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Molecule

Deutetrabenazine

Available on requestOrphanNeurology
Presentations
13
Brands
2
Manufacturers
1
Available from stock
0

Deutetrabenazine is a prescription medicine indicated in adults for the treatment of chorea associated with Huntington’s disease tardive dyskinesia AUSTEDO XR and AUSTEDO are vesicular monoamine transporter 2 (VMAT2) inhibitors indicated in adults for the treatment of. MedsAcross supplies Deutetrabenazine for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

ATC classification
N07XX16 Deutetrabenazine · Other nervous system medicines, subgroup N07X, subgroup N07XX
US FDA first approval
3 April 2017
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Extended-release tablet, Tablet, Kit
Identifiers
UNII P341G6W9NBCAS 1392826-25-3Q27077026

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

AUSTEDO XR ® and AUSTEDO ® are indicated in adults for the treatment of: chorea associated with Huntington’s disease tardive dyskinesia AUSTEDO XR and AUSTEDO are vesicular monoamine transporter 2 (VMAT2) inhibitors indicated in adults for the treatment of: Chorea associated with Huntington’s disease. Tardive dyskinesia

Source: US FDA prescribing information

How it works

The precise mechanism by which deutetrabenazine exerts its effects in the treatment of tardive dyskinesia and chorea in patients with Huntington’s disease is unknown but is believed to be related to its effect as a reversible depletor of monoamines (such as dopamine, serotonin, norepinephrine, and histamine) from nerve terminals. The major circulating metabolites (α-dihydrotetrabenazine [HTBZ] and β-HTBZ) of deutetrabenazine, are reversible inhibitors of VMAT2, resulting in decreased uptake of monoamines into synaptic vesicles and depletion of monoamine stores.

Source: US FDA prescribing information

Dosing overview

AUSTEDO XR AUSTEDO Recommended Starting Dosage 12 mg once daily (12 mg per day) 6 mg twice daily (12 mg per day) Titrate at weekly intervals by 6 mg per day based on reduction of chorea or tardive dyskinesia, and tolerability, up to a maximum recommended daily dosage of 48 mg. Administer AUSTEDO XR with or without food in once-daily doses. Administer AUSTEDO with food and administer total daily dosages of 12 mg or above in two divided doses. Swallow tablets whole, do not chew, crush, or break. If switching patients from tetrabenazine, discontinue tetrabenazine and initiate AUSTEDO XR or AUSTEDO the following day. See full prescribing information for recommended conversion table. Maximum recommended dosage of AUSTEDO XR or AUSTEDO in poor CYP2D6 metabolizers is 36 mg per day

Source: US FDA prescribing information

Contraindications

AUSTEDO XR and AUSTEDO are contraindicated in patients: With Huntington’s disease who are suicidal, or have untreated or inadequately treated depression. With hepatic impairment. Taking reserpine. At least 20 days should elapse after stopping reserpine before starting AUSTEDO XR or AUSTEDO. Taking monoamine oxidase inhibitors (MAOIs). AUSTEDO XR and AUSTEDO should not be used in combination with an MAOI, or within 14 days of discontinuing therapy with an MAOI. Taking tetrabenazine or valbenazine. Suicidal, or untreated/inadequately treated depression in patients with Huntington’s disease. Hepatic impairment. Taking reserpine, MAOIs, tetrabenazine, or valbenazine

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (depression and suicidality in patients with huntington’s disease austedo xr and austedo): can increase the risk of depression and suicidal thoughts and behavior (suicidality) in patients with Huntington’s disease. Anyone considering the use of AUSTEDO XR or AUSTEDO must balance the risks of depression and suicidality with the clinical need for treatment of chorea. QT Prolongation: Avoid use in patients with congenital long QT syndrome or with arrhythmias associated with a prolonged QT interval. Neuroleptic Malignant Syndrome (NMS): Discontinue if this occurs. Akathisia, agitation, restlessness, and parkinsonism: Reduce dose or discontinue if this occurs. Sedation/somnolence: May impair the patient’s ability to drive or operate complex machinery

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are discussed in greater detail in other sections of the labeling: Depression and Suicidality in Patients with Huntington’s disease QTc Prolongation Neuroleptic Malignant Syndrome (NMS) Akathisia, Agitation, and Restlessness Parkinsonism Sedation and Somnolence Hyperprolactinemia Binding to Melanin-Containing Tissues Most common adverse reactions (>8% of AUSTEDO-treated patients with Huntington’s disease and greater than placebo): somnolence, diarrhea, dry mouth, and fatigue. Most common adverse reactions (that occurred in 4% of AUSTEDO-treated patients with tardive dyskinesia and greater than placebo): nasopharyngitis and insomnia

Source: US FDA prescribing information

Interactions

Concomitant use of strong CYP2D6 inhibitors: Maximum recommended dose of AUSTEDO XR or AUSTEDO is 36 mg per day. Alcohol or other sedating drugs: May have additive sedation and somnolence

Source: US FDA prescribing information

Storage

Storage Store at 25°C (77°F), excursions permitted to 15°C to 30°C (59°F to 86°F). Protect from light and moisture.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

13 presentations of Deutetrabenazine, sorted by availability.

MedicineManufacturerRegisterAvailability
Austedo 12 mg tabletOralTeva NeuroscienceUS FDAAvailable on request
Austedo 6 mg tabletOralTeva NeuroscienceUS FDAAvailable on request
Austedo 9 mg tabletOralTeva NeuroscienceUS FDAAvailable on request
Austedo XR kitTeva NeuroscienceUS FDAAvailable on request
Austedo XR 12 mg extended-release tabletOralTeva NeuroscienceUS FDAAvailable on request
Austedo XR 18 mg extended-release tabletOralTeva NeuroscienceUS FDAAvailable on request
Austedo XR 24 mg extended-release tabletOralTeva NeuroscienceUS FDAAvailable on request
Austedo XR 30 mg extended-release tabletOralTeva NeuroscienceUS FDAAvailable on request
Austedo XR 36 mg extended-release tabletOralTeva NeuroscienceUS FDAAvailable on request
Austedo XR 42 mg extended-release tabletOralTeva NeuroscienceUS FDAAvailable on request
Austedo XR 48 mg extended-release tabletOralTeva NeuroscienceUS FDAAvailable on request
Austedo XR 6 mg extended-release tabletOralTeva NeuroscienceUS FDAAvailable on request
Austedo kitTeva NeuroscienceUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 3 April 2017Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Deutetrabenazine available for export from India?

Yes, on request. MedsAcross lists 13 presentations of Deutetrabenazine and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Deutetrabenazine have?

The catalogue lists 2 brand names for Deutetrabenazine, including Austedo, Austedo XR.

Is Deutetrabenazine approved by the US FDA?

Yes. The US FDA first approved Deutetrabenazine on 3 April 2017, according to Drugs@FDA.

Is Deutetrabenazine authorised in the European Union?

Yes. Deutetrabenazine has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Deutetrabenazine need cold chain shipping?

No listed presentation of Deutetrabenazine is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Deutetrabenazine in?

Deutetrabenazine is classified under ATC code N07XX16 (Deutetrabenazine).

References

  1. Austedo prescribing information (Teva Neuroscience). U.S. National Library of Medicine, DailyMed. Retrieved 28 February 2025
  2. Austedo: European public assessment report (EPAR). European Medicines Agency. Retrieved 23 January 2026

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