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Medical Conditions
Generic Abilify is used to treat or prevent the following medical conditions or diceases:Agitated State, Bipolar Disorder, Schizophrenia
Generic Abilify Information
Introduction
Abilify (generic name aripiprazole) is an atypical antipsychotic medication that is also approved as an adjunctive treatment for major depressive disorder. In the United Kingdom it is prescribed for a range of psychiatric conditions, including schizophrenia, bipolar I disorder, and treatment‑resistant depression. The active compound, aripiprazole, modulates dopamine and serotonin receptors, providing symptom control while maintaining a relatively favourable side‑effect profile compared with older antipsychotics. The drug is marketed by Otsuka Pharmaceutical Co. Ltd. and is listed under the medication group “Antidepressants” because of its approved use in depressive illness.
What is Abilify?
- Definition – Abilify is a brand‑name formulation containing the active compound aripiprazole. It is available as oral tablets, orally disintegrating tablets, and a long‑acting intramuscular injection.
- Classification – It belongs to the class of atypical (second‑generation) antipsychotics.
- Development & Manufacturer – Aripiprazole was discovered by Otsuka Pharmaceutical in the early 200s and received its first regulatory approval in the United States in 2002. In the UK, Otsuka holds the marketing authorisation and the product is supplied under the Abilify brand.
- Related brand names – Other well‑known aripiprazole products include Aristada (depot injection), Saphris (orodispersible tablet), and the generic aripiprazole tablets sold by multiple manufacturers.
How Abilify Works
Aripiprazole acts as a partial agonist at dopamine D₂ and serotonin 5‑HT₁A receptors and as an antagonist at serotonin 5‑HT₂A receptors.
- Partial agonism means the drug stimulates the receptor but to a lesser extent than the brain’s natural neurotransmitters. This stabilises dopaminergic activity: excessive dopamine (as seen in psychosis) is reduced, while insufficient dopamine (as can occur with antipsychotic‑induced hypodopaminergia) is not fully blocked.
- Serotonin antagonism at 5‑HT₂A contributes to mood‑stabilising and antipsychotic effects, reducing the risk of certain side effects such as extrapyramidal symptoms.
- The combined activity results in improved psychotic symptom control, mood elevation in depression, and reduction of manic episodes.
Pharmacokinetic highlights for the oral formulation:
- Absorption – Peak plasma concentrations occur 3–5 hours after dosing; food does not markedly affect bioavailability.
- Distribution – Highly protein‑bound (~99 %).
- Metabolism – Primarily hepatic via CYP2D6 and CYP3A4.
- Elimination – Half‑life averages 75 hours, permitting once‑daily dosing.
Conditions Treated with Abilify
- Schizophrenia – Reduces positive symptoms (hallucinations, delusions) and improves overall functioning. In the UK, schizophrenia affects ~1 % of the adult population, making it a common indication for aripiprazole.
- Bipolar I Disorder (Manic/Mixed Episodes) – Stabilises mood and prevents escalation to full‑blown mania. Approximately .5 % of UK adults are diagnosed with bipolar disorder.
- Adjunctive Treatment of Major Depressive Disorder (MDD) – Used when patients have an inadequate response to standard antidepressants. The National Institute for Health and Care Excellence (NICE) recommends aripiprazole as a second‑line adjunct in treatment‑resistant depression.
- Autistic Spectrum Disorder (Irritability) – Approved in several jurisdictions for reducing aggression and self‑injurious behaviour; UK clinicians may prescribe off‑label where evidence supports benefit.
- Tourette’s Syndrome (Severe Tics) – Occasionally used when first‑line agents are ineffective.
The drug’s efficacy across these conditions stems from its balanced dopaminergic and serotonergic modulation, which addresses both psychotic and mood‑related neurochemical dysregulation.
Suitable Candidates for Abilify Treatment
- Adults with a confirmed diagnosis of schizophrenia, bipolar I disorder, or treatment‑resistant major depressive disorder, as assessed by a qualified mental‑health professional.
- Patients who have experienced intolerable side effects from other antipsychotics (e.g., high prolactin levels, severe extrapyramidal symptoms) may benefit from aripiprazole’s lower propensity for these effects.
- Individuals requiring once‑daily oral therapy or a long‑acting injectable option (Abilify Maintena) to improve adherence.
- Patients with comorbid metabolic concerns – aripiprazole generally causes less weight gain and lipid elevation than many older antipsychotics, making it a reasonable choice for those with obesity or diabetes.
Contra‑indications / cautionary scenarios
- Known hypersensitivity to aripiprazole or any excipients.
- History of severe uncontrolled seizures; aripiprazole can lower seizure threshold.
- Pregnant or breastfeeding women – use only if the potential benefit outweighs risk, as safety data are limited.
- Patients taking strong CYP2D6 inhibitors (e.g., fluoxetine, paroxetine) may require dose adjustments due to increased aripiprazole exposure.
Risks, Side Effects, and Interactions
Common
- Akathisia (restlessness) – often managed by dose titration or adjunctive beta‑blockers.
- Insomnia or somnolence – varies between individuals; timing of dose may be adjusted.
- Nausea, vomiting, or constipation – gastrointestinal discomfort usually mild.
- Headache – transient and dose‑related.
Rare
- Hyperprolactinemia – occasional elevation of prolactin levels, less frequent than with typical antipsychotics.
- Elevated liver enzymes – periodic monitoring recommended for patients with pre‑existing hepatic disease.
- QTc prolongation – rare but clinically relevant in patients with cardiac conduction disorders.
Serious
- Neuroleptic malignant syndrome (NMS) – characterised by high fever, muscular rigidity, autonomic instability; requires immediate medical attention.
- Tardive dyskinesia – long‑term exposure can lead to persistent involuntary movements, though incidence is lower than with first‑generation agents.
- Suicidal ideation – as with many psychotropic drugs, monitoring for emergent suicidal thoughts is essential, especially during early treatment of depression.
Drug–drug interactions
- CYP2D6 inhibitors (fluoxetine, paroxetine, quinidine) → increase aripiprazole plasma levels; consider dose reduction.
- CYP3A4 inducers (carbamazepine, phenytoin, rifampicin) → decrease aripiprazole exposure; may require dose escalation.
- Other dopamine‑modulating agents (e.g., levodopa) → may attenuate aripiprazole’s effect or increase side‑effects.
Patients should provide a complete medication list, including over‑the‑counter products and herbal supplements, to their prescriber.
Practical Use: Dosing, Missed Dose, Overdose
- Initial oral dose (adults) – 10 mg once daily for schizophrenia or bipolar disorder; 2–5 mg once daily when used as adjunctive therapy for depression, titrated upward based on response and tolerability.
- Maintenance range – 10–30 mg daily for most indications; doses above 30 mg have not shown additional benefit and increase side‑effect risk.
- Long‑acting injection (Abilify Maintena) – 400 mg intramuscularly every 4 weeks after a 1‑month oral stabilization period.
Missed dose – If a dose is missed by less than 12 hours, take it as soon as remembered. If more than 12 hours have passed, skip the missed dose and resume the regular schedule. Do not double‑dose.
Overdose – Symptoms may include severe drowsiness, vomiting, tachycardia, or seizures. Immediate medical evaluation is required; supportive care is the mainstay of treatment.
Practical precautions
- Food – No restriction; tablets may be taken with or without meals.
- Alcohol – Moderate consumption is permissible, but excessive alcohol may exacerbate sedation and increase fall risk.
- Renal or hepatic impairment – No routine dose adjustment for mild impairment; severe hepatic dysfunction warrants careful monitoring and possible dose reduction.
Buying Abilify from Our Online Pharmacy
Patients in the United Kingdom can obtain aripiprazole through our online pharmacy. Our service combines affordability with safety:
- Cost‑effective pricing – Generic aripiprazole tablets are sourced near manufacturer cost, offering a lower price point than many retail pharmacies.
- Verified quality – All stock is supplied by licensed overseas manufacturers that meet European Medicines Agency (EMA) Good Manufacturing Practice (GMP) standards.
- Discreet, reliable delivery – Orders are packaged securely and dispatched via express courier (typically 7 days) or standard airmail (approximately 3 weeks). Tracking is provided for every shipment.
- Online‑only access – The platform enables patients who face limited local pharmacy stock or who prefer privacy to receive their medication without unnecessary bureaucracy.
Our pharmacy operates as a broker service, collaborating with accredited international pharmacies that hold valid licences. This model ensures a discreet service that respects patient privacy while maintaining regulatory compliance.
FAQ
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Is aripiprazole available in both brand‑name and generic forms in the UK?
Yes. Abilify is the original brand‑name product, while multiple manufacturers produce generic aripiprazole tablets that contain the same active ingredient and are usually less expensive. -
What are the visual differences between the brand‑name tablets and generic versions?
Abilify tablets are typically white, round, and debossed with “Abilify”. Generic tablets may vary in colour, shape, and imprint depending on the manufacturer, but all must meet the same pharmacopoeial standards for content and dissolution. -
Does aripiprazole require any special storage conditions?
The medication should be stored at a controlled room temperature of 15‑30 °C, protected from light and moisture. It should not be refrigerated or frozen. -
Can I travel internationally with my aripiprazole tablets?
Yes, provided you carry them in their original packaging with a copy of the prescription or a medical justification letter. Some countries may request proof of legitimacy, so keep documentation handy. -
Are there any known differences in formulation between the EU and US versions of aripiprazole?
The active ingredient is identical, but inactive excipients (binders, fillers) may differ to comply with regional regulatory guidelines. These differences rarely affect clinical efficacy but can influence tolerability in patients with specific sensitivities. -
What impact does smoking have on aripiprazole metabolism?
Tobacco smoke induces CYP1A2, which has a minor role in aripiprazole clearance. Clinically significant interactions are uncommon, but heavy smokers may experience slightly lower plasma concentrations. -
Is aripiprazole detectable in standard drug‑testing panels?
Routine workplace or sports drug tests typically screen for substances of abuse (e.g., cannabinoids, opioids). Aripiprazole is not part of standard panels, though specialized psychiatric drug screens can detect it if specifically requested. -
How long does it take for the long‑acting injectable to reach steady‑state levels?
After the first injection, therapeutic plasma concentrations are achieved after approximately 4 weeks. Full steady‑state is usually reached after the third or fourth monthly injection. -
What historic clinical trial led to the approval of aripiprazole for depression?
The pivotal Phase III trial “STAR‑DEP” compared aripiprazole adjunctive therapy with placebo in patients with major depressive disorder who had not responded to at least one antidepressant. The study demonstrated a statistically significant improvement in Montgomery‑Åsberg Depression Rating Scale scores, supporting regulatory approval. -
Are there any special warnings for aripiprazole use in elderly patients with dementia‑related psychosis?
Yes. Similar to other antipsychotics, aripiprazole carries an increased risk of cerebrovascular adverse events (stroke, transient ischemic attack) and mortality in elderly patients with dementia‑related psychosis. Use in this population is generally discouraged unless benefits clearly outweigh risks.
Glossary
- Partial Agonist
- A drug that activates a receptor but produces a smaller response than the natural neurotransmitter, allowing for modulation rather than full stimulation or blockade.
- CYP450 Enzymes
- A family of liver enzymes (e.g., CYP2D6, CYP3A4) that metabolise many medications; inhibitors or inducers can alter drug plasma levels.
- Neuroleptic Malignant Syndrome (NMS)
- A rare, life‑threatening reaction to antipsychotics characterised by high fever, muscle rigidity, autonomic instability, and altered mental status.
- Long‑Acting Injectable (LAI)
- An intramuscular formulation designed to release medication slowly over weeks or months, improving adherence for patients who have difficulty with daily oral dosing.
⚠️ Disclaimer
The information provided about Abilify is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Abilify for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Alternative names or trademarks of Generic Abilify
Abilify may be marketed under different names in various countries.
All of them contain Aripiprazole as main ingredient.
Some of them are the following:
Groven, Irazem, Siblix, Azymol, Viza, Real One, Arlemide
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