Adenosine 5g/500ml solution for infusion bottles
Requires a prescription from a doctor or prescriber
Anti-arrhythmic drugs
Official documents, adverse reaction reporting, and safety monitoring
Report a side effect
Submit a Yellow Card report to the MHRA
Official medicine documents
Safety monitoring data
Yellow Card reports
The MHRA Yellow Card scheme collects reports of suspected side effects from healthcare professionals and patients. View the Drug Analysis Profile (iDAP) for real-world adverse reaction data.
View Drug Analysis Profile
Suspected adverse reactions reported for Adenosine
Browse all iDAP reports
Interactive Drug Analysis Profiles for all medicines
Report a side effect
Submit a Yellow Card report to the MHRA
Data from the MHRA Yellow Card scheme. A reported reaction does not necessarily mean the medicine caused it. Contains public sector information licensed under the Open Government Licence v3.0.
EudraVigilance
The European Medicines Agency (EMA) collects suspected adverse reaction reports from across the EU/EEA through the EudraVigilance system. Search for safety data on this medicine.
View EudraVigilance report
Suspected adverse reactions reported for Adenosine
About EudraVigilance
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EudraVigilance data is published by the European Medicines Agency (EMA). A suspected adverse reaction is not necessarily caused by the medicine.
1 branded products available
Therapeutically similar medicines
Similarity based on WHO Anatomical Therapeutic Chemical (ATC) classification and NHS BNF section grouping. Source data: NHS dm+d via TRUD (OGL v3.0), WHO ATC/DDD Index.
NHS prescribing volume and spending trends
Clinical guidelines and formulary information
British National Formulary
Adenosine
Source: British National Formulary, NICE. Joint Formulary Committee. Contains public sector information licensed under the Open Government Licence v3.0.
NICE clinical guidance(13)
Strimvelis for treating adenosine deaminase deficiency–severe combined immunodeficiency (HST7)
Tuberculosis (NG33)
Ticagrelor for preventing atherothrombotic events after myocardial infarction (TA420)
Recent-onset chest pain of suspected cardiac origin: assessment and diagnosis (CG95)
Clopidogrel and modified-release dipyridamole for the prevention of occlusive vascular events (TA210)
QAngio XA 3D QFR and CAAS vFFR imaging software for assessing coronary stenosis during invasive coronary angiography (HTG571)
The PressureWire fractional flow reserve measurement system for coronary artery disease (MIB2)
Dyspepsia and gastro‑oesophageal reflux disease in adults (QS96)
Ticagrelor for the treatment of acute coronary syndromes (TA236)
CytoSorb for reducing risk of bleeding during cardiac surgery (MIB249)
Prasugrel with percutaneous coronary intervention for treating acute coronary syndromes (TA317)
Asfotase alfa for treating paediatric-onset hypophosphatasia (HST23)
Idebenone for treating visual impairment in Leber's hereditary optic neuropathy in people 12 years and over (TA1093)
Source: National Institute for Health and Care Excellence (NICE). Contains public sector information licensed under the Open Government Licence v3.0.
Check stock at pharmacies and supply information
Pharmacy stock checkers
Search for this medicine at major UK pharmacy chains. These links open the retailer's own website — results depend on their current online catalogue.
Supply & product information
Official product databases and supply status monitoring
Pharmacy links redirect to the retailer's own search and do not represent real-time stock levels. emc (electronic medicines compendium) is operated by Datapharm Ltd. Shortage information sourced from NHS Specialist Pharmacy Service (SPS), sps.nhs.uk.
Codes for healthcare professionals and prescribing systems
These codes are used by healthcare IT systems and prescribers to identify this medicine.
NHS UK identifiers
Browse tools
SNOMED CT and dm+d codes from NHS TRUD (Technology Reference data Update Distribution), licensed under the Open Government Licence v3.0. BNF codes from NHS Business Services Authority (NHSBSA). ATC codes from the WHO Collaborating Centre for Drug Statistics Methodology (whocc.no).
Active and completed clinical studies from ClinicalTrials.gov
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine (NLM), National Institutes of Health (NIH). Data accessed via ClinicalTrials.gov API v2. Trial information is provided for research purposes and does not constitute medical advice.
Pharmacology and chemical data from DrugBank
Key facts
Drug status
Approved
Major interactions
None known
Half-life
Not available
Mechanism
Agonism of adenosine receptors A1 and A2 reduces conduction time in the atrioventricular node of the heart.
Food interactions
1 warning
Human targets
4 targets
Data: DrugBank · CC BY-NC 4.0
Pharmacokinetics at a glance
Absorption
[A229813]
Half-life
10 seconds
[L31983]
Protein binding
[A229808]
Volume of distribution
[A229813]
Metabolism
[A229788][L31983]…
Elimination
[A229793][L31983]
Clearance
[A229813]
Pharmacokinetic data: DrugBank · CC BY-NC 4.0
Adenosine was granted FDA approval on 30 October 1989.[L31978]
[L31983]
It is also indicated to convert sinus rhythm of paroxysmal supraventricular tachycardia.
[L31998]
Known interactions with other medications. Always consult a healthcare professional.
Showing 50 of 698 interactions
[A187466]
Patients experiencing an overdose should be treated with symptomatic and supportive care, which may include a slow intravenous injection of [theophylline].
[L31983]
The LD50 in mice is >20 g/kg subcutaneously, 500mg/kg intraperitoneally, and 39.6 µg/kg subcutaneously.
[L32048]
How the body processes this drug — absorption, distribution, metabolism, and elimination
[A229813]
[L31983]
[A229808]
[A229813]
[A229788][L31983]
From there, it is phosphorylated again by adenylate kinase 1 to form adenosine diphosphate, and again by nucleoside diphosphate kinase A or B to form adenosine triphosphate.
[A229788][L31983]
Alternatively, adenosine can be deaminated by adenosine deaminase to form inosine.
[A229788][L31983]
Iosine is phosphorylated by purine nucleoside phosphorylase to form hypoxanthine.
[A229788][L31983]
Hypoxanthine undergoes oxidation by xanthine dehydrogenase twice to form the metabolites xanthine, followed by uric acid.
[A229793][L31983]
[A229793][L31983]
[A229813]
Proteins and enzymes this drug interacts with in the body
Enzymes involved in drug metabolism — important for understanding drug interactions
Proteins that transport this drug across cell membranes
PMID:10722669 PMID:10755314 PMID:12527552 PMID:14759222 PMID:15037197 PMID:17379602 PMID:21795683 PMID:26406980 PMID:27995448 PMID:35790189 PMID:8986748
Functions as a Na(+)-independent transporter .
PMID:8986748
Involved in the transport of nucleosides such as adenosine, guanosine, inosine, uridine, thymidine and cytidine .
PMID:10722669 PMID:10755314 PMID:12527552 PMID:14759222 PMID:15037197 PMID:17379602 PMID:26406980 PMID:8986748
Also transports purine nucleobases (hypoxanthine, adenine, guanine) and pyrimidine nucleobases (thymine, uracil) .
PMID:21795683 PMID:27995448
Mediates basolateral nucleoside uptake into Sertoli cells, thereby regulating the transport of nucleosides in testis across the blood-testis barrier (By similarity). Regulates inosine levels in brown adipocytes tissues (BAT) and extracellular inosine levels, which controls BAT-dependent energy expenditure PMID:35790189
PMID:10722669 PMID:12527552 PMID:12590919 PMID:16214850 PMID:21795683 PMID:9396714 PMID:9478986
Functions as a Na(+)-independent, passive transporter .
PMID:9478986
Involved in the transport of nucleosides such as inosine, adenosine, uridine, thymidine, cytidine and guanosine .
PMID:10722669 PMID:12527552 PMID:12590919 PMID:16214850 PMID:21795683 PMID:9396714 PMID:9478986
Also able to transport purine nucleobases (hypoxanthine, adenine, guanine) and pyrimidine nucleobases (thymine, uracil) .
PMID:16214850 PMID:21795683
Involved in nucleoside transport at basolateral membrane of kidney cells, allowing liver absorption of nucleoside metabolites .
PMID:12527552
Mediates apical nucleoside uptake into Sertoli cells, thereby regulating the transport of nucleosides in testis across the blood-testis-barrier .
PMID:23639800
Mediates both the influx and efflux of hypoxanthine in skeletal muscle microvascular endothelial cells to control the amount of intracellular hypoxanthine available for xanthine oxidase-mediated ROS production (By similarity)
PMID:15701636 PMID:19164483 PMID:20595384 PMID:28729424
Functions as a non-electrogenic Na(+)-independent transporter .
PMID:15701636 PMID:19164483 PMID:28729424
Substrate transport is pH-dependent and enhanced under acidic condition, probably reflecting the location of the transporter in acidic intracellular compartments .
PMID:15701636 PMID:19164483 PMID:28729424
Proton is not a cotransporting ion but most likely change the ionization state of the transporter which dictates transport-permissible/impermissible conformation for nucleoside translocation .
PMID:28729424
May direct the nucleoside transport from lysosomes to cytosol or cytosol to mitochondria to facilitate the fundamental function of salvage synthesis of nucleic acids .
PMID:28729424
Involved in the transport of nucleosides (adenosine, guanosine, uridine, thymidine, cytidine and inosine) and deoxynucleosides (deoxyadenosine, deoxycytidine) .
PMID:15701636 PMID:19164483 PMID:20595384 PMID:28729424
Also mediates transport of purine nucleobases (adenine, guanine) and pyrimidine nucleobases (uracil) .
PMID:15701636 PMID:19164483
Also able to transport monoamine neurotransmitters dopamine, serotonin, noradrenaline and tyramine .
PMID:19164483
Capable of transporting ATP .
PMID:19164483
Mediates nucleoside export from lysosomes in macrophages, which regulates macrophage functions and numbers (By similarity)
PMID:15448143 PMID:16099839 PMID:16873718 PMID:17018840 PMID:17121826 PMID:20592246 PMID:20858707 PMID:22396231 PMID:31537831
Utilizes the physiologic inside-negative membrane potential as a driving force to facilitate cellular uptake of organic cations .
PMID:15448143 PMID:20592246 PMID:22396231
Functions as a Na(+)- and Cl(-)-independent bidirectional transporter .
PMID:15448143 PMID:16099839 PMID:22396231 PMID:31537831
Substrate transport is pH-dependent and enhanced under acidic condition, which is most likely the result of allosteric changes in the transporter structure .
PMID:16873718 PMID:17018840 PMID:20592246 PMID:22396231 PMID:31537831
Implicated in monoamine neurotransmitters uptake such as serotonin, dopamine, adrenaline/epinephrine, noradrenaline/norepinephrine, histamine and tyramine, thereby supporting a role in homeostatic regulation of aminergic neurotransmission in the central nervous system .
PMID:15448143 PMID:16099839 PMID:17018840 PMID:17121826 PMID:20858707 PMID:22396231
Also responsible for the uptake of bioactive amines and drugs through the blood-cerebrospinal fluid (CSF) barrier, from the CSF into choroid plexus epithelial cells, thereby playing a significant role in the clearance of cationic neurotoxins, xenobiotics and metabolic waste in the brain (By similarity). Involved in bidirectional transport of the purine nucleoside adenosine and plays a role in the regulation of extracellular adenosine concentrations in cardiac tissues, in particular during ischemia .
PMID:16873718 PMID:20592246 PMID:31537831
May be involved in organic cation uptake from the tubular lumen into renal tubular cells, thereby contributing to organic cation reabsorption in the kidney .
PMID:17018840
Also transports guanidine PMID:16099839
PMID:10455109 PMID:14701834 PMID:15194733 PMID:21795683 PMID:21998139 PMID:30658162 PMID:32126230 PMID:9124315
Involved in renal nucleoside (re)absorption PMID:30658162
PMID:10087507 PMID:9435697
Exhibits the transport characteristics of the nucleoside transport system cif or N1 subtype (N1/cif) (selective for purine nucleosides and uridine) .
PMID:10087507 PMID:21795683 PMID:9435697
Plays a critical role in specific uptake and salvage of purine nucleosides in kidney and other tissues .
PMID:9435697
May contribute to regulate the transport of organic compounds in testes across the blood-testis-barrier (Probable)
Negative regulator of bladder functional capacity: acts by enhancing intercellular electrical and chemical transmission, thus sensitizing bladder muscles to cholinergic neural stimuli and causing them to contract (By similarity). May play a role in cell growth inhibition through the regulation of NOV expression and localization. Plays an essential role in gap junction communication in the ventricles (By similarity)
PMID:11032837 PMID:15861042 PMID:16446384 PMID:17140564 PMID:21998139
Involved in the homeostasis of endogenous nucleosides .
PMID:11032837 PMID:15861042
Exhibits the transport characteristics of the nucleoside transport system cib or N3 subtype (N3/cib) (with marked transport of both thymidine and inosine) .
PMID:11032837
Employs a 2:1 sodium/nucleoside ratio .
PMID:11032837
Transports uridine .
PMID:21795683
Also able to transport gemcitabine, 3'-azido-3'-deoxythymidine (AZT), ribavirin and 3-deazauridine PMID:11032837 PMID:17140564
Proteins that carry this drug through the body
PMID:19021548
Major calcium and magnesium transporter in plasma, binds approximately 45% of circulating calcium and magnesium in plasma (By similarity).
Potentially has more than two calcium-binding sites and might additionally bind calcium in a non-specific manner (By similarity). The shared binding site between zinc and calcium at residue Asp-273 suggests a crosstalk between zinc and calcium transport in the blood (By similarity). The rank order of affinity is zinc > calcium > magnesium (By similarity).
Binds to the bacterial siderophore enterobactin and inhibits enterobactin-mediated iron uptake of E.coli from ferric transferrin, and may thereby limit the utilization of iron and growth of enteric bacteria such as E.coli .
PMID:6234017
Does not prevent iron uptake by the bacterial siderophore aerobactin PMID:6234017
Involved compounds
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Involved compounds
ATC C01EB10
Chemical identifiers
CAS, UNII, InChI Key and database cross-references
Show
Chemical identifiers
CAS, UNII, InChI Key and database cross-references
Linked compound data from DrugBank Open Data (CC BY-NC 4.0)
Adenosine
Additional database identifiers
Drugs Product Database (DPD)
4732
ChemSpider
54923
BindingDB
14487
PDB
ADN
ZINC
ZINC000002169830
HUGO Gene Nomenclature Committee (HGNC)
HGNC:262
GenAtlas
ADORA1
GeneCards
ADORA1
GenBank Gene Database
S45235
GenBank Protein Database
256155
Guide to Pharmacology
18
UniProt Accession
AA1R_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:263
GenAtlas
ADORA2A
GeneCards
ADORA2A
GenBank Gene Database
M97370
GenBank Protein Database
177892
Guide to Pharmacology
19
UniProt Accession
AA2AR_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:264
GenAtlas
ADORA2B
GeneCards
ADORA2B
GenBank Gene Database
M97759
GenBank Protein Database
178150
Guide to Pharmacology
20
UniProt Accession
AA2BR_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:268
GenAtlas
ADORA3
GeneCards
ADORA3
GenBank Gene Database
L20463
GenBank Protein Database
349449
Guide to Pharmacology
21
UniProt Accession
AA3R_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:361
GenAtlas
AK1
GeneCards
AK1
GenBank Gene Database
J04809
GenBank Protein Database
178322
UniProt Accession
KAD1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:7849
GenAtlas
NME1
GeneCards
NME1
GenBank Gene Database
X75598
UniProt Accession
NDKA_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:7850
GenAtlas
NME2
GeneCards
NME2
GenBank Gene Database
X58965
UniProt Accession
NDKB_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:7892
GenAtlas
NP
GeneCards
PNP
GenBank Gene Database
X00737
GenBank Protein Database
35565
Guide to Pharmacology
2841
UniProt Accession
PNPH_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:12805
GenAtlas
XDH
GeneCards
XDH
GenBank Gene Database
D11456
GenBank Protein Database
10336525
Guide to Pharmacology
2646
UniProt Accession
XDH_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:186
GenAtlas
ADA
GeneCards
ADA
GenBank Gene Database
X02994
GenBank Protein Database
28380
Guide to Pharmacology
1230
UniProt Accession
ADA_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:257
GeneCards
ADK
GenBank Gene Database
U50196
GenBank Protein Database
1224125
Guide to Pharmacology
1231
UniProt Accession
ADK_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:399
GenAtlas
ALB
GeneCards
ALB
GenBank Gene Database
V00494
GenBank Protein Database
28590
UniProt Accession
ALBU_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:11003
GenAtlas
SLC29A1
GeneCards
SLC29A1
GenBank Gene Database
U81375
GenBank Protein Database
1845345
Guide to Pharmacology
1117
UniProt Accession
S29A1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:11004
GeneCards
SLC29A2
UniProt Accession
S29A2_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:23096
GeneCards
SLC29A3
UniProt Accession
S29A3_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:23097
GeneCards
SLC29A4
Guide to Pharmacology
1120
UniProt Accession
S29A4_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:11001
GeneCards
SLC28A1
UniProt Accession
S28A1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:11002
GeneCards
SLC28A2
Guide to Pharmacology
1115
UniProt Accession
S28A2_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:4274
GenAtlas
GJA1
GeneCards
GJA1
GenBank Gene Database
X52947
GenBank Protein Database
29917
UniProt Accession
CXA1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:16484
GeneCards
SLC28A3
GenBank Gene Database
AF305210
GenBank Protein Database
10732815
Guide to Pharmacology
1116
UniProt Accession
S28A3_HUMAN
International reference pricing
Reference pricing from DrugBank. Prices are indicative and may not reflect current UK costs.
Source: DrugBank. Used under CC BY-NC 4.0 academic licence for non-commercial purposes.
Patent information
All patents expired, 1 expired
Source: DrugBank · CC BY-NC 4.0. Patent data sourced from national patent offices. Expiry dates may not reflect extensions, regulatory exclusivity periods, or legal challenges.
DrugBank citations
If you use DrugBank data in your research, please cite the following publications: