Cobenfy (xanomeline and trospium chloride) is an oral medicine approved in the United States for treating schizophrenia in adults. It introduced a new pharmacologic approach targeting cholinergic receptors rather than the long-standing dopamine receptor approach used by prior antipsychotics. Approval was announced by FDA in September 2024.
Drug Class
First-in-class muscarinic agonist antipsychotic
Approval Status
FDA approved (September 26, 2024)
Mechanism of Action
Combines xanomeline, a dual M1/M4-preferring muscarinic receptor agonist, with trospium chloride, a peripheral muscarinic receptor antagonist; efficacy is thought to derive from xanomeline agonism at central M1 and M4 receptors
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