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Sublingual film containing Igalmi

BioXcel Therapeutics Inc · FDA-approved active Small molecule

Igalmi is a fast-acting atypical antipsychotic that rapidly dissolves under the tongue to block dopamine and serotonin receptors in the brain.

Igalmi is a fast-acting atypical antipsychotic that rapidly dissolves under the tongue to block dopamine and serotonin receptors in the brain. Used for Acute agitation associated with schizophrenia or bipolar disorder.

At a glance

Generic nameSublingual film containing Igalmi
Also known asDexmedetomidine, BXCL501
SponsorBioXcel Therapeutics Inc
Drug classAtypical antipsychotic
TargetDopamine D2 receptor, Serotonin 5-HT2A receptor
ModalitySmall molecule
Therapeutic areaPsychiatry
PhaseFDA-approved

Mechanism of action

Igalmi (risperidone) is formulated as a sublingual film that bypasses first-pass hepatic metabolism, allowing faster absorption and onset of action compared to oral tablets. It acts as a dopamine D2 and serotonin 5-HT2A receptor antagonist, reducing psychotic symptoms and agitation. The sublingual delivery enables rapid therapeutic effect, making it suitable for acute agitation management.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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