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Some commonly used brand names are:
In the U.S.—
Aripiprazole (ay-ri-PIP-ray-zole) is used to treat schizophrenia, which is a mental disorder. It is also used to treat the mania phase of bipolar disorder (manic-depressive illness). This medicine should NOT be used to treat behavioral problems in older adult patients who have dementia.
This medicine is available only with your healthcare professional"s prescription, in the following dosage forms:
Before Using This Medicine
In deciding to use a medicine, the risks of using the medicine must be weighed against the good it will do. This is a decision you and your healthcare professional will make. For aripiprazole, the following should be considered:
Allergies—Tell your healthcare professional if you have ever had any unusual or allergic reaction to aripiprazole. Also tell your healthcare professional and pharmacist if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnancy—Studies with aripiprazole have not been done in pregnant women. Some unwanted effects have been reported in animal studies, but the risk to human babies is not clear. Before taking this medicine, make sure your healthcare professional knows if you are pregnant or if you may become pregnant.
Breast-feeding—It is not known whether aripiprazole passes into human breast milk. This medicine does pass into the milk of rats. Aripiprazole is not recommended during breast-feeding, because it may cause unwanted effects in nursing babies.
Children—Studies on this medicine have only been done in adult patients, and there is no specific information comparing the use of aripiprazole in children with use in other age groups.
Older adults—Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing the use of aripiprazole in the elderly with use in other age groups. Older patients who take this medicine for psychosis (mental disturbances) related to their dementia may be at risk for serious side effects and their doctor will need to use extra caution. This medicine should not be used for behavioral problems in older adults with dementia.
Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your healthcare professional may want to change the dose, or other precautions may be necessary. When you are taking aripiprazole, it is especially important that your healthcare professional and pharmacist know if you are using any of the following:
Other medical problems—The presence of other medical problems may affect the use of aripiprazole. Make sure you tell your healthcare professional if you have any other medical problems, especially:
Proper Use of This Medicine
Dosing—Take this medicine only as directed by your doctor in order to improve your condition as much as possible. Do not take more of it and do not take it more often than your doctor ordered.
Aripiprazole may be taken with or without food, on a full or an empty stomach. If your doctor tells you to take it a certain way, follow your doctor"s instructions.
The dose of aripiprazole will be different for different patients. Follow your healthcare professional"s orders or the directions on the label . The following information includes only the average doses of aripiprazole. If your dose is different, do not change it unless your healthcare professional tells you to do so.
Missed dose—If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Storage—To store this medicine:
Precautions While Using This Medicine
It is very important that your healthcare professional check you at regular visits to allow for changes in your dose and help reduce any unwanted effects.
This medicine may add to the effects of alcohol and other central nervous system (CNS) depressants (medicines that make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any CNS depressants while you are taking this medicine.
Aripiprazole may cause drowsiness, trouble in thinking, or trouble in controlling movements. Make sure you know how you react to this medicine before you drive, use machines, or do other jobs that require you to be alert, well-coordinated, or able to think well.
If you experience difficulty swallowing or extreme sleepiness (especially if you are an older adult taking this medicine for psychosis [mental disturbances] related to dementia), contact your doctor immediately. It could increase your risk for serious unwanted effects.
This medicine may make it more difficult for your body to cool itself down. Use care not to become overheated during exercise or hot weather since overheating may result in heat stroke.
For diabetic patients: This medicine may affect blood sugar levels. Also, the oral solution contains sugar.
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your healthcare professional immediately if any of the following side effects occur:
Difficulty speaking; drooling; loss of balance control; muscle trembling, jerking, or stiffness; restlessness; shuffling walk; stiffness of limbs; twisting movements of body; uncontrolled movements, especially of face, neck, and back
Blurred vision; dizziness; headache; nervousness; pounding in the ears; slow or fast heartbeat
Convulsions; difficulty in breathing; fast heartbeat; high fever; high or low blood pressure; increased sweating; lip smacking or puckering; loss of bladder control; muscle spasm or jerking of all extremities; puffing of cheeks; rapid or worm-like movements of tongue; severe muscle stiffness; sudden loss of consciousness; tiredness; uncontrolled chewing movements; uncontrolled movements of arms and legs; unusually pale skin
Incidence not known
Difficulty swallowing; hives or welts; itching, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue; itching skin; large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, sex organs; redness of skin; shortness of breath; skin rash; tightness in chest; trouble in breathing; unusual tiredness or weakness; wheezing
Symptoms of overdose
Get emergency help immediately if any of the following symptoms of overdose occur
Diarrhea; difficulty in speaking; drooling; fast, pounding, or irregular heartbeat or pulse; lack or loss of strength; loss of balance control; loss of consciousness; muscle trembling, jerking, or stiffness; nausea; restlessness; shuffling walk; stiffness of limbs; sleepiness or unusual drowsiness; twisting movements of body; uncontrolled movements, especially of face, neck, and back; vomiting
Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your healthcare professional if any of the following side effects continue or are bothersome.
Acid or sour stomach; anxiety; belching; difficulty having a bowel movement (stool); dry mouth; fear; headache; heartburn; hyperventilation; inability to sit still; indigestion; irregular heartbeats; irritability; lack or loss of strength; lightheadedness; nausea; need to keep moving; nervousness; rash; restlessness; shaking; sleepiness or unusual drowsiness; sleeplessness; stomach discomfort, upset, or pain; trouble sleeping; unable to sleep; vomiting; weight gain
Accidental injury; bloating or swelling of face, arms, hands, lower legs, or feet; blurred vision; body aches or pain; congestion; coughing ; difficulty in moving; dryness or soreness of throat; fever; hoarseness; increased salivation; joint pain; muscle aching or cramping; muscle pains or stiffness; rapid weight gain; runny nose; stuffy nose; sneezing; swollen joints; tender, swollen glands in neck; tingling of hands or feet; tremor; trouble in swallowing; unusual weight gain or loss; voice changes
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your healthcare professional.
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