Zulresso Indicated for Postpartum Depression in Adolescents

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June 22, 2022 – Zulresso (brexanolone) has obtained an expanded indication to treat postpartum depression (PPD) in patients who are at least 15 years old.

  • In 2019, the FDA approved Zulresso to treat PPD in adults. The drug is administered via intravenous infusion under the supervision of a qualified healthcare professional.
  • A full course of treatment requires 60 hours and follows a recommended dosing schedule of:
    • 0 to 4 hours: Initiate with a dosage of 30mcg/kg of the patient’s weight per hour.
    • 4 to 24 hours: Increase dosage to 60mcg/kg/hour.
    • 24 to 52 hours: Increase dosage to 90mcg/kg/hour (or consider a dosage of 60mcg/kg/hour for individuals unable to tolerate 90mcg/kg/hour).
    • 52 to 56 hours: Decrease dosage to 60mcg/kg/hour.
    • 56 to 60 hours: Decrease dosage to 30mcg/kg/hour.