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What Is Ingrezza?

Ingrezza is a prescription vesicular monoamine transporter 2 inhibitor containing valbenazine. It is indicated for adults with tardive dyskinesia or chorea associated with Huntington disease. Standard and Sprinkle capsules are available in 40 mg, 60 mg, and 80 mg strengths.

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What Is Ingrezza?

Ingrezza is a prescription vesicular monoamine transporter 2 inhibitor containing valbenazine. It is indicated for adults with tardive dyskinesia or chorea associated with Huntington disease. Standard and Sprinkle capsules are available in 40 mg, 60 mg, and 80 mg strengths.

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How Does Ingrezza Affect VMAT2?

Valbenazine reversibly inhibits vesicular monoamine transporter 2, which regulates movement of monoamines from the cell cytoplasm into synaptic vesicles for storage and release. Its exact therapeutic mechanism in tardive dyskinesia and Huntington chorea is not fully defined.

Who Is Treated With Ingrezza?

Ingrezza is used in adults with tardive dyskinesia or chorea associated with Huntington disease. Patients with Huntington disease are monitored closely for new or worsening depression, suicidal thoughts, or unusual behavior during treatment.

How Is Ingrezza Dosed?

Tardive dyskinesia treatment starts at 40 mg once daily and increases after one week to 80 mg once daily. Huntington chorea treatment starts at 40 mg once daily and increases by 20 mg every two weeks to 80 mg once daily. Doses of 40 mg or 60 mg once daily are alternatives based on response and tolerability.

What Serious Risks Are Linked to Ingrezza?

Ingrezza carries a boxed warning for depression and suicidal thoughts and behavior in patients with Huntington disease. Other serious concerns include hypersensitivity with angioedema, sedation, QT prolongation, neuroleptic malignant syndrome, and parkinsonism. Congenital long QT syndrome and arrhythmias associated with a prolonged QT interval are reasons to avoid treatment.

Frequently Asked Questions About Ingrezza

What conditions does Ingrezza treat?

Ingrezza treats tardive dyskinesia and chorea associated with Huntington disease in adults.

What is the starting dose for tardive dyskinesia?

The starting dose is 40 mg once daily for one week before an increase to 80 mg once daily.

What is the recommended Huntington chorea dose?

Treatment starts at 40 mg once daily and increases by 20 mg every two weeks to 80 mg once daily.

Does Ingrezza have a boxed warning?

Yes. The boxed warning concerns depression and suicidal thoughts and behavior in patients with Huntington disease.

References

INGREZZA (Valbenazine) Prescribing Information. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4c970164-cafb-421f-9eb5-c226ef0a3417. Date Accessed October 5, 2026.

KINECT 3: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Trial of Valbenazine for Tardive Dyskinesia. https://pubmed.ncbi.nlm.nih.gov/28320223/. Date Accessed October 5, 2026.

Safety and Efficacy of Valbenazine for the Treatment of Chorea Associated With Huntington's Disease (KINECT-HD): A Phase 3, Randomised, Double-Blind, Placebo-Controlled Trial. https://pubmed.ncbi.nlm.nih.gov/37210099/. Date Accessed October 5, 2026.

Valbenazine: MedlinePlus Drug Information. https://medlineplus.gov/druginfo/meds/a617023.html. Date Accessed October 5, 2026.

Valbenazine Therapy and CYP2D6 Genotype. https://www.ncbi.nlm.nih.gov/books/NBK609326/. Date Accessed October 5, 2026.