Select a medication above to begin.
Abilify Maintena
aripiprazole monthly injection
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: INJ (pre-filled syringe): 300 mg per 1.5 mL, 400 mg per 2 mL; INJ (vial): 300 mg per 1.5 mL, 400 mg per 2 mL
schizophrenia
- [1-day initiation regimen]
- Dose: 400 mg IM qmo; Start: after establishing tolerability w/ PO aripiprazole; give 400 mg IM x2 plus aripiprazole 20 mg PO x1; Info: may decr. dose to 300 mg IM qmo; in CYP2D6 poor metabolizers, start 300 mg IM x2 plus aripiprazole 20 mg PO x1, then 300 mg IM qmo; see pkg insert for missed dose recommendations; periodically reassess need for tx; D/C if ANC <1000; consider D/C if unexplained decr. in WBC
- [14-day initiation regimen]
- Dose: 400 mg IM qmo; Start: after establishing tolerability w/ PO aripiprazole; overlap PO antipsychotic tx x14 days; Info: may decr. dose to 300 mg IM qmo; in CYP2D6 poor metabolizers, give 300 mg IM qmo; see pkg insert for missed dose recommendations; periodically reassess need for tx; D/C if ANC <1000; consider D/C if unexplained decr. in WBC
bipolar I disorder, maintenance tx
- [1-day initiation regimen]
- Dose: 400 mg IM qmo; Start: after establishing tolerability w/ PO aripiprazole; give 400 mg IM x2 plus aripiprazole 20 mg PO x1; Info: may decr. dose to 300 mg IM qmo; in CYP2D6 poor metabolizers, start 300 mg IM x2 plus aripiprazole 20 mg PO x1, then 300 mg IM qmo; see pkg insert for missed dose recommendations; periodically reassess need for tx; D/C if ANC <1000; consider D/C if unexplained decr. in WBC
- [14-day initiation regimen]
- Dose: 400 mg IM qmo; Start: after establishing tolerability w/ PO aripiprazole; overlap PO antipsychotic tx x14 days; Info: may decr. dose to 300 mg IM qmo; in CYP2D6 poor metabolizers, give 300 mg IM qmo; see pkg insert for missed dose recommendations; periodically reassess need for tx; D/C if ANC <1000; consider D/C if unexplained decr. in WBC
renal dosing
- [see below]
- CrCl >15: no adjustment; CrCl <15: not defined
- HD/PD: not defined
hepatic dosing
- [no adjustment]
Peds Dosing .
Peds dosing is currently unavailable or not applicable for this drug.