Aripiprazole
Aripiprazole is an atypical antipsychotic with partial agonist activity at dopamine D2 and serotonin 5-HT1A receptors.
Key points
- Aripiprazole has partial dopamine D2 agonist activity.
- Its labelled roles include schizophrenia and bipolar I disorder, with other defined uses.
Abilify connects aripiprazole with schizophrenia and bipolar I disorder. Restlessness, movement effects, metabolic changes and impulse-control problems are material medicine-specific topics. This clinical content requires qualified review before the page can replace production copy.
Boxed warning
Aripiprazole’s label carries two boxed warnings. Elderly patients with dementia-related psychosis who are treated with antipsychotic drugs are at an increased risk of death, and aripiprazole is not approved for the treatment of patients with dementia-related psychosis. The label also carries the antidepressant-class boxed warning: it increases the risk of suicidal thoughts and behaviour in children, adolescents and young adults, so patients of all ages who start this therapy need close monitoring for worsening mood and for the emergence of suicidal thoughts and behaviour.