PIMAVANSERIN TARTRATE

82/100 · Critical

Manufactured by Acadia Pharmaceuticals Inc.

High Safety Concerns with Pimavanserin Tartrate, Particularly for Elderly Patients

106,130 FDA adverse event reports analyzed

Last updated: 2026-05-12

About PIMAVANSERIN TARTRATE

PIMAVANSERIN TARTRATE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Acadia Pharmaceuticals Inc.. Based on analysis of 106,130 FDA adverse event reports, PIMAVANSERIN TARTRATE has a safety score of 82 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for PIMAVANSERIN TARTRATE include HALLUCINATION, DEATH, DRUG INEFFECTIVE, PRODUCT DOSE OMISSION ISSUE, CONFUSIONAL STATE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for PIMAVANSERIN TARTRATE.

AI Safety Analysis

Pimavanserin Tartrate has a safety concern score of 82 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 106,130 adverse event reports for this medication, which is primarily manufactured by Acadia Pharmaceuticals Inc..

The most commonly reported adverse events include Hallucination, Death, Drug Ineffective. Of classified reports, 49.7% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Significant reports of hallucinations and confusion, especially in elderly patients.

High incidence of falls and gait disturbances, posing a risk of injury. Multiple serious adverse events, including death and pneumonia, reported frequently. Drug ineffectiveness and underdose issues are common, indicating potential dosing problems. Insomnia and somnolence are prevalent, affecting sleep patterns.

Patients taking Pimavanserin Tartrate should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Pimavanserin Tartrate can cause falls and gait disturbances, which may lead to injuries. Patients should be monitored for these symptoms, especially in elderly patients. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 82/100

Pimavanserin Tartrate received a safety concern score of 82/100 (high concern). This is based on a 49.7% serious event ratio across 49,722 classified reports. The score accounts for 106,130 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

HALLUCINATION11,532 reports
DEATH9,921 reports
DRUG INEFFECTIVE5,804 reports
PRODUCT DOSE OMISSION ISSUE4,021 reports
CONFUSIONAL STATE3,959 reports
FALL3,644 reports
DELUSION2,545 reports
PARKINSON^S DISEASE2,099 reports
CONDITION AGGRAVATED2,095 reports
HALLUCINATION, VISUAL2,079 reports
GAIT DISTURBANCE2,027 reports
URINARY TRACT INFECTION1,631 reports
SOMNOLENCE1,621 reports
PERIPHERAL SWELLING1,545 reports
ADVERSE DRUG REACTION1,513 reports
ABNORMAL BEHAVIOUR1,419 reports
DIZZINESS1,391 reports
INSOMNIA1,309 reports
CONSTIPATION1,288 reports
FATIGUE1,286 reports
NAUSEA1,279 reports
DEMENTIA1,220 reports
UNDERDOSE1,174 reports
PRESCRIBED UNDERDOSE1,169 reports
TREMOR1,161 reports
NONSPECIFIC REACTION1,152 reports
PRODUCT USE ISSUE1,138 reports
ASTHENIA1,133 reports
AGGRESSION1,073 reports
MEMORY IMPAIRMENT1,046 reports
AGITATION979 reports
BALANCE DISORDER947 reports
OFF LABEL USE945 reports
FEELING ABNORMAL862 reports
ANXIETY860 reports
PNEUMONIA855 reports
MALAISE806 reports
OEDEMA PERIPHERAL687 reports
DYSPHAGIA672 reports
ILL DEFINED DISORDER632 reports
HYPERSOMNIA629 reports
HOSPITALISATION605 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION601 reports
SPEECH DISORDER591 reports
GENERAL PHYSICAL HEALTH DETERIORATION589 reports
PARANOIA580 reports
THERAPEUTIC RESPONSE UNEXPECTED557 reports
COVID 19555 reports
NIGHTMARE538 reports
PSYCHOTIC DISORDER533 reports
PRODUCT DOSE OMISSION519 reports
GAIT INABILITY514 reports
DEPRESSION494 reports
DECREASED APPETITE492 reports
VOMITING486 reports
HIP FRACTURE485 reports
DYSPNOEA478 reports
COGNITIVE DISORDER467 reports
DIARRHOEA463 reports
MOBILITY DECREASED426 reports
DYSSTASIA425 reports
WEIGHT DECREASED424 reports
MUSCULAR WEAKNESS419 reports
HEADACHE417 reports
LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES411 reports
BLOOD PRESSURE INCREASED407 reports
DISORIENTATION403 reports
LETHARGY389 reports
ABDOMINAL DISCOMFORT371 reports
DEHYDRATION369 reports
CEREBROVASCULAR ACCIDENT368 reports
RASH366 reports
SLEEP DISORDER363 reports
ABNORMAL DREAMS362 reports
ILLNESS360 reports
BLOOD PRESSURE DECREASED336 reports
DEMENTIA WITH LEWY BODIES336 reports
HALLUCINATIONS, MIXED335 reports
OVERDOSE333 reports
RESTLESSNESS319 reports
PAIN312 reports
ANGER303 reports
LOSS OF CONSCIOUSNESS300 reports
HALLUCINATION, AUDITORY298 reports
INTENTIONAL DOSE OMISSION292 reports
DRUG INTOLERANCE290 reports
THERAPEUTIC PRODUCT EFFECT DECREASED290 reports
HEAD INJURY286 reports
DRUG DOSE OMISSION284 reports
HYPOTENSION284 reports
DRUG INTERACTION263 reports
SEIZURE260 reports
THERAPY INTERRUPTED259 reports
DELIRIUM256 reports
UNRESPONSIVE TO STIMULI256 reports
DISEASE PROGRESSION255 reports
VISUAL IMPAIRMENT255 reports
SEPSIS252 reports
DYSKINESIA251 reports
MUSCULOSKELETAL STIFFNESS250 reports

Key Safety Signals

  • High frequency of hallucinations and delusions, particularly visual hallucinations.
  • Frequent reports of falls and gait disturbances, especially in elderly patients.
  • Multiple serious adverse events, including death and pneumonia, are reported.
  • Drug ineffectiveness and underdose issues are common, indicating potential dosing problems.
  • Insomnia and somnolence are prevalent, affecting sleep patterns.

Patient Demographics

Adverse event reports by sex: Male: 29,876, Female: 18,963, Unknown: 3. The most frequently reported age groups are age 78 (1,280 reports), age 76 (1,262 reports), age 77 (1,226 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 49,722 classified reports for PIMAVANSERIN TARTRATE:

  • Serious: 24,692 reports (49.7%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 25,030 reports (50.3%)
Serious 49.7%Non-Serious 50.3%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male29,876 (61.2%)
Female18,963 (38.8%)
Unknown3 (0.0%)

Reports by Age

Age 781,280 reports
Age 761,262 reports
Age 771,226 reports
Age 791,182 reports
Age 751,151 reports
Age 801,115 reports
Age 811,032 reports
Age 741,029 reports
Age 731,023 reports
Age 821,019 reports
Age 72909 reports
Age 83867 reports
Age 84820 reports
Age 71790 reports
Age 70717 reports
Age 85689 reports
Age 69652 reports
Age 86593 reports
Age 87562 reports
Age 68511 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Pimavanserin Tartrate can cause falls and gait disturbances, which may lead to injuries. Patients should be monitored for these symptoms, especially in elderly patients.

What You Should Know

If you are taking Pimavanserin Tartrate, here are important things to know. The most commonly reported side effects include hallucination, death, drug ineffective, product dose omission issue, confusional state. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should report any new or worsening symptoms to their healthcare provider immediately. Elderly patients should be closely monitored for falls and gait disturbances due to the increased risk of injury. Ensure proper dosing and follow the prescribed schedule to avoid underdose or overdose issues. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety of Pimavanserin Tartrate, and the drug has been approved for treatment of Parkinson's disease with psychosis. However, healthcare providers should be vigilant about potential serious adverse events and monitor

Frequently Asked Questions

How many adverse event reports has the FDA received for Pimavanserin Tartrate?

The FDA has received approximately 106,130 adverse event reports associated with Pimavanserin Tartrate. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Pimavanserin Tartrate?

The most frequently reported adverse events for Pimavanserin Tartrate include Hallucination, Death, Drug Ineffective, Product Dose Omission Issue, Confusional State. By volume, the top reported reactions are: Hallucination (11,532 reports), Death (9,921 reports), Drug Ineffective (5,804 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Pimavanserin Tartrate.

What percentage of Pimavanserin Tartrate adverse event reports are serious?

Out of 49,722 classified reports, 24,692 (49.7%) were classified as serious and 25,030 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Pimavanserin Tartrate (by sex)?

Adverse event reports for Pimavanserin Tartrate break down by patient sex as follows: Male: 29,876, Female: 18,963, Unknown: 3. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Pimavanserin Tartrate?

The most frequently reported age groups for Pimavanserin Tartrate adverse events are: age 78: 1,280 reports, age 76: 1,262 reports, age 77: 1,226 reports, age 79: 1,182 reports, age 75: 1,151 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Pimavanserin Tartrate?

The primary manufacturer associated with Pimavanserin Tartrate adverse event reports is Acadia Pharmaceuticals Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Pimavanserin Tartrate?

Beyond the most common reactions, other reported adverse events for Pimavanserin Tartrate include: Fall, Delusion, Parkinson^S Disease, Condition Aggravated, Hallucination, Visual. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Pimavanserin Tartrate?

You can report adverse events from Pimavanserin Tartrate to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Pimavanserin Tartrate's safety score and what does it mean?

Pimavanserin Tartrate has a safety concern score of 82 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Significant reports of hallucinations and confusion, especially in elderly patients.

What are the key safety signals for Pimavanserin Tartrate?

Key safety signals identified in Pimavanserin Tartrate's adverse event data include: High frequency of hallucinations and delusions, particularly visual hallucinations.. Frequent reports of falls and gait disturbances, especially in elderly patients.. Multiple serious adverse events, including death and pneumonia, are reported.. Drug ineffectiveness and underdose issues are common, indicating potential dosing problems.. Insomnia and somnolence are prevalent, affecting sleep patterns.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Pimavanserin Tartrate interact with other drugs?

Pimavanserin Tartrate can cause falls and gait disturbances, which may lead to injuries. Patients should be monitored for these symptoms, especially in elderly patients. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Pimavanserin Tartrate.

What should patients know before taking Pimavanserin Tartrate?

Patients should report any new or worsening symptoms to their healthcare provider immediately. Elderly patients should be closely monitored for falls and gait disturbances due to the increased risk of injury. Ensure proper dosing and follow the prescribed schedule to avoid underdose or overdose issues.

Are Pimavanserin Tartrate side effects well-documented?

Pimavanserin Tartrate has 106,130 adverse event reports on file with the FDA. High incidence of falls and gait disturbances, posing a risk of injury. The volume of reports for Pimavanserin Tartrate reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Pimavanserin Tartrate?

The FDA continues to monitor the safety of Pimavanserin Tartrate, and the drug has been approved for treatment of Parkinson's disease with psychosis. However, healthcare providers should be vigilant about potential serious adverse events and monitor For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to PIMAVANSERIN TARTRATE based on therapeutic use, drug class, or shared indications:

Acadia Pharmaceuticals Inc.FDAHealthcare ProvidersElderly Patients
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.