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Indications

BEERS REMS

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: orthostatic hypotension, QT interval prolongation.

Derm: DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS (DRESS), rash, STEVENS-JOHNSON SYNDROME (SJS), urticaria.

EENT: rhinorrhea.

Endo: galactorrhea, hyperglycemia.

GI: constipation, diarrhea, nausea, dysphagia.

GU: amenorrhea, impotence.

Hemat: AGRANULOCYTOSIS, leukopenia, neutropenia.

Metab: hyperlipidemia, weight gain.

Neuro: dizziness, drowsiness, restlessness, extrapyramidal reactions, NEUROLEPTIC MALIGNANT SYNDROME, seizures, syncope, tardive dyskinesia.

Resp: cough.

Interactions

Drug-Drug:

Availability

(Generic available)

Route/Dosage

Schizophrenia

Acute Manic or Mixed Episodes Associated with Bipolar I Disorder

Maintenance Treatment of Bipolar I Disorder (as adjunct to lithium or valproate)

US Brand Names

Geodon

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: antipsychotics

Pharmacologic Classification: piperazine derivatives

Pharmacokinetics

Absorption: 60% absorbed following oral administration; 100% absorbed from IM sites.

Distribution: Well distributed to tissues.

Protein Binding: 99%.

Metabolism/Excretion: 99% metabolized by the liver; <1% excreted unchanged in urine.

Half-life: PO: 7 hr; IM: 2–5 hr.

Canadian Brand Names

Zeldox

Time/Action Profile

(plasma concentrations)

ROUTEONSETPEAKDURATION
POwithin hrs1–3 daysunknown
IMrapid60 minunknown

†Steady state achieved following continuous use.

Patient/Family Teaching

Pronunciation

zi-PRA-si-done

Code

NDC Code*