Patient Education: Ziprasidone (Geodon)
Ziprasidone is prescribed by your healthcare provider based on current guidelines to address specific mental health conditions. While effective, all medications have potential side effects. It's crucial to be informed about these risks and benefits. It's also important to understand strategies to reduce their occurrence or manage them effectively. It's vital to know when to contact your healthcare provider or seek immediate medical attention. This guide aims to empower you with this knowledge, ensuring a well-informed approach to your child's treatment. If you are still unsure, always reach out to your healthcare provider for further guidance.
What is Ziprasidone?
Ziprasidone belongs to a group of medicines known as Second Generation or Atypical Antipsychotics.
When is Ziprasidone prescribed to Children & Adolescents?
Your doctor may prescribe Ziprasidone for:
- Behavioral disturbances or Disruptive Mood Dysregulation Disorder (also known as DMDD)
- Bipolar disorder
- Psychosis
What is the Dose of Ziprasidone?
- The dose typically ranges from 20 to 160 mg.
- Starts at a low dose, gradually increasing to effectiveness.
- To be taken with food (at least 350 cal)
What can be the possible
side-effects from the medication?
- Drowsiness, Dizziness:
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- Started at a low dose to minimize effects.
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- Usually improves within few days at lower doses
- Stand up slowly from sitting or lying down to help with dizziness.
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- Consult with your provider if persistent
- Heart Rhythm Disturbances:
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- QTc prolongation, a condition that lengthens the heart's electrical cycle, may lead to irregular heartbeats.
- If you notice an irregular heartbeat, inform your healthcare provider.
- Stopping or changing the medication might be required.
- Increased appetite and weight gain:
- Generally weight neutral but can at times cause weight gain in Children & Adolescents
- Can lead to risks like high blood pressure, increased total and bad cholesterol, diabetes.
- Regular monitoring of weight, waist size, blood pressure, blood sugar, and cholesterol is important.
- Monitor your child’s diet and inform your doctor of significant weight gain.
- Akathisia:
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- Intense inner restlessness, possibly manifesting as excessive physical activity or anxiety.
- Management may involve adjusting dosage or medication, or adding another medication (beta-blocker)
- Dystonia:
- Symptoms include involuntary muscle contractions leading to unusual postures, such as neck twisting, back arching.
- Seek emergency care if these occur. Medications (Benadryl or Benztropine) may be used for relief.
- Tardive Dyskinesia (TD):
- Characterized by involuntary, repetitive body movements.
- Regular monitoring with the Abnormal Involuntary Movement Scale (AIMS) is essential.
- Excessive Saliva:
- Consult with your provider if persistent. Adjustment in medication may be necessary.
Serious but Rare Side-Effects
- Neuroleptic malignant syndrome
- Symptoms: High fever, severe muscle stiffness, changes in blood pressure, heart rate, and breathing.
- Action Required: Immediately discontinue medication and seek urgent medical care in a hospital.
- Treatment: Immediate medical care in a hospital.
To learn more about this medication please visit MedlinePlus, a official US government website, part of National Library of Medicine and managed by National Institute of Health by clicking HERE