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Prescription medicine

Ziconotide acetate

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Quick answers

What is Ziconotide acetate used for?
The FDA-approved label (Prialt, TerSera Therapeutics LLC, May 31, 2025) says: “PRIALT (ziconotide) solution, intrathecal infusion is indicated for the management of severe chronic pain in adult patients for whom intrathecal therapy is warranted, and who are intolerant of or refractory to other treatment, such as systemic analgesics, adjunctive therapies, or intrathecal morphine. …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Ziconotide acetate have a boxed warning?
Yes. The FDA label for Prialt has a boxed warning, the FDA’s strongest warning. Read it on the full label and ask your pharmacist.
Is there a shortage of Ziconotide acetate?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Ziconotide acetate been recalled?
No recall linked to the products of this medicine appears in the FDA enforcement reports we use.
Who makes Ziconotide acetate?
2 companies list prescription products of Ziconotide acetate in the FDA NDC Directory, including Esteve Pharmaceuticals, S.A. and TerSera Therapeutics LLC.

What Ziconotide acetate is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

PRIALT (ziconotide) solution, intrathecal infusion is indicated for the management of severe chronic pain in adult patients for whom intrathecal therapy is warranted, and who are intolerant of or refractory to other treatment, such as systemic analgesics, adjunctive therapies, or intrathecal morphine. …

— FDA label: Prialt, TerSera Therapeutics LLC, effective May 31, 2025. Read the full label on DailyMed →

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

Boxed warning

A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.

This label has a boxed warning. Read it on the full label →

Forms and how it is given

Dosage formsInjection, solution
RouteIntrathecal
Prescription products6 in the FDA NDC Directory
Brand namesPrialt

Companies that list this medicine

Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.

FDA approval history

  • NDA: New Drug Application: how a new (usually brand-name) medicine is approved.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
NDA021060
PRIALT
EsteveDecember 28, 2004 5, latest March 16, 2023
2023: Labeling · 2012: Manufacturing (CMC) · 2011: Labeling

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

No recall linked to these products (by their NDC code) appears in the FDA enforcement reports.

Official identifiers

RxCUI (RxNorm)486133, 583453, 1738353, 1738354, 1738357, 1738358
SPL set ID of the quoted labelb025d8ed-937d-4597-9ad1-0b2f6e0ee5b1
FDA labels (SPL)1
FDA applicationsNDA021060
Active ingredients (FDA)ZICONOTIDE ACETATE

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Prialt, TerSera Therapeutics LLC, effective May 31, 2025; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026

openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →

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