{"id":55542,"date":"2024-02-07T05:29:25","date_gmt":"2024-02-07T05:29:25","guid":{"rendered":"https:\/\/medsname.com\/arzodel\/"},"modified":"2026-04-30T10:24:47","modified_gmt":"2026-04-30T10:24:47","slug":"arzodel","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/arzodel\/","title":{"rendered":"Arzodel"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8d6;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p style=\"margin-bottom:0;\">Arzodel (Aripiprazole 5 \/ 10 \/ 15 mg) is an atypical antipsychotic with a unique D2 partial-agonist mechanism. Used for schizophrenia, bipolar mania and maintenance, MDD adjunct, and irritability in autism. Most metabolically clean of the atypicals \u2014 minimal weight gain, minimal sedation.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Arzodel at MedsBase is supplied directly from a WHO-GMP certified manufacturer in plain, discreet packaging. Every order is covered by our <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a> \u2014 20pracovn\u00edchdenn\u00ed lh\u016fta pro doru\u010den\u00ed, nebo v\u00e1m z\u00e1silku zdarma p\u0159epo\u0161leme \u2014 a oprav\u0148uje v\u00e1s k \u00fa\u010dasti v na\u0161em <a href=\"https:\/\/medsbase.com\/cs\/loyalty-points\/\">v\u011brnostn\u00edm programu<\/a>. Dod\u00e1v\u00e1me do v\u011bt\u0161iny zem\u00ed po cel\u00e9m sv\u011bt\u011b.<\/p>\n<h2>What Arzodel is and how it works<\/h2>\n<p>Arzodel is an aripiprazole tablet supplied by Torrent. Available strengths: <strong>5 \/ 10 \/ 15 mg<\/strong>. Aripiprazole is mechanistically distinct from other atypical antipsychotics: it acts as a <strong>partial agonist<\/strong> at dopamine D2 and serotonin 5-HT1A receptors and a full antagonist at 5-HT2A receptors. The partial-agonist profile means it functions as an antagonist where dopamine activity is high (treating positive symptoms in schizophrenia) and as a weak agonist where dopamine activity is low (preserving cognition, lowering risk of motor side effects and hyperprolactinaemia).<\/p>\n<h2>Indikace a d\u00e1vkov\u00e1n\u00ed<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indikace<\/th>\n<th>Po\u010d\u00e1te\u010dn\u00ed d\u00e1vka<\/th>\n<th>C\u00edlov\u00e1 d\u00e1vka<\/th>\n<th>Maxim\u00e1ln\u00ed d\u00e1vka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Schizophrenia (adult)<\/td>\n<td>10\u201315 mg OD<\/td>\n<td>10\u201330 mg OD<\/td>\n<td>30 mg<\/td>\n<\/tr>\n<tr>\n<td>Schizophrenia (adolescent \u2265 13 y)<\/td>\n<td>2 mg OD \u00d7 2 d \u2192 5 mg \u00d7 2 d \u2192 10 mg<\/td>\n<td>10 mg OD<\/td>\n<td>30 mg<\/td>\n<\/tr>\n<tr>\n<td>Bipolar mania (adult)<\/td>\n<td>15 mg OD<\/td>\n<td>15\u201330 mg OD<\/td>\n<td>30 mg<\/td>\n<\/tr>\n<tr>\n<td>MDD adjunct (with antidepressant)<\/td>\n<td>2\u20135 mg OD<\/td>\n<td>5\u201310 mg OD<\/td>\n<td>15 mg<\/td>\n<\/tr>\n<tr>\n<td>Autism irritability (\u2265 6 y)<\/td>\n<td>2 mg OD<\/td>\n<td>5\u201310 mg OD (weight-based)<\/td>\n<td>15 mg<\/td>\n<\/tr>\n<tr>\n<td>Tourette syndrome (\u2265 6 y)<\/td>\n<td>2 mg OD<\/td>\n<td>5\u201320 mg OD<\/td>\n<td>20 mg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Single daily dose, with or without food. Titrate slowly in patients sensitive to akathisia.<\/p>\n<h2>D\u016fle\u017eit\u00e9 bezpe\u010dnostn\u00ed aspekty<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>FDA black-box \u2014 dementia-related psychosis<\/strong><\/p>\n<p style=\"margin-bottom:0;\">All atypical antipsychotics carry an FDA black-box warning for increased mortality (mostly cardiovascular and infectious) when used to treat behavioural disturbance in older adults with dementia. <strong>Atypicals are not approved for dementia-related psychosis or agitation<\/strong>. Use in this population is off-label, last-resort, time-limited, and requires explicit risk-benefit conversation.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Akathisia is the dominant side effect<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Aripiprazole produces less weight gain, less sedation, and less prolactin elevation than other atypicals \u2014 but more <strong>akathisia<\/strong> (an inner sense of restlessness, often described as &#8220;needing to move&#8221;, &#8220;skin crawling&#8221;, or &#8220;can&rsquo;t sit still&#8221;). Akathisia is the most common cause of aripiprazole discontinuation. Manage with dose reduction, propranolol 20\u201380 mg\/day, or switch.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Impulse-control disorders (rare)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Pathological gambling, hypersexuality, compulsive shopping, and binge eating have been reported on aripiprazole \u2014 caused by the partial D2\/D3 agonism. Stops on discontinuation. Ask explicitly at follow-up.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Suicidality black-box (under-25 in MDD adjunct use)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">When used as an antidepressant adjunct, the under-25 suicidality warning applies.<\/p>\n<\/div>\n<h2>\u010cast\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>Akathisia<\/strong> \u2014 most common reason for discontinuation (15\u201325%).<\/li>\n<li><strong>Insomnia, anxiety, restlessness<\/strong> \u2014 common at initiation; settles in many.<\/li>\n<li><strong>Nevolnost, zvracen\u00ed<\/strong> \u2014 first 1\u20132 weeks.<\/li>\n<li><strong>P\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze<\/strong> \u2014 modest (less than olanzapine, clozapine, quetiapine).<\/li>\n<li><strong>Sedation<\/strong> \u2014 mild relative to other atypicals.<\/li>\n<li><strong>Prolactin<\/strong> \u2014 usually decreases (D2 partial agonism).<\/li>\n<li><strong>EPS \/ tardive dyskinesia<\/strong> \u2014 uncommon at usual doses.<\/li>\n<\/ul>\n<h2>Interakce l\u00e9k\u016f<\/h2>\n<ul>\n<li><strong>Siln\u00e9 inhibitory CYP3A4<\/strong> (azoles, clarithromycin, ritonavir) \u2014 halve aripiprazole dose.<\/li>\n<li><strong>Strong CYP2D6 inhibitors<\/strong> (paroxetine, fluoxetine, bupropion, quinidine) \u2014 halve dose.<\/li>\n<li><strong>Siln\u00e9 induktory CYP3A4<\/strong> (rifampicin, carbamazepine, phenytoin, St John&rsquo;s wort) \u2014 double dose or switch.<\/li>\n<li><strong>Dal\u0161\u00ed l\u00e9ky prodlu\u017euj\u00edc\u00ed QT interval<\/strong> \u2014 generally safer than other atypicals on QT but additive risk possible.<\/li>\n<li><strong>Antihypertenziva<\/strong> \u2014 additive hypotension at initiation.<\/li>\n<\/ul>\n<h2>T\u011bhotenstv\u00ed, kojen\u00ed, pediatrie<\/h2>\n<p>Pregnancy: limited data; weigh against untreated illness. Breastfeeding: passes into milk; usually compatible with monitoring. Paediatric: licensed from 6 (autism), 10 (bipolar), 13 (schizophrenia).<\/p>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i 15\u201330 \u00b0C v p\u016fvodn\u00edm obalu.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>How is Arzodel different from other antipsychotics?<\/h3>\n<p>Aripiprazole is the most prescribed dopamine partial agonist (along with brexpiprazole and cariprazine). The clinical translation: less weight gain, less sedation, less prolactin elevation than olanzapine\/risperidone\/quetiapine \u2014 but more akathisia and a small impulse-control disorder signal.<\/p>\n<h3>What is akathisia?<\/h3>\n<p>Akathisia is an inner sense of restlessness \u2014 often described as &ldquo;needing to move&rdquo;, &ldquo;skin crawling&rdquo;, or &ldquo;can&rsquo;t sit still&rdquo;. It is the most common reason patients stop aripiprazole. Tell your prescriber early \u2014 it&rsquo;s manageable with dose reduction, propranolol 20\u201380 mg\/day, or sometimes a benzodiazepine bridge while the dose is titrated.<\/p>\n<h3>Will Arzodel make me gain weight?<\/h3>\n<p>Modest weight gain \u2014 typically 1\u20133 kg over 6 months, much less than olanzapine, clozapine, or quetiapine. Aripiprazole is often the atypical of choice when weight is a primary concern.<\/p>\n<h3>Can Arzodel be used with an antidepressant?<\/h3>\n<p>Yes \u2014 aripiprazole is FDA-approved as an adjunct to antidepressants in major depression at low doses (2\u201310 mg). Combination is well-evidenced (CO-MED, others) and well-tolerated.<\/p>\n<h3>Why does Arzodel sometimes cause gambling or other compulsions?<\/h3>\n<p>The D2\/D3 partial agonism extends to limbic reward circuits. A small subset of patients develops impulse-control disorders (pathological gambling, hypersexuality, compulsive shopping, binge eating). Always asked explicitly at follow-up. Stops on discontinuation.<\/p>\n<h3>How long until Arzodel works?<\/h3>\n<p>Antipsychotic effect usually visible within 1\u20132 weeks for positive symptoms; full effect at 4\u20136 weeks. Antidepressant adjunct effect at 2\u20136 weeks. Mood-stabilising effect in bipolar within days for acute mania.<\/p>\n<h3>Can Arzodel be stopped abruptly?<\/h3>\n<p>Generally yes \u2014 withdrawal is mild because of aripiprazole&rsquo;s long half-life (~75 hours). However, abrupt cessation in schizophrenia and bipolar carries a high relapse risk. Never stop without prescriber agreement.<\/p>\n<h3>Will Arzodel affect my fertility?<\/h3>\n<p>Aripiprazole rarely raises prolactin \u2014 fertility is not usually affected. Compare risperidone (raises prolactin substantially, common cause of amenorrhoea, galactorrhoea, and male hypogonadism).<\/p>\n<h3>What about driving on Arzodel?<\/h3>\n<p>Sedation is relatively mild. Most patients on stable doses drive normally \u2014 but the first 1\u20132 weeks of titration may impair reaction time. Avoid driving until tolerability is known.<\/p>\n<h3>Are LAI (long-acting injectable) versions available?<\/h3>\n<p>Yes \u2014 depot aripiprazole formulations (Maintena monthly, Asimtufii bimonthly) are available for adherence support in schizophrenia. The oral tablet version is the standard initiation and dose-titration formulation.<\/p>\n<h2>Dal\u0161\u00ed l\u00e9ky na du\u0161evn\u00ed zdrav\u00ed<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aripicon\/\">Aripicon (Aripiprazole \u2014 D2 partial agonist)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/olanzap\/\">Olanzap (Olanzapine \u2014 robust antipsychotic)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/risdone\/\">Risdone (Risperidone)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/seroquit\/\">Seroquit (Quetiapine \u2014 bipolar depression)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/atlura\/\">Atlura (Lurasidone \u2014 metabolically clean)<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:0.9em;\">\n<strong>Zdravotn\u00ed prohl\u00e1\u0161en\u00ed.<\/strong> Tato str\u00e1nka m\u00e1 vzd\u011bl\u00e1vac\u00ed charakter a nenahrazuje individu\u00e1ln\u00ed l\u00e9ka\u0159skou radu. Farmakoterapie du\u0161evn\u00edho zdrav\u00ed by m\u011bla b\u00fdt zah\u00e1jena, monitorov\u00e1na a upravov\u00e1na pod dohledem kvalifikovan\u00e9ho l\u00e9ka\u0159e. Pokud vy nebo n\u011bkdo, koho zn\u00e1te, pro\u017e\u00edv\u00e1 sebevra\u017eednou krizi, okam\u017eit\u011b kontaktujte m\u00edstn\u00ed z\u00e1chrann\u00e9 slu\u017eby nebo volejte linku prevence sebevra\u017ed ve va\u0161\u00ed zemi (USA\/Kanada: 988; UK: Samaritans 116 123; mezin\u00e1rodn\u00ed seznam: <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Arzodel (Aripiprazole 5\u201315 mg) \u2014 D2 partial-agonist atypical for schizophrenia, bipolar mania, MDD adjunct. low prolactin and weight effects vs other atypicals.<\/p>","protected":false},"featured_media":55543,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[3945,3946],"class_list":{"0":"post-55542","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-mental-health-and-psychiatric-medications","9":"product_tag-aripiprazole","10":"product_tag-arzodel","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/55542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=55542"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55543"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55542"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55542"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55542"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}