MedPath

Ziprasidone

Generic Name
Ziprasidone
Brand Names
Geodon, Zeldox
Drug Type
Small Molecule
Chemical Formula
C21H21ClN4OS
CAS Number
146939-27-7
Unique Ingredient Identifier
6UKA5VEJ6X

Overview

Disorders such as schizophrenia and bipolar disorder can significantly impair mood, cognition, and behavior. These mental illnesses can often be accompanied by comorbidities such as depression and substance abuse, and can significantly impact the quality of life of patients and caregivers. Luckily, several treatment options for psychotic disorders have been introduced to market since the realization of chlorpromazine's antipsychotic properties in 1952. Second generation antipsychotics (commonly referred to as atypical antipsychotics) include clozapine, quetiapine, olanzapine, aripiprazole and ziprasidone among others, and are generally thought to be as efficacious as first generation antipsychotics but differ in their adverse effect profiles. First generation antipsychotics are associated with extrapyramidal adverse effects while atypical antipsychotics are linked to weight gain, impaired glucose tolerance and metabolic syndrome. Ziprasidone is used to treat schizophrenia and bipolar disorder. It can effectively reduce the rate and time of relapses in schizophrenia, and can be used to treat manic episodes in bipolar disorder although the mechanism of action is unknown. Although ziprasidone is classified as an atypical antipsychotic, it appears to have a lower incidence of metabolic adverse effects compared to other medications in the same class.

Background

Disorders such as schizophrenia and bipolar disorder can significantly impair mood, cognition, and behavior. These mental illnesses can often be accompanied by comorbidities such as depression and substance abuse, and can significantly impact the quality of life of patients and caregivers. Luckily, several treatment options for psychotic disorders have been introduced to market since the realization of chlorpromazine's antipsychotic properties in 1952. Second generation antipsychotics (commonly referred to as atypical antipsychotics) include clozapine, quetiapine, olanzapine, aripiprazole and ziprasidone among others, and are generally thought to be as efficacious as first generation antipsychotics but differ in their adverse effect profiles. First generation antipsychotics are associated with extrapyramidal adverse effects while atypical antipsychotics are linked to weight gain, impaired glucose tolerance and metabolic syndrome. Ziprasidone is used to treat schizophrenia and bipolar disorder. It can effectively reduce the rate and time of relapses in schizophrenia, and can be used to treat manic episodes in bipolar disorder although the mechanism of action is unknown. Although ziprasidone is classified as an atypical antipsychotic, it appears to have a lower incidence of metabolic adverse effects compared to other medications in the same class.

Indication

In its oral form, ziprasidone is approved for the treatment of schizophrenia, as monotherapy for acute treatment of manic or mixed episodes related to bipolar I disorder, and as adjunctive therapy to lithium or valproate for maintenance treatment of bipolar I disorder. The injectable formulation is approved only for treatment of acute agitation in schizophrenia.

Associated Conditions

  • Acute Agitation
  • Agitation
  • Bipolar 1 Disorder
  • Psychosis
  • Schizophrenia
  • Treatment Resistant Major Depressive Disorder
  • Acute Manic episode
  • Acute Mixed manic depressive episode

FDA Approved Products

Geodon
Manufacturer:ROERIG
Route:ORAL
Strength:80 mg in 1 1
Approved: 2022/02/23
NDC:0049-0358
Ziprasidone Hydrochloride
Manufacturer:Bryant Ranch Prepack
Route:ORAL
Strength:40 mg in 1 1
Approved: 2022/03/02
NDC:63629-3331
ziprasidone hydrochloride
Manufacturer:NuCare Pharmaceuticals,Inc.
Route:ORAL
Strength:40 mg in 1 1
Approved: 2023/04/19
NDC:68071-2980
Ziprasidone Mesylate
Manufacturer:Fosun Pharma USA Inc.
Route:INTRAMUSCULAR
Strength:20 mg in 1 mL
Approved: 2020/10/25
NDC:72266-160
Geodon
Manufacturer:ROERIG
Route:ORAL
Strength:20 mg in 1 1
Approved: 2022/02/23
NDC:0049-0352

Singapore Approved Products

No Singapore products found for this drug

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