Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Pimavanserin
Drug ID BADD_D02451
Description Psychotic symptoms associated with Parkinson's disease (PD) are relatively common, reducing quality of life and prognosis for individuals with PD.[A232783] Pimavanserin (ACP-103), marketed under the trade name Nuplazid, is a drug developed by Acadia Pharmaceuticals for the treatment of psychosis related to Parkinson's disease. Due to its actions at serotonin receptors and lack of effects on dopamine receptors, pimavanserin treats hallucinations and delusions without causing extrapyramidal symptoms.[A232613] It was initially approved by the FDA in 2016 and is now under review as a potential treatment for dementia related psychosis. As of April 2021, FDA approval has not been granted for this indication, despite previous breakthrough designation.[L32913]
Indications and Usage Investigated for use/treatment in neurologic disorders, parkinson's disease, psychosis, schizophrenia and schizoaffective disorders, and sleep disorders.
Marketing Status Not Available
ATC Code N05AX17
DrugBank ID DB05316
KEGG ID D08969
MeSH ID C510793
PubChem ID 10071196
TTD Drug ID D0J8JP
NDC Product Code Not Available
Synonyms pimavanserin | N-(4-fluorophenylmethyl)-N-(1-methylpiperidin-4-yl)-N'-(4-(2-methylpropyloxy)phenylmethyl)carbamide | ACP 103 | ACP103 | ACP-103 | Nuplazid | pimavanserin tartrate | urea, n-((4-fluorophenyl)methyl)-n-(1-methyl-4-piperidinyl)-n'-((4-(2-methylpropoxy)phenyl)methyl)-, (2R,3R)-2,3-dihydroxybutanedioate (2:1) | bis(1-(4-fluorobenzyl)-1-(1-methylpiperidin-4-yl)-3-(4-(2-methylpropoxy)benzyl)urea) (2R,3R)-2,3-dihydroxybutanedioate
Chemical Information
Molecular Formula C25H34FN3O2
CAS Registry Number 706779-91-1
SMILES CC(C)COC1=CC=C(C=C1)CNC(=O)N(CC2=CC=C(C=C2)F)C3CCN(CC3)C
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Dysstasia17.02.02.0120.006622%Not Available
Contusion24.07.06.001; 23.03.11.002; 15.03.01.008; 12.01.06.001--
Suprapubic pain08.01.08.0170.000602%Not Available
Dyschezia07.02.03.0050.000602%Not Available
Ocular discomfort06.08.03.0080.000602%Not Available
Musculoskeletal stiffness15.03.01.0050.004515%Not Available
Secretion discharge08.01.03.0190.000903%Not Available
Skin burning sensation23.03.03.021; 17.02.06.0090.000602%Not Available
Fluid intake reduced14.05.10.0010.000393%Not Available
Faecaloma07.01.03.0040.000903%Not Available
Paraesthesia oral17.02.06.008; 07.05.03.0030.000602%Not Available
Cognitive disorder19.21.02.001; 17.03.03.0030.006622%
Staphylococcal infection11.02.05.0020.001204%Not Available
Lung neoplasm malignant16.19.02.001; 22.08.01.001--Not Available
Restless legs syndrome17.02.07.008; 15.05.03.0120.000903%Not Available
Hot flush24.03.01.005; 21.02.02.001; 08.01.03.027--
Prostate cancer21.04.02.002; 16.25.01.0010.000393%Not Available
Freezing phenomenon17.01.05.0060.002709%Not Available
Cardiac disorder02.01.01.003--Not Available
Feeding disorder14.03.02.003; 19.09.01.0030.003311%Not Available
Pelvic fracture15.08.06.001; 12.04.06.0010.000602%Not Available
Inflammation08.01.05.007--Not Available
Limb discomfort15.03.04.0140.002107%Not Available
Mental disorder19.07.01.002--Not Available
Motor dysfunction17.02.10.0040.000903%Not Available
Upper limb fracture15.08.03.018; 12.04.01.0180.002408%Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Psychiatric symptom19.01.02.0010.003311%Not Available
Ill-defined disorder08.01.03.0490.001806%Not Available
Parkinson's disease17.01.05.0100.009344%Not Available
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