222
Enophthalmos 25.91 16.11 5 19036 14 34937876
Exomphalos 25.88 16.11 8 19033 208 34937682
Death neonatal 25.59 16.11 9 19032 353 34937537
Sickle cell anaemia 25.55 16.11 8 19033 217 34937673
Drug abuse 25.53 16.11 11 19030 99085 34838805
CD4 lymphocytes increased 25.52 16.11 8 19033 218 34937672
Post streptococcal glomerulonephritis 25.39 16.11 7 19034 120 34937770
Meningitis cryptococcal 25.36 16.11 16 19025 2388 34935502
Cachexia 25.28 16.11 25 19016 7161 34930729
Hepatitis B 25.21 16.11 23 19018 5960 34931930
Prenatal screening test abnormal 24.96 16.11 5 19036 18 34937872
Sudden infant death syndrome 24.79 16.11 8 19033 240 34937650
Lactic acidosis 24.78 16.11 57 18984 34715 34903175
Tuberculoid leprosy 24.74 16.11 6 19035 60 34937830
Heart disease congenital 24.72 16.11 13 19028 1377 34936513
Strabismus 24.72 16.11 14 19027 1717 34936173
Fatigue 24.71 16.11 111 18930 370542 34567348
Anogenital warts 24.59 16.11 10 19031 587 34937303
Hepatitis C virus test 24.39 16.11 6 19035 64 34937826
Cerebrovascular accident 24.21 16.11 8 19033 84803 34853087
Pancytopenia 23.94 16.11 109 18932 95048 34842842
Retinal toxicity 23.87 16.11 9 19032 431 34937459
Late developer 23.83 16.11 4 19037 3 34937887
Hyperbilirubinaemia 23.79 16.11 37 19004 16806 34921084
Oral candidiasis 23.58 16.11 31 19010 12079 34925811
Hepatic function abnormal 23.53 16.11 65 18976 44298 34893592
Maternal condition affecting foetus 23.29 16.11 4 19037 4 34937886
Perinatal HIV infection 23.29 16.11 4 19037 4 34937886
Gastroschisis 23.25 16.11 7 19034 166 34937724
Ultrasound antenatal screen abnormal 23.16 16.11 6 19035 80 34937810
Normal newborn 23.02 16.11 7 19034 172 34937718
HIV wasting syndrome 22.64 16.11 6 19035 88 34937802
ADAMTS13 activity decreased 22.57 16.11 6 19035 89 34937801
Dysphagia 22.54 16.11 80 18961 62301 34875589
Treatment failure 22.41 16.11 66 18975 46631 34891259
Birth trauma 22.40 16.11 4 19037 6 34937884
Progressive multifocal leukoencephalopathy 22.20 16.11 27 19014 9737 34928153
Lagophthalmos 22.15 16.11 6 19035 96 34937794
Acute lymphocytic leukaemia 22.01 16.11 16 19025 3013 34934877
Hepatosplenomegaly 21.54 16.11 18 19023 4151 34933739
Polyneuropathy chronic 21.51 16.11 5 19036 41 34937849
Malaria 21.50 16.11 7 19034 216 34937674
Lactate pyruvate ratio increased 21.35 16.11 4 19037 9 34937881
Cardiac arrest 21.30 16.11 13 19028 96146 34841744
Genitalia external ambiguous 21.26 16.11 7 19034 224 34937666
Nervous system disorder 20.61 16.11 32 19009 14511 34923379
Leukopenia 20.51 16.11 78 18963 62778 34875112
Heart transplant rejection 20.45 16.11 11 19030 1220 34936670
Cryptococcosis 20.41 16.11 14 19027 2405 34935485
Hepatitis 20.23 16.11 42 18999 23862 34914028
Sickle cell disease 20.23 16.11 6 19035 135 34937755
Back pain 20.11 16.11 22 19019 121767 34816123
Meconium peritonitis 20.06 16.11 4 19037 14 34937876
Meningitis tuberculous 20.02 16.11 9 19032 676 34937214
Tuberculosis 19.96 16.11 24 19017 8553 34929337
Lymphocytic infiltration 19.65 16.11 9 19032 706 34937184
Disease progression 19.58 16.11 18 19023 108059 34829831
Congenital retinoblastoma 19.55 16.11 3 19038 0 34937890
Neonatal intestinal obstruction 19.55 16.11 3 19038 0 34937890
Vision abnormal neonatal 19.55 16.11 3 19038 0 34937890
Hypercholesterolaemia 19.55 16.11 24 19017 8738 34929152
Congenital abdominal hernia 19.26 16.11 4 19037 18 34937872
Maternal exposure during pregnancy 18.98 16.11 18 19023 4900 34932990
Abnormal dreams 18.95 16.11 22 19019 7556 34930334
Abdominal hernia 18.82 16.11 14 19027 2730 34935160
Subacute sclerosing panencephalitis 18.75 16.11 4 19037 21 34937869
Neck deformity 18.70 16.11 5 19036 76 34937814
Cleft lip 18.67 16.11 7 19034 330 34937560
Neonatal asphyxia 18.32 16.11 7 19034 348 34937542
Hypotonia 18.31 16.11 22 19019 7831 34930059
Blood bilirubin increased 18.25 16.11 54 18987 38242 34899648
Blood insulin increased 18.22 16.11 7 19034 353 34937537
Anaemia megaloblastic 18.19 16.11 6 19035 193 34937697
Congenital aortic anomaly 18.07 16.11 5 19036 87 34937803
Thalassaemia alpha 18.02 16.11 4 19037 26 34937864
Neutropenia 17.79 16.11 146 18895 156632 34781258
Nasopharyngitis 17.65 16.11 8 19033 69960 34867930
Congenital central nervous system anomaly 17.64 16.11 8 19033 614 34937276
Arthralgia 17.47 16.11 42 18999 169999 34767891
Congenital hearing disorder 17.41 16.11 5 19036 100 34937790
Immune recovery uveitis 17.40 16.11 4 19037 31 34937859
CSF virus identified 17.29 16.11 4 19037 32 34937858
Acute kidney injury 17.06 16.11 97 18944 304891 34632999
Twin pregnancy 17.01 16.11 3 19038 4 34937886
Red blood cell schistocytes present 16.97 16.11 6 19035 239 34937651
Lipase increased 16.65 16.11 23 19018 9393 34928497
Immune reconstitution inflammatory syndrome associated tuberculosis 16.59 16.11 7 19034 451 34937439
Scleral discolouration 16.53 16.11 6 19035 258 34937632
Joint swelling 16.48 16.11 6 19035 59884 34878006
Hydronephrosis 16.42 16.11 24 19017 10322 34927568
Feeling abnormal 16.31 16.11 7 19034 63228 34874662
Trisomy 15 16.26 16.11 3 19038 6 34937884
Glucose-6-phosphate dehydrogenase deficiency 16.21 16.11 5 19036 129 34937761
Reticulocytosis 16.19 16.11 6 19035 274 34937616

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
Exposure during pregnancy 1309.91 16.77 620 22458 100512 79620798
Virologic failure 1058.03 16.77 245 22833 3946 79717364
Lipodystrophy acquired 1008.19 16.77 237 22841 4088 79717222
Viral mutation identified 981.67 16.77 227 22851 3631 79717679
Immune reconstitution inflammatory syndrome 868.22 16.77 269 22809 13572 79707738
Pathogen resistance 804.75 16.77 256 22822 14086 79707224
Abortion spontaneous 788.85 16.77 303 22775 29204 79692106
Stillbirth 783.20 16.77 190 22888 3765 79717545
Mitochondrial toxicity 738.06 16.77 173 22905 2941 79718369
Foetal exposure during pregnancy 640.83 16.77 175 22903 5615 79715695
Drug resistance 588.82 16.77 273 22805 41940 79679370
Eyelid ptosis 434.83 16.77 151 22927 10893 79710417
Abortion induced 411.41 16.77 130 22948 6979 79714331
Progressive external ophthalmoplegia 361.99 16.77 84 22994 1361 79719949
Blood HIV RNA increased 313.00 16.77 78 23000 1730 79719580
Caesarean section 289.84 16.77 116 22962 12419 79708891
Diplopia 279.39 16.77 153 22925 33313 79687997
Lipoatrophy 254.35 16.77 55 23023 634 79720676
Pregnancy 247.16 16.77 131 22947 26720 79694590
Anaemia 226.55 16.77 436 22642 444579 79276731
Live birth 223.70 16.77 109 22969 18635 79702675
Maternal exposure during pregnancy 213.66 16.77 229 22849 136309 79585001
Premature rupture of membranes 196.98 16.77 65 23013 4004 79717306
Treatment noncompliance 175.93 16.77 135 22943 52133 79669177
Maternal drugs affecting foetus 172.88 16.77 48 23030 1635 79719675
CSF HIV escape syndrome 170.01 16.77 35 23043 312 79720998
CD4 lymphocytes decreased 155.81 16.77 49 23029 2585 79718725
Foetal death 147.19 16.77 63 23015 7981 79713329
Premature baby 138.44 16.77 49 23029 3731 79717579
Premature labour 138.15 16.77 61 23017 8329 79712981
Pre-eclampsia 131.66 16.77 56 23022 6985 79714325
Portal hypertension 124.57 16.77 54 23024 7054 79714256
Pinealoblastoma 123.97 16.77 21 23057 52 79721258
Hepatic fibrosis 123.33 16.77 54 23024 7226 79714084
Acquired gene mutation 121.58 16.77 39 23039 2194 79719116
Hydrops foetalis 107.29 16.77 28 23050 750 79720560
HIV-associated neurocognitive disorder 107.21 16.77 24 23054 328 79720982
Ultrasound antenatal screen 105.58 16.77 27 23051 666 79720644
Ophthalmoplegia 103.81 16.77 37 23041 2875 79718435
Cleft lip and palate 100.51 16.77 26 23052 672 79720638
Premature delivery 100.18 16.77 70 23008 23397 79697913
Aspartate aminotransferase increased 96.25 16.77 156 22922 138485 79582825
Pain 95.94 16.77 42 23036 703760 79017550
Alanine aminotransferase increased 94.48 16.77 169 22909 162401 79558909
Trisomy 18 94.12 16.77 24 23054 585 79720725
Hepatic cytolysis 93.23 16.77 71 23007 27080 79694230
Hypertriglyceridaemia 92.01 16.77 53 23025 12687 79708623
Viral load increased 81.25 16.77 31 23047 2917 79718393
Meningitis cryptococcal 79.47 16.77 32 23046 3474 79717836
Alpha 1 foetoprotein abnormal 77.97 16.77 14 23064 54 79721256
Dyslipidaemia 77.68 16.77 46 23032 11587 79709723
Hyperlactacidaemia 77.30 16.77 36 23042 5559 79715751
Fall 73.15 16.77 25 23053 487604 79233706
Lymphadenopathy 72.27 16.77 83 22995 53164 79668146
Genotype drug resistance test positive 71.85 16.77 23 23055 1285 79720025
Hepatomegaly 70.69 16.77 52 23026 18822 79702488
Normal newborn 69.30 16.77 36 23042 7036 79714274
Osteonecrosis 68.66 16.77 63 23015 31032 79690278
Pulmonary tuberculosis 68.48 16.77 37 23041 7828 79713482
Kaposi's sarcoma 65.97 16.77 19 23059 740 79720570
Peripheral swelling 65.37 16.77 3 23075 269614 79451696
Amniotic cavity infection 64.36 16.77 19 23059 808 79720502
Drug-induced liver injury 62.48 16.77 86 22992 66031 79655279
Joint swelling 61.86 16.77 6 23072 288640 79432670
Off label use 61.86 16.77 105 22973 907110 78814200
Multiple-drug resistance 59.26 16.77 35 23043 8773 79712537
Jaundice 59.06 16.77 75 23003 53274 79668036
Drug ineffective 58.51 16.77 143 22935 1080770 78640540
Nasopharyngitis 57.94 16.77 4 23074 253877 79467433
Mycobacterium avium complex infection 55.61 16.77 27 23051 4573 79716737
HIV viraemia 54.05 16.77 11 23067 92 79721218
Splenomegaly 51.66 16.77 45 23033 20709 79700601
Product dose omission issue 50.85 16.77 6 23072 247531 79473779
Acute lymphocytic leukaemia 50.72 16.77 26 23052 4943 79716367
Rickets 50.58 16.77 10 23068 71 79721239
Facial wasting 49.10 16.77 10 23068 84 79721226
Premature separation of placenta 48.87 16.77 17 23061 1229 79720081
Tuberculosis 48.37 16.77 38 23040 15160 79706150
Cytomegalovirus chorioretinitis 48.28 16.77 26 23052 5464 79715846
Malaria 47.81 16.77 13 23065 409 79720901
Blood lactic acid increased 47.47 16.77 35 23043 12709 79708601
Mitochondrial myopathy 47.36 16.77 12 23066 285 79721025
Acquired immunodeficiency syndrome 46.96 16.77 12 23066 295 79721015
Hyperlipidaemia 46.52 16.77 47 23031 26046 79695264
Optic nerve neoplasm 46.10 16.77 8 23070 24 79721286
Completed suicide 45.73 16.77 8 23070 245759 79475551
Gestational diabetes 44.96 16.77 26 23052 6267 79715043
Arthralgia 44.85 16.77 60 23018 571743 79149567
Proteinuria 44.66 16.77 51 23027 32451 79688859
Hepatotoxicity 44.36 16.77 64 23014 51288 79670022
White matter lesion 44.26 16.77 18 23060 2004 79719306
Pancytopenia 43.79 16.77 126 22952 165619 79555691
Nodular regenerative hyperplasia 43.67 16.77 16 23062 1345 79719965
Mitochondrial cytopathy 43.52 16.77 12 23066 398 79720912
Constipation 43.28 16.77 14 23064 283036 79438274
Stevens-Johnson syndrome 43.25 16.77 55 23023 39111 79682199
Rheumatoid arthritis 42.95 16.77 5 23073 208465 79512845
Abdominal discomfort 42.83 16.77 10 23068 250717 79470593
Gamma-glutamyltransferase increased 42.71 16.77 65 23013 54615 79666695
Anaemia macrocytic 42.33 16.77 24 23054 5573 79715737
Fatigue 42.05 16.77 134 22944 929593 78791717
Placental disorder 41.55 16.77 14 23064 919 79720391
Blood triglycerides increased 41.41 16.77 40 23038 21000 79700310
Placenta praevia 40.34 16.77 13 23065 742 79720568
Cachexia 40.30 16.77 30 23048 11053 79710257
Astrocytoma malignant 39.63 16.77 7 23071 24 79721286
Product use in unapproved indication 38.96 16.77 12 23066 250347 79470963
Blood antidiuretic hormone increased 38.69 16.77 8 23070 73 79721237
Twin pregnancy 38.15 16.77 13 23065 883 79720427
Pneumocystis jirovecii pneumonia 38.04 16.77 47 23031 32461 79688849
Hepatitis 37.66 16.77 62 23016 55665 79665645
Sinusitis 37.17 16.77 6 23072 195495 79525815
Fanconi syndrome acquired 36.18 16.77 17 23061 2677 79718633
Leukopenia 36.17 16.77 94 22984 116419 79604891
Pyrexia 35.95 16.77 326 22752 678383 79042927
AIDS cholangiopathy 35.38 16.77 6 23072 15 79721295
Rash maculo-papular 34.72 16.77 60 23018 56018 79665292
Hypotension 34.70 16.77 46 23032 440271 79281039
COVID-19 34.50 16.77 3 23075 157671 79563639
Lipohypertrophy 34.44 16.77 12 23066 872 79720438
Meningitis tuberculous 34.39 16.77 13 23065 1192 79720118
Transaminases increased 34.21 16.77 57 23021 51686 79669624
Oesophageal candidiasis 33.62 16.77 25 23053 9193 79712117
Atrial fibrillation 33.57 16.77 8 23070 197878 79523432
Rhabdomyosarcoma 33.07 16.77 8 23070 156 79721154
Arthropathy 32.43 16.77 6 23072 177105 79544205
Oligohydramnios 32.37 16.77 17 23061 3395 79717915
Pneumonia 32.05 16.77 92 22986 660154 79061156
Retinoblastoma 31.81 16.77 7 23071 88 79721222
Umbilical cord abnormality 31.77 16.77 8 23070 185 79721125
HIV infection 31.59 16.77 12 23066 1115 79720195
Osteoporotic fracture 31.58 16.77 18 23060 4222 79717088
Neutropenia neonatal 31.52 16.77 6 23072 34 79721276
Immune reconstitution inflammatory syndrome associated tuberculosis 31.23 16.77 11 23067 825 79720485
Blood bilirubin increased 31.17 16.77 63 23015 66169 79655141
Tuberculoid leprosy 30.66 16.77 7 23071 105 79721205
Congenital anomaly 30.62 16.77 9 23069 377 79720933
Synovitis 30.10 16.77 4 23074 150730 79570580
Glycosuria 29.98 16.77 14 23064 2174 79719136
Drug interaction 29.87 16.77 214 22864 414969 79306341
Ectopic pregnancy 29.75 16.77 13 23065 1730 79719580
Fat tissue increased 29.75 16.77 11 23067 949 79720361
Post streptococcal glomerulonephritis 29.57 16.77 7 23071 124 79721186
Amylase increased 29.31 16.77 25 23053 11184 79710126
Astrocytoma, low grade 29.29 16.77 6 23072 52 79721258
Cryptococcosis 29.20 16.77 16 23062 3477 79717833
Hepatic function abnormal 29.16 16.77 65 23013 73042 79648268
Retinal toxicity 28.98 16.77 12 23066 1399 79719911
Ergot poisoning 28.96 16.77 7 23071 136 79721174
Brain oedema 28.72 16.77 36 23042 25227 79696083
Foetal distress syndrome 28.46 16.77 9 23069 483 79720827
Gynaecomastia 28.39 16.77 21 23057 7660 79713650
Varices oesophageal 28.23 16.77 19 23059 5972 79715338
Febrile neutropenia 28.03 16.77 16 23062 230983 79490327
Ileal ulcer 28.00 16.77 11 23067 1119 79720191
Nephropathy toxic 27.98 16.77 32 23046 20387 79700923
Hyperbilirubinaemia 27.97 16.77 35 23043 24483 79696827
Swelling 27.77 16.77 14 23064 216697 79504613
Dyspnoea 27.08 16.77 142 22936 856883 78864427
Induced labour 27.05 16.77 10 23068 862 79720448
Influenza 26.96 16.77 3 23075 129603 79591707
Oxygen saturation decreased 26.81 16.77 3 23075 129044 79592266
Anaemia neonatal 26.79 16.77 5 23073 25 79721285
Ultrasound antenatal screen abnormal 26.73 16.77 6 23072 83 79721227
Pruritus 26.48 16.77 46 23032 394602 79326708
Anogenital warts 26.38 16.77 10 23068 924 79720386
Congenital retinoblastoma 26.36 16.77 4 23074 3 79721307
Musculoskeletal stiffness 26.14 16.77 9 23069 174999 79546311
Feeling abnormal 25.92 16.77 7 23071 159192 79562118
Condition aggravated 25.65 16.77 68 23010 501056 79220254
Hepatosplenomegaly 25.65 16.77 18 23060 6051 79715259
Speech disorder developmental 25.55 16.77 9 23069 675 79720635
Therapeutic product effect incomplete 25.50 16.77 5 23073 141640 79579670
Death 25.28 16.77 82 22996 566432 79154878
Blood pressure increased 25.13 16.77 15 23063 211345 79509965
Stomatitis 24.76 16.77 6 23072 146751 79574559
Hepatitis B 24.73 16.77 20 23058 8312 79712998
Blood alkaline phosphatase increased 24.71 16.77 56 23022 63608 79657702
Torsade de pointes 24.35 16.77 29 23049 19283 79702027
Antiviral drug level below therapeutic 24.24 16.77 5 23073 45 79721265
CD4 lymphocytes increased 23.86 16.77 7 23071 291 79721019
Infection 23.74 16.77 21 23057 241691 79479619
Wheezing 23.52 16.77 3 23075 116661 79604649
Inappropriate schedule of product administration 23.47 16.77 5 23073 133623 79587687
Wound 23.39 16.77 3 23075 116176 79605134
Chlamydial infection 23.37 16.77 8 23070 551 79720759
Dysphagia 23.25 16.77 83 22995 122053 79599257
Cerebral toxoplasmosis 23.07 16.77 12 23066 2350 79718960
Macrocephaly 23.01 16.77 5 23073 59 79721251
Lipase increased 22.89 16.77 26 23052 16440 79704870
Progressive multifocal leukoencephalopathy 22.85 16.77 29 23049 20571 79700739
Gestational hypertension 22.62 16.77 11 23067 1868 79719442
Insulin resistance 22.61 16.77 10 23068 1369 79719941
Congestive cardiomyopathy 22.44 16.77 22 23056 11758 79709552
Portal hypertensive gastropathy 22.37 16.77 10 23068 1404 79719906
HIV wasting syndrome 22.16 16.77 5 23073 71 79721239
ADAMTS13 activity decreased 22.15 16.77 6 23072 186 79721124
Enophthalmos 21.90 16.77 5 23073 75 79721235
Alopecia 21.65 16.77 21 23057 231334 79489976
Anembryonic gestation 21.56 16.77 7 23071 409 79720901
Vaginal haemorrhage 21.54 16.77 29 23049 21788 79699522
Human immunodeficiency virus transmission 21.44 16.77 3 23075 0 79721310
Acute stress disorder 21.11 16.77 7 23071 437 79720873
Neonatal disorder 21.11 16.77 4 23074 22 79721288
Nervous system disorder 21.07 16.77 32 23046 26824 79694486
Foetal cardiac disorder 20.96 16.77 4 23074 23 79721287
Product use issue 20.88 16.77 18 23060 209804 79511506
Meningomyelocele 20.82 16.77 4 23074 24 79721286
Arthritis 20.79 16.77 4 23074 114876 79606434
Opportunistic infection 20.57 16.77 12 23066 2938 79718372
Pericarditis 20.26 16.77 3 23075 104233 79617077
Patent ductus arteriosus 20.10 16.77 5 23073 110 79721200
Erythema 20.06 16.77 21 23057 223269 79498041
Ventricular septal defect 20.02 16.77 7 23071 514 79720796
Encephalitis 20 16.77 23 23055 14737 79706573
Immune recovery uveitis 19.93 16.77 4 23074 31 79721279
Back pain 19.90 16.77 36 23042 304144 79417166
Calculus urinary 19.83 16.77 11 23067 2449 79718861
Sudden infant death syndrome 19.81 16.77 6 23072 279 79721031
Amniotic fluid volume decreased 19.58 16.77 6 23072 290 79721020
Discomfort 19.56 16.77 6 23072 125611 79595699
Anxiety 19.51 16.77 26 23052 248486 79472824
Oropharyngeal pain 19.39 16.77 4 23074 109349 79611961
Urinary tract infection 19.32 16.77 31 23047 274481 79446829
Subacute sclerosing panencephalitis 19.29 16.77 4 23074 37 79721273
CSF virus identified 19.20 16.77 4 23074 38 79721272
Hepatitis A 19.15 16.77 8 23070 953 79720357
Pain in extremity 18.99 16.77 49 23029 364489 79356821
Cushing's syndrome 18.88 16.77 8 23070 987 79720323
HIV associated nephropathy 18.82 16.77 6 23072 331 79720979
Hypercholesterolaemia 18.81 16.77 28 23050 23067 79698243
Lymph node tuberculosis 18.74 16.77 8 23070 1006 79720304
Non-Hodgkin's lymphoma 18.68 16.77 9 23069 1498 79719812
Malignant neoplasm progression 18.63 16.77 8 23070 135982 79585328
Hepatic cirrhosis 18.61 16.77 35 23043 34871 79686439
Atrophy 18.55 16.77 10 23068 2104 79719206
Drug intolerance 18.43 16.77 30 23048 264089 79457221
Lymphocytic infiltration 18.42 16.77 9 23069 1544 79719766
Liver transplant 18.42 16.77 13 23065 4410 79716900
Fanconi syndrome 18.30 16.77 11 23067 2845 79718465
Herpes simplex 18.24 16.77 20 23058 12167 79709143
Bovine tuberculosis 18.22 16.77 5 23073 163 79721147
Hydromyelia 18.15 16.77 3 23075 6 79721304
Hyperbilirubinaemia neonatal 18.15 16.77 3 23075 6 79721304
Amylase abnormal 18.05 16.77 4 23074 52 79721258
Foetal heart rate abnormal 18.05 16.77 6 23072 378 79720932
Ocular icterus 18.04 16.77 14 23064 5486 79715824
Hyponatraemia 18.00 16.77 15 23063 177833 79543477
Pancreatitis 17.96 16.77 52 23026 68523 79652787
Placental insufficiency 17.95 16.77 8 23070 1115 79720195
Intentional product misuse 17.90 16.77 3 23075 95162 79626148
Delivery 17.61 16.77 7 23071 735 79720575
Aplasia pure red cell 17.58 16.77 16 23062 7794 79713516
Lipomatosis 17.53 16.77 6 23072 413 79720897
Trisomy 21 17.40 16.77 4 23074 62 79721248
Erythropenia 17.37 16.77 6 23072 425 79720885
Cellulitis 17.37 16.77 5 23073 109055 79612255
Hepatic necrosis 17.34 16.77 17 23061 9083 79712227
Necrotising enterocolitis neonatal 17.29 16.77 3 23075 9 79721301
Vanishing bile duct syndrome 17.27 16.77 9 23069 1769 79719541
Developmental delay 17.25 16.77 8 23070 1223 79720087
Lagophthalmos 17.20 16.77 6 23072 437 79720873
Cerebrovascular accident 17.12 16.77 12 23066 155280 79566030
Acute HIV infection 17.11 16.77 4 23074 67 79721243
Abortion missed 16.93 16.77 8 23070 1275 79720035
Strabismus 16.91 16.77 10 23068 2511 79718799
Hepatitis C 16.87 16.77 19 23059 11906 79709404
Small for dates baby 16.78 16.77 6 23072 470 79720840

FDA Adverse Event Reporting System (Pediatric)

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
Blood lactic acid increased 56.43 33.21 27 1001 87 88677
Neutropenia 55.30 33.21 33 995 184 88580
Aspartate aminotransferase increased 38.47 33.21 18 1010 54 88710
Hypertriglyceridaemia 38.24 33.21 18 1010 55 88709
Pregnancy 37.90 33.21 15 1013 25 88739
Blood creatine phosphokinase increased 33.77 33.21 14 1014 28 88736

Pharmacologic Action:

SourceCodeDescription
ATC J05AF01 ANTIINFECTIVES FOR SYSTEMIC USE
ANTIVIRALS FOR SYSTEMIC USE
DIRECT ACTING ANTIVIRALS
Nucleoside and nucleotide reverse transcriptase inhibitors
ATC J05AR01 ANTIINFECTIVES FOR SYSTEMIC USE
ANTIVIRALS FOR SYSTEMIC USE
DIRECT ACTING ANTIVIRALS
Antivirals for treatment of HIV infections, combinations
ATC J05AR04 ANTIINFECTIVES FOR SYSTEMIC USE
ANTIVIRALS FOR SYSTEMIC USE
DIRECT ACTING ANTIVIRALS
Antivirals for treatment of HIV infections, combinations
ATC J05AR05 ANTIINFECTIVES FOR SYSTEMIC USE
ANTIVIRALS FOR SYSTEMIC USE
DIRECT ACTING ANTIVIRALS
Antivirals for treatment of HIV infections, combinations
FDA MoA N0000009947 Nucleoside Reverse Transcriptase Inhibitors
FDA EPC N0000175462 Human Immunodeficiency Virus Nucleoside Analog Reverse Transcriptase Inhibitor
CHEBI has role CHEBI:35221 antimetabolite
CHEBI has role CHEBI:36044 antiviral drugs
CHEBI has role CHEBI:53756 reverse transcriptase inhibitors
CHEBI has role CHEBI:36047 antibacterial drugs
CHEBI has role CHEBI:50696 PBP3 inhibitor
CHEBI has role CHEBI:88188 allergenic drug
MeSH PA D019380 Anti-HIV Agents
MeSH PA D000890 Anti-Infective Agents
MeSH PA D044966 Anti-Retroviral Agents
MeSH PA D000963 Antimetabolites
MeSH PA D000998 Antiviral Agents
MeSH PA D004791 Enzyme Inhibitors
MeSH PA D009676 Noxae
MeSH PA D019384 Nucleic Acid Synthesis Inhibitors
MeSH PA D018894 Reverse Transcriptase Inhibitors

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

DiseaseRelationSNOMED_IDDOID
Human immunodeficiency virus infection indication 86406008 DOID:526
Prevention of Maternal-Fetal Transmission of HIV indication
Prevention of HIV Infection after Exposure off-label use
Toxic amblyopia contraindication 965003
Myositis contraindication 26889001 DOID:633
Hepatic failure contraindication 59927004
Pancreatitis contraindication 75694006 DOID:4989
Large liver contraindication 80515008
Kidney disease contraindication 90708001 DOID:557
Lactic acidosis contraindication 91273001 DOID:3650
Disorder of muscle contraindication 129565002 DOID:423
Steatosis of liver contraindication 197321007
Acute pancreatitis contraindication 197456007 DOID:2913
Chronic pancreatitis contraindication 235494005
Disease of liver contraindication 235856003 DOID:409
Anemia contraindication 271737000 DOID:2355
Hypertriglyceridemia contraindication 302870006
Neutropenic disorder contraindication 303011007 DOID:1227
Bone marrow depression contraindication 307762000
Breastfeeding (mother) contraindication 413712001
Obesity contraindication 414916001 DOID:9970
HLA-B 5701 Positive Status contraindication
Drug Resistance to Anti-retroviral Therapy contraindication




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 9.17 acidic
pKa2 13.72 acidic

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
Sigma non-opioid intracellular receptor 1 Membrane receptor Ki 4 WOMBAT-PK
5-hydroxytryptamine receptor 2A GPCR IC50 5.51 WOMBAT-PK
Thymidine kinase, cytosolic Kinase Ki 5.54 CHEMBL
Thymidylate kinase Kinase Ki 4.55 WOMBAT-PK
Reverse transcriptase/RNaseH Enzyme INHIBITOR IC50 8.52 CHEMBL CHEMBL
Reverse transcriptase Enzyme IC50 4.74 CHEMBL
Pol polyprotein Enzyme IC50 8.22 CHEMBL
Gag-Pro-Pol polyprotein Polyprotein EC50 8.31 WOMBAT-PK
Thymidylate kinase Kinase Ki 4.55 CHEMBL
Thymidine kinase Kinase IC50 4.90 CHEMBL
Reverse transcriptase/RNaseH Enzyme IC50 6.11 WOMBAT-PK
Reverse transcriptase protein Unclassified IC50 5.44 CHEMBL

External reference:

IDSource
4019502 VUID
N0000147622 NUI
D00413 KEGG_DRUG
4019502 VANDF
C0043474 UMLSCUI
CHEBI:10110 CHEBI
AZZ PDB_CHEM_ID
CHEMBL129 ChEMBL_ID
DB00495 DRUGBANK_ID
D015215 MESH_DESCRIPTOR_UI
35370 PUBCHEM_CID
4825 IUPHAR_LIGAND_ID
6118 INN_ID
4B9XT59T7S UNII
11413 RXNORM
5703 MMSL
71929 MMSL
d00034 MMSL
003019 NDDF
27479000 SNOMEDCT_US
387151007 SNOMEDCT_US

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Combivir HUMAN PRESCRIPTION DRUG LABEL 2 16590-061 TABLET, FILM COATED 300 mg ORAL NDA 16 sections
Zidovudine HUMAN PRESCRIPTION DRUG LABEL 1 21695-369 TABLET, FILM COATED 300 mg ORAL ANDA 27 sections
COMBIVIR HUMAN PRESCRIPTION DRUG LABEL 2 21695-846 TABLET, FILM COATED 300 mg ORAL NDA 26 sections
Lamivudine and Zidovudine HUMAN PRESCRIPTION DRUG LABEL 2 21695-996 TABLET, FILM COATED 300 mg ORAL ANDA 26 sections
LAMIVUDINE and ZIDOVUDINE Human Prescription Drug Label 2 31722-506 TABLET, FILM COATED 300 mg ORAL ANDA 25 sections
LAMIVUDINE and ZIDOVUDINE Human Prescription Drug Label 2 31722-506 TABLET, FILM COATED 300 mg ORAL ANDA 25 sections
Zidovudine Human Prescription Drug Label 1 31722-509 TABLET 300 mg ORAL ANDA 27 sections
Zidovudine Human Prescription Drug Label 1 31722-509 TABLET 300 mg ORAL ANDA 27 sections
Lamivudine and Zidovudine HUMAN PRESCRIPTION DRUG LABEL 2 31722-739 TABLET, FILM COATED 300 mg ORAL ANDA 24 sections
Lamivudine and Zidovudine Human Prescription Drug Label 2 33342-003 TABLET 300 mg ORAL ANDA 25 sections
Lamivudine and Zidovudine Human Prescription Drug Label 2 33342-003 TABLET 300 mg ORAL ANDA 25 sections
Lamivudine and Zidovudine Human Prescription Drug Label 2 33342-003 TABLET 300 mg ORAL ANDA 25 sections
LAMIVUDINE and ZIDOVUDINE HUMAN PRESCRIPTION DRUG LABEL 2 43063-900 TABLET, FILM COATED 300 mg ORAL ANDA 25 sections
LAMIVUDINE and ZIDOVUDINE HUMAN PRESCRIPTION DRUG LABEL 2 43063-900 TABLET, FILM COATED 300 mg ORAL ANDA 25 sections
LAMIVUDINE and ZIDOVUDINE HUMAN PRESCRIPTION DRUG LABEL 2 43063-900 TABLET, FILM COATED 300 mg ORAL ANDA 25 sections
COMBIVIR HUMAN PRESCRIPTION DRUG LABEL 2 49702-202 TABLET, FILM COATED 300 mg ORAL NDA 25 sections
COMBIVIR HUMAN PRESCRIPTION DRUG LABEL 2 49702-202 TABLET, FILM COATED 300 mg ORAL NDA 25 sections
RETROVIR HUMAN PRESCRIPTION DRUG LABEL 1 49702-211 CAPSULE 100 mg ORAL NDA 25 sections
RETROVIR HUMAN PRESCRIPTION DRUG LABEL 1 49702-211 CAPSULE 100 mg ORAL NDA 25 sections
RETROVIR HUMAN PRESCRIPTION DRUG LABEL 1 49702-211 CAPSULE 100 mg ORAL NDA 25 sections
RETROVIR HUMAN PRESCRIPTION DRUG LABEL 1 49702-212 SOLUTION 10 mg ORAL NDA 25 sections
RETROVIR HUMAN PRESCRIPTION DRUG LABEL 1 49702-212 SOLUTION 10 mg ORAL NDA 25 sections
RETROVIR HUMAN PRESCRIPTION DRUG LABEL 1 49702-212 SOLUTION 10 mg ORAL NDA 25 sections
RETROVIR HUMAN PRESCRIPTION DRUG LABEL 1 49702-213 INJECTION, SOLUTION 10 mg INTRAVENOUS NDA 25 sections
RETROVIR HUMAN PRESCRIPTION DRUG LABEL 1 49702-213 INJECTION, SOLUTION 10 mg INTRAVENOUS NDA 25 sections
RETROVIR HUMAN PRESCRIPTION DRUG LABEL 1 49702-213 INJECTION, SOLUTION 10 mg INTRAVENOUS NDA 25 sections
TRIZIVIR HUMAN PRESCRIPTION DRUG LABEL 3 49702-217 TABLET, FILM COATED 300 mg ORAL NDA 26 sections
TRIZIVIR HUMAN PRESCRIPTION DRUG LABEL 3 49702-217 TABLET, FILM COATED 300 mg ORAL NDA 26 sections
TRIZIVIR HUMAN PRESCRIPTION DRUG LABEL 3 49702-217 TABLET, FILM COATED 300 mg ORAL NDA 26 sections
LAMIVUDINE and ZIDOVUDINE HUMAN PRESCRIPTION DRUG LABEL 2 50268-456 TABLET, FILM COATED 300 mg ORAL ANDA 25 sections