Neuropsychiatric symptoms such as hallucinations and delusions affect a substantial portion of patients with Alzheimer’s and Parkinson’s disease–associated dementia, contributing to disease progression, caregiver burden, and institutionalization.
The approval of pimavanserin (Nuplazid®) showed that 5HT2A inhibitor reduces psychosis without worsening motor symptoms. However, current therapies are limited by safety issues, such as QT interval prolongation from hERG potassium channel inhibition. This highlights the need for safer next-generation serotonergic treatments.