febuxostat ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | PK/Tox | Related Drugs | BioActivity |

Stem definitionDrug idCAS RN
xanthine oxydase and xanthine dehydrogenase inhibitor 1137 144060-53-7

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • februxostat
  • febuxostat
  • feburic
  • uloric
  • adenuric
A thiazole derivative and inhibitor of XANTHINE OXIDASE that is used for the treatment of HYPERURICEMIA in patients with chronic GOUT.
  • Molecular weight: 316.38
  • Formula: C16H16N2O3S
  • CLOGP: 4.25
  • LIPINSKI: 0
  • HAC: 5
  • HDO: 1
  • TPSA: 83.21
  • ALOGS: -4.24
  • ROTB: 5

  • Status: OFP

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

Drug dosage:

DoseUnitRoute
80 mg O

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 2 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 0.01 mg/mL Benet LZ, Broccatelli F, Oprea TI
EoM (Fraction excreted unchanged in urine) 3 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 3.61 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 84 %

Predicted pharmacokinetic/toxicological properties (PK-AZ):

PropertyDescriptionValueUnitConfidenceSimilarity
kinase-safety-class ACVR2A,ACVR2B,ACVRL1,ALK,AURKA,AXL,BRAF,BTK,CAMK2B,CAMK2D,CDK5,CDK9,DDR1,DYRK1B,EGFR,EIF2AK3,ERBB2,FLT3,GRK2,GSK3B,IKBKB,ITK,JAK1,JAK2,MAP2K6,MAP3K21,MAP3K7,MAPK10,MAPK7,MTOR,PDK1,PDK2,PDK4,PIK3CA,PIK3CB,PIK3CD,PIK3CG,PIM2,PRKDC,SIK2,STK33,SYK,TEK,TGFBR1,ULK1 45
kinase-selectivity-class BRAF,CAMK2D,CDK9,DYRK1B,GRK2,MAPK7,PDK4,PIK3CA,PIK3CG,PRKDC,STK33 11
mdck-mdr1-bcrp-efflux MDCK-MDR1-BCRP efflux ratio 7.621 High 1
pfas-class PFAS structural alert (1 = True, 0 = False) 0
rat-kpuu-brain Rat brain Kpuu 0.039 % High 1

Approvals:

DateAgencyCompanyOrphan
Feb. 26, 2015 EMA
Feb. 13, 2009 FDA TAKEDA PHARMS USA
Jan. 21, 2011 PMDA Teijin Pharma Limited

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
Enthesopathy 324.34 16.11 111 21558 9293 90597485
Renal impairment 295.86 16.11 226 21443 105195 90501583
Tongue disorder 286.31 16.11 105 21564 10755 90596023
Cardiac failure 279.63 16.11 222 21447 109274 90497504
Tenosynovitis 276.99 16.11 111 21558 14456 90592322
Blood parathyroid hormone decreased 267.13 16.11 103 21566 12113 90594665
Panniculitis 257.12 16.11 105 21564 14353 90592425
Red blood cell sedimentation rate 246.19 16.11 76 21593 4582 90602196
Skin necrosis 237.82 16.11 104 21565 16837 90589941
Granuloma skin 236.91 16.11 91 21578 10589 90596189
Drug eruption 236.65 16.11 131 21538 35276 90571502
Tendonitis 217.73 16.11 105 21564 21267 90585511
Rheumatoid nodule 217.39 16.11 103 21566 20063 90586715
Hypercalcaemia 213.37 16.11 121 21548 34119 90572659
Acute kidney injury 205.47 16.11 313 21356 320074 90286704
Ulcer 172.64 16.11 104 21565 32778 90574000
Aspartate aminotransferase increased 172.11 16.11 164 21505 102773 90504005
Basal cell carcinoma 168.60 16.11 103 21566 33286 90573492
Anaemia 155.94 16.11 292 21377 352510 90254268
Skin ulcer 150.62 16.11 112 21557 49963 90556815
Alanine aminotransferase increased 147.64 16.11 161 21508 118177 90488601
Alanine aminotransferase abnormal 137.60 16.11 51 21618 5375 90601403
Hyperkalaemia 126.99 16.11 113 21556 64851 90541927
Blood creatinine increased 126.55 16.11 138 21531 101248 90505530
Fear of injection 112.14 16.11 50 21619 8465 90598313
Platelet count decreased 111.33 16.11 150 21519 136819 90469959
Hepatic function abnormal 107.74 16.11 89 21580 46199 90560579
Rash pruritic 102.74 16.11 112 21557 82102 90524676
Neutrophil count decreased 97.41 16.11 102 21567 71430 90535348
Maternal exposure during pregnancy 73.18 16.11 3 21666 360060 90246718
Red blood cell sedimentation rate increased 72.54 16.11 94 21575 82501 90524277
Tumour lysis syndrome 71.02 16.11 40 21629 11112 90595666
Granuloma 70.98 16.11 33 21636 6152 90600626
Drug tolerance decreased 69.02 16.11 59 21610 32071 90574707
Systemic lupus erythematosus 67.43 16.11 5 21664 361891 90244887
Loss of personal independence in daily activities 66.71 16.11 118 21551 135987 90470791
Glossodynia 64.33 16.11 3 21666 321776 90285002
C-reactive protein abnormal 61.83 16.11 110 21559 127319 90479459
Cardiac failure acute 58.15 16.11 36 21633 11893 90594885
Erythema 56.03 16.11 150 21519 229096 90377682
Cardiac failure chronic 55.25 16.11 27 21642 5619 90601159
Joint injury 54.44 16.11 52 21617 32612 90574166
Rheumatoid lung 53.73 16.11 24 21645 4079 90602699
Wound 51.60 16.11 6 21663 302974 90303804
Discomfort 50.49 16.11 4 21665 274331 90332447
Drug ineffective 49.68 16.11 168 21501 1384130 89222648
Nephrogenic anaemia 47.58 16.11 19 21650 2447 90604331
Blood uric acid increased 47.35 16.11 27 21642 7677 90599101
Chronic kidney disease 47.01 16.11 59 21610 50132 90556646
Musculoskeletal disorder 46.80 16.11 40 21629 21729 90585049
C-reactive protein increased 46.66 16.11 121 21548 181268 90425510
Sinusitis 45.19 16.11 13 21656 343075 90263703
Lower respiratory tract infection 45.18 16.11 4 21665 250655 90356123
Swelling 44.98 16.11 22 21647 419036 90187742
Gout 44.70 16.11 35 21634 16824 90589954
Tubulointerstitial nephritis 43.48 16.11 41 21628 25302 90581476
Inflammation 42.75 16.11 116 21553 178476 90428302
Impaired healing 41.50 16.11 4 21665 234195 90372583
Duodenal ulcer perforation 41.36 16.11 3 21666 221285 90385493
Pericarditis 39.96 16.11 8 21661 270143 90336635
Cerebral infarction 39.95 16.11 40 21629 26556 90580222
Renal failure 39.62 16.11 93 21576 130914 90475864
Drug tolerance 38.68 16.11 33 21636 17883 90588895
Blood pressure systolic increased 38.64 16.11 58 21611 58287 90548491
Osteomyelitis 36.63 16.11 39 21630 27807 90578971
Cardiac failure congestive 36.55 16.11 76 21593 98618 90508160
White blood cell count decreased 36.50 16.11 105 21564 167004 90439774
Fibromyalgia 35.32 16.11 4 21665 206265 90400513
Pneumonia aspiration 35 16.11 46 21623 40894 90565884
Right ventricular failure 34.74 16.11 32 21637 19173 90587605
Cytokine release syndrome 34.73 16.11 38 21631 27935 90578843
Type 2 diabetes mellitus 34.65 16.11 4 21665 203240 90403538
Migraine 34.41 16.11 3 21666 190389 90416389
Paraesthesia 33.86 16.11 9 21660 250317 90356461
Anaemia macrocytic 33.52 16.11 18 21651 4554 90602224
Injury 33.36 16.11 4 21665 197345 90409433
Pulmonary arterial hypertension 33.25 16.11 36 21633 26151 90580627
Ill-defined disorder 33.18 16.11 3 21666 184888 90421890
Fatigue 33.05 16.11 153 21516 1153870 89452908
Melaena 32.74 16.11 41 21628 34756 90572022
Hyperuricaemia 32.05 16.11 20 21649 6699 90600079
Decreased appetite 31.51 16.11 175 21494 376365 90230413
Sleep disorder 31.15 16.11 5 21664 198025 90408753
Gastric disorder 30.87 16.11 39 21630 33345 90573433
Hepatic enzyme increased 30.38 16.11 25 21644 360711 90246067
Blood pressure decreased 28.11 16.11 58 21611 74837 90531941
Blister 27.93 16.11 13 21656 254985 90351793
Hypocalcaemia 27.88 16.11 42 21627 42326 90564452
Folate deficiency 27.61 16.11 14 21655 3151 90603627
Blood cholesterol increased 27.16 16.11 8 21661 208004 90398774
Wheezing 26.29 16.11 12 21657 238068 90368710
Disseminated intravascular coagulation 26.29 16.11 29 21640 21509 90585269
Dry mouth 26.09 16.11 6 21663 184053 90422725
Blood urea increased 25.73 16.11 34 21635 30379 90576399
Intentional product use issue 25.44 16.11 10 21659 216882 90389896
Atrial fibrillation 25.44 16.11 80 21589 133531 90473247
Depression 25.10 16.11 21 21648 300580 90306198
Interstitial lung disease 25.03 16.11 56 21613 76349 90530429
Coronavirus test positive 24.87 16.11 9 21660 886 90605892
Hypokalaemia 24.50 16.11 78 21591 131038 90475740
Renal disorder 24.16 16.11 37 21632 37822 90568956
Toxicity to various agents 24.16 16.11 20 21649 287826 90318952
Hypoalbuminaemia 24.04 16.11 24 21645 15873 90590905
Upper respiratory tract inflammation 23.84 16.11 12 21657 2660 90604118
Hypoaesthesia 23.80 16.11 24 21645 314186 90292592
Anaemia vitamin B12 deficiency 23.43 16.11 8 21661 664 90606114
Altered state of consciousness 23.28 16.11 33 21636 31499 90575279
Rhabdomyolysis 23.25 16.11 43 21626 51213 90555565
Gastrointestinal haemorrhage 22.97 16.11 60 21609 90188 90516590
Glomerular filtration rate decreased 22.77 16.11 24 21645 16908 90589870
Gastrointestinal disorder 22.60 16.11 17 21652 256670 90350108
Joint range of motion decreased 22.31 16.11 3 21666 135640 90471138
Lymphocyte count decreased 22.01 16.11 34 21635 35016 90571762
Anti-neutrophil cytoplasmic antibody positive vasculitis 21.91 16.11 13 21656 3980 90602798
Dyspepsia 21.86 16.11 10 21659 198150 90408628
Bile duct stone 21.57 16.11 13 21656 4094 90602684
Enanthema 21.47 16.11 7 21662 503 90606275
Pain 21.44 16.11 145 21524 996196 89610582
Therapeutic response decreased 21.17 16.11 58 21611 89671 90517107
Haemorrhage subcutaneous 21.13 16.11 12 21657 3384 90603394
Haemorrhoidal haemorrhage 20.85 16.11 14 21655 5309 90601469
Confusional state 20.67 16.11 38 21631 386167 90220611
Blood lactate dehydrogenase increased 20.42 16.11 28 21641 25904 90580874
Transfusion 20.40 16.11 23 21646 17465 90589313
Gait inability 20.31 16.11 5 21664 146451 90460327
Renal tubular necrosis 20.23 16.11 21 21648 14534 90592244
Dehydration 20.16 16.11 96 21573 194351 90412427
Urinary retention 20.14 16.11 34 21635 37710 90569068
Myoglobin blood increased 20.07 16.11 9 21660 1543 90605235
Haematochezia 19.98 16.11 49 21620 70864 90535914
Osteoarthritis 19.90 16.11 11 21658 195719 90411059
Systemic infection 19.77 16.11 13 21656 4762 90602016
Brain natriuretic peptide increased 19.32 16.11 14 21655 5991 90600787
Hyperferritinaemia 19.25 16.11 6 21663 373 90606405
Alopecia 19.08 16.11 58 21611 495013 90111765
Rash 18.99 16.11 281 21388 795819 89810959
Mesenteric vein thrombosis 18.91 16.11 8 21661 1193 90605585
Aplasia pure red cell 18.77 16.11 13 21656 5181 90601597
Shunt occlusion 18.61 16.11 7 21662 768 90606010
Bradycardia 18.60 16.11 53 21616 83794 90522984
Haematoma muscle 18.56 16.11 9 21660 1841 90604937
Concomitant disease aggravated 18.55 16.11 18 21651 11500 90595278
Product dose omission issue 18.13 16.11 26 21643 291661 90315117
Anxiety 17.92 16.11 29 21640 309743 90297035
Head injury 17.85 16.11 29 21640 31159 90575619
Iron deficiency anaemia 17.81 16.11 25 21644 23637 90583141
Nasal mucosal erosion 17.81 16.11 4 21665 68 90606710
Gastric ulcer 17.76 16.11 27 21642 27421 90579357
Nasopharyngitis 17.68 16.11 45 21624 407059 90199719
Psoriatic arthropathy 17.68 16.11 104 21565 228231 90378547
Pneumonia fungal 17.36 16.11 14 21655 7017 90599761
Injection site pain 17.32 16.11 10 21659 173689 90433089
Hepatic mass 17.17 16.11 9 21660 2168 90604610
Oedema peripheral 17.17 16.11 113 21556 257802 90348976
Chondrocalcinosis pyrophosphate 16.50 16.11 7 21662 1051 90605727
Memory impairment 16.18 16.11 14 21655 197230 90409548
Fixed eruption 16.11 16.11 8 21661 1722 90605056

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
Renal impairment 284.42 13.06 409 36325 109819 42474782
Cardiac failure 199.65 13.06 342 36392 106514 42478087
Tenosynovitis 171.87 13.06 83 36651 4612 42579989
Enthesopathy 166.68 13.06 82 36652 4746 42579855
Interstitial lung disease 165.09 13.06 265 36469 78197 42506404
Hepatic function abnormal 160.92 13.06 210 36524 51357 42533244
Tongue disorder 132.88 13.06 73 36661 5310 42579291
Acute kidney injury 132.08 13.06 645 36089 366692 42217909
Hyperkalaemia 130.22 13.06 242 36492 80216 42504385
Cerebral infarction 119.82 13.06 141 36593 31028 42553573
C-reactive protein abnormal 107.85 13.06 78 36656 9183 42575418
Platelet count decreased 96.18 13.06 300 36434 138281 42446320
Alanine aminotransferase abnormal 95.13 13.06 57 36677 4887 42579714
Tendonitis 83.84 13.06 69 36665 9825 42574776
Synovitis 81.74 13.06 83 36651 15484 42569117
Cardiac failure chronic 81.45 13.06 67 36667 9534 42575067
Tumour lysis syndrome 81.19 13.06 98 36636 22133 42562468
Drug abuse 77.19 13.06 3 36731 104768 42479833
Aspartate aminotransferase increased 70.97 13.06 185 36549 76978 42507623
Anaemia 70.86 13.06 448 36286 279830 42304771
Neutrophil count decreased 69.93 13.06 163 36571 63252 42521349
Blood creatinine increased 67.12 13.06 228 36506 109775 42474826
Drug ineffective 67.09 13.06 298 36436 629899 41954702
Respiratory tract haemorrhage 64.24 13.06 29 36705 1380 42583221
Gout 63.40 13.06 98 36636 27957 42556644
Drug eruption 59.87 13.06 86 36648 22989 42561612
Toxicity to various agents 58.29 13.06 67 36667 229069 42355532
Alanine aminotransferase increased 55.46 13.06 185 36549 88221 42496380
Red blood cell sedimentation rate 54.93 13.06 24 36710 1056 42583545
Granuloma skin 52.99 13.06 24 36710 1151 42583450
Cardiac failure acute 52.91 13.06 62 36672 13571 42571030
Gouty tophus 52.85 13.06 15 36719 176 42584425
Contraindicated product administered 52.57 13.06 85 36649 25187 42559414
Chronic kidney disease 51.59 13.06 121 36613 47120 42537481
Death 51.11 13.06 221 36513 470964 42113637
Blood parathyroid hormone decreased 51.09 13.06 26 36708 1617 42582984
Hyperuricaemia 45.42 13.06 48 36686 9376 42575225
Haemorrhage subcutaneous 44.51 13.06 28 36706 2618 42581983
Pemphigoid 44.25 13.06 52 36682 11415 42573186
Panniculitis 44.19 13.06 26 36708 2155 42582446
Fatigue 43.24 13.06 211 36523 435430 42149171
Hypocalcaemia 40.54 13.06 84 36650 30089 42554512
Concomitant disease aggravated 39.94 13.06 38 36696 6548 42578053
C-reactive protein increased 39.84 13.06 133 36601 63427 42521174
Cerebral haemorrhage 39.52 13.06 97 36637 38869 42545732
Off label use 39.28 13.06 357 36377 637978 41946623
Liver disorder 38.43 13.06 97 36637 39547 42545054
Rash 38.04 13.06 385 36349 276569 42308032
Psoriatic arthropathy 36.51 13.06 72 36662 24895 42559706
Pneumonia bacterial 35.70 13.06 55 36679 15637 42568964
Rubber sensitivity 34.29 13.06 13 36721 395 42584206
Lactic acidosis 34.15 13.06 101 36633 45160 42539441
Transformation to acute myeloid leukaemia 32.95 13.06 17 36717 1088 42583513
Hypokalaemia 32.34 13.06 135 36599 71586 42513015
Fulminant type 1 diabetes mellitus 32.17 13.06 18 36716 1356 42583245
Rheumatoid nodule 32.10 13.06 24 36710 2971 42581630
Congenital diaphragmatic anomaly 31.16 13.06 7 36727 28 42584573
Intentional overdose 30.75 13.06 4 36730 51452 42533149
Renal failure 29.79 13.06 219 36515 143507 42441094
Anxiety 29.75 13.06 35 36699 118525 42466076
Depression 28.89 13.06 32 36702 111331 42473270
Nephrogenic anaemia 28.34 13.06 21 36713 2565 42582036
Decreased appetite 28.18 13.06 272 36462 192865 42391736
Osteoma 28.18 13.06 8 36726 94 42584507
Corneal abscess 27.80 13.06 6 36728 19 42584582
Polycystic liver disease 27.80 13.06 8 36726 99 42584502
Orthostatic intolerance 27.53 13.06 14 36720 869 42583732
Stress 27.50 13.06 3 36731 44209 42540392
Glomerular filtration rate decreased 27.43 13.06 50 36684 16301 42568300
Product dose omission issue 26.97 13.06 58 36676 154307 42430294
Hyperhidrosis 26.96 13.06 23 36711 90489 42494112
Stevens-Johnson syndrome 26.63 13.06 59 36675 22119 42562482
Splenic necrosis 26.57 13.06 8 36726 117 42584484
Disseminated intravascular coagulation 26.51 13.06 63 36671 24731 42559870
Hyperkinetic heart syndrome 26.38 13.06 8 36726 120 42584481
Hypercalcaemia 26.31 13.06 52 36682 18006 42566595
Suicidal ideation 25.94 13.06 5 36729 48156 42536445
Gouty arthritis 25.84 13.06 15 36719 1212 42583389
Splenic cyst 25.56 13.06 8 36726 134 42584467
Cytomegalovirus nephritis 25.51 13.06 8 36726 135 42584466
Blood lactic acid 25.43 13.06 10 36724 336 42584265
Shock haemorrhagic 25.16 13.06 48 36686 16194 42568407
Haemoglobin urine present 25.13 13.06 8 36726 142 42584459
Skin necrosis 24.97 13.06 29 36705 6285 42578316
Activated partial thromboplastin time abnormal 24.77 13.06 8 36726 149 42584452
Altered state of consciousness 24.70 13.06 68 36666 29191 42555410
Adrenal insufficiency 24.62 13.06 52 36682 18872 42565729
Oedema peripheral 24.12 13.06 200 36534 135876 42448725
Product use in unapproved indication 24.12 13.06 80 36654 184376 42400225
Seizure 23.92 13.06 42 36692 120519 42464082
Asthenia 23.91 13.06 143 36591 280650 42303951
Hepatic enzyme increased 23.70 13.06 90 36644 45694 42538907
Diabetic nephropathy 23.41 13.06 18 36716 2323 42582278
Aggression 22.93 13.06 5 36729 44158 42540443
Drug ineffective for unapproved indication 22.45 13.06 6 36728 46157 42538444
Blood uric acid decreased 22.39 13.06 10 36724 464 42584137
Cerebral ventricular rupture 22.24 13.06 8 36726 209 42584392
Agitation 22.19 13.06 14 36720 64300 42520301
Cerebellar infarction 22.15 13.06 17 36717 2188 42582413
Drug-induced liver injury 22.14 13.06 78 36656 38195 42546406
General physical health deterioration 22.04 13.06 213 36521 151033 42433568
Thalamus haemorrhage 21.78 13.06 13 36721 1106 42583495
Procedural failure 21.58 13.06 6 36728 65 42584536
Erythema 21.52 13.06 164 36570 108629 42475972
Heat illness 21.33 13.06 9 36725 363 42584238
Arrhythmia 20.66 13.06 79 36655 40238 42544363
Suicide attempt 20.59 13.06 7 36727 46093 42538508
Brain natriuretic peptide increased 20.21 13.06 27 36707 6743 42577858
Urinary sediment present 20.17 13.06 8 36726 275 42584326
Erythema multiforme 19.99 13.06 33 36701 9944 42574657
Hypothyroidism 19.97 13.06 67 36667 32017 42552584
Gastric cancer 19.79 13.06 27 36707 6876 42577725
Dyspnoea paroxysmal nocturnal 19.67 13.06 14 36720 1606 42582995
Underdose 19.63 13.06 44 36690 16622 42567979
Mental status changes 19.51 13.06 6 36728 42109 42542492
Blood uric acid increased 19.39 13.06 42 36692 15505 42569096
Thrombotic cerebral infarction 19.33 13.06 9 36725 460 42584141
Lordosis 18.50 13.06 8 36726 343 42584258
Splenic lesion 18.40 13.06 8 36726 348 42584253
Post infection glomerulonephritis 18.37 13.06 6 36728 116 42584485
Disease progression 18.30 13.06 63 36671 143593 42441008
Melaena 18.30 13.06 74 36660 38672 42545929
Blood urea increased 18.26 13.06 66 36668 32727 42551874
Toxic skin eruption 18.18 13.06 38 36696 13692 42570909
Acute myeloid leukaemia 18.07 13.06 51 36683 22205 42562396
Upper respiratory tract inflammation 17.71 13.06 14 36720 1882 42582719
Nephrotic syndrome 17.69 13.06 29 36705 8689 42575912
Familial mediterranean fever 17.59 13.06 5 36729 59 42584542
Product prescribing error 17.57 13.06 56 36678 26056 42558545
Enterocolitis 17.47 13.06 31 36703 9898 42574703
Conjunctival ulcer 17.44 13.06 5 36729 61 42584540
White blood cell count decreased 17.33 13.06 158 36576 110238 42474363
Pleural effusion 17.31 13.06 143 36591 97023 42487578
Blood creatine phosphokinase increased 17.30 13.06 85 36649 48253 42536348
Somnolence 17.23 13.06 63 36671 141042 42443559
Infective spondylitis 17.21 13.06 7 36727 257 42584344
Pain 17.18 13.06 132 36602 244716 42339885
Intentional product use issue 17.17 13.06 22 36712 71811 42512790
Asthma 17.17 13.06 17 36717 62297 42522304
Haematochezia 16.97 13.06 97 36637 58339 42526262
Putamen haemorrhage 16.74 13.06 7 36727 276 42584325
Colon cancer 16.74 13.06 30 36704 9651 42574950
Hypopituitarism 16.73 13.06 16 36718 2775 42581826
Red blood cell abnormality 16.64 13.06 8 36726 440 42584161
Weight decreased 16.59 13.06 108 36626 207840 42376761
Low cardiac output syndrome 16.50 13.06 9 36725 645 42583956
Metastases to soft tissue 16.45 13.06 8 36726 451 42584150
Myelodysplastic syndrome 16.43 13.06 50 36684 22695 42561906
Tonsil cancer 16.37 13.06 11 36723 1150 42583451
Lymphocyte count decreased 16.36 13.06 57 36677 27752 42556849
Skin erosion 16.25 13.06 16 36718 2875 42581726
Dyslipidaemia 16.05 13.06 29 36705 9389 42575212
Small intestinal perforation 16.02 13.06 16 36718 2925 42581676
Loss of personal independence in daily activities 16.01 13.06 85 36649 49731 42534870
Cholangitis 15.76 13.06 31 36703 10696 42573905
International normalised ratio abnormal 15.73 13.06 17 36717 3406 42581195
Lower gastrointestinal haemorrhage 15.59 13.06 31 36703 10777 42573824
Oedema 15.55 13.06 87 36647 51914 42532687
Tachycardia 15.25 13.06 41 36693 101046 42483555
Orthopnoea 15.25 13.06 21 36713 5396 42579205
Lethargy 15.11 13.06 11 36723 46879 42537722
Rhabdomyolysis 15.08 13.06 117 36617 77902 42506699
Drug monitoring procedure incorrectly performed 15.05 13.06 7 36727 357 42584244
Cerebrovascular accident 14.97 13.06 39 36695 97121 42487480
Traumatic intracranial haematoma 14.86 13.06 4 36730 38 42584563
Physical deconditioning 14.82 13.06 14 36720 2391 42582210
Cardiac failure congestive 14.72 13.06 125 36609 85477 42499124
Prerenal failure 14.68 13.06 14 36720 2419 42582182
Hospitalisation 14.64 13.06 26 36708 74304 42510297
Sleep disorder 14.59 13.06 12 36722 48083 42536518
Prothrombin time ratio decreased 14.57 13.06 8 36726 581 42584020
Cardiac arrest 14.56 13.06 47 36687 109273 42475328
Musculoskeletal stiffness 14.53 13.06 17 36717 57748 42526853
Immune-mediated hepatic disorder 14.29 13.06 14 36720 2500 42582101
Thirst 14.21 13.06 27 36707 9081 42575520
Drug resistance 13.97 13.06 6 36728 34242 42550359
Puncture site infection 13.94 13.06 4 36730 49 42584552
Hypovolaemic shock 13.92 13.06 26 36708 8633 42575968
Periodontitis 13.87 13.06 13 36721 2198 42582403
Marasmus 13.85 13.06 9 36725 890 42583711
Haematocrit abnormal 13.78 13.06 9 36725 897 42583704
Pseudohyponatraemia 13.78 13.06 5 36729 134 42584467
Azotaemia 13.75 13.06 21 36713 5923 42578678
Intentional product misuse 13.74 13.06 20 36714 61880 42522721
Dehydration 13.57 13.06 184 36550 141583 42443018
Confusional state 13.38 13.06 87 36647 167510 42417091
Sputum discoloured 13.36 13.06 28 36706 10104 42574497
Hepatitis acute 13.26 13.06 26 36708 8949 42575652
Adverse drug reaction 13.12 13.06 8 36726 37426 42547175
Brain contusion 13.09 13.06 9 36725 977 42583624

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
Renal impairment 615.78 12.39 605 54781 187840 110346073
Cardiac failure 472.16 12.39 524 54862 187102 110346811
Enthesopathy 408.00 12.39 173 55213 12305 110521608
Acute kidney injury 393.31 12.39 934 54452 634496 109899417
Tenosynovitis 366.92 12.39 174 55212 16109 110517804
Tongue disorder 341.31 12.39 159 55227 14139 110519774
Hepatic function abnormal 306.81 12.39 295 55091 89000 110444913
Hyperkalaemia 288.85 12.39 348 55038 135448 110398465
Platelet count decreased 265.21 12.39 440 54946 230003 110303910
Tendonitis 251.62 12.39 159 55227 25924 110507989
Anaemia 244.64 12.39 713 54673 546373 109987540
Alanine aminotransferase abnormal 232.75 12.39 107 55279 9227 110524686
Interstitial lung disease 228.58 12.39 314 55072 139020 110394893
Drug eruption 222.57 12.39 197 55189 53462 110480451
Blood parathyroid hormone decreased 221.10 12.39 115 55271 12974 110520939
Red blood cell sedimentation rate 220.70 12.39 87 55299 5127 110528786
Aspartate aminotransferase increased 215.05 12.39 328 55058 159608 110374305
Panniculitis 207.70 12.39 117 55269 15465 110518448
Granuloma skin 195.95 12.39 101 55285 11182 110522731
Blood creatinine increased 194.15 12.39 337 55049 182552 110351361
Cerebral infarction 188.92 12.39 177 55209 51661 110482252
Neutrophil count decreased 187.07 12.39 265 55121 120676 110413237
Alanine aminotransferase increased 176.29 12.39 324 55062 183449 110350464
Skin necrosis 175.32 12.39 118 55268 21394 110512519
Tumour lysis syndrome 173.40 12.39 135 55251 30666 110503247
Rheumatoid nodule 169.42 12.39 113 55273 20183 110513730
Hypercalcaemia 165.60 12.39 157 55229 46500 110487413
Cardiac failure chronic 137.73 12.39 86 55300 13725 110520188
Cardiac failure acute 115.28 12.39 96 55290 23982 110509931
Maternal exposure during pregnancy 113.54 12.39 3 55383 254880 110279033
Chronic kidney disease 111.81 12.39 163 55223 76128 110457785
Ulcer 109.21 12.39 121 55265 42995 110490918
Drug ineffective 107.80 12.39 396 54990 1520144 109013769
Skin ulcer 103.63 12.39 143 55243 63502 110470411
Basal cell carcinoma 99.40 12.39 118 55268 45152 110488761
Systemic lupus erythematosus 94.66 12.39 9 55377 254329 110279584
Glossodynia 93.99 12.39 4 55382 222000 110311913
Gout 93.27 12.39 103 55283 36463 110497450
Fear of injection 92.68 12.39 57 55329 8854 110525059
Renal failure 87.53 12.39 281 55105 226293 110307620
Pemphigus 87.22 12.39 5 55381 214565 110319348
Hyperuricaemia 86.83 12.39 66 55320 14465 110519448
Fatigue 83.19 12.39 321 55065 1215637 109318276
Sinusitis 77.41 12.39 26 55360 296662 110237251
Hypocalcaemia 76.64 12.39 126 55260 65240 110468673
Cerebral haemorrhage 75.85 12.39 125 55261 64843 110469070
Toxicity to various agents 75.03 12.39 78 55308 480477 110053436
Fibromyalgia 72.60 12.39 3 55383 170906 110363007
Nephrogenic anaemia 71.01 12.39 38 55348 4539 110529374
Duodenal ulcer perforation 69.67 12.39 5 55381 177695 110356218
Respiratory tract haemorrhage 69.42 12.39 29 55357 1985 110531928
Pemphigoid 67.42 12.39 65 55321 19642 110514271
Pericarditis 66.99 12.39 14 55372 219100 110314813
Haemorrhage subcutaneous 66.87 12.39 39 55347 5500 110528413
Migraine 66.80 12.39 5 55381 171647 110362266
Helicobacter infection 66.19 12.39 7 55379 181870 110352043
Pain 65.91 12.39 251 55135 954704 109579209
Wound 65.75 12.39 18 55368 234419 110299494
Swelling 65.64 12.39 48 55338 350993 110182920
Depression 65.27 12.39 39 55347 317296 110216617
White blood cell count decreased 64.99 12.39 257 55129 229133 110304780
Rash pruritic 64.45 12.39 148 55238 97921 110435992
Lower respiratory tract infection 63.94 12.39 21 55365 243085 110290828
Impaired healing 63.47 12.39 11 55375 196706 110337207
Irritable bowel syndrome 63.30 12.39 5 55381 164210 110369703
Disseminated intravascular coagulation 63.09 12.39 90 55296 41196 110492717
Discomfort 63.06 12.39 15 55371 214692 110319221
Drug abuse 61.65 12.39 8 55378 177403 110356510
Decreased appetite 60.07 12.39 426 54960 475420 110058493
Ill-defined disorder 59.83 12.39 5 55381 156848 110377065
Injury 59.24 12.39 9 55377 177256 110356657
Cardiac failure congestive 58.94 12.39 188 55198 150812 110383101
Sleep disorder 58.10 12.39 14 55372 198630 110335283
Muscle injury 58.09 12.39 3 55383 140804 110393109
C-reactive protein abnormal 57.65 12.39 169 55217 129526 110404387
Dry mouth 56.73 12.39 15 55371 199933 110333980
Lactic acidosis 56.56 12.39 136 55250 92675 110441238
Concomitant disease aggravated 56.03 12.39 54 55332 16310 110517603
C-reactive protein increased 55.29 12.39 236 55150 217683 110316230
Pneumonia bacterial 55.26 12.39 67 55319 26194 110507719
Folliculitis 54.92 12.39 9 55377 167644 110366269
Granuloma 54.28 12.39 42 55344 9448 110524465
Anxiety 53.84 12.39 56 55330 345022 110188891
Rheumatoid lung 53.81 12.39 31 55355 4273 110529640
Rheumatoid factor positive 53.70 12.39 3 55383 131637 110402276
Melaena 53.41 12.39 111 55275 68646 110465267
Loss of personal independence in daily activities 52.50 12.39 180 55206 149840 110384073
Hypokalaemia 51.33 12.39 204 55182 182244 110351669
Type 2 diabetes mellitus 50.84 12.39 13 55373 177219 110356694
Gastrointestinal disorder 50.78 12.39 29 55357 241923 110291990
Joint swelling 50.77 12.39 90 55296 442755 110091158
Rhabdomyolysis 50.77 12.39 154 55232 120247 110413666
Altered state of consciousness 50.71 12.39 98 55288 57528 110476385
Blood urea increased 50.25 12.39 95 55291 54862 110479051
Intentional product use issue 50.22 12.39 31 55355 247875 110286038
Erythema 49.84 12.39 282 55104 291165 110242748
Cytokine release syndrome 49.43 12.39 109 55277 70197 110463716
Transformation to acute myeloid leukaemia 49.39 12.39 21 55365 1502 110532411
Intentional overdose 48.47 12.39 5 55381 132496 110401417
Atrial fibrillation 47.35 12.39 234 55152 229408 110304505
Asthma 47.07 12.39 34 55352 250257 110283656
Pleural effusion 47.05 12.39 195 55191 177514 110356399
Glomerular filtration rate decreased 47.03 12.39 65 55321 28891 110505022
Blood creatine phosphokinase increased 46.60 12.39 109 55277 72968 110460945
Bursitis 44.80 12.39 6 55380 129912 110404001
Haematochezia 44.32 12.39 143 55243 115381 110418532
Paraesthesia 42.98 12.39 45 55341 276476 110257437
Dehydration 42.97 12.39 263 55123 279248 110254665
Blood pressure decreased 42.83 12.39 141 55245 114950 110418963
Alopecia 42.83 12.39 73 55313 364680 110169233
Blood cholesterol increased 41.95 12.39 20 55366 184765 110349148
Pneumonia aspiration 41.14 12.39 111 55275 81122 110452791
Joint range of motion decreased 41.13 12.39 6 55380 121826 110412087
Blood lactate dehydrogenase increased 40.98 12.39 77 55309 44257 110489656
Upper respiratory tract inflammation 40.53 12.39 26 55360 4345 110529568
Lymphocyte count decreased 40.52 12.39 89 55297 57154 110476759
Hypoaesthesia 39.60 12.39 60 55326 314163 110219750
Stevens-Johnson syndrome 39.13 12.39 78 55308 46823 110487090
Gait inability 39.12 12.39 10 55376 136366 110397547
Oedema peripheral 38.99 12.39 290 55096 328370 110205543
Right ventricular failure 38.80 12.39 56 55330 25898 110508015
Acute myeloid leukaemia 38.78 12.39 69 55317 38041 110495872
Sleep disorder due to general medical condition, insomnia type 38.60 12.39 4 55382 105639 110428274
Wheezing 38.04 12.39 43 55343 255187 110278726
Diabetic nephropathy 37.92 12.39 23 55363 3485 110530428
Blister 37.64 12.39 35 55351 227341 110306572
Asthenia 37.28 12.39 198 55188 688801 109845112
Musculoskeletal disorder 37.00 12.39 51 55335 22613 110511300
Osteoarthritis 36.76 12.39 23 55363 182600 110351313
Erythema multiforme 36.75 12.39 49 55337 21048 110512865
Product use in unapproved indication 36.64 12.39 109 55277 447268 110086645
Brain natriuretic peptide increased 36.52 12.39 36 55350 11173 110522740
Confusional state 36.39 12.39 117 55269 468563 110065350
Nasopharyngitis 36.09 12.39 91 55295 394270 110139643
Off label use 35.43 12.39 534 54852 1499651 109034262
Renal disorder 35.10 12.39 77 55309 49402 110484511
Fulminant type 1 diabetes mellitus 34.93 12.39 19 55367 2344 110531569
Memory impairment 34.18 12.39 29 55357 196915 110336998
Arrhythmia 34.16 12.39 94 55292 69481 110464432
Stress 33.74 12.39 6 55380 105342 110428571
Injection site pain 33.66 12.39 24 55362 177898 110356015
Nephrotic syndrome 33.62 12.39 38 55348 13793 110520120
Aplasia pure red cell 33.53 12.39 32 55354 9546 110524367
Obesity 33.11 12.39 8 55378 113343 110420570
Colon cancer 33.06 12.39 41 55345 16402 110517511
Blood uric acid increased 32.99 12.39 47 55339 21482 110512431
Drug ineffective for unapproved indication 32.62 12.39 6 55380 102832 110431081
Thalamus haemorrhage 32.43 12.39 17 55369 1947 110531966
Drug tolerance decreased 32.15 12.39 53 55333 27487 110506426
Product dose omission issue 32.03 12.39 71 55315 321711 110212202
Hyperhidrosis 31.99 12.39 28 55358 187270 110346643
Pulmonary arterial hypertension 31.91 12.39 58 55328 32510 110501403
Adverse drug reaction 31.73 12.39 7 55379 105552 110428361
Cholangitis 31.67 12.39 40 55346 16295 110517618
Joint injury 31.56 12.39 65 55321 39929 110493984
Hypoalbuminaemia 31.49 12.39 54 55332 28920 110504993
Enterocolitis 31.47 12.39 43 55343 18906 110515007
Tubulointerstitial nephritis 31.42 12.39 78 55308 54206 110479707
Osteoma 31.39 12.39 8 55378 109 110533804
Febrile neutropenia 31.27 12.39 268 55118 316499 110217414
Pneumonia 31.24 12.39 614 54772 876100 109657813
Shock haemorrhagic 31.23 12.39 52 55334 27195 110506718
Peripheral venous disease 31.22 12.39 3 55383 84114 110449799
Drug tolerance 31.19 12.39 40 55346 16545 110517368
Gouty tophus 31.06 12.39 11 55375 480 110533433
Orthostatic intolerance 31.05 12.39 17 55369 2124 110531789
Hepatocellular carcinoma 30.84 12.39 31 55355 9849 110524064
Physical deconditioning 30.25 12.39 20 55366 3517 110530396
Dyspepsia 29.75 12.39 31 55355 190934 110342979
Hyperkinetic heart syndrome 29.53 12.39 8 55378 140 110533773
Osteomyelitis 29.49 12.39 60 55326 36540 110497373
Pyrexia 29.33 12.39 621 54765 897644 109636269
Suicidal ideation 28.71 12.39 6 55380 93931 110439982
Azotaemia 28.51 12.39 30 55356 10055 110523858
Cytomegalovirus nephritis 28.38 12.39 8 55378 163 110533750
Night sweats 28.19 12.39 16 55370 133967 110399946
Polycystic liver disease 27.89 12.39 8 55378 174 110533739
Wound infection 27.81 12.39 7 55379 96458 110437455
Cerebral ventricular rupture 27.62 12.39 10 55376 465 110533448
Blood lactic acid 27.56 12.39 10 55376 468 110533445
Splenic necrosis 27.34 12.39 8 55378 187 110533726
Suicide attempt 27.05 12.39 9 55377 103385 110430528
Embolic stroke 26.50 12.39 27 55359 8716 110525197
Gastric cancer 26.34 12.39 30 55356 10978 110522935
Arthropathy 25.79 12.39 67 55319 287455 110246458
Vomiting 25.06 12.39 314 55072 910361 109623552
Injection site reaction 24.66 12.39 7 55379 89063 110444850
Sedation 24.55 12.39 3 55383 69680 110464233
Corneal abscess 24.40 12.39 6 55380 70 110533843
Plasma cell myeloma 24.21 12.39 78 55308 62858 110471055
Splenic cyst 24.08 12.39 8 55378 287 110533626
Product prescribing error 23.87 12.39 68 55318 51263 110482650
Gouty arthritis 23.59 12.39 13 55373 1646 110532267
Weight increased 23.56 12.39 119 55267 419525 110114388
Red blood cell sedimentation rate increased 23.18 12.39 89 55297 78213 110455700
Shunt occlusion 23.03 12.39 13 55373 1724 110532189
Musculoskeletal pain 23.00 12.39 35 55351 182988 110350925
Infective spondylitis 22.85 12.39 9 55377 529 110533384
Cerebellar infarction 22.80 12.39 18 55368 4169 110529744
Putamen haemorrhage 22.74 12.39 9 55377 536 110533377
Thrombotic cerebral infarction 22.65 12.39 10 55376 784 110533129
Psoriasis 22.63 12.39 22 55364 139971 110393942
Influenza like illness 22.60 12.39 8 55378 88404 110445509
Pain in extremity 22.58 12.39 147 55239 486971 110046942
Pancreatitis acute 22.56 12.39 74 55312 60200 110473713
Adrenal insufficiency 22.55 12.39 59 55327 42331 110491582
Low cardiac output syndrome 22.43 12.39 11 55375 1095 110532818
Activated partial thromboplastin time abnormal 22.14 12.39 8 55378 370 110533543
Sudden death 22.09 12.39 42 55344 24353 110509560
Blood uric acid decreased 22.06 12.39 12 55374 1481 110532432
Incorrect route of product administration 21.98 12.39 3 55383 64058 110469855
Liver disorder 21.94 12.39 134 55252 142109 110391804
Gait disturbance 21.89 12.39 69 55317 278139 110255774
Enteritis infectious 21.81 12.39 17 55369 3865 110530048
Prerenal failure 21.80 12.39 18 55368 4441 110529472
Product quality issue 21.54 12.39 6 55380 77293 110456620
Gastric disorder 21.53 12.39 50 55336 33307 110500606
Ear infection 21.38 12.39 3 55383 62729 110471184
Pulmonary alveolar haemorrhage 21.17 12.39 37 55349 20113 110513800
Lung disorder 21.14 12.39 36 55350 180011 110353902
Gastrooesophageal reflux disease 21.12 12.39 36 55350 179940 110353973
Dyspnoea paroxysmal nocturnal 21.04 12.39 14 55372 2488 110531425
Drug titration error 20.96 12.39 12 55374 1635 110532278
Gamma-glutamyltransferase increased 20.94 12.39 73 55313 61236 110472677
Rash 20.77 12.39 548 54838 820416 109713497
Subdural haematoma 20.70 12.39 52 55334 36402 110497511
Coronavirus test positive 20.69 12.39 11 55375 1296 110532617
Arthralgia 20.62 12.39 271 55115 779361 109754552
Urinary retention 20.46 12.39 79 55307 69604 110464309
Thirst 20.43 12.39 38 55348 21669 110512244
Lordosis 20.39 12.39 8 55378 465 110533448
Neck pain 20.31 12.39 19 55367 123111 110410802
Seizure 20.25 12.39 51 55335 221134 110312779
Aortic dissection 20.22 12.39 18 55368 4915 110528998
Post infection glomerulonephritis 20.05 12.39 6 55380 152 110533761
Small intestinal perforation 20.02 12.39 17 55369 4359 110529554
Procedural failure 19.94 12.39 6 55380 155 110533758
Cytomegalovirus enterocolitis 19.76 12.39 13 55373 2268 110531645
Hypovolaemic shock 19.69 12.39 30 55356 14553 110519360
Spinal compression fracture 19.62 12.39 34 55352 18358 110515555
Drug monitoring procedure incorrectly performed 19.59 12.39 9 55377 774 110533139
Epistaxis 19.59 12.39 122 55264 130250 110403663
Gastrointestinal haemorrhage 19.57 12.39 146 55240 165372 110368541
Heat illness 19.50 12.39 9 55377 783 110533130
Lower gastrointestinal haemorrhage 19.49 12.39 34 55352 18452 110515461
Hepatotoxicity 19.47 12.39 4 55382 63396 110470517
Anaemia macrocytic 19.36 12.39 21 55365 7282 110526631
Haemoglobin decreased 19.31 12.39 200 55186 248527 110285386
Chest pain 19.31 12.39 110 55276 376265 110157648
Pneumocystis jirovecii pneumonia 19.28 12.39 56 55330 42679 110491234
Nail disorder 19.21 12.39 3 55383 57932 110475981
Abdominal discomfort 19.20 12.39 117 55269 393741 110140172
Intentional product misuse 19.14 12.39 23 55363 132881 110401032
Hepatitis acute 19.12 12.39 34 55352 18732 110515181
Rubber sensitivity 19.07 12.39 13 55373 2405 110531508
Conjunctival ulcer 18.82 12.39 5 55381 81 110533832
Myelodysplastic syndrome 18.75 12.39 51 55335 37433 110496480
Constipation 18.74 12.39 267 55119 357519 110176394
Blood pressure fluctuation 18.74 12.39 7 55379 74817 110459096
Tachycardia 18.69 12.39 55 55331 226590 110307323
General physical health deterioration 18.68 12.39 308 55078 424987 110108926
Myelosuppression 18.62 12.39 95 55291 94245 110439668
Toxic skin eruption 18.59 12.39 42 55344 27473 110506440
Concomitant disease progression 18.55 12.39 15 55371 3595 110530318
Illness 18.48 12.39 9 55377 82162 110451751
Bile duct stone 18.30 12.39 19 55367 6270 110527643
Orthopnoea 18.29 12.39 25 55361 10996 110522917
Splenic lesion 18.12 12.39 8 55378 627 110533286
Marasmus 18.05 12.39 11 55375 1680 110532233
Tonsil cancer 17.93 12.39 10 55376 1296 110532617
Hypercreatininaemia 17.91 12.39 10 55376 1299 110532614
Folate deficiency 17.81 12.39 16 55370 4422 110529491
Hypothyroidism 17.74 12.39 78 55308 72821 110461092
Cerebellar haemorrhage 17.68 12.39 14 55372 3257 110530656
Mental status changes 17.64 12.39 8 55378 76114 110457799
Prostatic specific antigen abnormal 17.61 12.39 8 55378 671 110533242
Systemic infection 17.40 12.39 23 55363 9796 110524117
Frequent bowel movements 17.35 12.39 7 55379 71383 110462530
Dyspnoea exertional 17.31 12.39 100 55286 103960 110429953
Cardiac amyloidosis 17.20 12.39 13 55373 2824 110531089
Metastases to soft tissue 17.17 12.39 8 55378 711 110533202
Renal ischaemia 17.17 12.39 12 55374 2311 110531602
Peritonitis 16.95 12.39 45 55341 32562 110501351
Haematoma muscle 16.92 12.39 15 55371 4075 110529838
Agitation 16.89 12.39 19 55367 113032 110420881
Iron deficiency anaemia 16.86 12.39 44 55342 31515 110502398
Sciatica 16.78 12.39 13 55373 92386 110441527
Cardiac dysfunction 16.68 12.39 18 55368 6205 110527708
Sleep disorder due to a general medical condition 16.61 12.39 3 55383 52109 110481804
Traumatic intracranial haematoma 16.48 12.39 4 55382 44 110533869
Enanthema 16.44 12.39 9 55377 1125 110532788
Dyslipidaemia 16.36 12.39 29 55357 15936 110517977
Haemoptysis 16.35 12.39 75 55311 71279 110462634
Henoch-Schonlein purpura 16.31 12.39 14 55372 3643 110530270
Weight decreased 16.20 12.39 153 55233 467904 110066009
Hip arthroplasty 16.18 12.39 4 55382 55809 110478104
Road traffic accident 16.10 12.39 18 55368 107380 110426533
Hypopituitarism 16.00 12.39 15 55371 4375 110529538
Drug-induced liver injury 15.99 12.39 109 55277 119958 110413955
Haematuria 15.98 12.39 83 55303 82922 110450991
Cerebral artery embolism 15.82 12.39 11 55375 2101 110531812
Anaemia vitamin B12 deficiency 15.77 12.39 9 55377 1218 110532695
Accidental exposure to product 15.68 12.39 3 55383 50005 110483908
Immobilisation syndrome 15.67 12.39 8 55378 868 110533045
Erectile dysfunction 15.64 12.39 31 55355 18525 110515388
Hyperglycaemia 15.63 12.39 84 55302 85006 110448907
Periodontitis 15.63 12.39 16 55370 5192 110528721
Red blood cell abnormality 15.56 12.39 8 55378 880 110533033
Subarachnoid haemorrhage 15.45 12.39 41 55345 29661 110504252
Head injury 15.37 12.39 52 55334 42965 110490948
Abdominal pain upper 15.34 12.39 107 55279 349004 110184909
Inflammation 15.29 12.39 156 55230 193082 110340831
Diarrhoea 15.29 12.39 707 54679 1138798 109395115
Throat irritation 15.21 12.39 4 55382 53548 110480365
Atrioventricular block 15.21 12.39 29 55357 16848 110517065
Haemoglobin urine present 15.20 12.39 8 55378 924 110532989
Injection site erythema 14.99 12.39 15 55371 94161 110439752
Diverticulum intestinal haemorrhagic 14.97 12.39 15 55371 4748 110529165
Pulmonary hypertension 14.92 12.39 61 55325 55159 110478754
Nasal mucosal erosion 14.87 12.39 4 55382 68 110533845
Puncture site infection 14.87 12.39 4 55382 68 110533845
Cellulitis 14.81 12.39 111 55275 125905 110408008
Psoriatic arthropathy 14.70 12.39 157 55229 196604 110337309
Retinal artery occlusion 14.50 12.39 14 55372 4235 110529678
Pseudohyponatraemia 14.46 12.39 5 55381 203 110533710
Full blood count abnormal 14.45 12.39 5 55381 56047 110477866
Stomatitis 14.39 12.39 78 55308 270164 110263749
Fibrin D dimer increased 14.36 12.39 21 55365 9824 110524089
Subcutaneous haematoma 14.31 12.39 12 55374 3024 110530889
Beta 2 microglobulin increased 14.30 12.39 7 55379 694 110533219
Hepatic enzyme increased 14.27 12.39 98 55288 320794 110213119
Hypozincaemia 14.26 12.39 4 55382 80 110533833
Joint stiffness 14.18 12.39 8 55378 67235 110466678
Haemorrhagic cerebral infarction 14.13 12.39 9 55377 1486 110532427
Psychotic disorder 14.10 12.39 4 55382 50933 110482980
Skin erosion 14.09 12.39 16 55370 5838 110528075
Ureterolithiasis 14.09 12.39 14 55372 4388 110529525
Mesenteric vein thrombosis 14.03 12.39 10 55376 1985 110531928
Bradycardia 14.00 12.39 129 55257 155388 110378525
Immune-mediated hepatic disorder 13.96 12.39 14 55372 4436 110529477
Feeling hot 13.95 12.39 15 55371 91091 110442822
Exostosis 13.91 12.39 3 55383 45953 110487960
Cognitive disorder 13.86 12.39 14 55372 87497 110446416
Chronic lymphocytic leukaemia 13.83 12.39 16 55370 5952 110527961
Labelled drug-drug interaction medication error 13.80 12.39 39 55347 29263 110504650
Bacterial prostatitis 13.77 12.39 4 55382 91 110533822
Renal cyst haemorrhage 13.76 12.39 7 55379 754 110533159
Tendon rupture 13.70 12.39 25 55361 14053 110519860
Syphilis 13.64 12.39 7 55379 767 110533146
Hypertriglyceridaemia 13.63 12.39 27 55359 16127 110517786
Gastrointestinal polyp haemorrhage 13.55 12.39 7 55379 778 110533135
Injection site swelling 13.55 12.39 7 55379 61783 110472130
Hypomagnesaemia 13.50 12.39 63 55323 60307 110473606
Hypermagnesaemia 13.45 12.39 9 55377 1614 110532299
Brain contusion 13.43 12.39 9 55377 1619 110532294
Amnesia 13.39 12.39 20 55366 105388 110428525
Anti-neutrophil cytoplasmic antibody positive vasculitis 13.36 12.39 15 55371 5402 110528511
Muscle spasms 13.36 12.39 83 55303 278074 110255839
Knee arthroplasty 13.31 12.39 8 55378 64940 110468973
Dizziness 13.31 12.39 258 55128 697935 109835978
Cytomegalovirus test positive 13.28 12.39 17 55369 7019 110526894
Cerebral artery thrombosis 13.23 12.39 9 55377 1659 110532254
Angina pectoris 13.19 12.39 64 55322 62231 110471682
Acute coronary syndrome 13.15 12.39 33 55353 23079 110510834
Haemolytic anaemia 13.11 12.39 31 55355 20889 110513024
Muscular weakness 13.07 12.39 72 55314 248396 110285517
Obstructive pancreatitis 13.06 12.39 8 55378 1233 110532680
Urine output decreased 13.05 12.39 30 55356 19846 110514067
Renal cyst infection 13.05 12.39 5 55381 273 110533640
Drug resistance 12.95 12.39 6 55380 56368 110477545
Haematocrit abnormal 12.92 12.39 9 55377 1724 110532189
Prothrombin time abnormal 12.82 12.39 8 55378 1274 110532639
Ascites 12.80 12.39 85 55301 92723 110441190
Colitis ulcerative 12.69 12.39 12 55374 77351 110456562
Lethargy 12.63 12.39 17 55369 93559 110440354
Gastric ulcer haemorrhage 12.56 12.39 20 55366 10074 110523839
Underdose 12.54 12.39 64 55322 63490 110470423
Bladder transitional cell carcinoma stage 0 12.51 12.39 4 55382 127 110533786
Dermatophytosis of nail 12.50 12.39 5 55381 306 110533607
COVID-19 pneumonia 12.49 12.39 44 55342 37099 110496814
Pulmonary congestion 12.48 12.39 39 55347 30927 110502986
Troponin increased 12.47 12.39 38 55348 29728 110504185
Peripheral arterial occlusive disease 12.40 12.39 19 55367 9261 110524652

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC M04AA03 MUSCULO-SKELETAL SYSTEM
ANTIGOUT PREPARATIONS
ANTIGOUT PREPARATIONS
Preparations inhibiting uric acid production
FDA MoA N0000000206 Xanthine Oxidase Inhibitors
MeSH PA D006074 Gout Suppressants
MeSH PA D018501 Antirheumatic Agents
FDA EPC N0000175698 Xanthine Oxidase Inhibitor
CHEBI has role CHEBI:35554 cardiovascular drug
CHEBI has role CHEBI:35634 EC 1.17.3.2 (xanthine oxidase) inhibitor
CHEBI has role CHEBI:35674 antihypertensive agent
CHEBI has role CHEBI:35845 gout suppressant
CHEBI has role CHEBI:231911 renoprotective agent

Related Drugs by ATC class:

M04AA Preparations inhibiting uric acid production 2 drugs

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

DiseaseRelationSNOMED_IDDOID
Hyperuricemia indication 35885006 DOID:1920
Gout indication 90560007 DOID:13189
Gout Prevention indication
Myocardial infarction contraindication 22298006 DOID:5844
Liver function tests abnormal contraindication 166603001
Cerebrovascular accident contraindication 230690007
Thromboembolic disorder contraindication 371039008




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 3.3 acidic
pKa2 0.46 Basic

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
40MG ULORIC TAKEDA PHARMS USA N021856 Feb. 13, 2009 RX TABLET ORAL 8372872 Sept. 8, 2031 USE OF FEBUXOSTAT FOR THE MANAGEMENT OF HYPERURICEMIA IN PATIENTS SUFFERING FROM GOUT AND, WHEN USED WITH THEOPHYLLINE WITHOUT THE NEED FOR DOSE ADJUSTMENT OF THEOPHYLLINE
40MG ULORIC TAKEDA PHARMS USA N021856 Feb. 13, 2009 RX TABLET ORAL 9107912 Sept. 8, 2031 USE OF FEBUXOSTAT FOR THE MANAGEMENT OF HYPERURICEMIA IN PATIENTS SUFFERING FROM GOUT AND, WHEN USED WITH THEOPHYLLINE WITHOUT THE NEED FOR DOSE ADJUSTMENT OF THEOPHYLLINE
80MG ULORIC TAKEDA PHARMS USA N021856 Feb. 13, 2009 RX TABLET ORAL 8372872 Sept. 8, 2031 USE OF FEBUXOSTAT FOR THE MANAGEMENT OF HYPERURICEMIA IN PATIENTS SUFFERING FROM GOUT AND, WHEN USED WITH THEOPHYLLINE WITHOUT THE NEED FOR DOSE ADJUSTMENT OF THEOPHYLLINE
80MG ULORIC TAKEDA PHARMS USA N021856 Feb. 13, 2009 RX TABLET ORAL 9107912 Sept. 8, 2031 USE OF FEBUXOSTAT FOR THE MANAGEMENT OF HYPERURICEMIA IN PATIENTS SUFFERING FROM GOUT AND, WHEN USED WITH THEOPHYLLINE WITHOUT THE NEED FOR DOSE ADJUSTMENT OF THEOPHYLLINE

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Xanthine dehydrogenase/oxidase Enzyme INHIBITOR Ki 9.22 WOMBAT-PK CHEMBL
ATP-binding cassette sub-family G member 2 Transporter IC50 7.57 CHEMBL
Flavin reductase (NADPH) Enzyme Kd 5.79 CHEMBL
Histone deacetylase 6 Enzyme IC50 7.26 CHEMBL
Potassium voltage-gated channel subfamily H member 2 Ion channel EC50 7.44 WOMBAT-PK
RISC-loading complex subunit TARBP2 Cytosolic other EC50 7.04 CHEMBL
Xanthine dehydrogenase/oxidase Enzyme IC50 8.52 CHEMBL
Xanthine dehydrogenase/oxidase Enzyme IC50 8.40 CHEMBL

External reference:

IDSource
4025245 VUID
N0000179385 NUI
D01206 KEGG_DRUG
4025245 VANDF
C0249529 UMLSCUI
CHEBI:31596 CHEBI
TEI PDB_CHEM_ID
CHEMBL1164729 ChEMBL_ID
DB04854 DRUGBANK_ID
D000069465 MESH_DESCRIPTOR_UI
134018 PUBCHEM_CID
6817 IUPHAR_LIGAND_ID
8140 INN_ID
101V0R1N2E UNII
73689 RXNORM
161190 MMSL
232999 MMSL
26212 MMSL
d07397 MMSL
012966 NDDF
441610003 SNOMEDCT_US
441743008 SNOMEDCT_US
101V0R1N2E INXIGHT DRUGS

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 0054-0413 TABLET 40 mg ORAL ANDA 27 sections
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 0054-0414 TABLET 80 mg ORAL ANDA 27 sections
FEBUXOSTAT HUMAN PRESCRIPTION DRUG LABEL 1 0527-2244 TABLET 40 mg ORAL ANDA 31 sections
FEBUXOSTAT HUMAN PRESCRIPTION DRUG LABEL 1 0527-2248 TABLET 80 mg ORAL ANDA 31 sections
Febuxostat Human Prescription Drug Label 1 0904-7395 TABLET, FILM COATED 40 mg ORAL ANDA 26 sections
Febuxostat Human Prescription Drug Label 1 0904-7396 TABLET, FILM COATED 80 mg ORAL ANDA 26 sections
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 0904-7484 TABLET, FILM COATED 40 mg ORAL ANDA 26 sections
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 0904-7484 TABLET, FILM COATED 40 mg ORAL ANDA 26 sections
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 0904-7485 TABLET, FILM COATED 80 mg ORAL ANDA 26 sections
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 0904-7485 TABLET, FILM COATED 80 mg ORAL ANDA 26 sections
Febuxostat Human Prescription Drug Label 1 14445-156 TABLET, FILM COATED 40 mg ORAL ANDA 27 sections
Febuxostat Human Prescription Drug Label 1 14445-157 TABLET, FILM COATED 80 mg ORAL ANDA 27 sections
Febuxostat Human Prescription Drug Label 1 16714-059 TABLET, FILM COATED 40 mg ORAL ANDA 30 sections
Febuxostat Human Prescription Drug Label 1 16714-060 TABLET, FILM COATED 80 mg ORAL ANDA 30 sections
ULORIC HUMAN PRESCRIPTION DRUG LABEL 1 21695-516 TABLET 80 mg ORAL NDA 29 sections
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 27808-206 TABLET 40 mg ORAL ANDA 31 sections
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 27808-207 TABLET 80 mg ORAL ANDA 31 sections
Febuxostat Human Prescription Drug Label 1 33342-274 FILM 40 mg ORAL ANDA 27 sections
Febuxostat Human Prescription Drug Label 1 33342-275 FILM 80 mg ORAL ANDA 27 sections
ULORIC HUMAN PRESCRIPTION DRUG LABEL 1 43353-305 TABLET 40 mg ORAL NDA 29 sections
FEBUXOSTAT HUMAN PRESCRIPTION DRUG LABEL 1 43547-295 TABLET 40 mg ORAL ANDA 28 sections
FEBUXOSTAT HUMAN PRESCRIPTION DRUG LABEL 1 43547-296 TABLET 80 mg ORAL ANDA 28 sections
Febuxostat Human Prescription Drug Label 1 46708-190 TABLET, COATED 40 mg ORAL ANDA 29 sections
Febuxostat Human Prescription Drug Label 1 46708-191 TABLET, COATED 80 mg ORAL ANDA 29 sections
Febuxostat Human Prescription Drug Label 1 47335-721 TABLET, FILM COATED 40 mg ORAL ANDA 30 sections
Febuxostat Human Prescription Drug Label 1 47335-722 TABLET, FILM COATED 80 mg ORAL ANDA 30 sections
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 51407-293 TABLET 40 mg ORAL ANDA 27 sections
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 51407-294 TABLET 80 mg ORAL ANDA 27 sections
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 55111-796 TABLET 40 mg ORAL ANDA 29 sections
Febuxostat HUMAN PRESCRIPTION DRUG LABEL 1 55111-797 TABLET 80 mg ORAL ANDA 29 sections