Last reviewed · How we verify

OPC-41061 (Tolvaptan)

Otsuka Pharmaceutical Co., Ltd. · Phase 3 active Small molecule

Tolvaptan is a selective, competitive antagonist of the vasopressin V2 receptor.

Tolvaptan is a selective, competitive antagonist of the vasopressin V2 receptor. Used for Hyponatremia in hospitalized patients, Autosomal dominant polycystic kidney disease (ADPKD).

At a glance

Generic nameOPC-41061 (Tolvaptan)
SponsorOtsuka Pharmaceutical Co., Ltd.
Drug classVasopressin V2 receptor antagonist
TargetVasopressin V2 receptor
ModalitySmall molecule
Therapeutic areaCardiovascular
PhasePhase 3

Mechanism of action

By blocking the V2 receptor, tolvaptan reduces water reabsorption in the kidneys, thereby increasing urine production and reducing fluid overload in patients with heart failure and hyponatremia.

Approved indications

Common side effects