Aripiprazole

Details About Generic Salt ::  Aripiprazole 

Main Medicine Class:: Nervous System   Sub Medicine Class ::  Anti Psychotics

1D. ANTI-DEPRESSANTS in 1. NERVOUS SYSTEM
ARIPIPRAZOLE
5-HT1A PARTIAL AGONIST & 5-HT2A ANTAGONIST | ANTI-PSYCHOTIC, ANTI-DEPRESSANTS
also comes under 1E. Anti-Psychotics in 1. Nervous System,  
PK: A: Well absorbed D: 4.9 L/kg (Vd) M: Hepatic E: Feces (55%) & urine (25%)

Indications & Dose: DEPRESSION PO Adult Initially 2-5mg OD, may be adjusted in increments of up to 5mg at intervals of not less than 1 wk max 15mg/day | MANIA PO Adult Initially 30mg OD, decrease to 15mg OD based on tolerance | Acute IM Adult 5.25-15mg/day, next dose may be after 2h if needed, max 30mgAgitation | SCHIZOPHRENIA PO Adult Initially 10 or 15mg/day, MD 15mg/day the dose may be adjusted at intervals of not less than 2 wk upto max 30mg/day | Acute IM Adult 5.25-15mg/day, next dose may be after 2h if needed, max 30mgAgitation

Contra: Hypersensitivity, children

Precautions: Major depression & other psychiatric disorders, elderly patients with dementia, parkinson’s disease, seizures, head trauma, brain damage, alcoholism, CVD, hypotension

ADR: Serious: EPS, orthostatic hypotension, tachycardia, chest pain, peripheral edema, HTN, suicidal ideation, tremor, blurred vision, Others: nasopharyngitis, dyspnea, myalgia, irritability, coordination impaired, rash, dysmenorrhea, appetite decreased, lethargy, dystonia, headache, agitation, insomnia, anxiety, akathisia, sedation, weight gain, vomiting, nausea, constipation, dyspepsia

DDI: Serious Haloperidol causes psychotic symptoms, Efavirenz/Carbamazepine/Nevirapine/Phenobarbital/Phenytoin/Primidone/Rifabutin/Rifampicin decreases drug level, Diltiazem/Azoles/Fluoxetine/Paroxetine/Quinidine increases drug level, Venlafaxine leads to NMS & EPS, Valproic acid reduces drug level

Diet: With/without food

Monitor: Vital signs, lipid profile & fasting blood glucose/Hb A1c, CBC, BMI, mental status, abnormal involuntary movement scale, EPS

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