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| Stem definition | Drug id | CAS RN |
|---|---|---|
| 4477 | 68-04-2 |
| Molecule | Description |
|---|---|
|
Synonyms:
|
Sodium salts of citric acid that are used as buffers and food preservatives. They are used medically as anticoagulants in stored blood, and for urine alkalization in the prevention of KIDNEY STONES.
|
None
None
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| Oct. 3, 1980 | FDA | B BRAUN |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Paraesthesia | 12908.85 | 115.47 | 4073 | 21123 | 246253 | 90356998 |
| Pallor | 8470.34 | 115.47 | 1941 | 23255 | 32224 | 90571027 |
| Feeling hot | 7949.96 | 115.47 | 2172 | 23024 | 75836 | 90527415 |
| Hyperhidrosis | 4594.48 | 115.47 | 1631 | 23565 | 134674 | 90468577 |
| Thirst | 4194.01 | 115.47 | 958 | 24238 | 15337 | 90587914 |
| Dizziness | 3765.92 | 115.47 | 2201 | 22995 | 587083 | 90016168 |
| Nausea | 2663.86 | 115.47 | 2278 | 22918 | 1108038 | 89495213 |
| Dysgeusia | 2425.15 | 115.47 | 799 | 24397 | 51761 | 90551490 |
| Vision blurred | 2166.79 | 115.47 | 894 | 24302 | 109399 | 90493852 |
| Asthenia | 1104.12 | 115.47 | 1017 | 24179 | 532734 | 90070517 |
| Restlessness | 1017.59 | 115.47 | 380 | 24816 | 35340 | 90567911 |
| Chills | 857.54 | 115.47 | 504 | 24692 | 131477 | 90471774 |
| Tetany | 727.87 | 115.47 | 164 | 25032 | 2420 | 90600831 |
| Dyspepsia | 718.07 | 115.47 | 525 | 24671 | 197635 | 90405616 |
| Injection site haematoma | 540.87 | 115.47 | 158 | 25038 | 6764 | 90596487 |
| Toxic anterior segment syndrome | 256.24 | 115.47 | 69 | 25127 | 2181 | 90601070 |
| Muscle spasms | 237.50 | 115.47 | 320 | 24876 | 251563 | 90351688 |
| Drug ineffective | 228.99 | 115.47 | 53 | 25143 | 1384245 | 89219006 |
| Hypoaesthesia | 223.12 | 115.47 | 349 | 24847 | 313861 | 90289390 |
| Fatigue | 219.07 | 115.47 | 31 | 25165 | 1153992 | 89449259 |
| Paraesthesia oral | 202.55 | 115.47 | 120 | 25076 | 31539 | 90571712 |
| Diarrhoea | 201.63 | 115.47 | 16 | 25180 | 939174 | 89664077 |
| Hypoaesthesia oral | 187.42 | 115.47 | 90 | 25106 | 15510 | 90587741 |
| Palpitations | 165.64 | 115.47 | 197 | 24999 | 136531 | 90466720 |
| Rash | 161.53 | 115.47 | 17 | 25179 | 796083 | 89807168 |
| Pyrexia | 161.24 | 115.47 | 5 | 25191 | 660480 | 89942771 |
| Off label use | 154.82 | 115.47 | 57 | 25139 | 1102195 | 89501056 |
| Arthralgia | 151.99 | 115.47 | 19 | 25177 | 778503 | 89824748 |
| Neck pain | 147.67 | 115.47 | 170 | 25026 | 113793 | 90489458 |
| Condition aggravated | 119.96 | 115.47 | 13 | 25183 | 595532 | 90007719 |
| Pruritus | 116.60 | 115.47 | 9 | 25187 | 541516 | 90061735 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Paraesthesia | 5126.74 | 128.48 | 1625 | 14210 | 71834 | 42533666 |
| Feeling hot | 2495.80 | 128.48 | 723 | 15112 | 22759 | 42582741 |
| Pallor | 2322.46 | 128.48 | 717 | 15118 | 28169 | 42577331 |
| Thirst | 1431.43 | 128.48 | 382 | 15453 | 8726 | 42596774 |
| Hyperhidrosis | 1426.88 | 128.48 | 685 | 15150 | 89827 | 42515673 |
| Dizziness | 968.29 | 128.48 | 770 | 15065 | 248484 | 42357016 |
| Nausea | 921.96 | 128.48 | 915 | 14920 | 395884 | 42209616 |
| Dysgeusia | 884.14 | 128.48 | 367 | 15468 | 33822 | 42571678 |
| Vision blurred | 532.87 | 128.48 | 299 | 15536 | 53400 | 42552100 |
| Appendicolith | 446.01 | 128.48 | 173 | 15662 | 13283 | 42592217 |
| Tetany | 404.38 | 128.48 | 92 | 15743 | 1040 | 42604460 |
| Appendicitis | 381.12 | 128.48 | 175 | 15660 | 20438 | 42585062 |
| Restlessness | 377.07 | 128.48 | 194 | 15641 | 29055 | 42576445 |
| Injection site haematoma | 317.28 | 128.48 | 84 | 15751 | 1841 | 42603659 |
| Dyspepsia | 301.66 | 128.48 | 189 | 15646 | 41163 | 42564337 |
| Chills | 286.28 | 128.48 | 254 | 15581 | 93812 | 42511688 |
| Cardiogenic shock | 280.50 | 128.48 | 171 | 15664 | 35469 | 42570031 |
| Ventricular fibrillation | 280.17 | 128.48 | 161 | 15674 | 29962 | 42575538 |
| Stress | 246.80 | 128.48 | 171 | 15664 | 44041 | 42561459 |
| Blood phosphorus increased | 236.60 | 128.48 | 108 | 15727 | 12417 | 42593083 |
| Toxic anterior segment syndrome | 229.59 | 128.48 | 61 | 15774 | 1355 | 42604145 |
| Ascites | 219.51 | 128.48 | 176 | 15659 | 56502 | 42548998 |
| Abdominal pain | 214.58 | 128.48 | 306 | 15529 | 190165 | 42415335 |
| Asthenia | 197.36 | 128.48 | 364 | 15471 | 280429 | 42325071 |
| Hypoaesthesia | 195.66 | 128.48 | 182 | 15653 | 71281 | 42534219 |
| Abdominal distension | 195.07 | 128.48 | 182 | 15653 | 71553 | 42533947 |
| Muscle spasms | 192.25 | 128.48 | 196 | 15639 | 85848 | 42519652 |
| Myasthenia gravis | 168.21 | 128.48 | 93 | 15742 | 16044 | 42589456 |
| Blood uric acid increased | 157.67 | 128.48 | 88 | 15747 | 15459 | 42590041 |
| Hyponatraemia | 154.13 | 128.48 | 189 | 15646 | 101273 | 42504227 |
| Hyperphosphataemia | 152.38 | 128.48 | 81 | 15754 | 12923 | 42592577 |
| Diarrhoea | 149.43 | 128.48 | 5 | 15830 | 460844 | 42144656 |
| Multiple organ dysfunction syndrome | 139.73 | 128.48 | 176 | 15659 | 96859 | 42508641 |
| Incorrect route of product administration | 133.13 | 128.48 | 93 | 15742 | 24212 | 42581288 |
| Drug ineffective | 130.11 | 128.48 | 37 | 15798 | 630160 | 41975340 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Paraesthesia | 17705.27 | 108.63 | 5698 | 35264 | 270823 | 110277514 |
| Pallor | 10322.43 | 108.63 | 2657 | 38305 | 53810 | 110494527 |
| Feeling hot | 10129.41 | 108.63 | 2895 | 38067 | 88211 | 110460126 |
| Hyperhidrosis | 5937.39 | 108.63 | 2315 | 38647 | 184983 | 110363354 |
| Thirst | 5540.19 | 108.63 | 1339 | 39623 | 20368 | 110527969 |
| Dizziness | 4628.25 | 108.63 | 2969 | 37993 | 695224 | 109853113 |
| Nausea | 3563.66 | 108.63 | 3194 | 37768 | 1232496 | 109315841 |
| Dysgeusia | 3310.18 | 108.63 | 1165 | 39797 | 68820 | 110479517 |
| Vision blurred | 2702.86 | 108.63 | 1191 | 39771 | 127831 | 110420506 |
| Restlessness | 1353.89 | 108.63 | 574 | 40388 | 55685 | 110492652 |
| Asthenia | 1220.02 | 108.63 | 1380 | 39582 | 687619 | 109860718 |
| Chills | 1117.73 | 108.63 | 758 | 40204 | 189822 | 110358515 |
| Tetany | 1091.74 | 108.63 | 256 | 40706 | 3348 | 110544989 |
| Dyspepsia | 1010.24 | 108.63 | 713 | 40249 | 190252 | 110358085 |
| Injection site haematoma | 932.83 | 108.63 | 242 | 40720 | 4904 | 110543433 |
| Appendicolith | 453.82 | 108.63 | 178 | 40784 | 14077 | 110534260 |
| Muscle spasms | 420.45 | 108.63 | 516 | 40446 | 277641 | 110270696 |
| Toxic anterior segment syndrome | 399.28 | 108.63 | 114 | 40848 | 3340 | 110544997 |
| Hypoaesthesia | 393.47 | 108.63 | 531 | 40431 | 313692 | 110234645 |
| Diarrhoea | 346.15 | 108.63 | 19 | 40943 | 1139486 | 109408851 |
| Appendicitis | 344.49 | 108.63 | 181 | 40781 | 28283 | 110520054 |
| Drug ineffective | 312.77 | 108.63 | 89 | 40873 | 1520451 | 109027886 |
| Fatigue | 283.78 | 108.63 | 54 | 40908 | 1215904 | 109332433 |
| Abdominal pain | 283.15 | 108.63 | 601 | 40361 | 512388 | 110035949 |
| Paraesthesia oral | 261.01 | 108.63 | 160 | 40802 | 33511 | 110514826 |
| Hypoaesthesia oral | 249.02 | 108.63 | 123 | 40839 | 16879 | 110531458 |
| Ventricular fibrillation | 245.32 | 108.63 | 166 | 40796 | 41147 | 110507190 |
| Pyrexia | 236.55 | 108.63 | 28 | 40934 | 898237 | 109650100 |
| Rash | 230.64 | 108.63 | 20 | 40942 | 820944 | 109727393 |
| Blood phosphorus increased | 226.87 | 108.63 | 114 | 40848 | 16226 | 110532111 |
| Arthralgia | 218.96 | 108.63 | 19 | 40943 | 779613 | 109768724 |
| Cardiogenic shock | 217.72 | 108.63 | 176 | 40786 | 57162 | 110491175 |
| Palpitations | 183.72 | 108.63 | 259 | 40703 | 158953 | 110389384 |
| Neck pain | 181.71 | 108.63 | 226 | 40736 | 122904 | 110425433 |
| Pneumonia | 172.96 | 108.63 | 55 | 40907 | 876659 | 109671678 |
| Pruritus | 172.20 | 108.63 | 11 | 40951 | 581549 | 109966788 |
| Fall | 165.87 | 108.63 | 16 | 40946 | 603466 | 109944871 |
| Myasthenia gravis | 158.52 | 108.63 | 99 | 40863 | 21412 | 110526925 |
| Weight decreased | 154.64 | 108.63 | 4 | 40958 | 468053 | 110080284 |
| Ascites | 154.31 | 108.63 | 181 | 40781 | 92627 | 110455710 |
| Malaise | 153.85 | 108.63 | 31 | 40931 | 671788 | 109876549 |
| Hyperphosphataemia | 150.83 | 108.63 | 87 | 40875 | 16294 | 110532043 |
| Acute kidney injury | 150.43 | 108.63 | 27 | 40935 | 635403 | 109912934 |
| Decreased appetite | 150.33 | 108.63 | 6 | 40956 | 475840 | 110072497 |
| Cold sweat | 148.90 | 108.63 | 96 | 40866 | 21935 | 110526402 |
| Blood uric acid increased | 145.97 | 108.63 | 94 | 40868 | 21435 | 110526902 |
| Drug interaction | 140.79 | 108.63 | 12 | 40950 | 500171 | 110048166 |
| Toxicity to various agents | 139.55 | 108.63 | 10 | 40952 | 480545 | 110067792 |
| Sleep disorder therapy | 136.70 | 108.63 | 63 | 40899 | 7408 | 110540929 |
| Movement disorder | 134.49 | 108.63 | 110 | 40852 | 36294 | 110512043 |
| Stress | 131.41 | 108.63 | 178 | 40784 | 105170 | 110443167 |
| Off label use | 131.36 | 108.63 | 222 | 40740 | 1499963 | 109048374 |
| Hypersensitivity | 127.90 | 108.63 | 5 | 40957 | 403993 | 110144344 |
| Infusion related reaction | 126.86 | 108.63 | 3 | 40959 | 381159 | 110167178 |
| Analgesic therapy | 122.68 | 108.63 | 58 | 40904 | 7226 | 110541111 |
| Infection | 119.97 | 108.63 | 3 | 40959 | 362197 | 110186140 |
| Insomnia | 119.38 | 108.63 | 3 | 40959 | 360587 | 110187750 |
| Endophthalmitis | 119.19 | 108.63 | 59 | 40903 | 8128 | 110540209 |
| Joint swelling | 118.35 | 108.63 | 13 | 40949 | 442832 | 110105505 |
| Cough | 117.38 | 108.63 | 16 | 40946 | 461625 | 110086712 |
| Peripheral swelling | 112.83 | 108.63 | 10 | 40952 | 404024 | 110144313 |
| Nasopharyngitis | 112.22 | 108.63 | 9 | 40953 | 394352 | 110153985 |
None
| Source | Code | Description |
|---|---|---|
| ATC | B05CB02 | BLOOD AND BLOOD FORMING ORGANS BLOOD SUBSTITUTES AND PERFUSION SOLUTIONS IRRIGATING SOLUTIONS Salt solutions |
| MeSH PA | D000925 | Anticoagulants |
| MeSH PA | D002021 | Buffers |
| MeSH PA | D005503 | Food Additives |
| MeSH PA | D005520 | Food Preservatives |
| MeSH PA | D006401 | Hematologic Agents |
| CHEBI has role | CHEBI:35469 | antidepressant |
| CHEBI has role | CHEBI:35526 | hypoglycemic agent |
| CHEBI has role | CHEBI:35617 | flavouring agent |
| CHEBI has role | CHEBI:50249 | anticoagulant |
| CHEBI has role | CHEBI:66981 | ophthalmology drug |
| CHEBI has role | CHEBI:67079 | anti-inflammatory agent |
| CHEBI has role | CHEBI:75835 | anti-anaemic agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Peptic ulcer | indication | 13200003 | DOID:750 |
| Heartburn | indication | 16331000 | |
| Cough | indication | 49727002 | |
| Nasal discharge | indication | 64531003 | |
| Nasal congestion | indication | 68235000 | |
| Rhinitis | indication | 70076002 | DOID:4483 |
| Common cold | indication | 82272006 | DOID:10459 |
| Indigestion | indication | 162031009 | |
| Gastroesophageal reflux disease | indication | 235595009 | DOID:8534 |
| Gastric Hypersecretory Conditions | indication | ||
| Hiatal Hernia with Reflux Esophagitis | indication | ||
| Renal tubular acidosis | off-label use | 1776003 | DOID:14219 |
| Multiple endocrine adenomas | off-label use | 60549007 | |
| Cystinuria | off-label use | 85020001 | DOID:9266 |
| Systemic mast cell disease | off-label use | 397016004 | DOID:349 |
| Calcium renal calculus | off-label use | 427649000 | |
| Calcium Oxalate Renal Calculi | off-label use | ||
| Stress-Related GI Mucosal Bleeding Prevention | off-label use | ||
| Cystine Renal Calculi | off-label use | ||
| Metabolic alkalosis | contraindication | 1388004 | |
| Anuria | contraindication | 2472002 | DOID:2983 |
| Ocular hypertension | contraindication | 4210003 | DOID:9282 |
| Hypocalcemia | contraindication | 5291005 | |
| Hyperkalemia | contraindication | 14140009 | |
| Pulmonary edema | contraindication | 19242006 | DOID:11396 |
| Myocardial infarction | contraindication | 22298006 | DOID:5844 |
| Ventricular tachycardia | contraindication | 25569003 | |
| Dehydration | contraindication | 34095006 | |
| Hyperthyroidism | contraindication | 34486009 | DOID:7998 |
| Acute hepatitis | contraindication | 37871000 | |
| Hypertensive disorder | contraindication | 38341003 | DOID:10763 |
| Hypernatremia | contraindication | 39355002 | |
| Chronic heart failure | contraindication | 48447003 | |
| Bradycardia | contraindication | 48867003 | |
| Acidosis | contraindication | 51387008 | |
| Acute nephropathy | contraindication | 58574008 | |
| Metabolic acidosis | contraindication | 59455009 | |
| Arterial thrombosis | contraindication | 65198009 | |
| Arteriosclerotic vascular disease | contraindication | 72092001 | |
| Gastrointestinal hemorrhage | contraindication | 74474003 | |
| Chronic idiopathic constipation | contraindication | 82934008 | |
| Oliguria | contraindication | 83128009 | |
| Gastrointestinal obstruction | contraindication | 126765001 | |
| Partial atrioventricular block | contraindication | 195039008 | |
| Acute pancreatitis | contraindication | 197456007 | DOID:2913 |
| Impaired renal function disorder | contraindication | 197663003 | |
| Myocardial dysfunction | contraindication | 233928007 | |
| Gastroparesis | contraindication | 235675006 | |
| Hyporeninemic hypoaldosteronism | contraindication | 236464008 | |
| Bladder outflow obstruction | contraindication | 236645006 | |
| Rhabdomyolysis | contraindication | 240131006 | |
| Esophageal dysmotility | contraindication | 266434009 | DOID:9192 |
| Benign prostatic hyperplasia | contraindication | 266569009 | |
| Retention of urine | contraindication | 267064002 | |
| Peripheral edema | contraindication | 271809000 | |
| Familial hyperkalemic periodic paralysis | contraindication | 304737009 | DOID:14451 |
| Primary adrenocortical insufficiency | contraindication | 373662000 | |
| Adrenal cortical hypofunction | contraindication | 386584007 | DOID:10493 |
| Hypoxia | contraindication | 389086002 | |
| Angle-closure glaucoma | contraindication | 392291006 | DOID:13550 |
| Disorder of coronary artery | contraindication | 414024009 | |
| Traumatic injury | contraindication | 417746004 | |
| Ketoacidosis in diabetes mellitus | contraindication | 420422005 | DOID:1837 |
| Hypertensive urgency | contraindication | 443482000 | |
| Azotemia | contraindication | 445009001 | |
| Severe dehydration | contraindication | 450316000 | |
| Genitourinary Tract Infections | contraindication | ||
| Esophageal Compression | contraindication |
None
None
None
None
None
| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Carbonic anhydrase 4 | Enzyme | Ki | 7 | CHEMBL | |||||
| Carbonic anhydrase | Enzyme | Ki | 4.41 | CHEMBL |
| ID | Source |
|---|---|
| D05855 | KEGG_DRUG |
| 4017463 | VUID |
| N0000145851 | NUI |
| 4017463 | VANDF |
| CHEBI:32142 | CHEBI |
| CHEMBL1355 | ChEMBL_ID |
| C514290 | MESH_SUPPLEMENTAL_RECORD_UI |
| DB09154 | DRUGBANK_ID |
| 253204 | RXNORM |
| 5226 | MMSL |
| 5479 | MMSL |
| d03098 | MMSL |
| 000732 | NDDF |
| 000758 | NDDF |
| 002077 | NDDF |
| 002078 | NDDF |
| 002332 | NDDF |
| 412546005 | SNOMEDCT_US |
| 412547001 | SNOMEDCT_US |
| C0142825 | UMLSCUI |
| D000077559 | MESH_DESCRIPTOR_UI |
| 6224 | PUBCHEM_CID |
None