Regulatory PathRegulatory requirements compared

Active substance

Ganaxolone

Open in the medicines table

US FDA United States — FDA approvals (Drugs@FDA)

ProductStrengthForm · routeApplicantStatusFirst approved
ZTALMY50MG/MLsuspension · oralIMMEDICA PHARMAPrescription18 Mar 2022

EMA European Union — centrally authorised medicines

Ztalmy Marinus Pharmaceuticals Emerald Limited · Authorised · authorised 26 Jul 2023 · ATC N03AX

Therapeutic indication (EMA)

Ztalmy is indicated for the adjunctive treatment of epileptic seizures associated with cyclin-dependent kinase-like 5 (CDKL5) deficiency disorder (CDD) in patients 2 to 17 years of age. Ztalmy may be continued in patients 18 years of age and older.

Safety signals and safety-related labeling changes

  • US FDA 16 Oct 2025 ZTALMY — safety-related labeling change
    Labeling sections changed: Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide

All safety entries for ganaxolone →

Values as published by each source: SFDA human drug list (4-2026, as published by the Council of Health Insurance; indications from the CHI Daman Drug Formulary), Drugs@FDA, EMA medicines data, Health Canada Drug Product Database (Open Government Licence – Canada), CMS NADAC, NHS Drug Tariff Part VIIIA (NHSBSA Copyright, Open Government Licence v3.0), WHO Model List of Essential Medicines (CC BY 3.0 IGO; regrouped by active substance, not created by WHO), EMA PRAC, US FDA safety-related labeling changes and MHRA Drug Safety Update (Open Government Licence v3.0). Sources and reuse. Not a substitute for the official registers or the product information.