What it's used for
- Schizophrenia
- Bipolar disorder
- Add-on for depression
- Irritability in autism
- Tourette's
Read about: Depression, Bipolar disorder, Obsessive-compulsive disorder, Autism, Tourette syndrome & tic disorders, Schizophrenia
How it works: Partial agonist at dopamine D2 and serotonin 5-HT1A receptors.
Common side effects
- Restlessness (akathisia)
- Insomnia
- Nausea
- Impulse-control problems (rare)
Tapering considerations
- Long half-life smooths reductions; liquid allows small steps.
For prescribers & facilitators
- Ask about compulsive gambling/shopping.
Sources
- 01A method for tapering antipsychotic treatment that may minimize the risk of relapse
Horowitz, Jauhar, Natesan, Murray & Taylor, Schizophrenia Bulletin, 2021
- 02The Maudsley Deprescribing Guidelines
Horowitz & Taylor, Wiley-Blackwell, 2024