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An innovative treatment for schizophrenia has been approved by the U.S. Food and Drug Administration, which combines the muscarinic antagonist trospium chloride with the muscarinic agonist xanomeline. It is a new therapeutic option that attacks the fundamental neurobiology of schizophrenia in a fresh way. A negligible portion of people worldwide suffer from schizophrenia, a persistent and crippling mental illness. The disorder has a major influence on everyday functioning and quality of life. Antipsychotic drugs have significant adverse effects, although they are often beneficial. Furthermore, they frequently have minimal effects on the negative and cognitive symptoms of schizophrenia. In the absence of the typical adverse effects of dopamine-targeting antipsychotics, combination therapy with xanomeline and trospium chloride has shown notable effectiveness in lowering both positive and negative symptoms of schizophrenia. A careful review of the literature revealed that no analytical method for estimation has been developed for this combination of medications. The current article examines the analytical techniques that are available for each drug separately, which may help researchers create an analytical technique that takes into account the importance of each drug in combination.
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http://dx.doi.org/10.1080/10408347.2025.2555457 | DOI Listing |
Crit Rev Anal Chem
September 2025
Department of Pharmaceutical Analysis, Grace College of Pharmacy (Kerala University of Health Sciences), Palakkad, India.
An innovative treatment for schizophrenia has been approved by the U.S. Food and Drug Administration, which combines the muscarinic antagonist trospium chloride with the muscarinic agonist xanomeline.
View Article and Find Full Text PDFJ Psychosoc Nurs Ment Health Serv
September 2025
Schizophrenia is a severe mental illness associated with significant psychosocial impairment, morbidity, and mortality. There are novel, emerging interventions in the treatment of schizophrenia, and advanced practice psychiatric nurses should be familiar with innovative treatments for schizophrenia. The current article provides a brief overview of xanomeline and trospium chloride (Cobenfy™) for the treatment of schizophrenia.
View Article and Find Full Text PDFIn the final half of 2024, the US FDA approved several new drugs that have relevance for those practicing in primary care. This article highlights the following new medications: donanemab-azbt (Kisunla), nalmefene injection (Zurnai), epinephrine nasal spray (neffy), palopegteriparatide (Yorvipath), xanomeline and trospium chloride (Cobenfy), and sulopenem etzadroxil/probenecid (Orlynvah). Additionally, this article highlights the recent approval of obstructive sleep apnea as a new indication for tirzepatide (Zepbound) and chronic obstructive pulmonary disease as a new indication for dupilumab (Dupixent).
View Article and Find Full Text PDFFront Psychiatry
June 2025
Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States.
The combination of xanomeline, a central/peripheral muscarinic agonist, and trospium chloride, a peripheral muscarinic antagonist, (X/T) was Food and Drug Administration (FDA) approved in September 2024 for schizophrenia in adults. FDA trial subjects experiencing exacerbation or relapse of psychotic symptoms, who were neither treatment-resistant nor had taken clozapine, were tapered off previous antipsychotics, or were treatment-naive, prior to rapid X/T titration in the hospital as monotherapy. This case series addresses real-world clinical questions about how to use X/T when comorbidities with schizophrenia are the rule, polypharmacy is commonplace, and discontinuing antipsychotics prior to X/T initiation is often infeasible due to safety concerns in outpatient settings.
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