TY - CHAP M1 - Book, Section TI - Major Depressive Disorder A1 - Teter, Christian J. A1 - Kando, Judith C. A1 - Wells, Barbara G. A2 - DiPiro, Joseph T. A2 - Talbert, Robert L. A2 - Yee, Gary C. A2 - Matzke, Gary R. A2 - Wells, Barbara G. A2 - Posey, L. Michael Y1 - 2017 N1 - T2 - Pharmacotherapy: A Pathophysiologic Approach, 10e AB - Content UpdateAugust 15, 2019Brexanolone (Zulresso) for Treatment of Postpartum Depression in Adult Women: Brexanolone is a neuroactive steroid and GABAA receptor modulator approved for treatment of postpartum depression in adult women. Results of one phase II and two phase III randomized, double-blind, placebo-controlled clinical trials provide evidence for the efficacy and safety of brexanolone compared to placebo as evidenced by reduction in HAM-D scores. Brexanolone carries a black box warning for excessive sedation and sudden loss of consciousness and is only available via REMS program restriction. The treatment requires a 60-hour continuous intravenous infusion that is expected to cost $34,000; these factors will limit brexanolone use to a select population of women with postpartum depression. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1165100575 ER -