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)
Respiratory syncytial virus infection22.07.02.002; 11.05.13.0010.000602%Not Available
Abnormal sleep-related event19.02.03.009; 17.15.02.0070.001204%Not Available
Bone marrow disorder01.05.01.0060.000157%Not Available
Disease progression08.01.03.038--
Drug intolerance08.06.01.013--Not Available
Obstructive airways disorder22.03.01.0110.000602%Not Available
Psychotic disorder19.03.01.0020.018963%
Renal impairment20.01.03.010--Not Available
Unevaluable event08.01.03.051--Not Available
Poor quality sleep17.15.04.002; 19.02.05.0050.003612%Not Available
Muscle contracture15.03.01.0100.000602%Not Available
Bowel movement irregularity07.02.03.0030.000602%Not Available
Hypophagia19.09.01.004; 14.03.01.006; 07.01.06.0100.002408%Not Available
Skin abrasion23.03.11.018; 12.01.06.0100.000903%Not Available
Hypersexuality19.08.03.0050.000602%Not Available
Dementia with Lewy bodies19.20.02.003; 17.03.01.0040.001178%Not Available
Oropharyngeal pain22.02.05.022; 07.05.05.004--
Terminal insomnia19.02.01.004; 17.15.03.0040.000903%Not Available
Upper-airway cough syndrome22.02.05.0300.000602%
Slow speech19.19.02.004; 17.02.08.0160.000602%Not Available
Glassy eyes08.01.03.055; 06.08.03.0210.000602%Not Available
Anal incontinence17.05.01.021; 07.01.06.0290.001806%
Progressive supranuclear palsy17.03.01.0020.000602%Not Available
Soliloquy19.05.01.0210.001505%Not Available
Sternal fracture15.08.07.002; 12.04.07.0020.000602%Not Available
Trance19.01.02.0180.000157%Not Available
Terminal state08.01.03.0790.002408%Not Available
Consciousness fluctuating17.02.04.0190.000602%Not Available
General physical condition abnormal13.15.01.0400.000602%Not Available
Communication disorder19.19.01.0080.000602%Not Available
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