Xanomeline

Drug

Drug Profile

Xanomeline is a muscarinic receptor agonist active ingredient used in the fixed-dose product Cobenfy (xanomeline and trospium chloride), which is FDA-approved for schizophrenia in adults. In this combination, xanomeline provides central M1/M4-preferring agonist activity while trospium limits peripheral muscarinic effects. The approved clinical indication is tied to the combination product.

Drug Class
Muscarinic receptor agonist (M1/M4-preferring) active pharmaceutical ingredient
Approval Status
Component of FDA-approved combination product Cobenfy (approved September 2024)
Mechanism of Action
Provides central muscarinic M1/M4 agonism in combination with peripheral muscarinic antagonism from trospium
Indications
  • \Schizophrenia in adults (as part of the fixed-dose combination xanomeline and trospium chloride)\

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