Cariprazine

Bipolar Disorder, Schizophrenia

Drug Status

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Government Approvals

US(FDA), UK(BNF)

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WHO Essential Medicine

NO

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Known Teratogen

NO

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Pharmaceutical Class

Atypical Antipsychotic

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Controlled Drug Substance

No

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Drug Ingredient

Cariprazine

Summary

  • Cariprazine is primarily used to treat schizophrenia and bipolar disorder. It can help manage symptoms like delusions, hallucinations, and mood swings. It may also be prescribed for acute manic or mixed episodes in bipolar I disorder.

  • Cariprazine works by modulating the activity of certain neurotransmitters in the brain, particularly dopamine and serotonin, which are involved in mood regulation and cognition. It helps balance these chemicals, managing symptoms of schizophrenia and bipolar disorder.

  • The usual daily dosage of Cariprazine for adults starts at 1.5 mg. For schizophrenia, the dose may range from 1.5 mg to 6 mg per day, while for bipolar disorder it can range from 3 mg to 6 mg per day. It is taken once daily, with or without food.

  • Common side effects of Cariprazine include drowsiness, insomnia, headache, dizziness, and nausea. Significant adverse effects can include movement disorders like tremors or restlessness, weight gain, and an increased risk of metabolic issues. Rarely, it may cause severe conditions such as tardive dyskinesia or neuroleptic malignant syndrome.

  • Cariprazine should be used cautiously in people with a history of cardiovascular issues, seizures, or liver problems. It is contraindicated in individuals with known hypersensitivity to the drug. It may increase the risk of suicidal thoughts or behavior, particularly in younger patients. Pregnant or breastfeeding women should consult their healthcare provider before use and it should be avoided in individuals with severe liver impairment.

Indications and Purpose

How does Cariprazine work?

Cariprazine works by affecting certain chemicals in the brain, specifically dopamine and serotonin receptors. Think of it like adjusting the volume on a radio to balance the sound. By modulating these receptors, Cariprazine helps improve symptoms like mood swings, hallucinations, and delusions. This makes it effective for treating conditions like schizophrenia and bipolar disorder. Always follow your doctor's instructions and attend regular check-ups to monitor your progress.

Is Cariprazine effective?

Cariprazine is effective in treating conditions like schizophrenia and bipolar disorder. It works by balancing certain chemicals in the brain, which helps improve symptoms like mood swings and hallucinations. Clinical studies show Cariprazine significantly reduces symptoms in patients with these conditions. Always follow your doctor's instructions and attend regular check-ups to monitor your progress and adjust your treatment as needed.

What is Cariprazine?

Cariprazine is an antipsychotic medication used to treat schizophrenia and bipolar disorder. It works by balancing certain chemicals in the brain, which helps improve symptoms like mood swings, hallucinations, and delusions. Cariprazine is usually used as a complementary addition to other therapies, such as counseling or lifestyle changes. Always follow your doctor's instructions and attend regular check-ups to monitor your progress and adjust your treatment as needed.

Directions for Use

For how long do I take Cariprazine?

Cariprazine is usually a long-term medication for managing conditions like schizophrenia and bipolar disorder. You'll typically take it every day as a lifelong treatment unless your doctor suggests otherwise. Stopping this medication without medical advice could cause your conditions to worsen. How long you'll need this medication depends on your body's response, any side effects you experience, and changes in your overall health. Always talk with your doctor before changing or stopping your Cariprazine treatment.

How do I dispose of Cariprazine?

Dispose of unused Cariprazine by taking it to a drug take-back program or collection site at a pharmacy or hospital. If you can't find a take-back program, you can throw it in the trash at home. First, remove it from its original container, mix it with something undesirable like used coffee grounds, seal the mixture in a plastic bag, and throw it away. This helps prevent accidental ingestion or harm to the environment.

How do I take Cariprazine?

Take Cariprazine once daily, preferably in the morning, with or without food. Swallow the capsule whole; do not crush or chew it. If you miss a dose, take it as soon as you remember unless it's close to your next dose. In that case, skip the missed dose and continue your regular schedule. Do not take two doses at once. Avoid alcohol while on Cariprazine, as it can increase side effects. Always follow your doctor's specific instructions regarding diet and fluid intake while taking this medication.

How long does it take for Cariprazine to start working?

Cariprazine may start working within a few days, but it can take several weeks to achieve its full therapeutic effect. The time it takes to work can vary based on individual factors like age, overall health, and the specific condition being treated. Regular check-ups with your doctor are important to monitor your progress and adjust your treatment as needed. Always take Cariprazine exactly as prescribed for the best results.

How should I store Cariprazine?

Store Cariprazine at room temperature, away from moisture and light. Keep it in a tightly closed container to protect it from damage. Avoid storing it in humid places like bathrooms, as moisture can affect its effectiveness. If your pills came in packaging that isn't child-resistant, transfer them to a container that children can't easily open. Always store Cariprazine out of children's reach to prevent accidental ingestion.

What is the usual dose of Cariprazine?

The usual starting dose of Cariprazine for adults is 1.5 mg once daily. Your doctor may adjust the dose based on your response and needs, with a maximum recommended dose of 6 mg per day. Cariprazine is not typically used in children. Elderly patients may require careful monitoring due to potential side effects. Always follow your doctor's specific dosing instructions for your health needs.

Warnings and Precautions

Can Cariprazine be taken safely while breastfeeding?

Cariprazine is not recommended while breastfeeding. There's limited information on whether it passes into human breast milk. Animal studies suggest it may appear in milk and could affect a baby's development. If you're taking Cariprazine and want to breastfeed, talk with your doctor about safer medication options. They can help you find a treatment that allows you to nurse your baby safely.

Can Cariprazine be taken safely while pregnant?

Cariprazine is not recommended during pregnancy due to limited evidence on its safety. Animal studies suggest potential risks to the developing fetus. If you're pregnant or planning to become pregnant, talk with your doctor about the safest way to manage your condition. They can help create a treatment plan that protects both you and your baby. Always consult your doctor before starting or stopping any medication during pregnancy.

Can I take Cariprazine with other prescription drugs?

Cariprazine can interact with other medications, increasing the risk of side effects or reducing effectiveness. Major interactions include those with strong CYP3A4 inhibitors, which can increase Cariprazine levels in the body. Moderate interactions may occur with medications that affect heart rhythm. Always inform your doctor about all medications you're taking to prevent interactions. They can adjust your treatment plan to ensure safety and effectiveness.

Does Cariprazine have adverse effects?

Adverse effects are unwanted reactions to a medication. Cariprazine can cause adverse effects like restlessness, tremors, and weight gain. These effects vary in frequency and severity. Serious side effects include increased risk of suicidal thoughts and movement disorders. If you notice any new or worsening symptoms, contact your doctor immediately. They can help determine if Cariprazine is the cause and adjust your treatment plan as needed.

Does Cariprazine have any safety warnings?

Cariprazine has important safety warnings. It may increase the risk of suicidal thoughts and behaviors, especially in young adults. Monitor for mood changes and report them to your doctor. Cariprazine can also cause movement disorders, such as restlessness or tremors. Not adhering to these warnings can lead to serious consequences, including worsening mental health or physical symptoms. Always follow your doctor's advice and report any concerning symptoms immediately.

Is Cariprazine addictive?

Cariprazine is not considered addictive or habit-forming. It does not cause dependency or withdrawal symptoms when you stop taking it. Cariprazine works by affecting certain chemicals in the brain but does not alter brain chemistry in a way that leads to addiction. You won't experience cravings for this medication or feel compelled to take more than prescribed. If you have concerns about medication dependence, discuss them with your doctor.

Is Cariprazine safe for the elderly?

Elderly individuals are more vulnerable to the side effects of Cariprazine, such as dizziness and movement disorders. These side effects can increase the risk of falls and injuries. Cariprazine should be used with caution in the elderly, and they may require lower doses. Regular monitoring by a healthcare provider is important to ensure safety and effectiveness. Always consult your doctor before starting or adjusting Cariprazine in elderly patients.

Is it safe to drink alcohol while taking Cariprazine?

It's best to avoid alcohol while taking Cariprazine. Alcohol can increase the risk of side effects like dizziness and drowsiness. It may also worsen symptoms of your condition. If you choose to drink occasionally, limit your alcohol intake and watch for warning signs like increased drowsiness or mood changes. Talk with your doctor about alcohol use while taking Cariprazine to get personalized advice based on your health situation.

Is it safe to exercise while taking Cariprazine?

You can exercise while taking Cariprazine, but be cautious. This medication can cause dizziness or drowsiness, which might affect your ability to exercise safely. Start with light activities and gradually increase intensity as you see how your body responds. Stay hydrated and watch for signs of dizziness or fatigue. If you notice these symptoms, slow down or stop exercising and rest. Consult your doctor if you have concerns about your exercise routine.

Is it safe to stop Cariprazine?

Stopping Cariprazine suddenly can cause your symptoms to return or worsen. It's used for long-term management of conditions like bipolar disorder and schizophrenia. Always talk with your doctor before stopping Cariprazine. They may suggest gradually reducing your dose to prevent withdrawal symptoms or worsening of your condition. Your doctor will help you make any medication changes safely to protect your health.

What are the most common side effects of Cariprazine?

Side effects are unwanted reactions to a medication. Common side effects of Cariprazine include restlessness, tremors, and weight gain. These occur in less than 10% of users. If you experience new symptoms after starting Cariprazine, they might be temporary or unrelated to the medication. Always talk with your doctor before stopping any medication. They can help determine if the side effects are related to Cariprazine and suggest ways to manage them.

Who should avoid taking Cariprazine?

Do not take Cariprazine if you're allergic to it or its ingredients. It's not recommended for people with severe liver or kidney problems, as it may worsen these conditions. Cariprazine should be used with caution in people with a history of seizures or heart problems. Always consult your doctor about these concerns before starting Cariprazine. They can help determine if it's safe for you to use.