Ziprasidon Viatris
Ziprasidon Viatris is a medicine for adults with schizophrenia and for adults and children aged 10-17 with bipolar disorder's manic or mixed episodes.
Form
kapseli, kova
Strength
20 mg
Active Ingredient
Ziprasidone hydrochloride monohydrate
Manufacturer
Upjohn EESV
How to Use
Dosage
Adults usually take 40-80 mg twice daily with food. For children with bipolar disorder, the starting dose is 20 mg with food, adjusted by the doctor.
Method
Swallow capsules whole with food twice a day (morning and evening). Do not chew, crush, or open them.
Important
Do not take more than 160 mg per day for adults and children over 45 kg. For children up to 45 kg, the maximum is 80 mg per day.
Possible Side Effects
COMMON
- •Difficulty sleeping
- •Drowsiness or strong daytime fatigue
- •Headache
- •Runny nose
- •Strong energy, strange thoughts, hyperactivity, agitation or anxiety
- •Restlessness
- •Abnormal movements, including involuntary movements, muscle stiffness, or slow movements, especially in the face or tongue
- •Dizziness
- •Sedation
- •Blurred or reduced vision
- •High blood pressure
- •Constipation, diarrhoea, nausea, vomiting, indigestion, dry mouth, or increased salivation
- •Rash
- •Male sexual problems
- •Fever
- •Pain
- •Weight loss or gain
- •Fatigue
- •General feeling of being unwell
RARE
- •Fast or irregular heartbeat, dizziness when standing up, which may indicate abnormal heart function (postural hypotension)
- •Swelling of the face, lips, tongue or throat, difficulty swallowing or breathing, or hives (signs of a severe allergic reaction like angioedema)
- •Fever, rapid breathing, sweating, muscle stiffness, tremors, difficulty swallowing, or reduced consciousness (signs of neuroleptic malignant syndrome)
- •Skin reactions, especially rash, fever, and swollen lymph nodes (signs of DRESS syndrome), which can be life-threatening
- •Confusion, agitation, high temperature, sweating, lack of muscle coordination, or muscle twitching (signs of serotonin syndrome)
- •Fast, irregular heartbeat, or fainting (signs of a life-threatening condition called Torsade de Pointes)
- •Prolonged, abnormal, and painful erection
- •High prolactin levels in blood
- •Increased appetite
- •Panic attack
- •Nervousness or depression
- •Decreased sex drive
- •Loss of consciousness or fainting
- •Difficulty controlling movements or involuntary movements
- •Restless legs
- •Constricting feeling in the throat or nightmares
- •Seizures, involuntary eye movements in a certain direction, clumsiness, speech disorder, numbness, tingling sensation, difficulty concentrating, or drooling
- •Palpitations or shortness of breath
- •Photosensitivity, dry eyes, ringing in ears, or ear pain
- •Sore throat, flatulence, or abdominal pain
- •Itchy skin or acne
- •Muscle cramps, stiff, or swollen joints
- •Thirst, chest pain, or unusual gait
- •Acid reflux or stomach pain
- •Hair loss
- •Abnormal head posture
- •Urinary incontinence, pain, or difficulty urinating
- •Abnormal breast milk production, breast enlargement in men, or absent menstruation
- •Abnormal blood, heart, or liver test results
- •Vertigo
- •General weakness and tiredness
- •Low calcium levels in blood
- •Slow thinking or lack of emotions
- •Facial drooping or paralysis
- •Partial or complete loss of vision in one eye, or itchy eyes
- •Difficulty speaking or hiccups
- •Loose stools or skin irritation
- •Inability to open mouth or difficulty emptying bladder
- •Neonatal drug withdrawal symptoms
- •Weakened orgasm or flushing/hot flashes
- •Decreased or increased white blood cell count (in blood test)
- •Raised, inflamed red skin patches covered with a white scale (psoriasis)
- •Blood clots, especially in the legs (symptoms include swelling, pain, and redness), which may travel to the lungs causing chest pain and breathing difficulties; seek immediate medical attention if these symptoms occur
Important Warnings
- Do not use if you are allergic to ziprasidone or any other ingredient.
- Do not use if you have or have had heart problems, such as a recent heart attack or irregular heartbeats, or if you are taking medication for heart rhythm.
- Tell your doctor if you or your family have had blood clots, as this medicine may increase the risk.
- Tell your doctor if you have liver disease.
- Tell your doctor if you have had seizures or epilepsy.
Show 13 more warnings
- If you are over 65 and have dementia and a risk of stroke, tell your doctor.
- Tell your doctor if you have a slow heart rate or electrolyte imbalances due to prolonged diarrhea, vomiting, or diuretics.
- Seek immediate medical attention if you have a fast or irregular heartbeat, weakness, fainting spells, or dizziness when standing up.
- Seek immediate medical attention if you have severe skin reactions, such as blistering rash, mouth ulcers, peeling skin, fever, or target-like lesions on the skin, as these can be life-threatening.
- This medicine may cause drowsiness, a drop in blood pressure, and dizziness, which can lead to falls. Be careful, especially if you are elderly or in a weakened state.
- Tell your doctor that you are taking this medicine before any lab tests, as it may affect the results.
- Do not use if pregnant unless prescribed by your doctor, as it may harm the baby.
- If you used this medicine during the last trimester of pregnancy, your newborn might have tremors, muscle stiffness, drowsiness, restlessness, or breathing and feeding difficulties. Contact your doctor if your baby shows these symptoms.
- Do not breastfeed during treatment, as the medicine may pass into breast milk.
- If you can become pregnant, use reliable contraception while taking this medicine.
- This medicine may cause drowsiness. Do not drive or operate machinery until drowsiness has passed.
- Contains lactose. If you have a sugar intolerance, talk to your doctor before use.
- Do not consume alcohol during treatment, as it increases the risk of side effects.