Iloperidone
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Regulated
Molecule Description
Iloperidone belongs to ‘atypical antipsychotics’ class of medicines.
Uses
It is used to treat recent mental disorders characterized by mood and behavioral changes like feeling things that are unreal or did not happen (acute schizophrenia).
Contraindications
When should one not use Iloperidone
- If you have an allergy to Iloperidone or any of its ingredients
- If you have any psychiatric illness due to age-related brain problems such as memory, thinking or language problems (dementia related psychosis)
- If you have severe liver problems
Side effects
Common side effects of this drug are:
- Drowsiness
- Dry mouth, dizziness, fatigue, running or stuffy nose
- Feeling sleepy (lethargy), fast heartbeats (tachycardia), weight gain
- Prolonged and slow heart rate (prolonged QTC interval) which can be fatal
- Dizziness, falling or fainting when getting up from sitting or lying position (orthostatic hypotension)
- High blood sugar and cholesterol levels which may increase the risk of heart disease and brain stroke
- Very high fever, elevated heart rate and blood pressure, tremors, stiff muscles and confusion – neuroleptic malignant syndrome (rare but serious)
- Severe allergic reactions including swelling of face, lips and throat causing swallowing and breathing problems, with or without rashes, itching, skin peeling and blisters (rare but serious)
Precautions and Warnings
Pregnancy
Breast Feeding
Driving
Alcohol
Other General Warnings
Talk to your doctor if
- Inform your doctor if you develop any of the following:
- Increase in thirst, urination or hunger (due to high blood sugars)
- Low white blood cell counts
- Breast pain and discharge, irregular menstrual periods or impotence in males (due to increased levels of prolactin hormone)
- Reduced body temperature
- Suicidal thoughts
- History of seizures (fits)
- Prolonged erection (priapism)
- Uncontrolled movements of the face, tongue or other parts of the body (tardive dyskinesia) which may become permanent. You are advised to inform the doctor if you experience any such symptoms
- You should tell your doctor before surgery regarding all the products you use (including prescription medicines, non-prescription medicines and herbal products)
Mode of Action
How Does It Work?
Iloperidone acts by reducing or suppressing the activity of the brain and thus calming the person. It does this by blocking the actions of substances that transmit signals in the brain (neurotransmitters such as Dopamine and Serotonin).
Interactions
Interactions with other medicines
- Ketoconazole (antifungal)
- Certain antidepressants (Fluoxetine, Paroxetine)
- Few medicines which may increase the risk of irregular heartbeat (3 Procainamide, Quinidine, Sotalol)
- Certain antibiotics (such as Gatifloxacin, Moxifloxacin, Pentamidine)
- Antianxiety medicines (Prochlorperazine, Chlorpromazine, Trifluoperazine, Perphenazine, etc.)
- Methadone (opioid pain killer)
Interactions with food items
Iloperidone can be taken before or after meals.
Dosage
Overdose
Take Iloperidone in the exact dose as prescribed by your doctor. Inform the doctor in case of any overdose symptoms such as drowsiness, rapid heartbeat or feeling lightheaded.
Missed a Dose
Take the missed dose as early as you remember. If it is time for the next dose (less than 6 hours), skip the missed dose and continue your regular dosing schedule. Do not take a higher or a double dose of Iloperidone to compensate for the missed dose.
Frequently Asked Questions (FAQs)
Articles
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References:
- Drugbank. Iloperidone. [accessed on 2.Sep.2019]
- Drugbank. Iloperidone. [accessed on 2.Sep.2019]
- Webmd. Iloperidone. [accessed on 2.Sep.2019]
- Mayoclinic. Iloperidone. [accessed on 2.Sep.2019]
- Pubmed. Iloperidone. [accessed on 2.Sep.2019]
- Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006-. Iloperidone. [Updated 2018 Dec 3]. Available from:
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