Aripiprazole Lauroxil, a Novel Injectable Long-Acting Antipsychotic Treatment for Adults with Schizophrenia: A Comprehensive Review

Purpose of Review. This is a comprehensive review of the literature regarding the use of Aripiprazole lauroxil for schizophrenia. This review presents the background, evidence, and indications for using aripiprazole lauroxil to treat schizophrenia in the context of current theories on the developmen...

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Main Authors: Kunal Maini, Haley Gould, Jessica Hicks, Fatima Iqbal, James Patterson, Amber N. Edinoff, Elyse M. Cornett, Adam M. Kaye, Omar Viswanath, Ivan Urits, Alan D. Kaye
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Neurology International
Subjects:
Online Access:https://www.mdpi.com/2035-8377/13/3/29
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author Kunal Maini
Haley Gould
Jessica Hicks
Fatima Iqbal
James Patterson
Amber N. Edinoff
Elyse M. Cornett
Adam M. Kaye
Omar Viswanath
Ivan Urits
Alan D. Kaye
author_facet Kunal Maini
Haley Gould
Jessica Hicks
Fatima Iqbal
James Patterson
Amber N. Edinoff
Elyse M. Cornett
Adam M. Kaye
Omar Viswanath
Ivan Urits
Alan D. Kaye
author_sort Kunal Maini
collection DOAJ
description Purpose of Review. This is a comprehensive review of the literature regarding the use of Aripiprazole lauroxil for schizophrenia. This review presents the background, evidence, and indications for using aripiprazole lauroxil to treat schizophrenia in the context of current theories on the development of schizophrenia. Recent Findings. Schizophrenia is a chronic mental health disorder that currently affects approximately 3.3 million people in the United States. Its symptoms, which must be present for more than six months, are comprised of disorganized behavior and speech, a diminished capacity to comprehend reality, hearing voices unheard by others, seeing things unseen by others, delusions, decreased social commitment, and decreased motivation. The majority of these symptoms can be managed with antipsychotic medication. Aripiprazole lauroxil is a long-acting intramuscular injection that works as a combination of partial agonist activity at D<sub>2</sub> and 5-HT<sub>1A</sub> receptors combined with antagonist activity at 5-HT<sub>2A</sub> receptors. It can be dosed as a 4-, 6-, or 8-week injection, depending on oral dosage. Aripiprazole lauroxil was FDA approved in October of 2015. Summary. Schizophrenia is a severe psychiatric disorder if left untreated. There are multiple medications to help treat schizophrenia. One antipsychotic agent, aripiprazole lauroxil, offers long duration injections that optimize and improve compliance. Known side effects include weight gain, akathisia, neuroleptic malignant syndrome, tardive dyskinesia, and orthostatic hypotension. Aripiprazole lauroxil is an FDA-approved drug that can be administered monthly, every six weeks, or every two months and has been shown to be both safe and effective.
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spelling doaj.art-bdf947a570d74ff3a2e0bc43a1a0da522023-11-22T14:33:24ZengMDPI AGNeurology International2035-83772021-07-0113327929610.3390/neurolint13030029Aripiprazole Lauroxil, a Novel Injectable Long-Acting Antipsychotic Treatment for Adults with Schizophrenia: A Comprehensive ReviewKunal Maini0Haley Gould1Jessica Hicks2Fatima Iqbal3James Patterson4Amber N. Edinoff5Elyse M. Cornett6Adam M. Kaye7Omar Viswanath8Ivan Urits9Alan D. Kaye10Department of Psychiatry, Louisiana State University Shreveport, Shreveport, LA 71103, USAShreveport School of Medicine, Louisiana State University, Shreveport, LA 71103, USAShreveport School of Medicine, Louisiana State University, Shreveport, LA 71103, USAShreveport School of Medicine, Louisiana State University, Shreveport, LA 71103, USADepartment of Psychiatry, Louisiana State University Shreveport, Shreveport, LA 71103, USADepartment of Psychiatry, Louisiana State University Shreveport, Shreveport, LA 71103, USADepartment of Anesthesiology, Louisiana State University Shreveport, Shreveport, LA 71103, USADepartment of Pharmacy Practice, Thomas J. Long School of Pharmacy and Health Sciences, University of the Pacific, Stockton, CA 95211, USACollege of Medicine-Phoenix, University of Arizona, Phoenix, AZ 85004, USADepartment of Anesthesiology, Louisiana State University Shreveport, Shreveport, LA 71103, USADepartment of Anesthesiology, Louisiana State University Shreveport, Shreveport, LA 71103, USAPurpose of Review. This is a comprehensive review of the literature regarding the use of Aripiprazole lauroxil for schizophrenia. This review presents the background, evidence, and indications for using aripiprazole lauroxil to treat schizophrenia in the context of current theories on the development of schizophrenia. Recent Findings. Schizophrenia is a chronic mental health disorder that currently affects approximately 3.3 million people in the United States. Its symptoms, which must be present for more than six months, are comprised of disorganized behavior and speech, a diminished capacity to comprehend reality, hearing voices unheard by others, seeing things unseen by others, delusions, decreased social commitment, and decreased motivation. The majority of these symptoms can be managed with antipsychotic medication. Aripiprazole lauroxil is a long-acting intramuscular injection that works as a combination of partial agonist activity at D<sub>2</sub> and 5-HT<sub>1A</sub> receptors combined with antagonist activity at 5-HT<sub>2A</sub> receptors. It can be dosed as a 4-, 6-, or 8-week injection, depending on oral dosage. Aripiprazole lauroxil was FDA approved in October of 2015. Summary. Schizophrenia is a severe psychiatric disorder if left untreated. There are multiple medications to help treat schizophrenia. One antipsychotic agent, aripiprazole lauroxil, offers long duration injections that optimize and improve compliance. Known side effects include weight gain, akathisia, neuroleptic malignant syndrome, tardive dyskinesia, and orthostatic hypotension. Aripiprazole lauroxil is an FDA-approved drug that can be administered monthly, every six weeks, or every two months and has been shown to be both safe and effective.https://www.mdpi.com/2035-8377/13/3/29schizophreniaschizophrenia treatmentaripiprazole lauroxillong-acting injectionsaristada
spellingShingle Kunal Maini
Haley Gould
Jessica Hicks
Fatima Iqbal
James Patterson
Amber N. Edinoff
Elyse M. Cornett
Adam M. Kaye
Omar Viswanath
Ivan Urits
Alan D. Kaye
Aripiprazole Lauroxil, a Novel Injectable Long-Acting Antipsychotic Treatment for Adults with Schizophrenia: A Comprehensive Review
Neurology International
schizophrenia
schizophrenia treatment
aripiprazole lauroxil
long-acting injections
aristada
title Aripiprazole Lauroxil, a Novel Injectable Long-Acting Antipsychotic Treatment for Adults with Schizophrenia: A Comprehensive Review
title_full Aripiprazole Lauroxil, a Novel Injectable Long-Acting Antipsychotic Treatment for Adults with Schizophrenia: A Comprehensive Review
title_fullStr Aripiprazole Lauroxil, a Novel Injectable Long-Acting Antipsychotic Treatment for Adults with Schizophrenia: A Comprehensive Review
title_full_unstemmed Aripiprazole Lauroxil, a Novel Injectable Long-Acting Antipsychotic Treatment for Adults with Schizophrenia: A Comprehensive Review
title_short Aripiprazole Lauroxil, a Novel Injectable Long-Acting Antipsychotic Treatment for Adults with Schizophrenia: A Comprehensive Review
title_sort aripiprazole lauroxil a novel injectable long acting antipsychotic treatment for adults with schizophrenia a comprehensive review
topic schizophrenia
schizophrenia treatment
aripiprazole lauroxil
long-acting injections
aristada
url https://www.mdpi.com/2035-8377/13/3/29
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