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Fanapt
iloperidone
Black Box Warnings .
Dementia-Related Psychosis
not approved for dementia-related psychosis; incr. mortality risk in elderly pts on antipsychotic tx for dementia-related psychosis; most deaths due to cardiovascular or infectious events
Adult Dosing .
Dosage forms: TAB: 1 mg, 2 mg, 4 mg, 6 mg, 8 mg, 10 mg, 12 mg; convenience pack
Special Note
- [convenience pack components]
- Info: titration pack contains 1 mg tab x2 and 2 mg tab x2 and 4 mg tab x2 and 6 mg tab x2
schizophrenia
- [6-12 mg PO bid]
- Start: 1 mg PO bid on day 1, then 2 mg PO bid on day 2, then incr. by 4 mg/day to target dose; Max: 24 mg/day; Info: may use convenience pack for titration; decr. maint. dose by 50% in CYP2D6 poor metabolizers, see pkg insert for titration; periodically reassess need for tx; D/C if ANC <1000; consider D/C if unexplained decr. in WBC
bipolar I disorder, acute manic/mixed
- [12 mg PO bid]
- Start: 1 mg PO bid on day 1, then 3 mg PO bid on day 2, then incr. by 6 mg/day x3 days to target 12 mg PO bid; Max: 24 mg/day; Info: decr. maint. dose by 50% in CYP2D6 poor metabolizers, see pkg insert for titration; periodically reassess need for tx; D/C if ANC <1000; consider D/C if unexplained decr. in WBC
renal dosing
- [see below]
- renal impairment: no adjustment
- HD/PD: not defined
hepatic dosing
- [see below]
- Child-Pugh Class B: consider decr. usual dose; Child-Pugh Class C: not defined
Peds Dosing .
Peds dosing is currently unavailable or not applicable for this drug.