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Brexanolone

ZULRESSO

Pronunciation: brex-AN-oe-loen (zul-RE-soe)

Brexanolone ballicule: receptor binding, kinetics and half-life diagram
Mechanism of action: Brexanolone ballicule
Brexanolone ZULRESSO mascot mnemonic cartoon
Visual mnemonic: Brexanolone mascot
“Zulu resigns (to) Brex (feed) alone”

What it isIntravenous allopregnanolone; postpartum depression.

Why this oneResponse within 60 hours, where oral antidepressants take weeks — it replaces the neurosteroid that falls after delivery.

What limits itA 60-hour inpatient infusion with continuous monitoring for excessive sedation and loss of consciousness, under a REMS.

Brexanolone molecular structure (skeletal formula)
Molecular structure: Brexanolone

FDA-approved for

⚠ BOXED WARNING

Classes and tags

Clinical profile

Therapeutic safety burden3 / 4
Sedation liability3 / 4
QT / Torsades0 / 4
Direct muscarinic antagonism0 / 4
Embryofetal risk2 / 4

Legacy pregnancy categoryN/A (post-2015 labeling)

Defining liabilitySudden loss of consciousness during prolonged monitored infusion

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Memory aids: interaction avatars

Brexanolone no kinetic interactions avatar mnemonic
no kinetic interactions

Open Brexanolone in the interactive console ↗