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Pimavanserin is an inverse agonist of the serotonin (5-HT) receptor subtype 5-HT2A (IC50 = 1.86 nM; Ki = 0.5 nM).1 It is selective for 5-HT2A over a panel of 65 ion channels, enzymes, and receptors (Kis = >100 nM). Pimavanserin reduces head-twitch behavior and prepulse inhibition deficits induced by the 5-HT2A receptor agonist DOI (Item No. 13885) in rats at doses of 3 mg/kg, p.o. and 1-10 mg/kg, s.c., respectively. It also exhibits antipsychotic-like activity, reducing hyperactivity induced by (+)-MK-801 (Item No. 10009019) in mice. Pimavanserin acts synergistically with haloperidol (Item No. 12014) or risperidone (Item No. 13629) to suppress (+)-MK-801-induced hyperactivity and attenuates haloperidol- and risperidone-induced catalepsy in rats.2 Formulations containing pimavanserin have been used for the treatment of psychosis in Parkinson's disease.3
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1. Pharmacological and behavioral profile of N-
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3. Treatment of psychosis and dementia in Parkinson’s disease. Curr. Treat. Options. Neurol. 16(3), 281 (2014).