Como aripiprazole

Zyprexa Relprevv a long-acting medicine

Drugs with alpha-adrenergic blocking effects have been reported to induce priapism. The clearance of Guanfacine in patients with varying degrees of renal insufficiency is reduced, but plasma levels of drug are only slightly increased compared to patients with normal renal function. When prescribing for patients with renal impairment, the low end of the dosing range should be used. Patients on dialysis also can be given usual doses of Guanfacine hydrochloride as the drug is poorly dialyzed. There is no known way to prevent schizophrenia. General information about the safe and effective use of Invega Sustenna. meclizine cheap buy online store meclizine

Who should not receive Aristada?

Parenteral drug products should be inspected visually for foreign matter and discoloration prior to administration, whenever product and container permit. Tell your doctor if your condition persists or worsens. Based on a population analysis, the apparent volume of distribution of paliperidone is 391 L. The plasma protein binding of racemic paliperidone is 74%.

Aripiprazole dosing information

Severe allergic reactions rash; hives; itching; difficulty breathing; tightness in the chest or throat; swelling of the mouth, face, lips, or tongue; unusual hoarseness; wheezing; chest pain; confusion; decreased coordination; drooling; fainting; fast, slow, or irregular heartbeat; mask-like face; muscle spasms of the face, neck, or back; muscle weakness; new or worsening mental or mood problems; numbness of an arm or leg; prolonged or painful erection; restlessness; seizures; severe or persistent constipation; severe or persistent dizziness, drowsiness, or headache; shuffling walk; sleeplessness; stiff or rigid muscles; sudden shortness of breath or vomiting; swelling of the hands, ankles, or feet; symptoms of infection eg, fever, chills, persistent sore throat; symptoms of liver problems eg, yellowing of the skin or eyes; dark urine; pale stools; severe or persistent nausea, stomach pain, or loss of appetite; tremor; trouble urinating; twisting or twitching movements; uncontrolled muscle movements eg, twitching of the face or tongue; loss of balance; uncontrolled movements of arms or legs; trouble speaking, breathing, or swallowing; unusual bruising or bleeding; unusual eye movements or inability to move eyes; unusual or excessive sweating; unusual tiredness or weakness; unusually pale skin; vision changes eg, blurred vision.

Aripiprazole uses

Aripiprazole is classed as an atypical second-generation antipsychotic. It works at a large number of sites, including receptors and transporters. Know the medicines you take. Keep a list of them to show to your healthcare provider or pharmacist when you get a new medicine. Increased fat levels cholesterol and triglycerides in your blood.

About aripiprazole

The orally-disintegrating tablet FazaClo can be taken without water. Keep the tablet in its blister pack until you are ready to take it. Open the package and peel back the foil. Do not push a tablet through the foil or you may damage the tablet. Use dry hands to remove the tablet and place it in your mouth. Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing. If desired, you may drink liquid to help swallow the dissolved tablet. Taking antipsychotic medicine in the last 3 months of pregnancy may cause problems in the newborn, such as withdrawal symptoms, breathing problems, feeding problems, fussiness, tremors, and limp or stiff muscles. However, you may have withdrawal symptoms or other problems if you stop taking your medicine during pregnancy. If you become pregnant, do not stop taking aripiprazole without your doctor's advice. Psychosurgery: In the 1940s and 1950s, a neurosurgical procedure called a prefrontal lobotomy was sometimes used to treat severe agitation associated with psychosis. Because it caused serious and irreversible negative effects that dulled personality and motivation, the procedure is no longer performed as a psychiatric treatment. Other, more modern neurosurgical procedures being studied to treat schizophrenia include deep brain stimulation -- an entirely different operation that is not at all related to lobotomy -- in which stimulating electrodes are surgically implanted in brain areas believed to control thinking and perception. How should I take aripiprazole? Johns Hopkins Medicine: "Seasonal Affective Disorder. People with OCD have recurring and distressing thoughts, fears, or images obsessions that they cannot control. The nervousness produced by these thoughts leads to an urgent need to perform certain rituals or routines compulsions. Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start taking aripiprazole and each time you get a refill. If you have any questions, ask your doctor or pharmacist. The herb may sometimes be unsafe when taken with some anticonvulsants. Lamictal, an anticonvulsant prescribed to treat bipolar disorder, is one. The herb -- taken by some to increase memory and attentiveness -- may reduce the effect of Depakote, another bipolar drug. MRHD produced fetal death, decreased fetal weight, undescended testicles, delayed skeletal ossification, skeletal abnormalities, and diaphragmatic hernia. Oral and intravenous aripiprazole administration during the pre- and post-natal period in rats at doses higher than the maximum recommended human dose MRHD produced prolonged gestation, stillbirths, decreased pup weight, and decreased pup survival. Administer aripiprazole during pregnancy only if the potential benefit justifies the potential risk to the fetus. The results from the 13-week study involving 234 mg initiation dosing, the 9-week, fixed-dose, double-blind, placebo-controlled trial, and the double-blind phase of the maintenance trial in subjects with schizophrenia exhibited comparable findings. These are not all of the possible side effects of ABILIFY. Paliperidone causes a modest increase in the corrected QT QTc interval. BDD is a distinct mental disorder in which a person is preoccupied with an imagined physical defect or a minor defect that others often cannot see. As a result, people with this disorder see themselves as "ugly" and often avoid social exposure or turn to to try to improve their appearance. If your condition persists or worsens, or if you think you may have a serious medical problem, seek immediate medical attention. Take this medication by mouth with or without food as directed by your doctor, usually once daily. The dosage is based on your medical condition, response to treatment, age, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use including prescription drugs, nonprescription drugs, and herbal products. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor's instructions carefully.

What is aripiprazole

Avoid getting overheated or dehydrated. Barkham, M. British Medical Bulletin, 2001. Keep all medicines away from children and pets. Lurasidone may increase the amount of a certain hormone prolactin in your blood. Symptoms may include enlarged breasts, missed menstrual period, decreased sexual ability, or nipple discharge. Contact your doctor right away if you experience any of these symptoms. On the other hand, people with schizophrenia can be a danger to themselves. is the number one cause of premature death among people with schizophrenia. What Is the Outlook for People With Schizophrenia? Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. The most common side effects of ABILIFY in children include: feeling sleepy, headache, vomiting, fatigue, increased or decreased appetite, increased saliva or drooling, insomnia, nausea, stuffy nose, weight gain, uncontrolled movement such as restlessness or tremor, and muscle stiffness. Schizophrenia was the first illness to be targeted by aripiprazole. Herbs and natural have not been tested or regulated by the FDA. So it's important to use caution when taking them. Most credible manufacturers list contraindications or warnings on the product label. But some manufacturers do not. When the wrong herb or supplement is taken with bipolar medications, there can be dangerous drug-herb interactions. It is not known if Aristada will harm your unborn baby. Delusions: Delusions are strange beliefs that are not based in reality and that the person refuses to give up, even when presented with factual information. For example, the person suffering from delusions may believe that people can hear his or her thoughts, that he or she is God or the devil, or that people are putting thoughts into his or her head or plotting against them. Take Invega exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Aripiprazole Extended-Release Injection may cause weight gain in some patients. You may need regular weight checks while taking Aripiprazole Extended-Release Injection. What happens if I miss a dose Abilify? Invega Sustenna may affect your ability to make decisions, think clearly, or react quickly. Do not drive, operate heavy machinery, or do other dangerous activities until you know how Invega Sustenna affects you. His study included 156 patients at 24 nursing homes in Australia. famvir

How Is Psychotic Depression Treated?

Do not drink alcohol while you are taking trifluoperazine. The following list does not include reactions: 1 already listed in previous tables or elsewhere in labeling, 2 for which a drug cause was remote, 3 which were so general as to be uninformative, or 4 which were not considered to have significant clinical implications. Commonly observed adverse reactions associated with the use of aripiprazole in adolescent patients with schizophrenia incidence of 5% or greater and aripiprazole incidence at least twice that for placebo were extrapyramidal disorder, somnolence, and tremor. DSM-IV criteria for schizophrenia. Third generation antipsychotic drugs: partial agonism or receptor functional selectivity? In cases of BDD, social isolation can occur if the person becomes too self-conscious to go out in public. This also can have a negative impact on school or work. For patients weighing 90 kg or more, the 1½-inch, 22 gauge needle is recommended.

Prescribing information for aripiprazole

IV criteria for schizophrenia. Four of the five trials were able to distinguish aripiprazole from placebo, but one study, the smallest, did not. Three of these studies also included an active control group consisting of either risperidone one trial or haloperidol two trials but they were not designed to allow for a comparison of aripiprazole and the active comparators. Some medical conditions may interact with lurasidone. The intensity of sedation was greater with the combination of oral aripiprazole and lorazepam as compared to that observed with aripiprazole alone. CBC frequently during the first few months of therapy. In such patients, consider discontinuation of aripiprazole at the first sign of a clinically significant decline in WBC in the absence of other causative factors. Food and Drug Administration. pharmacy crixivan qt

Aripiprazole drug interactions

It also works on serotonin, norepinephrine and dopamine transporter proteins. NMS is a possibly fatal syndrome that can be caused by Aripiprazole Extended-Release Injection. Symptoms may include fever, stiff muscles, confusion, abnormal thinking, fast or irregular heartbeat, and sweating. Contact your doctor at once if you have any of these symptoms. Side effects seen in the study included extrapyramidal disorder physical symptoms such as involuntary muscle movements, abnormal posture, and slurred speech sleepiness, and tremor. These side effects were more common in teens taking higher doses of the drug. Hospitalization: Many people with schizophrenia may be treated as outpatients. However, people with particularly severe symptoms, or those in danger of hurting themselves or others or who cannot take care of themselves at home may require hospitalization to stabilize their condition. Esophageal dysmotility and aspiration have been associated with antipsychotic drug use, including aripiprazole. Keep the tablet in its blister pack until you are ready to take it. Open the package and peel back the foil. Do not push a tablet through the foil or you may damage the tablet. Guanfacine hydrochloride is a white to off-white powder; sparingly soluble in water and alcohol and slightly soluble in acetone.

Reviews for aripiprazole

How Is Psychotic Depression Different From Major or Clinical Nonpsychotic Depression? No dosage adjustment is recommended based on race. No differences in pharmacokinetics were observed between Japanese and Caucasians. While the 5 mg dose added an increment of effectiveness, it caused an unacceptable increase in adverse reactions. Aripiprazole Extended-Release Injection may raise your blood sugar or increase your risk of developing diabetes. High blood sugar may make you feel confused, drowsy, or thirsty. It can also make you flush, breathe faster, or have a fruit-like breath odor. If these symptoms occur, tell your doctor right away. Any patient treated with atypical antipsychotics should be monitored for symptoms of hyperglycemia including polydipsia, polyuria, polyphagia, and weakness. Patients who develop symptoms of hyperglycemia during treatment with atypical antipsychotics should undergo fasting blood glucose testing. In some cases, hyperglycemia has resolved when the atypical antipsychotic was discontinued; however, some patients required continuation of anti-diabetic treatment despite discontinuation of the suspect drug. While using this product, do not start, stop, or change the dosage of any other medicines you are using without your doctor's approval. Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine. How should I receive Aristada? While all drugs in the class have been shown to produce some metabolic changes, each drug has its own specific risk profile. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Neuroleptic Malignant Syndrome NMS may occur with administration of antipsychotic drugs, including aripiprazole. Rare cases of NMS occurred during aripiprazole treatment in the worldwide clinical database. Clinical manifestations of NMS are hyperpyrexia, muscle rigidity, altered mental status, and evidence of autonomic instability irregular pulse or blood pressure, tachycardia, diaphoresis, and cardiac dysrhythmia. Additional signs may include elevated creatine phosphokinase, myoglobinuria rhabdomyolysis and acute renal failure. Your most important goal is to take your bipolar medications regularly. That way, you can keep your condition managed. Working closely with your doctor, you can find the most effective bipolar treatment that meets your specific needs. The right medication will allow you to live an active and meaningful life. Neither clinical studies nor epidemiologic studies conducted to date have shown an association between chronic administration of this class of drugs and tumorigenesis in humans, but the available evidence is too limited to be conclusive. Jana Lincoln, Current Psychiatry, published May 2013. ipratropium mail order now shop

Does aripiprazole interact with other medications

Antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment. Avoid drinking alcohol. Dangerous side effects could occur. This may not be a complete list of all interactions that may occur. Ask your health care provider if trifluoperazine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. Risperdal Consta is usually given once every 2 weeks. You may also need to take risperidone by mouth in pill or liquid form during the first 3 weeks of your treatment with the injections. Follow your doctor's instructions. This medicine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. No occurrences of adverse events reached this threshold in the long-term double-blind, placebo-controlled study in subjects with schizoaffective disorder. Invega Sustenna. See the end of this Patient Information leaflet for a complete list of ingredients in Invega Sustenna. Continued What Causes Schizophrenia? Continued How Common Is Schizophrenia? Invega may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

What should i avoid while taking aripiprazole

Do not become overheated or dehydrated in hot weather or while you are being active; heatstroke may occur. Aripiprazole can be taken with or without food. Invega is not approved for use in psychotic conditions related to dementia. Paliperidone may increase the risk of death in older adults with dementia-related conditions. Guanfacine hydrochloride tablets are contraindicated in patients with known hypersensitivity to Guanfacine hydrochloride. All patients being treated with antidepressants for any indication should be monitored appropriately and observed closely for clinical worsening, suicidality, and unusual changes in behavior, especially during the initial few months of a course of drug therapy, or at times of dose changes, either increases or decreases. PANSS negative subscale, and CGI-severity score. The person with BDD eventually becomes so obsessed with the defect that his or her social, work, and home functioning suffers. Keep a list of all the products you use. Share the list with your doctor and pharmacist to reduce your risk for serious problems. Pharma USA Inc. at 855-664-7744. High blood sugar hyperglycemia: Increases in blood sugar can happen in some people who take Aristada. Extremely high blood sugar can lead to coma or death. If you have diabetes or risk factors for diabetes such as being overweight or a family history of diabetes your healthcare provider should check your blood sugar before you start, and during your treatment. The area under the concentration-time curve AUC increases linearly with the dose. pyridium

What conditions does aripiprazole treat

All drug-related effects were reversible after a 2-month recovery period, and most of the drug effects in juvenile rats were also observed in adult rats from previously conducted studies. The best treatment for is often a combination of medication and counseling. Avoid getting over-heated or dehydrated. Your pharmacist may also be able to answer questions about drug interactions with herbal supplements. Your doctor can see the supplements and determine if they are safe or unsafe to take with your bipolar medication. PREGNANCY and BREAST-FEEDING: It is not known if Aripiprazole Extended-Release Injection can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Aripiprazole Extended-Release Injection while you are pregnant. Using Aripiprazole Extended-Release Injection during the third trimester may result in uncontrolled muscle movements or withdrawal symptoms in the newborn. Discuss any questions or concerns with your doctor. Aripiprazole Extended-Release Injection is found in breast milk. Do not breast-feed while taking Aripiprazole Extended-Release Injection. Uncontrolled body movements tardive dyskinesia. Aripiprazole Tablets may cause movements that you cannot control in your face, tongue, or other body parts. Tardive dyskinesia may not go away, even if you stop receiving Aripiprazole Tablets. Tardive dyskinesia may also start after you stop receiving Aripiprazole Tablets. The carcinogenic potential of intramuscularly injected paliperidone palmitate was assessed in rats. Table 6 shows the proportion of aripiprazole-treated patients with normal and borderline fasting glucose at baseline median exposure 25 days that had treatment-emergent high fasting glucose measurements compared to placebo-treated patients median exposure 22 days. Risperidone can pass into breast milk and may harm a nursing baby. Do not breast-feed while using this medicine and for at least 12 weeks after your treatment ends. Orthostatic hypotension decreased blood pressure. Your healthcare provider can tell you if it is safe to take Aripiprazole Tablets with your other medicines. Do not start or stop any medicines while taking Aripiprazole Tablets without talking to your healthcare provider first. Know the medicines you take. Keep a list of your medicines to show your healthcare provider and pharmacist when you get a new medicine. Medication Guide and to obtain answers to any questions they may have. Store lurasidone at room temperature, between 59 and 86 degrees F 15 and 30 degrees C. Store away from heat, moisture, and light. Do not store in the bathroom. Keep lurasidone out of the reach of children and away from pets. RxList is part of the WebMD Health Network. The opinions expressed in the WebMD User Reviews are solely those of the User, who may or may not have medical or scientific training, and do not represent the opinions of WebMD. These member reviews have not been reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other purpose except for compliance with our Terms and Conditions. In this case, the word positive does not mean "good. Assessment of the relationship between atypical antipsychotic use and glucose abnormalities is complicated by the possibility of an increased background risk of diabetes mellitus in patients with schizophrenia and the increasing incidence of diabetes mellitus in the general population. Given these confounders, the relationship between atypical antipsychotic use and hyperglycemia-related adverse reactions is not completely understood. However, epidemiological studies suggest an increased risk of hyperglycemia-related adverse reactions in patients treated with the atypical antipsychotics.

What is aripiprazole Abilify?

Doctors sometimes treat the with one set of drugs and the with another, although some mood-stabilizing drugs are effective at treating both kinds of symptoms. Certain drugs are also used for "maintenance" to maintain a steady mood. Disorganized symptoms of schizophrenia are a type of positive symptom that reflects the person's inability to think clearly and respond appropriately. Trichotillomania is a type of impulse control disorder. People with these disorders know that they can do damage by acting on the impulses, but they cannot stop themselves. They may pull out their when they're stressed as a way to try to soothe themselves. Lab tests, including liver and kidney function tests, complete blood cell counts, and eye exams, may be performed while you take trifluoperazine. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. Prior to initiating therapy with extended-release IM formulations, establish tolerability with oral formulation; it may take up to 2 weeks to fully assess tolerability due to the half-life of aripiprazole. There is no known way to prevent BDD. However, it might be helpful to begin treatment in people as soon as they begin to have symptoms. Teaching and encouraging healthy and realistic attitudes about body image also might help prevent the development or worsening of BDD. Finally, providing the person with an understanding and supporting environment might help decrease the severity of the symptoms and help him or her better cope with the disorder. Hartley said, and the woman became calmer. What Is the Treatment for Trichotillomania? However, due to Otsuka America Pharmaceutical, Inc. No dosage adjustment is recommended based on age alone. Each tablet, for oral administration, contains Guanfacine hydrochloride equivalent to 1 mg or 2 mg Guanfacine. The tablets contain the following inactive ingredients: anhydrous lactose, microcrystalline cellulose, partially pregelatinized starch, magnesium stearate and talc. ABILIFY is not approved for use in pediatric patients with depression see BOXED WARNING. como prinivil

The Merck Manual: "Depression

Adverse reactions reported by at least 2% of patients treated with oral aripiprazole, except adverse reactions which had an incidence equal to or less than placebo. Do NOT take more than the recommended dose or use more often than prescribed without checking with your doctor. Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment. Aripiprazole Extended-Release Injection may cause dizziness, light-headedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Abilify aripiprazole US prescribing information. AUC values at steady-state is expected when extensive metabolizers of CYP2D6 are administered with both strong CYP2D6 and CYP3A4 inhibitors. A 3-fold increase in mean C max and AUC values at steady-state is expected in poor metabolizers of CYP2D6 administered with strong CYP3A4 inhibitors. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately. What are the signs and symptoms of depression? NMS is a possibly fatal syndrome that can be caused by lurasidone. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms. The dose recommended for maintenance treatment is the same dose needed to stabilize patients during acute treatment; periodically reassess need for maintenance treatment. This product is not a substitute for a proper diet. It is best to get your from healthy foods. is commonly found in citrus fruit such as oranges tomatoes, brussels sprouts, cauliflower, and broccoli, among others. Some medical conditions may interact with trifluoperazine. What Is Aripiprazole and How Does It Work? The only commonly observed adverse reaction associated with the use of aripiprazole in patients with schizophrenia incidence of 5% or greater and aripiprazole incidence at least twice that for placebo was akathisia aripiprazole 8%; placebo 4%. Ask your health care provider any questions you may have about how to use trifluoperazine.

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Before taking aripiprazole

Continued What Causes Schizophrenia?

Anyone who has to take a daily pill knows that it can be tough to stay on schedule. But people with have extra challenges. What are the possible side effects of Aripiprazole Tablets? Aristada can pass into your milk and it is not known if it may harm your baby. Talk to your healthcare provider about the best way to feed your baby during treatment. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs, nonprescription drugs, and herbal products. purchase now femara online store femara

Use of aripiprazole

Both tramadol and neuroleptics may make you more susceptible to having a seizure. Guanfacine Tablets USP, 2 mg are available as yellow, round, flat-faced beveled-edge tablets, debossed “ Є49” on one side and plain on the other side. These are supplied in bottles of 100 and 500. If you have any questions about Aripiprazole Extended-Release Injection, please talk with your doctor, pharmacist, or other health care provider.

Aripiprazole forms and strengths

Electroconvulsive therapy ECT: This is a procedure in which electrodes are attached to the person's scalp and, while asleep under general anesthesia, a small electric shock is delivered to the brain. A course of ECT treatment usually involves 2-3 treatments per week for several weeks. Each shock treatment causes a controlled seizure, and a series of treatments over time leads to improvement in mood and thinking. Scientists do not fully understand exactly how ECT and the controlled it causes have a therapeutic effect, although some researcher think that ECT-induced seizures may affect the release of neurotransmitters in the brain. evista

Continued How Common Is Schizophrenia?

The extended-release injection should only be used if you have already taken aripiprazole by without any serious side effects. What should I avoid while taking Aripiprazole Tablets? This information is generalized and not intended as specific medical advice.

Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking antipsychotic medication during the last 3 months of pregnancy may cause problems in the newborn, such as withdrawal symptoms, breathing problems, feeding problems, fussiness, tremors, and limp or stiff muscles. However, you may have withdrawal symptoms or other problems if you stop taking your medicine during pregnancy. If you become pregnant while taking clozapine, do not stop taking it without your doctor's advice. Marketed by: Ajanta Pharma USA Inc. QTc interval. Paliperidone should also be avoided in patients with congenital long QT syndrome and in patients with a history of cardiac arrhythmias.

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