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)
Restlessness17.02.05.021; 19.11.02.0020.007525%
Rhabdomyolysis15.05.05.002--
Rhinorrhoea22.02.05.010--
Rib fracture15.08.07.001; 12.04.07.0010.001505%Not Available
Salivary hypersecretion07.06.01.0090.001204%Not Available
Screaming19.19.03.0070.002709%Not Available
Sedation17.02.04.0050.003913%Not Available
Seizure17.12.03.001--
Sepsis11.01.11.003--
Sinusitis22.07.03.007; 11.01.13.005--
Skin discolouration23.03.03.005--Not Available
Sleep disorder19.02.04.0010.003913%Not Available
Sleep talking19.02.03.005; 17.15.02.0030.001806%Not Available
Sleep terror19.02.03.008; 17.15.02.0060.001505%Not Available
Sluggishness08.01.01.0040.003311%Not Available
Snoring22.02.05.0120.000602%Not Available
Somnambulism19.02.03.006; 17.15.02.0040.001204%Not Available
Somnolence17.02.04.006; 19.02.05.0030.039130%
Speech disorder22.02.05.034; 19.19.02.002; 17.02.08.0030.006321%Not Available
Staring19.01.01.0030.000903%Not Available
Stress19.06.02.004--Not Available
Subarachnoid haemorrhage24.07.04.004; 17.08.01.010; 12.01.10.011--Not Available
Subdural haematoma24.07.04.005; 17.08.05.002; 12.01.10.003--Not Available
Sudden death02.03.04.013; 08.04.01.0030.000236%
Suicidal ideation19.12.01.003--
Swelling08.01.03.015--Not Available
Swelling face23.04.01.018; 10.01.05.018--Not Available
Swollen tongue23.04.01.014; 10.01.05.015; 07.14.02.0030.002408%Not Available
Syncope24.06.02.012; 17.02.04.008; 02.01.02.008--
Thinking abnormal19.10.03.001; 17.02.05.0230.001505%Not Available
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