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Molecule

Zuranolone

Neuroactive Steroid Gamma-Aminobutyric Acid A Receptor Positive Modulator
Available on requestControlled substancePsychiatry
Presentations
3
Brands
1
Manufacturers
1
Available from stock
0

Zuranolone is a neuroactive steroid gamma-aminobutyric acid A receptor positive modulator indicated for the treatment of postpartum depression (PPD) in adults. It is available as capsules for oral use. MedsAcross supplies Zuranolone 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
Neuroactive Steroid Gamma-Aminobutyric Acid A Receptor Positive Modulator, GABA A Receptor Positive Modulators
ATC classification
N06A Antidepressant · Antidepressants, stimulants and dementia medicines
US FDA first approval
4 August 2023
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule
Identifiers
UNII 7ZW49N180BCAS 1632051-40-1DrugBank DB15490Q48862264

Clinical information

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

Uses

ZURZUVAE is indicated for the treatment of postpartum depression (PPD) in adults. ZURZUVAE is a neuroactive steroid gamma-aminobutyric acid (GABA) A receptor positive modulator indicated for the treatment of postpartum depression (PPD) in adults.

Source: US FDA prescribing information

How it works

The mechanism of action of zuranolone in the treatment of PPD is not fully understood but is thought to be related to its positive allosteric modulation of GABA A receptors.

Source: US FDA prescribing information

Dosing overview

Administer with fat-containing food. Recommended dosage is 50 mg orally once daily in the evening for 14 days. Dosage may be reduced to 40 mg once daily if CNS depressant effects occur. ZURZUVAE can be used alone or as an adjunct to oral antidepressant therapy. Severe Hepatic Impairment: Recommended dosage is 30 mg orally once daily in the evening for 14 days. Moderate or Severe Renal Impairment: Recommended dosage is 30 mg orally once daily in the evening for 14 days.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (impaired ability to drive or engage in other potentially hazardous activities zurzuvae): causes driving impairment due to central nervous system (CNS) depressant effects. Advise patients not to drive or engage in other potentially hazardous activities until at least 12 hours after ZURZUVAE administration for the duration of the 14-day treatment course. CNS Depressant Effects: ZURZUVAE can cause CNS depressant effects such as somnolence and confusion. If patients develop CNS depression, consider dosage reduction or discontinuation of ZURZUVAE. Suicidal Thoughts and Behavior: Consider changing the therapeutic regimen, including discontinuing ZURZUVAE, in patients whose PPD worsens, or who experience emergent suicidal thoughts and behaviors. Embryo-fetal Toxicity: May cause fetal harm. Advise a pregnant woman of the potential risk to an infant exposed to ZURZUVAE in utero.

Source: US FDA prescribing information

Side effects

The following adverse reactions are discussed in more detail in other sections of the labeling: Impaired Ability to Drive or Engage in Other Potentially Hazardous Activities Central Nervous System Depressant Effects Suicidal Thoughts and Behavior Most common adverse reactions (incidence ≥5% and greater than placebo) were somnolence, dizziness, diarrhea, fatigue, nasopharyngitis, and urinary tract infection.

Source: US FDA prescribing information

Interactions

Table 4 displays clinically important drug interactions with ZURZUVAE. Table 4. Clinically Important Drug Interactions with ZURZUVAE CNS Depressant Drugs and Alcohol Clinical Impact Due to additive pharmacological effects, the concomitant use of CNS depressant drugs, including alcohol, may increase impairment of psychomotor performance or CNS depressant effects. Management If use with another CNS depressant is unavoidable, consider dosage reduction. Caution should be used when ZURZUVAE is administered in combination with other CNS drugs or alcohol. Strong CYP3A4 Inhibitors Clinical Impact Concomitant use of ZURZUVAE with a strong CYP3A4 inhibitor increases the exposure of zuranolone, which may increase the risk of ZURZUVAE-associated adverse reactions. Management Reduce the ZURZUVAE dosage when used with a strong CYP3A4 inhibitor.

Source: US FDA prescribing information

Storage

Store at room temperature 20°C to 25°C (68°F to 77°F), excursions permitted between 15°C to 30°C (59°F to 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 Zuranolone, sorted by availability.

MedicineManufacturerRegisterAvailability
Zurzuvae 25 mg capsuleOralBiogen MAUS FDAAvailable on request
Zurzuvae 20 mg capsuleOralBiogen MAUS FDAAvailable on request
Zurzuvae 30 mg capsuleOralBiogen MAUS 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 4 August 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

Conditions

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

Questions and answers

Is Zuranolone available for export from India?

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

What brand names does Zuranolone have?

The catalogue lists 1 brand names for Zuranolone, including Zurzuvae.

Is Zuranolone approved by the US FDA?

Yes. The US FDA first approved Zuranolone on 4 August 2023, according to Drugs@FDA.

Is Zuranolone authorised in the European Union?

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

Does Zuranolone need cold chain shipping?

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

Which ATC class is Zuranolone in?

Zuranolone is classified under ATC code N06A (Antidepressant).

References

  1. ZURZUVAE prescribing information (Biogen MA). U.S. National Library of Medicine, DailyMed. Retrieved 15 June 2026
  2. Zurzuvae: European public assessment report (EPAR). European Medicines Agency. Retrieved 31 October 2025

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