mum or dad What is Fanapt? Fanapt is a medication known as an atypical antipsychotic that is used to treat symptoms of schizophrenia. When did the U.S. Food and Drug Administration (FDA) approve the medication? Fanapt was first approved by the FDA to treat schizophrenia in 2009. Is there a generic version of Fanapt? No, there is currently no generic version of Fanapt available for sale in the United States. Are there any major differences between Fanapt and other antipsychotics used to treat Fanapt? Fanapt belongs to the class of medications known as atypical antipsychotics or second generation psychotics. Talk to your doctor about what might work best for you and the costs and benefits of taking the medication. Some people may need to try several different antipsychotics before they find the most effective with the fewest side effects. Can children take Fanapt? The effectiveness and safety of the medication has not been tested in patients less than 18 years old. Talk to your child s doctor about the risks of using the medication. Are there potential interaction issues for people taking Fanapt and any other drugs? There are hundreds of drugs which are known to interact with Fanapt in major, moderate, or mild ways, so let your doctor know what other medications you are taking before you begin taking the medication. Some of these include amiodarone, antidepressants, antifungal medications, bupropion, chlorpromazine, clarithromycin, fluoxetine, HIV protease inhibitors, methadone, blood pressure medications, moxifloxacin, nefazodone, paroxetine, pentamidine, procainamide, quinidine, sedatives, sleep medications, sotalol, thioridazine, tranquilizers, or other medications for mental illness. Are there any other medical conditions that would make someone ineligible for Fanapt therapy? Talk to your doctor about other medical conditions before you take Fanapt, such as dementia, stroke, heart conditions, seizures, neuroleptic malignant syndrome (NMS), diabetes, kidney or liver disease, or tardive dyskinesia. What is the typical dose that would be prescribed to someone taking Fanapt? Typical starting dosage for treating schizophrenia in adults is 1 mg taken twice daily. Dosage is not to exceed 12 mg twice daily. What do I do if I miss a dose? Take the dose of Fanapt when you remember, but skip the missed dose if it it s almost time for your next dose. You should never take extra doses of the medication to make up for missed doses. What common side effects can Fanapt cause? The common side effects of Fanapt can include: nausea diarrhea weight gain drowsiness dry mouth stomach pain breast enlargement missed menstrual period joint pain decreased sexual ability in men. Doctors recommend that you not drink alcohol while on the medication. It also is recommended that you wait to drive or operate machinery until you know how the medication affects you. Report major side effects to your doctor immediately, which can include rash or hives, itching, difficulty breathing or swallowing, swelling, fainting, fast or irregular heartbeat, dizziness, seizures, uncontrollable movements, fever, muscle stiffness, sore throat, fever, confusion, sweating, and painful erection. You can also report side effects to the FDA at 1-800-FDA-1088 or online . What are the potential long-term effects of taking Fanapt? Your doctor should monitor for progression of potential long-term side effect of atypical antipsychotics, which can include tardive dyskinesia (TD). Atypical antipsychotics may also increase the risk of cardiovascular side effects, diabetes, weight gain, and high cholesterol. Is it safe for a woman who is pregnant, about to become pregnant, or nursing to take Fanapt? There have been no controlled human pregnancy studies on the effects of Fanapt. It is not known whether the drug can be transferred via human breast milk and harm a baby, but animal studies indicate the drug may be present in breast milk and potentially harm a nursing infant . Therefore, talk to your doctor if you are pregnant, planning to become pregnant, or are nursing before you take Fanapt. Can symptoms occur if Fanapt is discontinued? It s important not to discontinue use of the drug if you feel better. Maintain contact with your doctor and seek medical attention if necessary when discontinuing the drug. Talk to your doctor about how to mitigate potential withdrawal symptoms, which can include agitation, nausea, mood swings, anxiety, cognitive impairment, diarrhea, sweating, vomiting, dizziness, fatigue, flu-like symptoms, sleep problems, heart palpitations, and weight changes. What should I do if I overdose on Fanapt? Seek immediate help or call the Poison Help Line at 1-800-222-1222 if you overdose, as it can be fatal. Symptoms may include drowsiness, quick or irregular heartbeat, or slow or abnormal movement. Is Fanapt habit-forming? Fanapt has no habit-forming potential, but it is not recommended that you discontinue use of the drug before talking with your doctor, as withdrawal symptoms can occur. How much does Fanapt cost? According to goodrx.com, 60 tablets of 12 mg Fanapt cost approximately $2,000. Are there any disadvantages to Fanapt? The biggest disadvantages of Fanapt are the potential long-term side effects, which can include tardive dyskinesia, hyperglycemia, and weight gain. DISCLAIMER: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. This article mentions drugs that were FDA-approved and available at the time of publication and may not include all possible drug interactions or all FDA warnings or alerts. The author of this page explicitly does not endorse this drug or any specific treatment method. If you have health questions or concerns about interactions, please check with your physician or go to the FDA site for a comprehensive list of warnings. Article Sources Highlights of Prescribing Information Fanapt NIH Iloperidone NAMI Iloperidone (Fanapt) Last Updated: Mar 4, 2017 stressful
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