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)\