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 Pimavanserin is indicated for the treatment of hallucinations and delusions associated with Parkinson’s disease psychosis.[L32883]
Marketing Status approved; investigational
ATC Code N05AX17
DrugBank ID DB05316
KEGG ID D08969
MeSH ID C510793
PubChem ID 10071196
TTD Drug ID D0J8JP
NDC Product Code Not Available
UNII JZ963P0DIK
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
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Psychomotor hyperactivity17.01.02.011; 19.11.02.0030.002352%Not Available
Rash vesicular23.03.13.0090.000287%Not Available
Repetitive speech19.19.02.003; 17.02.08.0120.000287%Not Available
Respiration abnormal22.02.01.0410.000510%Not Available
Restlessness19.11.02.002; 17.02.05.0210.008363%
Salivary hypersecretion07.06.01.0090.001085%Not Available
Screaming19.04.02.020; 08.01.03.0990.003632%Not Available
Sedation17.02.04.0050.017117%Not Available
Sleep disorder19.02.04.0010.005240%Not Available
Sleep talking19.02.03.005; 17.15.02.0030.000889%Not Available
Sleep terror19.02.03.008; 17.15.02.0060.001529%Not Available
Sluggishness08.01.01.0040.003149%Not Available
Snoring22.12.03.0250.000444%Not Available
Somnambulism19.02.03.006; 17.15.02.0040.001176%Not Available
Somnolence19.02.05.003; 17.02.04.0060.042361%
Speech disorder19.19.02.002; 17.02.08.003; 22.12.03.0270.010270%Not Available
Spinal osteoarthritis15.01.04.0030.000287%Not Available
Staring19.01.01.0030.000353%Not Available
Swollen tongue23.04.01.014; 10.01.05.015; 07.14.02.0030.002548%Not Available
Therapeutic response decreased08.06.01.0160.004338%Not Available
Therapeutic response unexpected08.06.01.0010.015771%Not Available
Thinking abnormal19.10.03.001; 17.02.05.0230.001372%Not Available
Throat tightness22.12.03.031; 19.01.02.0050.001882%Not Available
Tongue disorder07.14.01.0020.000510%Not Available
Tremor17.01.06.0020.020553%
Unresponsive to stimuli17.02.05.0310.002182%Not Available
Urinary incontinence17.05.01.008; 20.02.02.0100.001594%
Mental status changes19.07.01.0010.002208%Not Available
Mobility decreased08.01.03.030; 15.03.05.023; 17.02.05.0180.007187%Not Available
Hypervigilance19.01.02.0060.000575%Not Available
The 4th Page    First    Pre   4 5 6 7    Next   Last    Total 7 Pages