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)
Blood pressure increased13.14.03.0050.007224%Not Available
Cardiac arrest02.03.04.001--
Cardiac failure02.05.01.001--
Cardiac failure congestive02.05.01.002--Not Available
Cardio-respiratory arrest02.03.04.002; 22.02.06.007--Not Available
Catatonia19.11.01.0010.002107%Not Available
Cerebral haemorrhage24.07.04.001; 17.08.01.003--Not Available
Cerebrovascular accident24.03.05.001; 17.08.01.007--
Chest discomfort02.02.02.009; 22.02.08.001; 08.01.08.019--Not Available
Chest pain22.02.08.003; 08.01.08.002; 02.02.02.011--Not Available
Chills15.05.03.016; 08.01.09.001--
Choking22.02.05.0010.001505%Not Available
Chromaturia20.02.01.002--
Chronic obstructive pulmonary disease22.03.01.0070.000707%Not Available
Clavicle fracture15.08.03.010; 12.04.01.0100.000602%Not Available
Cold sweat23.02.03.002; 08.01.03.0240.001204%Not Available
Coma17.02.09.001--Not Available
Confusional state19.13.01.001; 17.02.03.0050.081871%
Constipation07.02.02.0010.021672%
Coordination abnormal17.02.02.0040.001806%Not Available
Cough22.02.03.001--
Crying19.04.02.002; 17.02.05.013; 12.02.11.001; 08.01.03.0050.003913%Not Available
Cystitis20.03.02.002; 11.01.14.0010.003612%
Death08.04.01.0010.072239%
Decubitus ulcer23.03.11.0060.000236%Not Available
Dehydration14.05.05.001--
Delirium19.13.02.001--
Delusion19.10.01.0010.038528%
Dementia19.20.02.001; 17.03.01.0010.003298%Not Available
Dementia Alzheimer's type19.20.03.001; 17.03.06.0010.000602%Not Available
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