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Abilify (Aripiprazole)
Patient Information
Pronounced: a-BILL-i-fie
Generic name: Aripiprazole
Why is Abilify prescribed?
Abilify is used in the treatment of schizophrenia, the crippling
psychological disorder that causes its victims to lose touch with reality,
often triggering hallucinations, delusions, and disorganized thought. The
drug is thought to work by modifying sensitivity to two of the brain's chief
chemical messengers, serotonin and dopamine. Abilify is also approved for
the treatment of acute manic and mixed episodes associated with Bipolar
Disorder.
Most important fact about Abilify
Abilify can cause tardive dyskinesia, a condition marked by involuntary
movements in the face and body, including chewing movements, puckering,
puffing the cheeks, and sticking out the tongue. This condition may be
permanent and appears to be most common among older adults, especially
women. Ask your doctor for more information about this possible risk.
How should you take Abilify?
Abilify should be taken once a day. It may be taken with or without food.
--If you miss a dose...
Take the forgotten dose as soon as you remember. However, if it is almost
time for your next dose, skip the one you missed and return to your regular
schedule. Do not take two doses at once.
--Storage information...
Store at room temperature.
What side effects may occur using Abilify?
Side effects cannot be anticipated. If any develop or change in
intensity, tell your doctor as soon as possible. Only your doctor can
determine if it is safe to continue using Abilify.
- More common side effects of Abilify may include: Anxiety, blurred
vision, constipation, cough, headache, insomnia, light-headedness,
nausea, rash, restlessness, runny nose, sleepiness, tremors, vomiting,
weakness, weight gain
- Less common side effects may include: Abnormal gait, anemia,
appetite loss, blood pressure changes, bruising, chest pain, confusion,
depression, dry skin, ear pain, eye inflammation, fever, flu symptoms,
heart rate changes, hostility, increased salivation, itching, jerkiness
and rigidity, mania, muscle cramps, neck pain or stiffness, nervousness,
pneumonia, shortness of breath, skin sores, suicidal thoughts, sweating,
swelling, urinary incontinence, weight loss
A variety of other reactions have been reported on extremely rare
occasions. If you develop any new or unusual symptoms, be sure to check with
your doctor.
Why should this drug not be prescribed?
If Abilify causes an allergic reaction, you'll be unable to use it.
Special warnings about Abilify
The risk of tardive dyskinesia (see "Most important fact about this
drug") increases with the total amount of Abilify that you've taken. To
reduce the risk, the doctor will prescribe the lowest effective dose and
resort to long-term therapy only if necessary. If you develop symptoms of
tardive dyskinesia, see your doctor immediately. Therapy with Abilify may
have to be discontinued.
In rare cases, Abilify has been known to cause a potentially fatal
condition called Neuroleptic Malignant Syndrome (NMS). Symptoms include high
fever, rigid muscles, irregular pulse or blood pressure, rapid heartbeat,
excessive perspiration, altered mental status, and changes in heart rhythm.
If you develop these symptoms, contact your doctor immediately. Abilify
should be discontinued.
Abilify may cause high blood sugar and diabetes. Patients with diabetes
or who have a higher chance for diabetes should have their blood sugar
checked often.
Because Abilify tends to make some people sleepy, you should be cautious
about operating hazardous machinery such as cars until you are certain the
drug will not impair your ability.
In a few people, Abilify can cause an abrupt drop in blood pressure when
they stand up, leading to light-headedness or even fainting. Use Abilify
with caution if you have any kind of heart or circulatory problem, take
blood pressure medication, or tend to become dehydrated.
Abilify has triggered seizures in a very small number of patients, and
can also interfere with the swallowing mechanism. The risk of either problem
is greater among older adults. If you've ever had a seizure, be sure to tell
the doctor. Abilify should be used with caution.
Drugs such as Abilify can cause the body to overheat. Be cautious in hot
weather and when exercising strenuously, and be sure to get plenty of
liquids.
Abilify is a type of medicine called an atypical antipsychotic. FDA has
found that older patients treated with atypical antipsychotics for dementia
had a higher chance for death than patients who did not take the medicine.
This is not an approved use.
Abilify has not been tested in children or teenagers. Older adults should
use the drug with caution.
Possible food and drug interactions when taking Abilify
The doctor will need to reduce the dosage of Abilify when you take the
following additional drugs:
Fluoxetine (Prozac)
Ketoconazole (Nizoral)
Paroxetine (Paxil)
Quinidine (Quinidex)
On the other hand, the dosage of Abilify should be increased when you
take carbamazepine (Tegretol).
Be cautious when taking Abilify with blood pressure medications
classified as alpha-adrenergic blockers, including Hytrin and Cardura.
Caution is also advised when combining Abilify with drugs that act on the
brain, including tranquilizers, antidepressants, sleeping pills, narcotic
painkillers, and other schizophrenia medications.
Although Abilify does not interact with alcohol, the manufacturer
recommends avoiding the combination.
Special information if you are pregnant or breastfeeding
The effects of Abilify during pregnancy have not been adequately studied.
The drug is recommended only if its benefits are thought to outweigh the
potential risk to the baby. If you are pregnant or planning to become
pregnant, inform your doctor immediately.
Breastfeeding is not recommended during Abilify therapy.
Recommended dosage
ADULTS
The usual dose is 10 or 15 milligrams taken once a day. The doctor will
wait at least 2 weeks before prescribing an increased dosage.
Overdosage
Any medication taken in excess can have serious consequences. If you
suspect an overdose, seek medical attention immediately.
Symptoms of Abilify overdose may include: Sleepiness, vomiting
Full Abilify prescribing information
Last revised 11/05
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