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MedsAcross

Molecule

Trofinetide

Cytochrome P450 3A4 Inhibitors
Available on requestOrphanCold chainNeurology
Presentations
4
Brands
2
Manufacturers
1
Available from stock
0

Trofinetide is a prescription medicine indicated for the treatment of Rett syndrome in adults and pediatric patients 2 years of age and older. It is available as powder for oral solution and oral solution. MedsAcross supplies Trofinetide 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
Cytochrome P450 3A4 Inhibitors, Organic Anion Transporting Polypeptide 1B1 Inhibitors, Organic Anion Transporting Polypeptide 1B3 Inhibitors
ATC classification
N07XX24 Trofinetide · Other nervous system medicines, subgroup N07X, subgroup N07XX
US FDA first approval
10 March 2023
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Powder for oral solution, Oral solution
Identifiers
UNII Z2ME8F52QLCAS 853400-76-7DrugBank DB06045Q27294917

Clinical information

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

Uses

DAYBUE and DAYBUE STIX are indicated for the treatment of Rett syndrome in adults and pediatric patients 2 years of age and older.

Source: US FDA prescribing information

How it works

The mechanism by which trofinetide exerts therapeutic effects in patients with Rett syndrome is unknown.

Source: US FDA prescribing information

Dosing overview

Recommended dosage is twice daily, morning and evening, according to patient weight. DAYBUE or DAYBUE STIX can be given with or without food. Patient Weight Recommended Dosage 9 kg to less than 12 kg 5,000 mg twice daily 12 kg to less than 20 kg 6,000 mg twice daily 20 kg to less than 35 kg 8,000 mg twice daily 35 kg to less than 50 kg 10,000 mg twice daily 50 kg or more 12,000 mg twice daily Can be given orally or via gastrostomy (G) tube, doses administered via gastrojejunal (GJ) tubes must be administered through the G-port. See Full Prescribing Information for instruction on dissolving DAYBUE STIX for oral solution powder. See Full Prescribing Information for dosage recommendations in patients with renal impairment.

Source: US FDA prescribing information

Warnings and precautions

Diarrhea: Most patients experience diarrhea during treatment with DAYBUE. Advise patients to stop laxatives before starting DAYBUE or DAYBUE STIX. If diarrhea occurs, patients should start antidiarrheal treatment, increase oral fluids, and notify their healthcare provider. Interrupt, reduce dose, or discontinue DAYBUE or DAYBUE STIX if severe diarrhea occurs or if dehydration is suspected. Weight Loss: Weight loss may occur in patients treated with DAYBUE or DAYBUE STIX. Monitor weight and interrupt, reduce dose, or discontinue DAYBUE or DAYBUE STIX if significant weight loss occurs. Vomiting: Aspiration and aspiration pneumonia have occurred after vomiting in patients treated with DAYBUE. Interrupt, reduce dose, or discontinue DAYBUE or DAYBUE STIX if vomiting is severe or occurs despite medical management.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described elsewhere in labeling: Diarrhea Weight Loss Vomiting The most common adverse reactions (that occurred in at least 10% of DAYBUE-treated patients and at least 2% greater than in placebo) were diarrhea and vomiting.

Source: US FDA prescribing information

Interactions

Orally administered CYP3A and/or P-gp sensitive substrates for which a small change in substrate plasma concentration may lead to serious adverse reactions: closely monitor for adverse reactions with concomitant use.

Source: US FDA prescribing information

Storage

Store DAYBUE in an upright position refrigerated at 2°C to 8°C (36°F to 46°F). Do not freeze. DAYBUE STIX for Oral Solution Store DAYBUE STIX packets 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

4 presentations of Trofinetide, sorted by availability.

MedicineManufacturerRegisterAvailability
Daybue 200 mg/mL oral solutionOral Cold chainAcadia PharmaceuticalsUS FDAAvailable on request
Daybue Stix 5000 mg powder for oral solutionOral Cold chainAcadia PharmaceuticalsUS FDAAvailable on request
Daybue Stix 6000 mg powder for oral solutionOral Cold chainAcadia PharmaceuticalsUS FDAAvailable on request
Daybue Stix 8000 mg powder for oral solutionOral Cold chainAcadia PharmaceuticalsUS 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 10 March 2023Drugs@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 Trofinetide available for export from India?

Yes, on request. MedsAcross lists 4 presentations of Trofinetide and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Trofinetide have?

The catalogue lists 2 brand names for Trofinetide, including Daybue, Daybue Stix.

Is Trofinetide approved by the US FDA?

Yes. The US FDA first approved Trofinetide on 10 March 2023, according to Drugs@FDA.

Is Trofinetide authorised in the European Union?

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

Does Trofinetide need cold chain shipping?

At least one listed presentation of Trofinetide must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Trofinetide in?

Trofinetide is classified under ATC code N07XX24 (Trofinetide).

References

  1. Daybue prescribing information (Acadia Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 4 September 2026
  2. Daybu: European public assessment report (EPAR). European Medicines Agency. Retrieved 12 October 2026

Request Trofinetide for export supply

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