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)
Energy increased08.01.03.0170.000287%Not Available
Peripheral swelling08.01.03.053; 02.05.04.0150.049613%Not Available
General physical health deterioration08.01.03.0180.011825%Not Available
Balance disorder08.01.03.081; 17.02.02.0070.014438%Not Available
Impatience19.05.01.0140.000510%Not Available
Dysstasia15.03.05.011; 08.01.03.089; 17.02.02.0120.008911%Not Available
Suprapubic pain08.01.08.0170.000287%Not Available
Cardiopulmonary failure22.02.06.004; 02.05.01.0040.000131%Not Available
Prostatomegaly21.04.01.0020.000287%Not Available
Musculoskeletal stiffness15.03.05.0270.004743%Not Available
Secretion discharge08.01.03.0190.000353%Not Available
Altered visual depth perception17.17.01.002; 06.02.04.0060.000444%Not Available
Dysphemia17.02.08.010; 19.19.03.0050.000287%Not Available
Fluid intake reduced14.05.10.0010.000862%Not Available
Faecaloma07.01.03.0040.000327%Not Available
Cognitive disorder17.03.03.003; 19.21.02.0010.023128%
Dysgraphia17.02.03.0060.000444%Not Available
Freezing phenomenon17.01.05.0060.002639%Not Available
Bladder disorder20.03.01.0020.000353%Not Available
Cardiac disorder02.11.01.0030.005044%Not Available
Feeding disorder19.09.01.003; 14.03.02.0030.002587%Not Available
Limb discomfort15.03.04.0140.002352%Not Available
Metastatic neoplasm16.16.01.0070.000131%Not Available
Motor dysfunction17.01.02.031; 15.05.06.0060.010571%Not Available
Abnormal behaviour19.01.01.0010.041198%Not Available
Ill-defined disorder08.01.03.0490.006585%Not Available
Parkinson's disease17.01.05.0100.024630%Not Available
Abnormal sleep-related event19.02.03.009; 17.15.02.0070.000889%Not Available
Adverse drug reaction08.06.01.0090.057048%Not Available
Drug intolerance08.06.01.0130.013275%Not Available
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