Drug Toxicity

UMLS: C0013221
Basic Information
Severity Level:
Severe
UMLS ID:
C0013221
MeSH ID:
Synonyms:
Drug Toxicity
Drug Toxicity
Drug Intoxication
Drug Poisoning
Drug Poisoning, Nos
Drug Toxicity
Intoxication By Drug
Intoxication Caused By Drug
Medication Toxicity
Medicament Poisoning
Medicinal Poisoning
Overdose Of Drug With Toxic Effect
Poison;Medicinal
Poisoning By Drug And/Or Medicinal Substance
Poisoning By Drug Or Medicinal Substance
Poisoning By Unspecified Drug Or Medicinal Substance
Poisoning Caused By Drug And/Or Medicinal Substance
Poisoning Caused By Drug Or Medicinal Substance
Substance Intoxication
Pharmacogenomic Information
PharmGKB
PharmGKB References:

Risk-Increasing Variants (121)

CYP2C19*1, CYP2C19*2
Effect: Risk Increase
CYP2C19*1, CYP2C19*2, CYP2C19*3
Effect: Risk Increase
CYP2C9*1, CYP2C9*2, CYP2C9*3
Effect: Risk Increase
CYP2D6 intermediate metabolizer
Effect: Risk Increase
CYP2D6 poor metabolizer
Effect: Risk Increase
CYP2D6*1, CYP2D6*1xN, CYP2D6*2, CYP2D6*4, CYP2D6*5, CYP2D6*10, CYP2D6*41
Effect: Risk Increase
CYP2D6*1, CYP2D6*4
Effect: Risk Increase
CYP2D6*3, CYP2D6*4, CYP2D6*5, CYP2D6*6
Effect: Risk Increase
CYP3A5*1, CYP3A5*3
Effect: Risk Increase
CYP3A5*3
Effect: Risk Increase
DPYD c.1129-5923C>G, c.1236G>A (HapB3)
Effect: Risk Increase
DPYD deficiency
Effect: Risk Increase
DPYD low activity
Effect: Risk Increase
GSTM1 non-null, GSTM1 null
Effect: Risk Increase
HLA-A*11:01
Effect: Risk Increase
HLA-A*31:01
Effect: Risk Increase
HLA-B*15:27
Effect: Risk Increase
HLA-B*35:01
Effect: Risk Increase
HLA-B*51:01
Effect: Risk Increase
HLA-C*04:01
Effect: Risk Increase
HLA-DRB1*01:01
Effect: Risk Increase
NUDT15*2, NUDT15*3, NUDT15*5, NUDT15*6
Effect: Risk Increase
SLC22A1 low activity
Effect: Risk Increase
SLCO1B1 deficiency
Effect: Risk Increase
SLCO1B1*1, SLCO1B1*5
Effect: Risk Increase
TPMT*1, TPMT*3A, TPMT*3C
Effect: Risk Increase
UGT1A1*1, UGT1A1*28
Effect: Risk Increase
UGT1A1*1, UGT1A1*6, UGT1A1*28
Effect: Risk Increase
poor metabolizer genotype
Effect: Risk Increase
rs10106
Effect: Risk Increase
rs10258429
Effect: Risk Increase
rs10280623
Effect: Risk Increase
rs1041983
Effect: Risk Increase
rs1045642
Effect: Risk Increase
rs1051266
Effect: Risk Increase
rs10817464
Effect: Risk Increase
rs11249454
Effect: Risk Increase
rs11280056
Effect: Risk Increase
rs1128503
Effect: Risk Increase
rs11615
Effect: Risk Increase
rs11861118
Effect: Risk Increase
rs1208
Effect: Risk Increase
rs12995526
Effect: Risk Increase
rs13120400
Effect: Risk Increase
rs1334802
Effect: Risk Increase
rs143004875
Effect: Risk Increase
rs1650697
Effect: Risk Increase
rs17143212
Effect: Risk Increase
rs17327624
Effect: Risk Increase
rs17376848
Effect: Risk Increase
rs17602729
Effect: Risk Increase
rs1799793
Effect: Risk Increase
rs1799929
Effect: Risk Increase
rs1799930
Effect: Risk Increase
rs1799931
Effect: Risk Increase
rs1800497
Effect: Risk Increase
rs1801019
Effect: Risk Increase
rs1801131
Effect: Risk Increase
rs1801133
Effect: Risk Increase
rs1801158
Effect: Risk Increase
rs1801160
Effect: Risk Increase
rs1801265
Effect: Risk Increase
rs1801280
Effect: Risk Increase
rs1801394
Effect: Risk Increase
rs2016520
Effect: Risk Increase
rs2054675
Effect: Risk Increase
rs2231142
Effect: Risk Increase
rs2236861
Effect: Risk Increase
rs2244613
Effect: Risk Increase
rs2244614
Effect: Risk Increase
rs2270860
Effect: Risk Increase
rs2273697
Effect: Risk Increase
rs2279744
Effect: Risk Increase
rs2297595
Effect: Risk Increase
rs2305948
Effect: Risk Increase
rs2306283
Effect: Risk Increase
rs2372536
Effect: Risk Increase
rs2699887
Effect: Risk Increase
rs2786783
Effect: Risk Increase
rs2811178
Effect: Risk Increase
rs2853539
Effect: Risk Increase
rs2959023
Effect: Risk Increase
rs3025039
Effect: Risk Increase
rs305968
Effect: Risk Increase
rs316009
Effect: Risk Increase
rs316019
Effect: Risk Increase
rs3217164
Effect: Risk Increase
rs35599367
Effect: Risk Increase
rs363341
Effect: Risk Increase
rs3745274
Effect: Risk Increase
rs3786547
Effect: Risk Increase
rs3821353
Effect: Risk Increase
rs3918290
Effect: Risk Increase
rs4035887
Effect: Risk Increase
rs4149056
Effect: Risk Increase
rs4244285
Effect: Risk Increase
rs4253728
Effect: Risk Increase
rs4430924
Effect: Risk Increase
rs45445694
Effect: Risk Increase
rs4864950
Effect: Risk Increase
rs50872
Effect: Risk Increase
rs55886062
Effect: Risk Increase
rs56038477
Effect: Risk Increase
rs56293913
Effect: Risk Increase
rs628031
Effect: Risk Increase
rs67376798
Effect: Risk Increase
rs683369
Effect: Risk Increase
rs712830
Effect: Risk Increase
rs71647871
Effect: Risk Increase
rs7170924
Effect: Risk Increase
rs717620
Effect: Risk Increase
rs7187684
Effect: Risk Increase
rs7270101
Effect: Risk Increase
rs75017182
Effect: Risk Increase
rs7563206
Effect: Risk Increase
rs7997012
Effect: Risk Increase
rs836554
Effect: Risk Increase
rs868755
Effect: Risk Increase
rs895819
Effect: Risk Increase
rs9567733
Effect: Risk Increase
rs9787901
Effect: Risk Increase

Risk-Decreasing Variants (36)

HLA-A*02:01
Effect: Risk Decrease
rs10106
Effect: Risk Decrease
rs1045642
Effect: Risk Decrease
rs1124491
Effect: Risk Decrease
rs11280056
Effect: Risk Decrease
rs1128503
Effect: Risk Decrease
rs11545078
Effect: Risk Decrease
rs12659
Effect: Risk Decrease
rs13058338
Effect: Risk Decrease
rs1799929
Effect: Risk Decrease
rs1800566
Effect: Risk Decrease
rs1801133
Effect: Risk Decrease
rs1801265
Effect: Risk Decrease
rs1937840
Effect: Risk Decrease
rs2072671
Effect: Risk Decrease
rs2231142
Effect: Risk Decrease
rs2233914
Effect: Risk Decrease
rs2235040
Effect: Risk Decrease
rs2236225
Effect: Risk Decrease
rs2299939
Effect: Risk Decrease
rs2669429
Effect: Risk Decrease
rs274558
Effect: Risk Decrease
rs28399499
Effect: Risk Decrease
rs3045983
Effect: Risk Decrease
rs315498
Effect: Risk Decrease
rs3745274
Effect: Risk Decrease
rs4294451
Effect: Risk Decrease
rs45445694
Effect: Risk Decrease
rs4673
Effect: Risk Decrease
rs4880
Effect: Risk Decrease
rs648743
Effect: Risk Decrease
rs683369
Effect: Risk Decrease
rs7311358
Effect: Risk Decrease
rs7625907
Effect: Risk Decrease
rs8187996
Effect: Risk Decrease
rs9973653
Effect: Risk Decrease
Total Variants: 157
Risk Increase: 121
Risk Decrease: 36
Classification Hierarchy
MeSH Tree Number breakdown for C0013221
C25
Chemically-Induced Disorders
Category: Chemically-Induced Disorders Parent: C (Diseases) Level: 0
C25.100
Drug-Related Side Effects and Adverse Reactions
Category: Chemically-Induced Disorders Parent: C25 Level: 1 Tree Number: C25.100
ADE Molecular Mechanism Mapping

Drug-ADE-Human Protein Triplets

Molecular mechanism triplets showing drug-adverse event-protein relationships

2125 Total Triplets
119 High Confidence
Loading Drug-ADE-Protein triplets...
Personalized Drug-Protein-ADE Network

Comprehensive Information for Personalized ADE

Comprehensive Information and Reliability for Drug-ADE Association

Drug Confidence Filter
DTA Confidence Level
Layout Style
Show Labels
Total Drugs
1220
111 High | 138 Medium | 971 Low Confidence
Total Proteins
98
Target proteins associated with this ADE
Drug-Protein-ADE association
9361
22 Known | 97 High | 2006 Middle | 7236 Low Confidence
Confidence Profile
23%
Known/High/Middle-confidence interactions

This interactive network visualization shows the relationships between the top 50 drugs (ranked by case number) out of 1220 total drugs associated with this adverse event, their known and potential off-target proteins, and the associated adverse effect. The connections indicate binding interactions and mechanistic pathways.

Adverse Drug Event (ADE)
Drug
Protein
Drug-Center
Human Protein-Center
confidence level

Drug Confidence Level Distribution

Drug Type Distribution

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Pharmacological Target Class Distribution

Top 8 Function Target Sub Classes

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The Introduction of Drug-AE Confidence Score Grade
Priority Level Score Range Description Evidence Characteristics
High Score ≥ 6.67
High-priority associations requiring immediate attention.
Strong evidence across multiple dimensions with high statistical significance, robust association measures, and substantial case numbers. Warrant priority pharmacovigilance action. High P-value scores (significant Adjust-P), Strong ROR/PRR values, Substantial case numbers, Complete dimensional coverage, Minimal data filtering needed.
Medium 3.33 ≤ Score < 6.67
Medium-priority associations requiring careful evaluation.
Moderate evidence quality with acceptable statistical significance and association strength. May need additional validation or monitoring before definitive action. Moderate P-value significance, Reasonable ROR/PRR measures, Adequate case numbers, Partial dimensional coverage, Some data quality considerations.
Low Score < 3.33
Low-priority associations with limited evidence strength.
May represent weak signals, insufficient data, or associations requiring extensive additional investigation before any regulatory or clinical consideration. Weak P-value significance, Low association measures, Limited case numbers, Incomplete dimensional data, Significant data filtering applied.
PersDTA overview
The Introduction of Drug-AE Severity Score Grade
Severity Level Score Range Description Typical outcomes
Minimal 0 ≤ Score ≤ 0.387
Low severity ADRs requiring minimal intervention.
Events that need medical attention to prevent permanent damage but without hospitalization or life-threatening consequences. Primarily RI (Required Intervention) outcomes, Outpatient management, Preventive measures, Early intervention prevents escalation.
Mild 0.387 < Score ≤ 0.861
Mild severity events requiring hospitalization.
Mix of intervention-required and hospitalization cases with manageable clinical outcomes and good recovery potential. Mix of RI and HO outcomes, Initial or prolonged hospitalization, Active medical management, Generally favorable prognosis.
Moderate 0.861 < Score ≤ 1.500
Moderate ADRs resulting in permanent disability.
Higher proportion of hospitalization and disability cases requiring intensive medical management and long-term care planning. Increased HO and DS outcomes, Permanent disability, Extended hospitalization, Rehabilitation required, Long-term functional impairment.
Severe 1.500 < Score ≤ 2.52
High severity life-threatening events with significant morbidity.
Notable presence of disability and life-threatening outcomes requiring emergency intervention and intensive care management. Prominent DS and LT outcomes, Life-threatening events, Emergency intervention required, ICU admission, High risk of permanent consequences.
Critical 2.524 < Score ≤ 5.000
Critical life-threatening or fatal ADRs with maximum clinical impact.
High proportion of life-threatening events and deaths with very strong drug-event associations requiring immediate regulatory action. Significant LT and DE outcomes, Fatal events, Emergency life-support measures, Immediate drug discontinuation, Regulatory safety alerts.
The Introduction of Drug-AE-Protein Confidence Score Grade
Confidence Level Relationships Description Evidence Types
Known/Valid Direct DTA relationships The drug-ADE, drug-target, and target-ADE associations are all derived from the same literature source. Experimental validation, Clinical evidence
High DT + TA + DA Two of the three associations (drug-ADE, drug-target, and target-ADE) are derived from the same literature source, while the third is validated by other literature. Multiple corroborating sources
Medium DT + TA + DA Two of the three associations (drug-ADE, drug-target, and target-ADE) are validated by separate literature sources. Partial evidence chain
Low TA + DT Only target-ADE and drug-target associations are validated by literature sources. Associative evidence only
Personalized ADE

Route and Formulation-specified Associations

Pharmaceutic Granularity for Route and Formulation specification

Administration Routes (Total: 12188 cases across 30 routes)

Dosage Forms (Total: 0 cases across 0 forms)

No form data available

Drug Route Analysis
Drug Form Analysis

Drug Route Analysis

Route Drug Name Case Number Confidence Score Confidence Level Severity Score Severity Level Details
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Drug Form Analysis

Form Drug Name Case Number Confidence Score Confidence Level Severity Score Severity Level Details
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Disease-stratified Associations

Personalized Granularity for Disease and Indication Stratification

Indication Name
Drug Name
Case Number
Confidence Score
Confidence Level
Severity Score
Severity Level
Details