botulinum toxin type A 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
5368 None

Description:

MoleculeDescription

Synonyms:

  • botulinum toxin type A
  • nuceiva
  • incobotulinumtoxin A
  • NT 201
Botulinum toxin type A (Clostridium botulinum neurotoxin) blocks peripheral acetylcholine release at presynaptic cholinergic nerve terminals by cleaving SNAP-25, a protein integral to the successful docking and release of acetylcholine from vesicles situated within the nerve endings, thereby leading to denervation of the muscle and a flaccid paralysis.
  • Molecular weight:
  • Formula:
  • CLOGP:
  • LIPINSKI: None
  • HAC: None
  • HDO: None
  • TPSA:
  • ALOGS:
  • ROTB: None

Drug dosage:

None

ADMET properties:

None

Approvals:

DateAgencyCompanyOrphan
Sept. 27, 2019 EMA Evolus Pharma Limited
Dec. 20, 2019 PMDA GlaxoSmithKline K.K.

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
Drug ineffective 22639.14 18.99 14864 71125 1029901 62373132
Product preparation error 10598.38 18.99 2284 83705 3808 63399225
Therapeutic response decreased 7341.80 18.99 2849 83140 58676 63344357
Multiple use of single-use product 5593.14 18.99 1061 84928 431 63402602
Eyelid ptosis 5556.71 18.99 1399 84590 5868 63397165
Off label use 5001.78 18.99 5275 80714 669187 62733846
Wrong technique in product usage process 4496.50 18.99 2019 83970 60321 63342712
Injection site pain 2818.14 18.99 1901 84088 127899 63275134
Facial paresis 1564.12 18.99 441 85548 3057 63399976
Brow ptosis 1223.71 18.99 231 85758 84 63402949
Product preparation issue 1200.71 18.99 293 85696 1039 63401994
Injection site swelling 1063.04 18.99 711 85278 46861 63356172
Poor quality product administered 1061.55 18.99 319 85670 2837 63400196
Drug ineffective for unapproved indication 870.66 18.99 554 85435 33509 63369524
Swelling face 764.96 18.99 656 85333 62819 63340214
Dysphagia 761.63 18.99 758 85231 87827 63315206
Therapeutic response shortened 725.97 18.99 344 85645 11544 63391489
Product storage error 705.54 18.99 363 85626 14593 63388440
Eye swelling 658.80 18.99 408 85581 23510 63379523
Botulism 578.94 18.99 115 85874 89 63402944
Muscular weakness 565.30 18.99 760 85229 121593 63281440
Eyelid oedema 499.00 18.99 256 85733 10223 63392810
Vision blurred 463.09 18.99 596 85393 91328 63311705
Facial asymmetry 417.24 18.99 114 85875 691 63402342
Facial paralysis 397.96 18.99 244 85745 13797 63389236
Diarrhoea 347.85 18.99 277 85712 715089 62687944
Diplopia 326.53 18.99 265 85724 23463 63379570
Neuromuscular toxicity 325.31 18.99 68 85921 87 63402946
Arthralgia 322.99 18.99 186 85803 569524 62833509
Neck pain 318.89 18.99 430 85559 68888 63334145
Anaemia 315.50 18.99 21 85968 293409 63109624
Headache 314.60 18.99 1685 84304 631556 62771477
Injection site rash 312.88 18.99 235 85754 18574 63384459
Migraine 311.19 18.99 526 85463 102820 63300213
Joint swelling 283.35 18.99 51 85938 327615 63075418
Acute kidney injury 276.94 18.99 21 85968 263394 63139639
Influenza like illness 266.33 18.99 387 85602 66437 63336596
Pneumonia 260.25 18.99 148 85841 456619 62946414
Skin tightness 248.54 18.99 120 85869 4196 63398837
Periorbital swelling 246.67 18.99 106 85883 2812 63400221
Incorrect route of product administration 244.98 18.99 240 85749 27212 63375821
Injection site erythema 243.27 18.99 418 85571 82756 63320277
Abdominal discomfort 235.74 18.99 71 85918 320814 63082219
Product quality issue 233.45 18.99 265 85724 35600 63367433
Blepharospasm 233.18 18.99 128 85861 5868 63397165
Contraindicated product administered 229.73 18.99 17 85972 217631 63185402
Arthropathy 227.40 18.99 26 85963 234766 63168267
Infusion related reaction 223.82 18.99 33 85956 245488 63157545
Facial pain 219.28 18.99 151 85838 10410 63392623
Toxicity to various agents 219.11 18.99 36 85953 247214 63155819
Synovitis 214.48 18.99 9 85980 186909 63216124
Pemphigus 213.68 18.99 8 85981 183718 63219315
Rheumatoid arthritis 211.91 18.99 43 85946 253776 63149257
Injection site mass 210.72 18.99 186 85803 18470 63384563
Systemic lupus erythematosus 210.37 18.99 20 85969 208898 63194135
Neutropenia 209.28 18.99 6 85983 174999 63228034
Hepatic enzyme increased 202.06 18.99 20 85969 202308 63200725
Maternal exposure during pregnancy 195.05 18.99 32 85957 220030 63183003
Thrombocytopenia 189.29 18.99 3 85986 151154 63251879
Lagophthalmos 185.28 18.99 51 85938 319 63402714
Drug interaction 184.75 18.99 42 85947 229089 63173944
Hypotension 183.33 18.99 70 85919 272534 63130499
Eyelid sensory disorder 181.22 18.99 39 85950 63 63402970
Glossodynia 180.40 18.99 17 85972 178859 63224174
Hand deformity 178.62 18.99 9 85980 159448 63243585
Product administered at inappropriate site 176.64 18.99 86 85903 3063 63399970
Hypoaesthesia 175.38 18.99 564 85425 167829 63235204
General physical health deterioration 172.54 18.99 32 85957 201370 63201663
Injection site nodule 171.94 18.99 90 85899 3745 63399288
Completed suicide 170.55 18.99 6 85983 145667 63257366
Drug hypersensitivity 165.12 18.99 109 85880 310578 63092455
Swelling of eyelid 161.59 18.99 81 85908 3075 63399958
Wound 158.21 18.99 18 85971 163245 63239788
Dysphonia 157.52 18.99 253 85736 47361 63355672
Peripheral swelling 155.81 18.99 83 85906 265859 63137174
Fall 155.08 18.99 182 85807 392152 63010881
Condition aggravated 151.18 18.99 194 85795 402023 63001010
Oedema peripheral 148.29 18.99 37 85952 189474 63213559
Sepsis 148.08 18.99 17 85972 153106 63249927
Pericarditis 145.55 18.99 8 85981 131571 63271462
Drug effect less than expected 144.89 18.99 62 85927 1627 63401406
Infection 142.56 18.99 66 85923 229107 63173926
Abdominal pain 137.83 18.99 117 85872 293339 63109694
Nasopharyngitis 136.68 18.99 88 85901 254169 63148864
Pyrexia 135.30 18.99 271 85718 470207 62932826
Product distribution issue 134.89 18.99 56 85933 1360 63401673
Muscle twitching 134.24 18.99 149 85840 19519 63383514
Disease progression 128.30 18.99 10 85979 122748 63280285
Death 125.32 18.99 196 85793 374185 63028848
Haemoglobin decreased 124.82 18.99 23 85966 145462 63257571
Renal failure 124.61 18.99 9 85980 117643 63285390
Anti-cyclic citrullinated peptide antibody positive 122.77 18.99 9 85980 116203 63286830
Asthenopia 122.66 18.99 61 85928 2276 63400757
Alopecia 120.47 18.99 169 85820 337367 63065666
Fatigue 119.93 18.99 710 85279 887318 62515715
Injection site urticaria 119.91 18.99 120 85869 13953 63389080
Periorbital oedema 119.72 18.99 82 85907 5602 63397431
Treatment failure 119.69 18.99 60 85929 198983 63204050
Confusional state 117.53 18.99 89 85900 236291 63166742
Muscle tightness 117.43 18.99 110 85879 11790 63391243
Head discomfort 117.27 18.99 116 85873 13299 63389734
Facial discomfort 113.27 18.99 26 85963 65 63402968
Injection site bruising 112.58 18.99 203 85786 41707 63361326
Platelet count decreased 111.99 18.99 13 85976 116109 63286924
Hyponatraemia 111.82 18.99 11 85978 111889 63291144
Weight increased 111.77 18.99 113 85876 260679 63142354
Pain in extremity 111.43 18.99 173 85816 331313 63071720
Stomatitis 110.62 18.99 26 85963 138699 63264334
Lower respiratory tract infection 107.09 18.99 24 85965 132283 63270750
Decreased appetite 106.19 18.99 110 85879 250942 63152091
Eye pain 105.34 18.99 175 85814 33679 63369354
Incorrect dose administered 104.68 18.99 243 85746 59725 63343308
Hypertension 104.53 18.99 135 85854 279168 63123865
Hypokalaemia 104.26 18.99 10 85979 103794 63299239
Lacrimation increased 104.08 18.99 134 85855 20497 63382536
Injection site paraesthesia 103.10 18.99 36 85953 534 63402499
Helicobacter infection 101.50 18.99 6 85983 92779 63310254
Rheumatoid factor positive 100.47 18.99 3 85986 84403 63318630
Impaired healing 100.08 18.99 11 85978 102531 63300502
Hypoaesthesia oral 99.92 18.99 105 85884 12928 63390105
Pleural effusion 99.08 18.99 7 85982 93203 63309830
Dry eye 98.91 18.99 189 85800 40572 63362461
Renal impairment 98.87 18.99 5 85984 88350 63314683
Injection site oedema 98.44 18.99 45 85944 1387 63401646
Blood creatinine increased 98.20 18.99 5 85984 87839 63315194
Burning sensation 97.75 18.99 223 85766 54184 63348849
Overdose 96.64 18.99 359 85630 114719 63288314
Gastrointestinal disorder 96.30 18.99 29 85960 131210 63271823
Gastrointestinal haemorrhage 96.21 18.99 3 85986 81173 63321860
Vomiting 94.88 18.99 413 85576 559204 62843829
Atrial fibrillation 94.70 18.99 21 85968 116615 63286418
Duodenal ulcer perforation 94.31 18.99 6 85983 87203 63315830
Paraesthesia 93.68 18.99 441 85548 156525 63246508
White blood cell count decreased 92.96 18.99 36 85953 139068 63263965
Alanine aminotransferase increased 92.08 18.99 15 85974 103755 63299278
Aspartate aminotransferase increased 89.86 18.99 9 85980 90268 63312765
Speech disorder 88.44 18.99 180 85809 40449 63362584
Cardiac failure 88.44 18.99 9 85980 89133 63313900
Cough 88.03 18.99 164 85825 292579 63110454
Product dose omission issue 87.91 18.99 113 85876 234200 63168833
Inappropriate schedule of product administration 86.17 18.99 323 85666 103642 63299391
Pulmonary embolism 85.21 18.99 26 85963 116658 63286375
Cardiac failure congestive 85.13 18.99 12 85977 92421 63310612
Injection site hypoaesthesia 84.59 18.99 30 85959 467 63402566
Dehydration 82.69 18.99 68 85921 173286 63229747
Facial spasm 81.61 18.99 32 85957 667 63402366
Bronchitis 80.76 18.99 34 85955 124901 63278132
Intentional overdose 80.48 18.99 5 85984 74147 63328886
Neuropathy peripheral 80.04 18.99 27 85962 113640 63289393
Sinusitis 78.30 18.99 116 85873 226537 63176496
Lid sulcus deepened 76.44 18.99 19 85970 74 63402959
Drug abuse 75.50 18.99 6 85983 72512 63330521
Exposure during pregnancy 75.45 18.99 60 85929 155487 63247546
Blister 75.23 18.99 41 85948 129773 63273260
Cardiac arrest 74.45 18.99 17 85972 92528 63310505
Product packaging issue 73.90 18.99 35 85954 1171 63401862
Myocardial infarction 73.41 18.99 22 85967 99871 63303162
Injection site discomfort 72.89 18.99 56 85933 4574 63398459
Neovascularisation 72.54 18.99 34 85955 1111 63401922
Back pain 71.69 18.99 157 85832 263988 63139045
Folliculitis 70.01 18.99 7 85982 70310 63332723
Psoriatic arthropathy 69.38 18.99 19 85970 91501 63311532
Leukopenia 68.95 18.99 11 85978 77279 63325754
Blood cholesterol increased 68.57 18.99 21 85968 94011 63309022
Pain 67.93 18.99 659 85330 739969 62663064
Product use issue 67.62 18.99 122 85867 220398 63182635
Ophthalmoplegia 67.47 18.99 35 85954 1429 63401604
Deep vein thrombosis 66.21 18.99 16 85973 83784 63319249
Blood glucose increased 66.16 18.99 16 85973 83740 63319293
Coma 65.16 18.99 6 85983 64358 63338675
Paralysis 64.13 18.99 73 85916 9827 63393206
Injection site pruritus 64.10 18.99 169 85820 44947 63358086
Urinary tract infection 63.37 18.99 168 85821 264516 63138517
Respiratory failure 62.25 18.99 30 85959 101828 63301205
Hypoxia 62.09 18.99 5 85984 59787 63343246
Type 2 diabetes mellitus 61.94 18.99 7 85982 63861 63339172
Injection site granuloma 61.87 18.99 14 85975 32 63403001
Injection site indentation 61.66 18.99 19 85970 185 63402848
Product reconstitution quality issue 61.06 18.99 15 85974 55 63402978
C-reactive protein increased 60.83 18.99 26 85963 94681 63308352
Irritable bowel syndrome 60.82 18.99 18 85971 82394 63320639
Suicide attempt 60.81 18.99 6 85983 60912 63342121
Mastication disorder 60.68 18.99 37 85952 2069 63400964
Nausea 60.44 18.99 806 85183 853665 62549368
Product temperature excursion issue 60.42 18.99 19 85970 199 63402834
Eyelid pain 60.17 18.99 21 85968 311 63402722
Ill-defined disorder 60.08 18.99 18 85971 81737 63321296
Suspected product quality issue 59.83 18.99 19 85970 206 63402827
Hypoglycaemia 59.74 18.99 6 85983 60059 63342974
Patient dissatisfaction with treatment 59.27 18.99 16 85973 92 63402941
Photophobia 58.70 18.99 94 85895 17541 63385492
Taste disorder 58.61 18.99 82 85907 13580 63389453
Mobility decreased 58.41 18.99 47 85942 121112 63281921
Septic shock 58.28 18.99 10 85979 66619 63336414
Neutrophil count decreased 57.79 18.99 5 85984 56401 63346632
Ocular discomfort 57.63 18.99 47 85942 4186 63398847
Oxygen saturation decreased 55.82 18.99 25 85964 88560 63314473
Multiple organ dysfunction syndrome 55.59 18.99 6 85983 56746 63346287
Erythema of eyelid 55.42 18.99 36 85953 2250 63400783
Liver injury 55.39 18.99 8 85981 60512 63342521
Skin wrinkling 55.18 18.99 28 85961 1091 63401942
Injection site haemorrhage 54.43 18.99 109 85880 24205 63378828
Abnormal sensation in eye 53.68 18.99 32 85957 1717 63401316
Chronic obstructive pulmonary disease 53.55 18.99 10 85979 62676 63340357
Pulmonary oedema 53.25 18.99 6 85983 54867 63348166
Liver function test abnormal 53.04 18.99 3 85986 48178 63354855
Constipation 52.90 18.99 144 85845 224799 63178234
Throat tightness 52.67 18.99 109 85880 24778 63378255
Bradycardia 52.23 18.99 17 85972 73210 63329823
Drug intolerance 52.03 18.99 228 85761 308433 63094600
Electrocardiogram QT prolonged 51.92 18.99 9 85980 59521 63343512
Haematochezia 51.59 18.99 6 85983 53538 63349495
Mucosal inflammation 51.42 18.99 3 85986 46925 63356108
Intentional product misuse 51.06 18.99 190 85799 60727 63342306
Skin indentation 50.93 18.99 12 85977 35 63402998
International normalised ratio increased 50.77 18.99 3 85986 46422 63356611
Muscle injury 50.60 18.99 13 85976 65332 63337701
Accidental exposure to product 48.85 18.99 112 85877 27293 63375740
Lip disorder 47.95 18.99 28 85961 1446 63401587
Wheezing 47.45 18.99 36 85953 95559 63307474
Urticaria 47.26 18.99 385 85604 165417 63237616
Injury 47.21 18.99 20 85969 73227 63329806
Osteoporosis 47.19 18.99 10 85979 57328 63345705
Liver disorder 47.08 18.99 8 85981 53679 63349354
Strabismus 47.08 18.99 31 85958 1983 63401050
Injection site inflammation 46.78 18.99 40 85949 3803 63399230
Eye discharge 46.75 18.99 49 85940 6014 63397019
Cardio-respiratory arrest 46.29 18.99 12 85977 59947 63343086
Muscle atrophy 45.79 18.99 52 85937 6981 63396052
Knee arthroplasty 45.55 18.99 9 85980 54197 63348836
Delirium 45.51 18.99 7 85982 50534 63352499
Lip swelling 44.77 18.99 117 85872 30946 63372087
Endometriosis 44.65 18.99 45 85944 5275 63397758
Nerve injury 44.62 18.99 61 85928 9885 63393148
Oedema 44.45 18.99 40 85949 97582 63305451
Hip arthroplasty 44.30 18.99 6 85983 47640 63355393
Fluid retention 44.11 18.99 13 85976 59673 63343360
Ocular hyperaemia 43.98 18.99 102 85887 25042 63377991
Vertigo 43.86 18.99 179 85810 59708 63343325
Abdominal distension 43.78 18.99 32 85957 86583 63316450
Osteoarthritis 43.49 18.99 39 85950 95304 63307729
Lung disorder 43.45 18.99 15 85974 62246 63340787
Arthritis 43.33 18.99 56 85933 115865 63287168
Chest pain 43.11 18.99 149 85840 215810 63187223
Manufacturing product shipping issue 43.07 18.99 12 85977 79 63402954
Blood pressure systolic increased 41.70 18.99 7 85982 47390 63355643
Colitis 40.90 18.99 8 85981 48520 63354513
Choking 40.46 18.99 58 85931 9821 63393212
Blood pressure increased 40.18 18.99 101 85888 161961 63241072
Epilepsy 40.10 18.99 103 85886 26962 63376071
Muscle contractions involuntary 40.02 18.99 30 85959 2362 63400671
Thrombosis 39.67 18.99 19 85970 64736 63338297
Central nervous system function test abnormal 39.65 18.99 9 85980 21 63403012
Madarosis 39.42 18.99 33 85956 3048 63399985
Pregnancy 38.82 18.99 124 85865 36712 63366321
Red blood cell count decreased 38.07 18.99 5 85984 40640 63362393
Diabetes mellitus 38.00 18.99 14 85975 55796 63347237
Epistaxis 37.90 18.99 26 85963 72699 63330334
Red blood cell sedimentation rate increased 37.60 18.99 7 85982 43975 63359058
Pancreatitis 37.52 18.99 10 85979 49045 63353988
Rectal haemorrhage 37.49 18.99 10 85979 49020 63354013
Plasma cell myeloma 37.29 18.99 3 85986 35902 63367131
Pulmonary fibrosis 37.04 18.99 5 85984 39804 63363229
Hepatitis 37.02 18.99 5 85984 39783 63363250
White blood cell count increased 36.95 18.99 10 85979 48551 63354482
Post-traumatic neck syndrome 36.91 18.99 27 85962 2047 63400986
Fibromyalgia 36.55 18.99 33 85956 80387 63322646
Pneumonitis 36.42 18.99 3 85986 35219 63367814
Eye irritation 36.11 18.99 87 85902 21884 63381149
Cataract 36.10 18.99 16 85973 57037 63345996
Drug specific antibody 36.02 18.99 28 85961 2327 63400706
Rhabdomyolysis 35.49 18.99 8 85981 43943 63359090
Erythema 35.43 18.99 379 85610 175372 63227661
Eyelid disorder 35.03 18.99 25 85964 1824 63401209
Femur fracture 34.94 18.99 7 85982 41749 63361284
Dermatochalasis 34.92 18.99 7 85982 6 63403027
Gamma-glutamyltransferase increased 34.91 18.99 3 85986 34028 63369005
Libido increased 34.63 18.99 22 85967 1323 63401710
Hypoaesthesia eye 34.59 18.99 14 85975 318 63402715
Agitation 34.42 18.99 19 85970 59738 63343295
Hepatic failure 34.34 18.99 4 85985 35652 63367381
Blood alkaline phosphatase increased 34.33 18.99 8 85981 42959 63360074
Eyelid function disorder 34.17 18.99 13 85976 249 63402784
Treatment noncompliance 34.00 18.99 5 85984 37320 63365713
Depressed level of consciousness 33.97 18.99 21 85968 62057 63340976
Malaise 33.93 18.99 380 85609 415574 62987459
Blood bilirubin increased 33.77 18.99 5 85984 37135 63365898
Dyspnoea exertional 33.56 18.99 20 85969 60282 63342751
Hospitalisation 32.94 18.99 40 85949 85041 63317992
Rash 32.94 18.99 548 85441 560323 62842710
Soft tissue injury 32.83 18.99 23 85966 1629 63401404
Paradoxical drug reaction 32.81 18.99 34 85955 4118 63398915
Visual impairment 32.64 18.99 211 85778 84235 63318798
Adverse drug reaction 32.46 18.99 36 85953 79678 63323355
Cutis laxa 32.28 18.99 11 85978 151 63402882
Haematocrit decreased 32.09 18.99 7 85982 39333 63363700
Full blood count abnormal 31.98 18.99 3 85986 31714 63371319
Eye pruritus 31.84 18.99 75 85914 18596 63384437
Tension headache 31.51 18.99 37 85952 5149 63397884
Encephalopathy 31.24 18.99 7 85982 38613 63364420
Application site acne 31.21 18.99 6 85983 3 63403030
Eyelid thickening 31.11 18.99 9 85980 69 63402964
Injection site anaesthesia 31.08 18.99 8 85981 37 63402996
Feeling abnormal 30.84 18.99 322 85667 148070 63254963
Liver function test increased 30.82 18.99 4 85985 32807 63370226
Skin ulcer 30.68 18.99 10 85979 43035 63359998
Vitreous floaters 30.48 18.99 39 85950 5927 63397106
Mental status changes 30.42 18.99 8 85981 39591 63363442
Hostility 30.26 18.99 23 85966 1849 63401184
Urinary retention 30.12 18.99 100 85889 30201 63372832
Dysarthria 29.96 18.99 126 85863 42585 63360448
Rash maculo-papular 29.69 18.99 4 85985 31892 63371141
Vascular malformation 29.50 18.99 13 85976 367 63402666
Hypocalcaemia 29.47 18.99 4 85985 31709 63371324
Drooling 29.36 18.99 31 85958 3837 63399196
Skin disorder 29.00 18.99 97 85892 29410 63373623
Sleep disorder 28.86 18.99 41 85948 81525 63321508
Muscle spasms 28.84 18.99 331 85658 155819 63247214
Flatulence 28.66 18.99 6 85983 34696 63368337
Diverticulitis 28.53 18.99 9 85980 39548 63363485
Vestibular migraine 28.29 18.99 11 85978 224 63402809
Eye contusion 28.24 18.99 23 85966 2044 63400989
Intranasal hypoaesthesia 28.03 18.99 5 85984 0 63403033
Injection site hypersensitivity 27.95 18.99 23 85966 2074 63400959
Injection site pallor 27.92 18.99 8 85981 59 63402974
Swollen tongue 27.88 18.99 107 85882 34693 63368340
Gastric disorder 27.87 18.99 8 85981 37361 63365672
Injection site scab 27.84 18.99 13 85976 421 63402612
Hypervolaemia 27.84 18.99 3 85986 28410 63374623
Haemorrhage 27.77 18.99 25 85964 60997 63342036
Dyspnoea 27.52 18.99 684 85305 660629 62742404
Weight decreased 27.51 18.99 241 85748 276557 63126476
Angina pectoris 27.46 18.99 4 85985 30074 63372959
Pericardial effusion 27.44 18.99 4 85985 30054 63372979
Sensation of foreign body 27.42 18.99 33 85956 4712 63398321
Prescribed overdose 27.35 18.99 105 85884 34048 63368985
Torticollis 27.29 18.99 22 85967 1927 63401106
Foot deformity 27.14 18.99 3 85986 27850 63375183
Diaphragmatic rupture 27.13 18.99 11 85978 251 63402782
Medication error 26.83 18.99 19 85970 52265 63350768
Mouth ulceration 26.64 18.99 6 85983 32978 63370055
Somnolence 26.56 18.99 138 85851 178547 63224486
Injection site haematoma 26.36 18.99 39 85950 6793 63396240
Muscle hypertrophy 26.23 18.99 8 85981 75 63402958
Occupational exposure to product 26.06 18.99 22 85967 2056 63400977
Hepatic steatosis 25.87 18.99 4 85985 28765 63374268
Haemoptysis 25.81 18.99 4 85985 28722 63374311
Blood pressure decreased 25.78 18.99 30 85959 64992 63338041
Blepharochalasis 25.68 18.99 5 85984 3 63403030
Injection site deformation 25.68 18.99 5 85984 3 63403030
Eyelid contusion 25.68 18.99 5 85984 3 63403030
Haematemesis 25.65 18.99 5 85984 30407 63372626
Paranasal cyst 25.52 18.99 12 85977 395 63402638
Localised infection 25.41 18.99 5 85984 30205 63372828
Cellulitis 25.40 18.99 45 85944 81913 63321120
Tachycardia 25.30 18.99 79 85910 118077 63284956
Eyelids pruritus 25.30 18.99 17 85972 1125 63401908
Pharyngeal hypoaesthesia 25.28 18.99 11 85978 301 63402732
Injection site discolouration 24.98 18.99 41 85948 7807 63395226
Sternal fracture 24.51 18.99 22 85967 2232 63400801
Product quality control issue 24.42 18.99 6 85983 22 63403011
Jaundice 24.28 18.99 5 85984 29246 63373787
Psoriasis 24.12 18.99 51 85938 86906 63316127
Trismus 24.07 18.99 28 85961 3857 63399176
Pancreatitis acute 23.92 18.99 4 85985 27162 63375871
Cholelithiasis 23.84 18.99 15 85974 43910 63359123
Mass 23.61 18.99 56 85933 13944 63389089
Blood pressure fluctuation 23.55 18.99 17 85972 46300 63356733
Face lift 23.26 18.99 5 85984 8 63403025
Productive cough 23.14 18.99 31 85958 63177 63339856
Loss of personal independence in daily activities 23.05 18.99 62 85927 97228 63305805
Injection site atrophy 23.01 18.99 13 85976 630 63402403
Vocal cord paralysis 22.98 18.99 21 85968 2180 63400853
Product prescribing error 22.87 18.99 4 85985 26285 63376748
Upper respiratory tract infection 22.85 18.99 48 85941 81999 63321034
Injection site vesicles 22.85 18.99 24 85965 2953 63400080
Macular degeneration 22.83 18.99 3 85986 24373 63378660
Dry mouth 22.81 18.99 182 85807 77681 63325352
Gastritis 22.76 18.99 11 85978 37292 63365741
Sinus tachycardia 22.69 18.99 3 85986 24265 63378768
Joint injury 22.67 18.99 6 85983 29566 63373467
Ulcer 22.65 18.99 4 85985 26103 63376930
Panic attack 22.47 18.99 74 85915 22257 63380776
Application site papules 22.46 18.99 7 85982 71 63402962
Mephisto sign 22.42 18.99 4 85985 0 63403033
Gastric ulcer 22.41 18.99 3 85986 24034 63378999
Intestinal obstruction 22.34 18.99 7 85982 30892 63372141
Hallucination 22.05 18.99 25 85964 54792 63348241
Tinnitus 21.87 18.99 101 85888 35527 63367506
Shock 21.70 18.99 3 85986 23460 63379573
Gait disturbance 21.68 18.99 152 85837 183026 63220007
Muscle disorder 21.57 18.99 30 85959 4939 63398094
Hypothyroidism 21.22 18.99 16 85973 42616 63360417
Injection site infection 21.19 18.99 19 85970 1924 63401109
Sciatica 21.13 18.99 10 85979 34314 63368719
Product contamination 21.00 18.99 13 85976 747 63402286
Disease recurrence 20.90 18.99 6 85983 28024 63375009
Eosinophilia 20.84 18.99 3 85986 22753 63380280
Bone pain 20.82 18.99 26 85963 54615 63348418
Product supply issue 20.82 18.99 18 85971 1737 63401296
Drug dependence 20.70 18.99 4 85985 24479 63378554
Pulmonary mass 20.64 18.99 3 85986 22593 63380440
Myasthenic syndrome 20.52 18.99 9 85980 251 63402782
Osteomyelitis 20.48 18.99 5 85984 26015 63377018
Blood sodium decreased 20.43 18.99 4 85985 24248 63378785
Eye movement disorder 20.40 18.99 30 85959 5198 63397835
Lower limb fracture 20.39 18.99 4 85985 24217 63378816
Leukocytosis 20.38 18.99 5 85984 25930 63377103
Acute myocardial infarction 20.33 18.99 9 85980 32115 63370918
Vaginal haemorrhage 20.28 18.99 6 85983 27481 63375552
Residual urine volume increased 20.20 18.99 6 85983 51 63402982
Device dislocation 20.12 18.99 5 85984 25700 63377333
Cerebral infarction 20.00 18.99 4 85985 23889 63379144
Serotonin syndrome 19.86 18.99 7 85982 28675 63374358
Hyperacusis 19.83 18.99 19 85970 2094 63400939
Product lot number issue 19.63 18.99 8 85981 185 63402848
Ear discomfort 19.59 18.99 37 85952 7869 63395164
Acute respiratory distress syndrome 19.58 18.99 4 85985 23530 63379503
Altered state of consciousness 19.57 18.99 5 85984 25225 63377808
Blood potassium decreased 19.39 18.99 17 85972 42009 63361024
Tooth disorder 19.28 18.99 7 85982 28150 63374883
Neuralgic amyotrophy 19.27 18.99 5 85984 24 63403009
Skin laxity 19.27 18.99 5 85984 24 63403009
Sensory disturbance 19.19 18.99 51 85938 13621 63389412
Unresponsive to stimuli 19.12 18.99 11 85978 33805 63369228
Blood calcium decreased 19.11 18.99 6 85983 26445 63376588
Basal cell carcinoma 19.09 18.99 7 85982 27984 63375049

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
Drug ineffective 2370.95 25.65 1568 9791 455183 34490389
Product preparation error 1009.17 25.65 216 11143 2101 34943471
Off label use 920.71 25.65 879 10480 418645 34526927
Therapeutic response decreased 662.44 25.65 275 11084 29038 34916534
Multiple use of single-use product 539.82 25.65 93 11266 226 34945346
Injection site pain 416.73 25.65 218 11141 38787 34906785
Eyelid ptosis 385.82 25.65 121 11238 5645 34939927
Wrong technique in product usage process 369.74 25.65 196 11163 35790 34909782
Dysphagia 254.49 25.65 189 11170 62192 34883380
Muscular weakness 199.68 25.65 175 11184 72722 34872850
Migraine 187.17 25.65 98 11261 17380 34928192
Product storage error 136.51 25.65 62 11297 8060 34937512
Nightmare 121.58 25.65 69 11290 14322 34931250
Head discomfort 118.17 25.65 46 11313 4070 34941502
Product preparation issue 116.06 25.65 27 11332 391 34945181
Botulism 115.67 25.65 23 11336 148 34945424
Neck pain 108.06 25.65 79 11280 25270 34920302
Poor quality product administered 102.84 25.65 34 11325 1873 34943699
Sedation 97.62 25.65 69 11290 20937 34924635
Nephrolithiasis 97.59 25.65 80 11279 30253 34915319
Neuromuscular toxicity 93.46 25.65 17 11342 62 34945510
Headache 89.06 25.65 199 11160 200436 34745136
Injection site swelling 80.83 25.65 49 11310 11478 34934094
Product used for unknown indication 75.71 25.65 23 11336 960 34944612
Brow ptosis 63.29 25.65 9 11350 0 34945572
Facial paresis 63.26 25.65 27 11332 3022 34942550
Acute kidney injury 62.11 25.65 12 11347 304976 34640596
Hyperhidrosis 56.84 25.65 94 11265 75598 34869974
Residual urine volume increased 56.26 25.65 8 11351 0 34945572
Anaemia 54.82 25.65 6 11353 233329 34712243
Drug ineffective for unapproved indication 49.42 25.65 49 11310 23666 34921906
Therapeutic response shortened 48.14 25.65 30 11329 7374 34938198
Toxicity to various agents 38.44 25.65 9 11350 200353 34745219
Drug interaction 38.08 25.65 13 11346 225933 34719639
Injection site rash 38.01 25.65 21 11338 4132 34941440
Diplopia 37.33 25.65 36 11323 16807 34928765
Urinary retention 37.02 25.65 52 11307 36236 34909336
Therapeutic product effect decreased 35.76 25.65 50 11309 34693 34910879
Diarrhoea 35.41 25.65 45 11314 389867 34555705
Product distribution issue 32.23 25.65 11 11348 668 34944904
Thrombocytopenia 32.05 25.65 6 11353 156241 34789331
Epilepsy 30.06 25.65 36 11323 21459 34924113
Injection site oedema 29.43 25.65 8 11351 223 34945349
Aspiration 28.80 25.65 27 11332 12167 34933405
Eyelid oedema 26.53 25.65 18 11341 5106 34940466
Product quality issue 26.26 25.65 30 11329 17005 34928567

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
Drug ineffective 9413.60 19.17 7068 52551 1073845 78610924
Product preparation error 6008.35 19.17 1278 58341 4515 79680254
Eyelid ptosis 3436.27 19.17 921 58698 10123 79674646
Off label use 2971.80 19.17 3489 56130 903726 78781043
Therapeutic response decreased 2842.70 19.17 1252 58367 65601 79619168
Multiple use of single-use product 2383.87 19.17 437 59182 487 79684282
Wrong technique in product usage process 2183.19 19.17 1076 58543 72799 79611970
Injection site pain 1937.60 19.17 1205 58414 128633 79556136
Facial paresis 892.65 19.17 277 59342 5249 79679520
Brow ptosis 786.52 19.17 137 59482 80 79684689
Dysphagia 715.75 19.17 648 58971 121488 79563281
Injection site swelling 674.76 19.17 427 59192 46705 79638064
Drug ineffective for unapproved indication 608.53 19.17 413 59206 50825 79633944
Product preparation issue 604.86 19.17 152 59467 1258 79683511
Swelling face 599.60 19.17 466 59153 70746 79614023
Poor quality product administered 564.72 19.17 177 59442 3468 79681301
Muscular weakness 557.96 19.17 643 58976 160086 79524683
Migraine 541.54 19.17 479 59140 87014 79597755
Botulism 489.72 19.17 101 59518 290 79684479
Headache 485.03 19.17 1319 58300 652453 79032316
Therapeutic response shortened 467.17 19.17 231 59388 15632 79669137
Eye swelling 455.92 19.17 270 59349 26198 79658571
Product storage error 418.46 19.17 216 59403 16010 79668759
Vision blurred 403.57 19.17 445 59174 105453 79579316
Neck pain 368.30 19.17 362 59257 75055 79609714
Eyelid oedema 358.13 19.17 184 59435 13503 79671266
Neuromuscular toxicity 331.44 19.17 67 59552 168 79684601
Acute kidney injury 295.86 19.17 25 59594 519379 79165390
Anaemia 257.30 19.17 20 59599 444995 79239774
Diplopia 247.27 19.17 203 59416 33263 79651506
Facial asymmetry 238.32 19.17 65 59554 761 79684008
Influenza like illness 235.24 19.17 279 59340 71428 79613341
Incorrect route of product administration 229.47 19.17 198 59421 34731 79650038
Injection site rash 225.63 19.17 150 59469 17804 79666965
Facial paralysis 208.46 19.17 152 59467 20920 79663849
Toxicity to various agents 208.36 19.17 33 59586 421507 79263262
Head discomfort 201.41 19.17 129 59490 14373 79670396
Injection site erythema 194.33 19.17 265 59354 77932 79606837
Hypoaesthesia 193.17 19.17 419 59200 178933 79505836
Neutropenia 187.99 19.17 6 59613 287704 79397065
Drug interaction 187.02 19.17 41 59578 415142 79269627
Blepharospasm 186.60 19.17 90 59529 5761 79679008
Product quality issue 177.00 19.17 169 59450 33771 79650998
Pneumonia 173.25 19.17 144 59475 660102 79024667
Skin tightness 170.26 19.17 83 59536 5439 79679330
Facial pain 166.92 19.17 108 59511 12242 79672527
Completed suicide 164.70 19.17 4 59615 245763 79439006
Diarrhoea 162.82 19.17 255 59364 880234 78804535
Thrombocytopenia 161.78 19.17 9 59610 265250 79419519
Injection site mass 160.86 19.17 128 59491 20056 79664713
Periorbital swelling 151.55 19.17 63 59556 2833 79681936
Hypotension 151.39 19.17 70 59549 440247 79244522
Injection site nodule 147.97 19.17 67 59552 3713 79681056
Dysphonia 144.71 19.17 195 59424 56677 79628092
Paraesthesia 131.92 19.17 358 59261 175965 79508804
Arthralgia 125.31 19.17 146 59473 571657 79113112
Muscle tightness 125.11 19.17 92 59527 12822 79671947
Lagophthalmos 123.81 19.17 34 59585 409 79684360
General physical health deterioration 120.21 19.17 29 59590 275209 79409560
Eyelid sensory disorder 118.49 19.17 24 59595 61 79684708
Asthenopia 117.65 19.17 50 59569 2377 79682392
Injection site bruising 117.37 19.17 149 59470 40853 79643916
Sepsis 114.55 19.17 30 59589 269398 79415371
Renal failure 110.65 19.17 11 59608 200957 79483812
Pancytopenia 109.88 19.17 3 59616 165742 79519027
Joint swelling 108.64 19.17 40 59579 288606 79396163
Muscle twitching 102.82 19.17 109 59510 24655 79660114
Dry eye 102.23 19.17 132 59487 36799 79647970
Injection site urticaria 101.47 19.17 81 59538 12745 79672024
Renal impairment 97.27 19.17 5 59614 157778 79526991
Oedema peripheral 96.56 19.17 34 59585 252254 79432515
Product distribution issue 96.49 19.17 37 59582 1343 79683426
Haemoglobin decreased 95.81 19.17 24 59595 222095 79462674
Eye pain 95.81 19.17 129 59490 37449 79647320
Platelet count decreased 94.35 19.17 16 59603 194648 79490121
Infusion related reaction 93.46 19.17 28 59591 230209 79454560
Blood creatinine increased 92.26 19.17 6 59613 155051 79529718
Disease progression 91.95 19.17 14 59605 184348 79500421
Swelling of eyelid 90.43 19.17 48 59571 3763 79681006
Atrial fibrillation 90.09 19.17 19 59600 197867 79486902
Neovascularisation 89.28 19.17 34 59585 1211 79683558
Product administered at inappropriate site 88.64 19.17 48 59571 3917 79680852
Hypoaesthesia oral 88.57 19.17 78 59541 14046 79670723
Hepatic enzyme increased 88.52 19.17 15 59604 182595 79502174
Drug effect less than expected 88.16 19.17 39 59580 2045 79682724
Synovitis 86.34 19.17 7 59612 150727 79534042
Hyponatraemia 85.35 19.17 15 59604 177833 79506936
Pyrexia 83.89 19.17 246 59373 678463 79006306
Injection site paraesthesia 83.69 19.17 27 59592 582 79684187
Gastrointestinal haemorrhage 81.53 19.17 8 59611 147711 79537058
Burning sensation 80.94 19.17 152 59467 58480 79626289
Periorbital oedema 79.46 19.17 59 59560 8343 79676426
Cardiac failure 78.97 19.17 11 59608 154831 79529938
Drug abuse 77.46 19.17 14 59605 162677 79522092
Arthropathy 76.63 19.17 19 59600 177092 79507677
Speech disorder 76.22 19.17 142 59477 54303 79630466
Cardiac failure congestive 75.31 19.17 9 59610 142393 79542376
Pleural effusion 74.83 19.17 10 59609 145252 79539517
Prescribed overdose 74.53 19.17 115 59504 37768 79647001
Cardiac arrest 73.42 19.17 19 59600 172077 79512692
Alanine aminotransferase increased 73.19 19.17 16 59603 162554 79522215
Product packaging issue 71.94 19.17 29 59590 1204 79683565
Injection site discomfort 71.84 19.17 46 59573 5120 79679649
Hypokalaemia 71.67 19.17 11 59608 144029 79540740
Condition aggravated 71.47 19.17 169 59450 500955 79183814
Abdominal pain 69.65 19.17 115 59504 389454 79295315
Injection site haemorrhage 68.50 19.17 94 59525 27776 79656993
Myocardial infarction 68.43 19.17 26 59593 184103 79500666
Fall 68.30 19.17 166 59453 487463 79197306
Contraindicated product administered 67.96 19.17 17 59602 157521 79527248
Infection 67.91 19.17 49 59570 241663 79443106
Confusional state 66.55 19.17 84 59535 317913 79366856
Aspartate aminotransferase increased 65.85 19.17 12 59607 138629 79546140
Decreased appetite 64.11 19.17 98 59521 342320 79342449
Endometriosis 62.03 19.17 37 59582 3631 79681138
Facial discomfort 61.88 19.17 15 59604 105 79684664
Rheumatoid arthritis 61.57 19.17 40 59579 208430 79476339
Abdominal discomfort 61.55 19.17 58 59561 250669 79434100
Dehydration 61.41 19.17 57 59562 248130 79436639
Muscle spasms 61.26 19.17 276 59343 174454 79510315
Intentional overdose 60.45 19.17 5 59614 105955 79578814
Nightmare 60.24 19.17 85 59534 25776 79658993
Injection site pruritus 60.08 19.17 111 59508 42172 79642597
Feeling abnormal 60.01 19.17 257 59362 158942 79525827
Injection site oedema 59.10 19.17 26 59593 1345 79683424
Lacrimation increased 57.04 19.17 77 59542 22400 79662369
Ophthalmoplegia 56.19 19.17 32 59587 2880 79681889
Neuropathy peripheral 55.85 19.17 18 59601 141287 79543482
White blood cell count decreased 55.77 19.17 36 59583 188252 79496517
Throat tightness 55.29 19.17 85 59534 27822 79656947
Pulmonary embolism 54.81 19.17 30 59589 171624 79513145
Hand deformity 53.89 19.17 7 59612 103912 79580857
Multiple organ dysfunction syndrome 53.79 19.17 12 59607 120234 79564535
Leukopenia 53.40 19.17 11 59608 116502 79568267
Pemphigus 53.38 19.17 6 59613 99576 79585193
Photophobia 53.13 19.17 71 59548 20457 79664312
Post-traumatic neck syndrome 51.46 19.17 27 59592 2067 79682702
Drug hypersensitivity 50.87 19.17 91 59528 298825 79385944
Weight increased 50.37 19.17 81 59538 277305 79407464
Mastication disorder 50.18 19.17 29 59590 2684 79682085
Hypertension 50.08 19.17 108 59511 330884 79353885
Suicide attempt 49.95 19.17 3 59616 82929 79601840
Urticaria 49.59 19.17 271 59348 184930 79499839
Pericarditis 49.54 19.17 9 59610 104227 79580542
Maternal exposure during pregnancy 49.54 19.17 20 59599 136518 79548251
Strabismus 49.45 19.17 28 59591 2493 79682276
Ocular discomfort 49.39 19.17 36 59583 4947 79679822
Epilepsy 49.18 19.17 100 59519 40760 79644009
Erythema of eyelid 48.94 19.17 28 59591 2542 79682227
Systemic lupus erythematosus 48.65 19.17 15 59604 121134 79563635
Drug specific antibody 48.36 19.17 28 59591 2600 79682169
International normalised ratio increased 48.32 19.17 4 59615 84717 79600052
Overdose 47.62 19.17 267 59352 183939 79500830
Neutrophil count decreased 47.14 19.17 7 59612 93952 79590817
Rhabdomyolysis 46.72 19.17 10 59609 103121 79581648
Stomatitis 46.34 19.17 26 59593 146731 79538038
Peripheral swelling 45.94 19.17 82 59537 269535 79415234
Bradycardia 45.79 19.17 22 59597 135535 79549234
Hypoglycaemia 45.72 19.17 10 59609 101584 79583185
Wound 45.56 19.17 15 59604 116164 79568605
Coma 45.10 19.17 10 59609 100639 79584130
Central nervous system function test abnormal 44.98 19.17 9 59610 21 79684748
Hypoxia 44.79 19.17 11 59608 103232 79581537
Product reconstitution quality issue 44.63 19.17 13 59606 196 79684573
Metabolic acidosis 44.16 19.17 5 59614 82524 79602245
Death 44.15 19.17 246 59373 566268 79118501
Product used for unknown indication 44.00 19.17 22 59597 1522 79683247
Soft tissue injury 43.87 19.17 23 59596 1758 79683011
Manufacturing product shipping issue 43.66 19.17 11 59608 92 79684677
Vertigo 43.57 19.17 132 59487 68950 79615819
Pulmonary oedema 43.31 19.17 7 59612 88247 79596522
Eye discharge 43.29 19.17 36 59583 5998 79678771
Blood glucose increased 43.10 19.17 16 59603 114959 79569810
Accidental exposure to product 42.96 19.17 81 59538 31241 79653528
Septic shock 42.92 19.17 19 59600 122782 79561987
Taste disorder 42.91 19.17 56 59563 15767 79669002
Injection site granuloma 42.58 19.17 10 59609 60 79684709
Patient dissatisfaction with treatment 41.63 19.17 12 59607 174 79684595
Visual impairment 41.30 19.17 157 59462 91974 79592795
Facial spasm 40.90 19.17 17 59602 764 79684005
Nasopharyngitis 40.79 19.17 80 59539 253801 79430968
Haematochezia 40.73 19.17 8 59611 87637 79597132
Electrocardiogram QT prolonged 40.46 19.17 9 59610 90377 79594392
Hepatic function abnormal 40.22 19.17 4 59615 73103 79611666
Ocular hyperaemia 40.01 19.17 74 59545 28132 79656637
Anti-cyclic citrullinated peptide antibody positive 39.90 19.17 7 59612 83136 79601633
Eye irritation 39.58 19.17 62 59557 20619 79664150
Injection site hypoaesthesia 39.52 19.17 15 59604 529 79684240
Choking 39.50 19.17 47 59572 12054 79672715
Paralysis 39.47 19.17 49 59570 13128 79671641
Abnormal sensation in eye 39.33 19.17 22 59597 1913 79682856
Skin indentation 39.31 19.17 8 59611 21 79684748
Lower respiratory tract infection 39.23 19.17 24 59595 129196 79555573
Dermatochalasis 39.07 19.17 7 59612 6 79684763
Cough 38.92 19.17 142 59477 366647 79318122
Agitation 38.88 19.17 13 59606 99702 79585067
Libido increased 38.64 19.17 22 59597 1979 79682790
Lid sulcus deepened 38.59 19.17 11 59608 153 79684616
Nerve injury 38.38 19.17 41 59578 9351 79675418
Hostility 38.28 19.17 23 59596 2287 79682482
Paradoxical drug reaction 37.87 19.17 36 59583 7149 79677620
Eyelid pain 37.75 19.17 13 59606 345 79684424
Rectal haemorrhage 37.55 19.17 6 59613 76294 79608475
Deep vein thrombosis 37.35 19.17 22 59597 120897 79563872
Injection site indentation 36.87 19.17 11 59608 181 79684588
Swollen tongue 36.46 19.17 91 59528 42479 79642290
C-reactive protein increased 36.42 19.17 26 59593 129001 79555768
Vascular malformation 36.40 19.17 13 59606 385 79684384
Dry mouth 36.21 19.17 146 59473 87873 79596896
Cardio-respiratory arrest 36.06 19.17 18 59601 108492 79576277
Colitis 35.55 19.17 6 59613 73301 79611468
Drug-induced liver injury 35.39 19.17 4 59615 66113 79618656
Injection site haematoma 35.05 19.17 29 59590 4798 79679971
Liver disorder 34.96 19.17 6 59613 72411 79612358
Impaired healing 34.93 19.17 11 59608 87644 79597125
Diaphragmatic rupture 34.87 19.17 11 59608 220 79684549
Delirium 34.85 19.17 10 59609 84617 79600152
Eyelid contusion 34.77 19.17 6 59613 3 79684766
Glossodynia 34.55 19.17 17 59602 103320 79581449
Product temperature excursion issue 33.88 19.17 11 59608 242 79684527
Sternal fracture 33.88 19.17 22 59597 2508 79682261
Vitreous floaters 33.84 19.17 34 59585 7222 79677547
Skin wrinkling 33.56 19.17 17 59602 1209 79683560
Chronic obstructive pulmonary disease 33.54 19.17 11 59608 85408 79599361
Epistaxis 33.45 19.17 21 59598 111494 79573275
Injection site inflammation 33.36 19.17 26 59593 3950 79680819
Vomiting 33.20 19.17 328 59291 665500 79019269
Helicobacter infection 33.16 19.17 6 59613 69698 79615071
Application site acne 33.04 19.17 6 59613 6 79684763
Lip disorder 32.71 19.17 18 59601 1516 79683253
Lip swelling 32.49 19.17 85 59534 40826 79643943
Bronchitis 32.30 19.17 30 59589 130614 79554155
Madarosis 31.83 19.17 22 59597 2780 79681989
Dysarthria 31.77 19.17 117 59502 67505 79617264
Suspected product quality issue 31.45 19.17 11 59608 306 79684463
Blood pressure systolic increased 31.37 19.17 6 59613 66980 79617789
Paranasal cyst 31.10 19.17 12 59607 443 79684326
Rash maculo-papular 31.03 19.17 3 59616 56075 79628694
Thrombosis 31.02 19.17 12 59607 84088 79600681
Duodenal ulcer perforation 30.86 19.17 6 59613 66205 79618564
Gastrointestinal disorder 30.28 19.17 28 59591 122177 79562592
Muscle spasticity 30.03 19.17 56 59563 21419 79663350
Respiratory failure 29.93 19.17 56 59563 180855 79503914
Fluid retention 29.20 19.17 8 59611 69801 79614968
Dizziness 29.20 19.17 554 59065 525887 79158882
Oxygen saturation decreased 29.20 19.17 32 59587 129015 79555754
Plasma cell myeloma 29.07 19.17 3 59616 53256 79631513
Blood bilirubin increased 28.84 19.17 7 59612 66225 79618544
Product dose omission issue 28.84 19.17 92 59527 247445 79437324
Treatment noncompliance 28.39 19.17 3 59616 52265 79632504
Hepatitis 28.30 19.17 4 59615 55723 79629046
Transaminases increased 28.03 19.17 3 59616 51740 79633029
Liver function test abnormal 27.71 19.17 7 59612 64468 79620301
Eye contusion 27.50 19.17 19 59600 2400 79682369
Lung disorder 27.31 19.17 13 59606 80544 79604225
Blood alkaline phosphatase increased 27.19 19.17 7 59612 63657 79621112
Acute myocardial infarction 26.79 19.17 12 59607 77024 79607745
Oedema 26.67 19.17 30 59589 119550 79565219
Muscle atrophy 26.28 19.17 37 59582 11195 79673574
Haemoptysis 26.25 19.17 5 59614 55994 79628775
Unresponsive to stimuli 26.11 19.17 5 59614 55783 79628986
Encephalopathy 25.90 19.17 9 59610 67388 79617381
Psoriatic arthropathy 25.82 19.17 13 59606 77986 79606783
Angina pectoris 25.61 19.17 4 59615 51728 79633041
Eye pruritus 25.53 19.17 51 59568 20519 79664250
Cerebral haemorrhage 25.30 19.17 6 59613 57667 79627102
Tension headache 25.19 19.17 29 59590 7182 79677587
Product quality control issue 25.19 19.17 5 59614 11 79684758
Haematuria 25.10 19.17 10 59609 68826 79615943
Osteoporosis 25.01 19.17 5 59614 54107 79630662
Pancreatitis 24.94 19.17 10 59609 68565 79616204
Pain in extremity 24.83 19.17 165 59454 364373 79320396
Intranasal hypoaesthesia 24.80 19.17 4 59615 0 79684769
Jaundice 24.51 19.17 5 59614 53344 79631425
Drooling 24.42 19.17 26 59593 5908 79678861
Depressed level of consciousness 24.12 19.17 22 59597 96630 79588139
Mental status changes 23.97 19.17 10 59609 66949 79617820
Arrhythmia 23.86 19.17 8 59611 61264 79623505
Haematemesis 23.80 19.17 5 59614 52259 79632510
Blood urea increased 23.64 19.17 4 59615 48786 79635983
Eyelid disorder 23.58 19.17 16 59603 1962 79682807
Gamma-glutamyltransferase increased 23.38 19.17 6 59613 54674 79630095
Red blood cell count decreased 23.30 19.17 7 59612 57506 79627263
Diabetes mellitus 23.18 19.17 15 59604 78375 79606394
Wheezing 23.16 19.17 32 59587 116632 79568137
Torticollis 23.11 19.17 17 59602 2370 79682399
Type 2 diabetes mellitus 23.06 19.17 7 59612 57115 79627654
Skin ulcer 23.04 19.17 6 59613 54144 79630625
Exposure during pregnancy 22.96 19.17 25 59594 101107 79583662
Sedation 22.89 19.17 88 59531 51807 79632962
Ear discomfort 22.69 19.17 30 59589 8553 79676216
Injection site scab 22.64 19.17 9 59610 360 79684409
Eyelids pruritus 22.60 19.17 12 59607 941 79683828
Sinusitis 22.53 19.17 73 59546 195428 79489341
White blood cell count increased 22.46 19.17 14 59605 74619 79610150
Procedural anxiety 22.08 19.17 11 59608 755 79684014
Pancreatitis acute 22.08 19.17 5 59614 49599 79635170
Product contamination 22.06 19.17 13 59606 1247 79683522
Folliculitis 21.97 19.17 7 59612 55373 79629396
Cutis laxa 21.96 19.17 7 59612 145 79684624
Pericardial effusion 21.95 19.17 4 59615 46233 79638536
Hypervolaemia 21.83 19.17 3 59616 42687 79642082
Clostridium difficile infection 21.83 19.17 3 59616 42682 79642087
Abdominal distension 21.64 19.17 35 59584 119615 79565154
Vestibular migraine 21.61 19.17 7 59612 153 79684616
Dyspnoea exertional 21.51 19.17 20 59599 87053 79597716
Cardiogenic shock 21.30 19.17 3 59616 41911 79642858
Haemorrhage 21.27 19.17 22 59597 91096 79593673
Eye movement disorder 21.18 19.17 28 59591 7983 79676786
Cataract 21.10 19.17 10 59609 62110 79622659
Aggression 21.02 19.17 6 59613 50952 79633817
Product prescribing error 21.01 19.17 4 59615 44809 79639960
Liver injury 21.01 19.17 8 59611 56606 79628163
Panic attack 20.98 19.17 52 59567 24164 79660605
Erythema 20.89 19.17 257 59362 223033 79461736
Tachycardia 20.74 19.17 66 59553 177702 79507067
Blister 20.63 19.17 36 59583 119440 79565329
Haematocrit decreased 20.62 19.17 10 59609 61302 79623467
Pulmonary fibrosis 20.55 19.17 4 59615 44108 79640661
Medication error 20.48 19.17 13 59606 68629 79616140
Product lot number issue 20.46 19.17 7 59612 182 79684587
Full blood count abnormal 20.33 19.17 3 59616 40471 79644298
Glossopharyngeal nerve disorder 20.27 19.17 5 59614 38 79684731
Eyelid function disorder 20.15 19.17 8 59611 319 79684450
Leukocytosis 20.12 19.17 4 59615 43451 79641318
Injury 20.11 19.17 17 59602 77479 79607290
Knee arthroplasty 19.98 19.17 4 59615 43244 79641525
Blood cholesterol increased 19.79 19.17 20 59599 83700 79601069
Chest pain 19.61 19.17 127 59492 282177 79402592
COVID-19 19.50 19.17 57 59562 157617 79527152
Anxiety 19.49 19.17 277 59342 248235 79436534
Sensory disturbance 19.46 19.17 38 59581 15039 79669730
Head deformity 19.42 19.17 5 59614 46 79684723
Tinnitus 19.41 19.17 75 59544 44258 79640511
Atrioventricular septal defect 19.26 19.17 6 59613 115 79684654
Injection site discolouration 19.19 19.17 26 59593 7588 79677181

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
MeSH PA D065087 Acetylcholine Release Inhibitors
MeSH PA D018678 Cholinergic Agents
MeSH PA D049990 Membrane Transport Modulators
MeSH PA D009465 Neuromuscular Agents
MeSH PA D009498 Neurotoxins
MeSH PA D018377 Neurotransmitter Agents
MeSH PA D009676 Noxae
MeSH PA D018373 Peripheral Nervous System Agents
FDA PE N0000175731 Neuromuscular Blockade
FDA MoA N0000175770 Acetylcholine Release Inhibitors
FDA EPC N0000175771 Acetylcholine Release Inhibitor
FDA EPC N0000193962 Neuromuscular Blocker

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

DiseaseRelationSNOMED_IDDOID
Rhytidectomy of glabellar frown lines indication 14667004
Urge urinary incontinence indication 87557004
Urinary frequency indication 162116003
Lower limb spasticity indication 394679006
Upper limb spasticity indication 394680009
Neurogenic bladder indication 398064005
Overactive bladder indication 786457000




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

None

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
Synaptosomal-associated protein 25 Cytosolic other BLOCKER SCIENTIFIC LITERATURE SCIENTIFIC LITERATURE

External reference:

IDSource
CHEBI:3160 CHEBI
CHEMBL4297862 ChEMBL_ID
D00783 KEGG_DRUG
C545476 MESH_SUPPLEMENTAL_RECORD_UI
DB00083 DRUGBANK_ID
013287 NDDF
108890005 SNOMEDCT_US
427412002 SNOMEDCT_US
703368006 SNOMEDCT_US
772950004 SNOMEDCT_US
4020561 VANDF
4030130 VANDF
C0006050 UMLSCUI
CHEMBL2108035 ChEMBL_ID
93384-43-1 SECONDARY_CAS_RN
1000104 RXNORM
27317 MMSL
4295 MMSL
d01227 MMSL
d07669 MMSL
E211KPY694 UNII

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
BOTOX HUMAN PRESCRIPTION DRUG LABEL 1 0023-1145 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 100 [USPU] INTRADERMAL BLA 32 sections
BOTOX HUMAN PRESCRIPTION DRUG LABEL 1 0023-1145 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 100 [USPU] INTRADERMAL BLA 32 sections
BOTOX HUMAN PRESCRIPTION DRUG LABEL 1 0023-1145 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 100 [USPU] INTRADERMAL BLA 32 sections
BOTOX Cosmetic HUMAN PRESCRIPTION DRUG LABEL 1 0023-3919 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 [USPU] INTRAMUSCULAR BLA 31 sections
BOTOX Cosmetic HUMAN PRESCRIPTION DRUG LABEL 1 0023-3919 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 [USPU] INTRAMUSCULAR BLA 31 sections
BOTOX Cosmetic HUMAN PRESCRIPTION DRUG LABEL 1 0023-3919 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 [USPU] INTRAMUSCULAR BLA 31 sections
BOTOX HUMAN PRESCRIPTION DRUG LABEL 1 0023-3921 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 200 [USPU] INTRADERMAL BLA 32 sections
BOTOX HUMAN PRESCRIPTION DRUG LABEL 1 0023-3921 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 200 [USPU] INTRADERMAL BLA 32 sections
BOTOX HUMAN PRESCRIPTION DRUG LABEL 1 0023-3921 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 200 [USPU] INTRADERMAL BLA 32 sections
BOTOX Cosmetic HUMAN PRESCRIPTION DRUG LABEL 1 0023-9232 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 100 [USPU] INTRAMUSCULAR BLA 31 sections
BOTOX Cosmetic HUMAN PRESCRIPTION DRUG LABEL 1 0023-9232 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 100 [USPU] INTRAMUSCULAR BLA 31 sections
BOTOX Cosmetic HUMAN PRESCRIPTION DRUG LABEL 1 0023-9232 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 100 [USPU] INTRAMUSCULAR BLA 31 sections
Xeomin HUMAN PRESCRIPTION DRUG LABEL 1 0259-1605 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 [USPU] INTRAMUSCULAR BLA 31 sections
Xeomin HUMAN PRESCRIPTION DRUG LABEL 1 0259-1605 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 [USPU] INTRAMUSCULAR BLA 31 sections
Xeomin HUMAN PRESCRIPTION DRUG LABEL 1 0259-1610 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 100 [USPU] INTRAMUSCULAR BLA 31 sections
Xeomin HUMAN PRESCRIPTION DRUG LABEL 1 0259-1610 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 100 [USPU] INTRAMUSCULAR BLA 31 sections
Xeomin HUMAN PRESCRIPTION DRUG LABEL 1 0259-1620 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 200 [USPU] INTRAMUSCULAR BLA 31 sections
Xeomin HUMAN PRESCRIPTION DRUG LABEL 1 0259-1620 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 200 [USPU] INTRAMUSCULAR BLA 31 sections
Xeomin HUMAN PRESCRIPTION DRUG LABEL 1 0259-4110 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 100 [USPU] INTRAMUSCULAR BLA 31 sections
Xeomin HUMAN PRESCRIPTION DRUG LABEL 1 0259-4110 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 100 [USPU] INTRAMUSCULAR BLA 31 sections
Xeomin HUMAN PRESCRIPTION DRUG LABEL 1 0259-4150 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 [USPU] INTRAMUSCULAR BLA 31 sections
Xeomin HUMAN PRESCRIPTION DRUG LABEL 1 0259-4150 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 [USPU] INTRAMUSCULAR BLA 31 sections
Dysport HUMAN PRESCRIPTION DRUG LABEL 1 0299-5962 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 300 U INTRAMUSCULAR BLA 33 sections
Dysport HUMAN PRESCRIPTION DRUG LABEL 1 0299-5962 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 300 U INTRAMUSCULAR BLA 33 sections
Dysport HUMAN PRESCRIPTION DRUG LABEL 1 0299-5962 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 300 U INTRAMUSCULAR BLA 33 sections
Dysport HUMAN PRESCRIPTION DRUG LABEL 1 15054-0500 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 500 U INTRAMUSCULAR BLA 31 sections
Dysport HUMAN PRESCRIPTION DRUG LABEL 1 15054-0500 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 500 U INTRAMUSCULAR BLA 31 sections
Dysport HUMAN PRESCRIPTION DRUG LABEL 1 15054-0530 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 300 U INTRAMUSCULAR BLA 31 sections
Dysport HUMAN PRESCRIPTION DRUG LABEL 1 15054-0530 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 300 U INTRAMUSCULAR BLA 31 sections
Xeomin HUMAN PRESCRIPTION DRUG LABEL 1 46783-160 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 100 [USPU] INTRAMUSCULAR BLA 31 sections