Zurzuvae

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Authorised

This medicine is authorised for use in the European Union

zuranolone
Medicine Human Authorised
  • Application under evaluation
  • CHMP opinion
  • European Commission decision

Overview

Zurzuvae is an antidepressant medicine used to treat postpartum depression in adults.

Postpartum depression is depression that affects individuals after childbirth, with symptoms such as persistent feelings of sadness, anxiety, and fatigue.

Zurzuvae contains the active substance zuranolone.  

Zurzuvae is available as capsules to be taken by mouth once a day in the evening. The medicine is taken for 14 days and can be used alone or in addition to other antidepressant treatment that the patient may already be taking.

The medicine can only be obtained with a prescription.

For more information about using Zurzuvae, see the package leaflet or contact your doctor or pharmacist. 

The active substance in Zurzuvae, zuranolone, increases the activity of the neurotransmitter GABA, which is involved in regulating mood. Neurotransmitters such as GABA are chemicals that allow nerve cells to communicate with each other. In the brain, GABA reduces the ability of nerve cells to communicate, which has a calming effect. By increasing GABA’s effects, zuranolone helps to improve mood.

A main study involving 200 women with severe postpartum depression found that Zurzuvae is more effective than placebo (a dummy treatment) at improving symptoms of depression, as measured using the Hamilton depression rating scale (also called HAMD-17). A reduction in HAMD-17 score indicates an improvement in symptoms.

In the study, women took Zurzuvae or placebo for 14 days. By the 15th day, women treated with Zurzuvae had a reduction of around 16 points in the HAMD-17 score, while those taking placebo had a reduction of around 12 points.

Supportive data showed that by the third day of treatment, the score had dropped by around 10 points in women who were taking Zurzuvae, compared with around 6 points in those taking placebo. Furthermore, 45 days after starting treatment, the HAMD-17 score was around 18 points lower for women who had taken Zurzuvae and around 14 points lower for those on placebo.

For the full list of side effects and restrictions with Zurzuvae, see the package leaflet.

The most common side effects with Zurzuvae (which may affect more than 1 in 10 people) include sleepiness, dizziness and drowsiness.

Zurzuvae must not be taken during pregnancy. 

At the time of authorisation, there was an unmet need for treatment of postpartum depression that quickly takes effect. Zurzuvae was shown to be effective at bringing about a rapid improvement in symptoms of the condition, and the improvement was maintained throughout the study. The side effects were generally mild and tended to become less frequent after several days of treatment. The European Medicines Agency therefore decided that Zurzuvae’s benefits are greater than its risks and that it can be authorised for use in the EU.

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Zurzuvae have been included in the summary of product characteristics and the package leaflet.

As for all medicines, data on the use of Zurzuvae are continuously monitored. Suspected side effects reported with Zurzuvae are carefully evaluated and any necessary action taken to protect patients.

Zurzuvae received a marketing authorisation valid throughout the EU on 17 September 2025.

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Product information

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17/09/2025
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This medicine’s product information is available in all official EU languages.
Select 'available languages' to access the language you need.

 

Product information documents contain:

  • summary of product characteristics (annex I);
  • manufacturing authorisation holder responsible for batch release (annex IIA);
  • conditions of the marketing authorisation (annex IIB);
  • labelling (annex IIIA);
  • package leaflet (annex IIIB).

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Product details

Name of medicine
Zurzuvae
Active substance
zuranolone
International non-proprietary name (INN) or common name
zuranolone
Therapeutic area (MeSH)
Depression, Postpartum
Anatomical therapeutic chemical (ATC) code
N06A

Pharmacotherapeutic group

Psychoanaleptics

Therapeutic indication

Zurzuvae is indicated for the treatment of postpartum depression (PPD) in adults following childbirth (see section 5.1).
 

Authorisation details

EMA product number
EMEA/H/C/006488

Additional monitoring

This medicine is under additional monitoring, meaning that it is monitored even more intensively than other medicines. For more information, see Medicines under additional monitoring.

Marketing authorisation holder
Biogen Netherlands B.V.

Prins Mauritslaan 13
1171 LP Badhoevedorp
The Netherlands

Opinion adopted
24/07/2025
Opinion status
Positive

Assessment history

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