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Cobenfy
Xanomeline And Trospium Chloride
$3415.00
50/20mg · 1 capsules · 1 days supply
BrandBranded medicine· By Bristol-Myers Squibb
$102450.00 per month
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Annual cost
$1246475a year at this pack size
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50/20mg
100MG
125mg
About Cobenfy
Overview
Cobenfy is a prescription medicine containing xanomeline and trospium chloride in capsules taken by mouth. It is used to treat schizophrenia in adults. Its exact action in schizophrenia is unclear, but xanomeline is thought to work by activating certain muscarinic receptors in the brain, while trospium chloride blocks muscarinic receptors mainly outside the brain and spinal cord.
What it treats
Schizophrenia in adults.
Safety information
Side effects
Common side effects include nausea, indigestion, constipation, vomiting, high blood pressure, abdominal pain, diarrhea, a fast heartbeat, dizziness and acid reflux. Contact a doctor promptly if you have difficulty passing urine or cannot empty your bladder. Cobenfy can cause urinary retention, with a higher risk in older adults and people who already have problems emptying their bladder. It can also slow movement through the stomach and intestines, increasing the risk of stomach contents being retained in people with digestive tract blockages. Seek urgent medical help for swelling of the face, lips, tongue or throat, which may be angioedema, a serious reaction. Other important risks include substantial liver injury and increased heart rate. Your doctor should check liver enzymes and bilirubin before treatment and as needed, and check your heart rate before and during treatment. Cobenfy must not be used in people with moderate or severe liver impairment and is not recommended for those with mild liver impairment or moderate or severe kidney impairment. People with narrow-angle glaucoma need careful monitoring. Cobenfy may affect the central nervous system. Do not drive or operate heavy machinery until you know how it affects you.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Do not take Cobenfy if you have urinary retention (difficulty emptying the bladder due to retained urine), gastric retention (the stomach does not empty properly), moderate or severe liver impairment, untreated narrow-angle glaucoma, or a history of an allergic reaction to Cobenfy or trospium chloride. Cobenfy is not recommended for people with mild liver impairment or moderate to severe kidney impairment. Tell your prescriber if you have a blockage at the bladder outlet, incomplete bladder emptying, a gastrointestinal blockage, biliary disease, or narrow-angle glaucoma. Older adults and people with bladder-emptying problems have a higher risk of urinary retention. Cobenfy can slow movement through the digestive tract and may increase heart rate. Liver enzymes, bilirubin and heart rate should be checked before treatment and monitored as clinically indicated. Swelling of the face, lips, tongue or throat has been reported. Cobenfy should be stopped if signs or symptoms of substantial liver injury occur. Do not drive or operate heavy machinery until you know how Cobenfy affects you.
Interactions
Tell your doctor if you take any of the following, as closer monitoring for side effects may be needed: - Medicines cleared by the kidneys through active tubular secretion: side effects from both these medicines and Cobenfy may become more frequent or severe. - Strong CYP2D6 inhibitors: these may increase the frequency or severity of Cobenfy side effects. - Medicines that are sensitive substrates of CYP3A4 or P-glycoprotein: side effects from these medicines may become more frequent or severe. - Other antimuscarinic medicines: anticholinergic side effects may become more frequent or severe. Your doctor can check whether any of your medicines fall into these groups.
Using Cobenfy
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label COBENFY (XANOMELINE AND TROSPIUM CHLORIDE) CAPSULE, COATED PELLETS COBENFY (XANOMELINE AND TROSPIUM CHLORIDE) KIT [E.R. SQUIBB & SONS, L.L.C.] (DailyMed, retrieved 19 September 2026).
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