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Aristada
aripiprazole lauroxil
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): 441 mg per 1.6 mL, 662 mg per 2.4 mL, 882 mg per 3.2 mL, 1064 mg per 3.9 mL
Special Note
- [formulation clarification]
- Info: Aristada not interchangeable w/ Aristada Initio due to different pharmacokinetic profiles
schizophrenia
- [qmo dosing regimen]
- Dose: 441-882 mg IM qmo; Start: may give 1st dose w/in 10 days of concurrent Aristada Initio and aripiprazole 30 mg PO x1, otherwise overlap PO aripiprazole x21 days; Info: for pts stable on PO aripiprazole; see pkg insert for conversion from PO aripiprazole and for missed dose recommendations; space doses at least 14 days apart; decr. dose in CYP2D6 poor metabolizers; periodically reassess need for tx; D/C if ANC <1000; consider D/C if unexplained decr. in WBC
- [q6wk dosing regimen]
- Dose: 882 mg IM q6wk; Start: may give 1st dose w/in 10 days of concurrent Aristada Initio and aripiprazole 30 mg PO x1, otherwise overlap PO aripiprazole x21 days; Info: for pts stable on PO aripiprazole; see pkg insert for conversion from PO aripiprazole and for missed dose recommendations; space doses at least 14 days apart; decr. dose in CYP2D6 poor metabolizers; periodically reassess need for tx; D/C if ANC <1000; consider D/C if unexplained decr. in WBC
- [q2mo dosing regimen]
- Dose: 1064 mg IM q2mo; Start: may give 1st dose w/in 10 days of concurrent Aristada Initio and aripiprazole 30 mg PO x1, otherwise overlap PO aripiprazole x21 days; Info: for pts stable on PO aripiprazole; see pkg insert for conversion from PO aripiprazole and for missed dose recommendations; space doses at least 14 days apart; decr. dose in CYP2D6 poor metabolizers; 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.