<?xml version="1.0"?><?xml-stylesheet type="text/xsl" href="../4_X02.xsl"?><ownershipDocument>    <schemaVersion>X0303</schemaVersion>    <documentType>4</documentType>    <periodOfReport>2010-09-02</periodOfReport>    <notSubjectToSection16>0</notSubjectToSection16>    <issuer>        <issuerCik>0001333763</issuerCik>        <issuerName>Chelsea Therapeutics International, Ltd.</issuerName>        <issuerTradingSymbol>CHTP</issuerTradingSymbol>    </issuer>    <reportingOwner>        <reportingOwnerId>            <rptOwnerCik>0001316736</rptOwnerCik>            <rptOwnerName>Pedder Simon</rptOwnerName>        </reportingOwnerId>        <reportingOwnerAddress>            <rptOwnerStreet1>3530 TORINGDON WAY</rptOwnerStreet1>            <rptOwnerStreet2>SUITE 200</rptOwnerStreet2>            <rptOwnerCity>CHARLOTTE</rptOwnerCity>            <rptOwnerState>NC</rptOwnerState>            <rptOwnerZipCode>28277</rptOwnerZipCode>            <rptOwnerStateDescription></rptOwnerStateDescription>        </reportingOwnerAddress>        <reportingOwnerRelationship>            <isDirector>1</isDirector>            <isOfficer>1</isOfficer>            <isTenPercentOwner>0</isTenPercentOwner>            <isOther>0</isOther>            <officerTitle>Chief Executive Officer</officerTitle>        </reportingOwnerRelationship>    </reportingOwner>    <nonDerivativeTable>        <nonDerivativeTransaction>            <securityTitle>                <value>Common Stock</value>            </securityTitle>            <transactionDate>                <value>2010-09-02</value>            </transactionDate>            <transactionCoding>                <transactionFormType>4</transactionFormType>                <transactionCode>P</transactionCode>                <equitySwapInvolved>0</equitySwapInvolved>            </transactionCoding>            <transactionAmounts>                <transactionShares>                    <value>1250</value>                </transactionShares>                <transactionPricePerShare>                    <value>4.08</value>                </transactionPricePerShare>                <transactionAcquiredDisposedCode>                    <value>A</value>                </transactionAcquiredDisposedCode>            </transactionAmounts>            <postTransactionAmounts>                <sharesOwnedFollowingTransaction>                    <value>488180</value>                </sharesOwnedFollowingTransaction>            </postTransactionAmounts>            <ownershipNature>                <directOrIndirectOwnership>                    <value>D</value>                </directOrIndirectOwnership>            </ownershipNature>        </nonDerivativeTransaction>    </nonDerivativeTable>    <derivativeTable>        <derivativeHolding>            <securityTitle>                <value>Stock Option (Right to Buy)</value>            </securityTitle>            <conversionOrExercisePrice>                <value>2.96</value>            </conversionOrExercisePrice>            <exerciseDate>                <footnoteId id="F1"/>            </exerciseDate>            <expirationDate>                <value>2020-01-19</value>            </expirationDate>            <underlyingSecurity>                <underlyingSecurityTitle>                    <value>Common Stock</value>                </underlyingSecurityTitle>                <underlyingSecurityShares>                    <value>175000</value>                </underlyingSecurityShares>            </underlyingSecurity>            <postTransactionAmounts>                <sharesOwnedFollowingTransaction>                    <value>175000</value>                </sharesOwnedFollowingTransaction>            </postTransactionAmounts>            <ownershipNature>                <directOrIndirectOwnership>                    <value>D</value>                </directOrIndirectOwnership>            </ownershipNature>        </derivativeHolding>        <derivativeHolding>            <securityTitle>                <value>Stock Option (Right to Buy)</value>            </securityTitle>            <conversionOrExercisePrice>                <value>1.85</value>            </conversionOrExercisePrice>            <exerciseDate>                <footnoteId id="F2"/>            </exerciseDate>            <expirationDate>                <value>2019-05-01</value>            </expirationDate>            <underlyingSecurity>                <underlyingSecurityTitle>                    <value>Common Stock</value>                </underlyingSecurityTitle>                <underlyingSecurityShares>                    <value>47890</value>                </underlyingSecurityShares>            </underlyingSecurity>            <postTransactionAmounts>                <sharesOwnedFollowingTransaction>                    <value>47890</value>                </sharesOwnedFollowingTransaction>            </postTransactionAmounts>            <ownershipNature>                <directOrIndirectOwnership>                    <value>D</value>                </directOrIndirectOwnership>            </ownershipNature>        </derivativeHolding>        <derivativeHolding>            <securityTitle>                <value>Stock Option (Right to Buy)</value>            </securityTitle>            <conversionOrExercisePrice>                <value>1.78</value>            </conversionOrExercisePrice>            <exerciseDate>                <footnoteId id="F3"/>            </exerciseDate>            <expirationDate>                <value>2019-01-22</value>            </expirationDate>            <underlyingSecurity>                <underlyingSecurityTitle>                    <value>Common Stock</value>                </underlyingSecurityTitle>                <underlyingSecurityShares>                    <value>175000</value>                </underlyingSecurityShares>            </underlyingSecurity>            <postTransactionAmounts>                <sharesOwnedFollowingTransaction>                    <value>175000</value>                </sharesOwnedFollowingTransaction>            </postTransactionAmounts>            <ownershipNature>                <directOrIndirectOwnership>                    <value>D</value>                </directOrIndirectOwnership>            </ownershipNature>        </derivativeHolding>        <derivativeHolding>            <securityTitle>                <value>Stock Option (Right to Buy)</value>            </securityTitle>            <conversionOrExercisePrice>                <value>6.5</value>            </conversionOrExercisePrice>            <exerciseDate>                <footnoteId id="F4"/>            </exerciseDate>            <expirationDate>                <value>2018-01-24</value>            </expirationDate>            <underlyingSecurity>                <underlyingSecurityTitle>                    <value>Common Stock</value>                </underlyingSecurityTitle>                <underlyingSecurityShares>                    <value>175000</value>                </underlyingSecurityShares>            </underlyingSecurity>            <postTransactionAmounts>                <sharesOwnedFollowingTransaction>                    <value>175000</value>                </sharesOwnedFollowingTransaction>            </postTransactionAmounts>            <ownershipNature>                <directOrIndirectOwnership>                    <value>D</value>                </directOrIndirectOwnership>            </ownershipNature>        </derivativeHolding>        <derivativeHolding>            <securityTitle>                <value>Stock Option (Right to Buy)</value>            </securityTitle>            <conversionOrExercisePrice>                <value>5.68</value>            </conversionOrExercisePrice>            <exerciseDate>                <footnoteId id="F5"/>            </exerciseDate>            <expirationDate>                <value>2017-02-06</value>            </expirationDate>            <underlyingSecurity>                <underlyingSecurityTitle>                    <value>Common Stock</value>                </underlyingSecurityTitle>                <underlyingSecurityShares>                    <value>175000</value>                </underlyingSecurityShares>            </underlyingSecurity>            <postTransactionAmounts>                <sharesOwnedFollowingTransaction>                    <value>175000</value>                </sharesOwnedFollowingTransaction>            </postTransactionAmounts>            <ownershipNature>                <directOrIndirectOwnership>                    <value>D</value>                </directOrIndirectOwnership>            </ownershipNature>        </derivativeHolding>        <derivativeHolding>            <securityTitle>                <value>Stock Option (Right to Buy)</value>            </securityTitle>            <conversionOrExercisePrice>                <value>3.9</value>            </conversionOrExercisePrice>            <exerciseDate>                <footnoteId id="F6"/>            </exerciseDate>            <expirationDate>                <value>2016-06-19</value>            </expirationDate>            <underlyingSecurity>                <underlyingSecurityTitle>                    <value>Common Stock</value>                </underlyingSecurityTitle>                <underlyingSecurityShares>                    <value>167585</value>                </underlyingSecurityShares>            </underlyingSecurity>            <postTransactionAmounts>                <sharesOwnedFollowingTransaction>                    <value>167585</value>                </sharesOwnedFollowingTransaction>            </postTransactionAmounts>            <ownershipNature>                <directOrIndirectOwnership>                    <value>D</value>                </directOrIndirectOwnership>            </ownershipNature>        </derivativeHolding>        <derivativeHolding>            <securityTitle>                <value>Stock Option (Right to Buy)</value>            </securityTitle>            <conversionOrExercisePrice>                <value>3.5</value>            </conversionOrExercisePrice>            <exerciseDate>                <footnoteId id="F7"/>            </exerciseDate>            <expirationDate>                <value>2016-02-01</value>            </expirationDate>            <underlyingSecurity>                <underlyingSecurityTitle>                    <value>Common Stock</value>                </underlyingSecurityTitle>                <underlyingSecurityShares>                    <value>100000</value>                </underlyingSecurityShares>            </underlyingSecurity>            <postTransactionAmounts>                <sharesOwnedFollowingTransaction>                    <value>100000</value>                </sharesOwnedFollowingTransaction>            </postTransactionAmounts>            <ownershipNature>                <directOrIndirectOwnership>                    <value>D</value>                </directOrIndirectOwnership>            </ownershipNature>        </derivativeHolding>        <derivativeHolding>            <securityTitle>                <value>Stock Option (Right to Buy)</value>            </securityTitle>            <conversionOrExercisePrice>                <value>2.62</value>            </conversionOrExercisePrice>            <exerciseDate>                <footnoteId id="F8"/>            </exerciseDate>            <expirationDate>                <value>2015-01-10</value>            </expirationDate>            <underlyingSecurity>                <underlyingSecurityTitle>                    <value>Common Stock</value>                </underlyingSecurityTitle>                <underlyingSecurityShares>                    <value>478726</value>                </underlyingSecurityShares>            </underlyingSecurity>            <postTransactionAmounts>                <sharesOwnedFollowingTransaction>                    <value>478726</value>                </sharesOwnedFollowingTransaction>            </postTransactionAmounts>            <ownershipNature>                <directOrIndirectOwnership>                    <value>D</value>                </directOrIndirectOwnership>            </ownershipNature>        </derivativeHolding>    </derivativeTable>    <footnotes>        <footnote id="F1">Option vests in four equal annual installments beginning on January 19, 2011.</footnote>        <footnote id="F2">Option vests in four equal annual installments beginning on May 1, 2010.</footnote>        <footnote id="F3">Option vests in four equal annual installments beginning on January 22, 2010.</footnote>        <footnote id="F4">Option vests in four equal annual installments beginning on January 24, 2009.</footnote>        <footnote id="F5">Option vests in four equal annual installments beginning on February 6, 2008.</footnote>        <footnote id="F6">Option vests in four equal annual installments beginning on June 19, 2007.</footnote>        <footnote id="F7">Option vests in four equal annual installments beginning on February 1, 2007.</footnote>        <footnote id="F8">Option vested in four equal annual installments beginning on January 10, 2006.</footnote>    </footnotes>    <ownerSignature>        <signatureName>/s/ Alexander M. Donaldson, Attorney-in-Fact</signatureName>        <signatureDate>2010-09-07</signatureDate>    </ownerSignature></ownershipDocument>
