Drug Notebook

FDA Alerts

    Increased Mortality in Geriatric Patients
  • Substantially higher mortality rate (4.5%) in geriatric patients with dementia-related psychosis† receiving atypical antipsychotic agents (e.g., aripiprazole, olanzapine, quetiapine, risperidone) compared with those receiving placebo (2.6%).
  • Most fatalities resulted from cardiac-related events (e.g., heart failure, sudden death) or infections (mostly pneumonia).
  • Atypical antipsychotics are not approved for the treatment of dementia-related psychosis. (See Increased Mortality in Geriatric Patients with Dementia-related Psychosis under Cautions.)

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ziprasidone
(zi PRAY si done)

Before taking ziprasidone, tell your doctor if you are using any of the following drugs:

  • a diuretic (water pill), blood pressure medicine, or heart rhythm medicine;

  • carbamazepine (Carbatrol, Tegretol);

  • cisapride (Propulsid);

  • haloperidol (Haldol);

  • narcotic pain medication;

  • medicines used to treat Parkinson's Disease such as levodopa (Dopar, Larodopa, Sinemet, Atamet, others); or

  • antibiotics such as azithromycin (Zithromax), clarithromycin (Biaxin), dirithromycin (Dynabac), erythromycin (E-Mycin, E.E.S., Erythrocin, Ery-Tab), ketoconazole (Nizoral), or telithromycin (Ketek).

This list is not complete and there may be other drugs that can interact with ziprasidone. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using ziprasidone and call your doctor at once if you have any of these serious side effects:

  • dizziness, feeling light-headed, fainting, fast or pounding heartbeat;

  • fever, stiff muscles, confusion, sweating, fast or uneven heartbeats;

  • tremor (uncontrolled shaking), restless muscle movements in your eyes, tongue, jaw, or neck;

  • agitation, hostility, confusion;

  • increased thirst or urination, weakness, extreme hunger; or

  • penis erection that is painful or lasts 4 hours or longer.

Less serious side effects may include:

  • mild skin rash;

  • anxiety, headache, depressed mood;

  • dizziness, drowsiness;

  • muscle pain or twitching;

  • nausea, vomiting, loss of appetite;

  • runny or stuffy nose, cough, sore throat; or

  • weight gain.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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