Aristada is given in the form of an injection administered by a health care provider.
The injection is a muscle injection also known as intramuscular injection. The injection is usually administered in the deltoid (upper arm) or gluteal (buttock) muscle
The injection is often done once every 30 days although the actual frequency will vary depending on what your doctor prescribes.
Some patients can be on Aristada every six weeks or even two months, as per their needs and treatment effectiveness
Aristada’s mechanism of action consists of altering the balance of certain chemical agents in the body, mainly dopamine and serotonin.
These neurotransmitters play a pivotal role in the manifestation of emotions and cognition.
Aristada, among other drugs, helps to improve the negative side effects of schizophrenia by restoring the balance of these chemical agents in the patient’s brain
Every medication, including Aristada, carries with it the possibility of adverse effects. The following are the more frequently observed side effects:
- Reactions at the injection site: Pain, warmth, redness or swelling around the area of injection.
- Drowsiness or sedation: It is not uncommon for some patients to experience tiredness or sleepiness after having the injection.
- Increased appetite: Aristada has a tendency to make some patients voracious causing them to pack on extra pounds leading to other complications.
- Headache: An individual headache may ensue which is mild to moderate in intensity.
- Restlessness or agitation: Other patients expressed that they were not able to keep still.
- Nausea or vomiting: These are also rare side effects for some cases but are possible.
- Dizziness or lightheadedness: Some people may experience lightheadedness when standing up after sitting for a while.
More severe side effects can also present themselves although they are more infrequent. These entail:
- Movement disorders: Signs such as shaking, rigid posture or abnormal posture.
- Neuroleptic Malignant Syndrome (NMS): A rare adverse effect that induces high fever, stiffness of muscles, and confusion.
- Metabolic changes: Include elevated blood sugar and cholesterol levels.
- Symptoms of tardive dyskinesia: Abnormal motion behavior, such as facial and or lingual movements, may be observed as a side effect after the drug has been used for an extended period of time
There course shall be some key cautions that must be observed when handling Aristada that include:
- Risk of assaultive ideation: True antipsychotic agents in this category like Aristada are associated with a higher incidence of suicidal thoughts or behavior in particular younger adults.
This calls for vigilance especially during the initial phases of treatment or whenever the dose is modified.
- No indicated use in elderly with dementia-related psychosis: Due to the risk of death in elderly patients, Aristada is not indicated for the treatment of dementia-related psychosis in elderly patients.
- Mood destabilization: Aristada is associated with considerable weight increase, hyperglycemia, and hyperlipidemia. Hence, weight, blood sugar, and lipid levels should be regularly checked.
- Effects on cognitive functioning and motor skills: Aristada may interfere with one’s thought processes and reactions
. Activity requiring complete alertness such as driving should not be performed until the patients knows how to cope with the effects of the medication..
CYP3A4 inhibitors, like ketoconazole and clarithromycin, may increase the levels of Aripiprazole. Aristada needs to have their dose reduced.
CYP2D6 inhibitors, such as fluoxetine and paroxetine, also elevate the plasma concentration of Aripiprazole. They may require dosage adjustments.
CYP3A4 inducers, such as carbamazepine and rifampin, may decrease the levels of Aristada, thereby reducing its effects. The dose may need to be upped.
CNS Depressants
Combining Aristada with CNS depressants, such as alcohol, benzodiazepines, or opioids, can increase sedative effects and CNS depression, thus it needs to be used cautiously.
Antipsychotic Drugs:
The use of Aristada in combination with other antipsychotics or dopamine antagonists can lead to increased risk of EPS, sedation, or NMS.
Neuroleptic Malignant Syndrome (NMS):
Use of Aristada in combination with other dopamine antagonists can increase the risk of NMS. NMS is a potentially life-threatening neurologic reaction.
These interactions should be watched carefully during Aristada treatment, especially when used in conjunction with CYP450 inhibitors/inducers or CNS depressants.
The Aristada dosage may differ based on the specific patient and the degree of his or her symptoms. However, a common dosing regimen is as follows:
- Starting dose: In the majority of cases, the initial dose is generally 441 mg which is given only once in a month.
- Maintenance dose: After the initial (loading) dose, a healthcare provider may modify the dose, with common maintenance doses ranging between 441 mg to 882 mg once a month.
- In certain region, a higher dosage of 1064 mg every six weeks may be prescribed to them for a higher dose management therapy.
The specific dose and schedule may vary in accordance to the patient’s condition, treatment history and the prescribing physician’s opinion.
It is recommended that the prescribed dosing schedule be adhered to and that doses be taken in full as this will ensure a positive outcome.
Aristada Injection is a medication that is available only through a prescription. This indicates that it can only be ordered by a qualified professional like a physician or a psychiatrist.
A healthcare provider would check the medical history and health status of the individual and the medications they are taking before prescribing Aristada to the patient
. Aristada should not be sought out by any patient in the absence of a prescription because such a practice is dangerous and it needs to be taken only when prescribed by a professional in order to avoid the risks associated with taking incorrect dosages of the drug.
1. What is Aristada Injection?
Aristada Injection is a long-acting injectable antipsychotic used for the treatment of schizophrenia in adults.
2. How does Aristada work?
Aristada works by affecting the balance of certain chemicals in the brain, particularly dopamine and serotonin, which helps to control symptoms of schizophrenia.
3. Who should consider using Aristada?
Aristada may be suitable for adults diagnosed with schizophrenia who may benefit from a long-acting injection rather than daily oral medication.
4. How is Aristada administered?
Aristada is administered as an intramuscular injection, typically by a healthcare professional, usually in the buttock or upper arm.
5. What are the dosing options for Aristada?
Aristada is available in various dosing options, including 441 mg, 662 mg, and 882 mg, with administration intervals of 4 to 8 weeks depending on the dose.
6. How often do I need to receive Aristada injections?
Depending on the prescribed dose, Aristada injections are typically given every four to eight weeks.
7. What are the common side effects of Aristada?
Common side effects can include drowsiness, weight gain, insomnia, anxiety, and injection site reactions.
8. Are there serious side effects associated with Aristada?
Yes, serious side effects may include tardive dyskinesia, neuroleptic malignant syndrome, or increased risk of metabolic syndrome.
9. Can Aristada be used in combination with other medications?
It’s important to consult a healthcare provider, as Aristada can interact with other medications, particularly other central nervous system depressants.
10. Is Aristada safe for pregnant or breastfeeding individuals?
The safety of Aristada during pregnancy and breastfeeding is not well established, so it should only be used if clearly needed and prescribed by a doctor.
11. Can Aristada help with symptoms other than schizophrenia?
While its primary indication is schizophrenia, it may also aid in managing symptoms related to other mental health conditions, though this is more off-label use.
12. How should I prepare for my Aristada injection?
Ensure that you inform your healthcare provider of any medications you’re taking and your full medical history before the injection.
13. What should I do if I miss an Aristada injection?
Contact your healthcare provider for guidance on rescheduling the missed injection as soon as possible.
14. Can Aristada cause withdrawal symptoms?
Tapering off Aristada under a doctor’s supervision is important to minimize potential withdrawal symptoms or exacerbation of psychotic symptoms.
15. How long does the effect of an Aristada injection last?
The effects of Aristada can last several weeks, depending on the administration schedule and individual factors.
16. What should I do if I experience severe side effects?
Seek immediate medical attention if you experience severe side effects such as chest pain, difficulty breathing, or signs of an allergic reaction.
17. Is Aristada covered by insurance?
Coverage for Aristada may vary by insurance plan, so it’s best to check with your insurance provider for details on coverage and costs.
18. Can Aristada lead to weight gain?
Yes, weight gain can be a common side effect; therefore, monitoring weight and diet is important during treatment.
19. Where can I get Aristada injections?
Aristada is typically administered in a clinic or hospital setting, so you will need to see a healthcare provider for injections.
20. How should I store Aristada?
Aristada should be stored in a refrigerator but can be kept at room temperature for a short period before use. Always follow your healthcare provider’s guidance for storage.