Ziprasidone

Generic name: Ziprasidone (oral/injection)
Brand names: Geodon
Drug class: Atypical antipsychotics

Usage of Ziprasidone

Ziprasidone is an antipsychotic medicine.

Ziprasidone oral is used to treat schizophrenia and the manic symptoms of bipolar disorder (manic depression).

Ziprasidone injection is used to quickly treat agitation in people with schizophrenia.

Ziprasidone may also be used for purposes not listed in this medication guide.

Ziprasidone side effects

Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).

Seek medical treatment if you have a serious drug reaction that can affect many parts of your body. Symptoms may include: skin rash, fever, swollen glands, muscle aches, severe weakness, unusual bruising, or yellowing of your skin or eyes.

Ziprasidone may cause serious side effects. Stop using ziprasidone and call your doctor at once if you have:

fast or pounding heartbeats, fluttering in your chest, shortness of breath, and sudden dizziness (like you might pass out);

uncontrolled muscle movements in your face (chewing, lip smacking, frowning, tongue movement, blinking or eye movement);

any skin rash, no matter how mild;

low white blood cell counts--fever, mouth sores, skin sores, sore throat, cough, trouble breathing;

high blood sugar--increased thirst, increased urination, dry mouth, fruity breath odor; or

severe nervous system reaction--very stiff (rigid) muscles, high fever, sweating, confusion, agitation.

Common side effects of ziprasidone may include:

dizziness, drowsiness, weakness;

headache;

nausea, vomiting;

trouble swallowing;

weight gain;

feeling restless or being unable to sit still;

tremors, involuntary muscle movements;

vision problems; or

runny nose, new or worsening cough.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Before taking Ziprasidone

You should not use this medicine if you are allergic to ziprasidone, or if you have:

a heart rhythm disorder;

long QT syndrome (in you or a family member);

uncontrolled or untreated heart failure; or

if you have recently had a heart attack.

Ziprasidone can cause a serious heart problem. Your risk may be higher if you also use certain other medicines. Your doctor may change your treatment plan if you also use:

an antidepressant;

bronchodilator asthma medication;

cancer medicine;

certain medicines for infections;

heart or blood pressure medication;

medicine to treat or prevent malaria;

medicine to prevent nausea or vomiting;

medicine to treat a psychiatric disorder; or

medicine to treat HIV or AIDS.

Ziprasidone may increase the risk of death in older adults with dementia-related psychosis and is not approved for this use.

Tell your doctor if you have ever had:

any heart problems;

a heart attack or stroke;

fainting spells;

breast cancer;

low blood levels of potassium or magnesium;

diabetes (ziprasidone may raise your blood sugar);

seizures or epilepsy;

suicidal thoughts;

Alzheimer's disease;

trouble swallowing;

liver disease; or

kidney disease.

Taking antipsychotic medicine in the last 3 months of pregnancy may cause breathing problems, feeding problems, or withdrawal symptoms in the newborn. If you get pregnant, tell your doctor right away. Do not stop taking ziprasidone without your doctor's advice.

You should not breastfeed while using this medicine.

Older adults may be more sensitive to the effects of this medicine.

Ziprasidone is not approved for use by anyone younger than 18 years old.

Relate drugs

How to use Ziprasidone

Usual Adult Dose for Schizophrenia:

Oral:Initial dose: 20 mg orally twice a dayMaintenance dose: Adjust as clinically indicated at intervals of not less than 2 daysMaximum dose: 100 mg twice a dayComments: A dose greater than 80 mg twice a day is generally not recommended. Intramuscular: Recommended dose: 10 to 20 mg IM; may repeat 10 mg IM every 2 hours or 20 mg IM every 4 hours up to maximum daily doseMaximum dose: 40 mg IM per dayDuration of therapy: Use beyond 3 consecutive days has not been studied Comments: -Coadministration of IM ziprasidone to patient's already taking oral ziprasidone has not been studied and is not recommended. -If long-term therapy is indicated, oral capsules should replace IM administration as soon as possible. Uses: -Treatment of schizophrenia (oral)-Acute treatment of agitation in schizophrenia (IM)

Usual Adult Dose for Bipolar Disorder:

Acute Treatment of Manic or Mixed Episodes: -Initial dose: 40 mg orally twice daily-Increase dose to 60 mg or 80 mg twice daily on the second day; subsequently adjust dose based on tolerance and efficacy within the dose range of 40 to 80 mg orally twice a dayMaintenance Treatment (as adjunct to lithium or valproate):-Once stabilized, continue on same dose within the range of 40 to 80 mg orally twice daily. Comments: -The mean ziprasidone dose administered in flexible-dose clinical trials was approximately 120 mg per day. -Monotherapy has not been systematically evaluated for maintenance treatment of bipolar I disorder.Uses: -As monotherapy for the acute management of manic or mixed episodes associated with bipolar I disorder-As adjunct to lithium or valproate for the maintenance treatment of bipolar I disorder.

Warnings

You should not use ziprasidone if you have a heart rhythm disorder, long QT syndrome, uncontrolled heart failure, or if you have recently had a heart attack.

Tell your doctor about all your current medicines and any you start or stop using. Many drugs can interact, and some drugs should not be used together.

Stop taking ziprasidone and call your doctor right away if you have sudden dizziness, fast or pounding heartbeats, fluttering in your chest, shortness of breath, or a new or worsening skin rash with fever, or swollen glands.

Ziprasidone is not approved for use in older adults with dementia-related psychosis.

What other drugs will affect Ziprasidone

Ziprasidone can cause a serious heart problem. Your risk may be higher if you also use certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV.

Using ziprasidone with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.

Many drugs can affect ziprasidone, and some drugs should not be used at the same time. Tell your doctor about all your current medicines and any medicine you start or stop using. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.

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