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Molecule

Pimavanserin

Also known as pimavanserin tartrate
Available on requestPsychiatry
Presentations
3
Brands
1
Manufacturers
1
Available from stock
0

Pimavanserin is an atypical antipsychotic indicated for the treatment of hallucinations and delusions associated with Parkinson's disease psychosis. It is available as capsules and tablets for oral use. MedsAcross supplies Pimavanserin 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

Pharmacological class
Atypical Antipsychotic
ATC classification
N05AX17 Pimavanserin · Antipsychotics, subgroup N05AX
US FDA first approval
29 April 2016
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule, Tablet
Identifiers
UNII JZ963P0DIKRxCUI 1791685CAS 706779-91-1DrugBank DB05316Q7194603

Clinical information

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

Uses

NUPLAZID ® is indicated for the treatment of hallucinations and delusions associated with Parkinson's disease psychosis. NUPLAZID is an atypical antipsychotic indicated for the treatment of hallucinations and delusions associated with Parkinson's disease psychosis.

Source: US FDA prescribing information

How it works

The mechanism of action of pimavanserin in the treatment of hallucinations and delusions associated with PDP is unclear. However, the effect of pimavanserin could be mediated through a combination of inverse agonist and antagonist activity at serotonin 5-HT 2A receptors and to a lesser extent at serotonin 5-HT 2C receptors.

Source: US FDA prescribing information

Dosing overview

Recommended dose is 34 mg taken orally once daily, without titration. Can be taken with or without food. Capsules may be swallowed whole or opened and entire contents sprinkled over a tablespoon of certain types of soft food.

Source: US FDA prescribing information

Contraindications

NUPLAZID is contraindicated in patients with a history of a hypersensitivity reaction to pimavanserin or any of its components. Rash, urticaria, and reactions consistent with angioedema (e.g., tongue swelling, circumoral edema, throat tightness, and dyspnea) have been reported. Known hypersensitivity to NUPLAZID or any of its components.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (increased mortality in elderly patients with dementia-related psychosis): Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. NUPLAZID is not approved for the treatment of patients with dementia who experience psychosis unless their hallucinations and delusions are related to Parkinson's disease. QT Interval Prolongation: Increases in QT interval, avoid use with drugs that also increase the QT interval and in patients with risk factors for prolonged QT interval.

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are discussed elsewhere in the labeling: Increased Mortality in Elderly Patients with Dementia-Related Psychosis QT Interval Prolongation Most common adverse reactions (≥5% and twice the rate of placebo): peripheral edema and confusional state.

Source: US FDA prescribing information

Interactions

Strong CYP3A4 Inhibitors: Reduce NUPLAZID dose to 10 mg once daily. Strong or Moderate CYP3A4 Inducers: Avoid concomitant use of NUPLAZID.

Source: US FDA prescribing information

Storage

Store at 20°C to 25°C (68°F to 77°F), excursions permitted between 15°C and 30°C (59°F and 86°F). To prevent potential capsule color fading, protect from light. 10 mg Tablet: Store at 20°C to 25°C (68°F to 77°F), excursions permitted between 15°C and 30°C (59°F and 86°F).

Source: US FDA prescribing information

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

All presentations

3 presentations of Pimavanserin, sorted by availability.

MedicineManufacturerRegisterAvailability
Nuplazid 10 mg tabletOralAcadia PharmaceuticalsUS FDAAvailable on request
Nuplazid 34 mg capsuleOralAcadia PharmaceuticalsUS FDAAvailable on request
Pimavanserin 34 mg capsuleOralGeneric name—US FDAAvailable on request

Brands by market

1 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 29 April 2016Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Pimavanserin in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Pimavanserin available for export from India?

Yes, on request. MedsAcross lists 3 presentations of Pimavanserin and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Pimavanserin have?

The catalogue lists 1 brand names for Pimavanserin, including Nuplazid.

Is Pimavanserin approved by the US FDA?

Yes. The US FDA first approved Pimavanserin on 29 April 2016, according to Drugs@FDA.

Does Pimavanserin need cold chain shipping?

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

Which ATC class is Pimavanserin in?

Pimavanserin is classified under ATC code N05AX17 (Pimavanserin).

References

  1. NUPLAZID prescribing information (Acadia Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 18 June 2026

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