Abilify

Abilify is a common medication licensed for the treatment of bipolar disorder, schizophrenia, and major depression (when used with antidepressants). Although it is not a cure for these conditions, it can control symptoms and help keep them from returning. The tablets come in a number of strengths and are generally taken once a day. Possible side effects include nausea, insomnia, headaches, and anxiety.

What Is Abilify?

Abilify® (aripiprazole) is a prescription medication that is used to treat schizophrenia and bipolar disorder. It is also approved to be used along with antidepressants for the treatment of major depression (this is known as "augmentation").
 

Who Makes Abilify?

Abilify is manufactured by Otsuka America Pharmaceutical, Inc. and Bristol-Myers Squibb Company.
 
(Click Abilify Uses for more information, including possible off-label uses.)
 

How Does Abilify Work?

Abilify belongs to a group of medications called atypical (or second-generation) antipsychotic medications. It is not entirely clear how this medication works for the treatment of schizophrenia, bipolar disorder, or major depression.
 
However, it is known to block or lessen the effects of several chemicals in the brain. These chemicals (such as dopamine and serotonin) may be elevated in people with schizophrenia or bipolar disorder (also known as manic depression).
 
Keep in mind that this medication is not a cure for these conditions -- it only helps to control symptoms (see Symptoms of Depression, Symptoms of Schizophrenia or Bipolar Disorder Symptoms).
 

Clinical Effects

In previous clinical studies of Abilify for the treatment of schizophrenia, people taking the medication experienced improvements in their schizophrenia symptoms (including hallucinations and suspiciousness), compared to those not taking it. Longer studies also showed that the drug can help keep symptoms from returning.
 
Previous clinical studies have also shown Abilify to be effective for bipolar disorder treatment. In these studies, the drug was effective at treating episodes of mania or mixed episodes (involving both mania and depression). It also helped prevent bipolar disorder symptoms from returning.
 
Abilify has also been studied for treating major depression (when used along with antidepressants). These studies evaluated people who had not responded adequately to depression medications alone. Adding this medication significantly reduced depression symptoms, compared to adding a placebo (a "sugar pill" with no active ingredient).
 

When and How to Take Abilify

Some general considerations for when and how to take Abilify include the following:
 
  • The medication comes in tablet form. It is usually taken by mouth once a day.
     
  • You can take Abilify with or without food. If the medication bothers your stomach, try taking it with food.
     
  • A liquid form is available for those who have difficulty swallowing tablets.
     
  • Abilify is also available in tablets that are meant to dissolve rapidly in the mouth. These tablets are called Abilify Discmelt® tablets. They do not need to be taken with water. Carefully remove Abilify Discmelt tablets by peeling pack the foil (not pushing the tablet), as they are delicate and are easily broken. Do not cut or split these tablets.
     
  • The medication should be taken at the same time each day to maintain an even level in your blood.
     
  • For Abilify to work properly, it must be taken as prescribed. The medication will not work if you stop taking it.
     

Dosing Information

The dose of Abilify your healthcare provider recommends will vary, depending on a number of factors, including:
 
  • The medical condition being treated
  • Your age
  • The severity of your condition
  • Other medical conditions you may have
  • Other medications you may be taking.
     
As always, do not adjust your dose unless your healthcare provider specifically instructs you to do so.
 
(Click Abilify Dosage for more information.)
 

Side Effects

As with any medicine, side effects are possible with Abilify. However, not everyone who takes the medication will experience side effects. In fact, most people tolerate it well. If side effects do occur, in most cases, they are minor and either require no treatment or can easily be treated by you or your healthcare provider. Serious side effects are less common.
 
Common side effects include but are not limited to:
 
(Click Abilify Side Effects to learn more, including potentially serious side effects you should report to your healthcare provider.)
 
You can also read about specific side effects in the following eMedTV articles:
 

Drug Interactions

Abilify can potentially interact with a number of other medicines (see Abilify Drug Interactions for more information).
 

What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to taking this drug if you have:
 
Also, let your healthcare provider know if you:
 
You should also make sure to tell your healthcare provider about all other medicines you may be taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
 
(Click Abilify Warnings and Precautions to learn more, including information on who should not take the drug.)
 

What If I Take an Overdose of Abilify?

People who take too much Abilify may have overdose symptoms that could include:
 
If you happen to overdose on this drug, seek immediate medical attention.
 
(Click Abilify Overdose for more information.)
 

How Should This Medication Be Stored?

Abilify should be stored at room temperature in an airtight container, away from moisture and heat. Keep Abilify Discmelt tablets in their foil blisters until just before use.
 
Keep this and all other medications out of the reach of children.
 

What Should I Do If I Miss a Dose?

If you do not take your Abilify as scheduled, take your missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose.
 

Available Strengths

Abilify tablets are available in the following strengths:
 
  • Abilify 2 mg
  • Abilify 5 mg
  • Abilify 10 mg
  • Abilify 15 mg
  • Abilify 20 mg
  • Abilify 30 mg.
     
Abilify Discmelt orally disintegrating tablets are available in the following strengths:
 
  • Abilify Discmelt 10 mg
  • Abilify Discmelt 15 mg.
     
A liquid form of the medicine is available and contains 1 mg of Abilify per mL.
 
An injectable form is also available and is approved to treat agitation associated with schizophrenia or bipolar mania.
 

Are There Any Alternatives?

There are several alternatives to this medication for the treatment of bipolar disorder, major depression, or schizophrenia. Some other atypical antipsychotic medications used for the treatment of schizophrenia or bipolar disorder include:
 
Older, "typical" antipsychotics are also approved to treat schizophrenia, such as Haloperidol (Haldol®) and thioridazine (Mellaril®).
 
Mood stabilizer bipolar medications, which can also be used as alternatives to Abilify for treating bipolar disorder, include:
 
 
There are several different alternatives to Abilify that can be used along with antidepressants for the treatment of major depression.
 
Not all of the medications listed here are approved to treat schizophrenia or bipolar disorder. However, they are commonly used "off-label" to treat these conditions.
 
(Click Abilify Alternatives for more information, including non-medication alternatives.)
 

Generic Abilify

No generic versions of Abilify are currently licensed for sale (see Generic Abilify for more information).
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;
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