6
Jun
2022
Aripiprazole
Posted On June 6, 2022
By Dr.Adel Serag
And has No Comment
Aripiprazole (Abilify, BMS) (Aripix, Zolinda, Aripiprex) is a second-generation antipsychotic approved in 2002 for the treatment of schizophrenia. Oral and intramuscular formulations are available. This page summarizes the FDA-approved use of aripiprazole for the management of schizophrenia. Also the Off label use, how it works, and its pharmacokinetics.
FDA approved indication for Aripiprazole
How it works
PharmacoKinetics:
Aripiprazole and Schizophrenia
- Aripiprazole is a partial agonist at D2 receptors.
- It may act as an antipsychotic by:
- Lowering dopaminergic neurotransmission in the mesolimbic pathway.
- Enhancing dopaminergic activity in the mesocortical pathway.
- It has a lower risk of EPS and hyperprolactinemia than other antipsychotics.
![](https://www.seragpsych.com/wp-content/uploads/2022/06/sciz_Dopamine.png)
![](https://www.seragpsych.com/wp-content/uploads/2022/06/sciz_mescortical.png)
Positive symptoms of schizophrenia might be the result of the overactivation of the mesolimbic pathway.
![](https://www.seragpsych.com/wp-content/uploads/2022/06/aripip_dop.png)
One postulated mechanism of action of aripiprazole in schizophrenia is the ability of the drug to increase dopaminergic activity from a subnormal level to normal activity in the mesocortical pathway.
![](https://www.seragpsych.com/wp-content/uploads/2022/06/aripip_therapy.png)
Aripiprazole reduces dopaminergic activity in the mesolimbic pathway through partial D2 agonism.