Ziprasidone Hydrochloride

Alzheimer's Disease, Schizophrenia, Agitation + 6 more

Treatment

3 FDA approvals

20 Active Studies for Ziprasidone Hydrochloride

What is Ziprasidone Hydrochloride

Ziprasidone

The Generic name of this drug

Treatment Summary

Disorders like schizophrenia and bipolar disorder can have a big impact on mood, thinking, and behavior. These mental illnesses can also cause depression and substance abuse. Treatment options for these psychotic disorders have been available since 1952, such as first and second generation antipsychotics. Ziprasidone is a second generation antipsychotic used to treat schizophrenia and bipolar disorder. It can help reduce the rate and time of relapses in schizophrenia and treat manic episodes in bipolar disorder. Compared to other second generation antipsychotics, it has a lower chance of causing metabolic side effects.

Geodon

is the brand name

image of different drug pills on a surface

Ziprasidone Hydrochloride Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Geodon

Ziprasidone

2001

250

Approved as Treatment by the FDA

Ziprasidone, also called Geodon, is approved by the FDA for 3 uses which include Bipolar 1 Disorder and Acute Coryza .

Bipolar 1 Disorder

Acute Coryza

Bipolar Disorder

Effectiveness

How Ziprasidone Hydrochloride Affects Patients

Ziprasidone is a type of antipsychotic medication that works by blocking certain receptors in the brain, including dopamine and serotonin. It also blocks the reuptake of serotonin and norepinephrine, which helps to prevent them from being absorbed back into the brain. Ziprasidone has a very high affinity for serotonin receptors but a low affinity for other types of receptors, such as those for histamine and adrenaline.

How Ziprasidone Hydrochloride works in the body

Ziprasidone works differently than other antipsychotics. It binds to serotonin-2A and dopamine D2 receptors in a similar way, but it has a higher affinity for the serotonin-2A receptor than other drugs. This means it has a better ability to improve mood, reduce negative symptoms, and improve cognition. It also has a lower risk of causing orthostatic hypotension, cognitive disturbance, sedation, weight gain, and disruption in prolactin levels. This is because it binds less strongly to histamine H1, muscarinic M1, and alpha1-adrenoceptors.

When to interrupt dosage

The suggested dosage of Ziprasidone Hydrochloride is contingent upon the diagnosed condition, for example Alzheimer's Disease, Bipolar Disorder and Acute Coryza. The magnitude of dosage fluctuates as per the delivery approach indicated in the table below.

Condition

Dosage

Administration

Alzheimer's Disease

20.0 mg, 40.0 mg, 60.0 mg, , 80.0 mg, 20.0 mg/mL

, Oral, Capsule - Oral, Capsule, Intramuscular, Injection, powder, lyophilized, for solution - Intramuscular, Injection, powder, lyophilized, for solution

Schizophrenia

20.0 mg, 40.0 mg, 60.0 mg, , 80.0 mg, 20.0 mg/mL

, Oral, Capsule - Oral, Capsule, Intramuscular, Injection, powder, lyophilized, for solution - Intramuscular, Injection, powder, lyophilized, for solution

Schizophrenia

20.0 mg, 40.0 mg, 60.0 mg, , 80.0 mg, 20.0 mg/mL

, Oral, Capsule - Oral, Capsule, Intramuscular, Injection, powder, lyophilized, for solution - Intramuscular, Injection, powder, lyophilized, for solution

Acute Coryza

20.0 mg, 40.0 mg, 60.0 mg, , 80.0 mg, 20.0 mg/mL

, Oral, Capsule - Oral, Capsule, Intramuscular, Injection, powder, lyophilized, for solution - Intramuscular, Injection, powder, lyophilized, for solution

Agitation

20.0 mg, 40.0 mg, 60.0 mg, , 80.0 mg, 20.0 mg/mL

, Oral, Capsule - Oral, Capsule, Intramuscular, Injection, powder, lyophilized, for solution - Intramuscular, Injection, powder, lyophilized, for solution

Bipolar Disorder

20.0 mg, 40.0 mg, 60.0 mg, , 80.0 mg, 20.0 mg/mL

, Oral, Capsule - Oral, Capsule, Intramuscular, Injection, powder, lyophilized, for solution - Intramuscular, Injection, powder, lyophilized, for solution

Unipolar Depression

20.0 mg, 40.0 mg, 60.0 mg, , 80.0 mg, 20.0 mg/mL

, Oral, Capsule - Oral, Capsule, Intramuscular, Injection, powder, lyophilized, for solution - Intramuscular, Injection, powder, lyophilized, for solution

Acute Agitation

20.0 mg, 40.0 mg, 60.0 mg, , 80.0 mg, 20.0 mg/mL

, Oral, Capsule - Oral, Capsule, Intramuscular, Injection, powder, lyophilized, for solution - Intramuscular, Injection, powder, lyophilized, for solution

Bipolar Disorder

20.0 mg, 40.0 mg, 60.0 mg, , 80.0 mg, 20.0 mg/mL

, Oral, Capsule - Oral, Capsule, Intramuscular, Injection, powder, lyophilized, for solution - Intramuscular, Injection, powder, lyophilized, for solution

Warnings

Ziprasidone Hydrochloride Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Myocardial Infarction

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Heart Decompensation

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Long QT Syndrome

Do Not Combine

Severe Hypersensitivity Reactions

Do Not Combine

Ziprasidone may interact with Pulse Frequency

There are 20 known major drug interactions with Ziprasidone Hydrochloride.

Common Ziprasidone Hydrochloride Drug Interactions

Drug Name

Risk Level

Description

Abemaciclib

Major

The metabolism of Abemaciclib can be decreased when combined with Ziprasidone.

Acalabrutinib

Major

The metabolism of Acalabrutinib can be decreased when combined with Ziprasidone.

Aclidinium

Major

The risk or severity of adverse effects can be increased when Ziprasidone is combined with Aclidinium.

Alectinib

Major

The metabolism of Alectinib can be decreased when combined with Ziprasidone.

Alpelisib

Major

The metabolism of Alpelisib can be decreased when combined with Ziprasidone.

Ziprasidone Hydrochloride Toxicity & Overdose Risk

Common side effects of taking ziprasidone can include sleepiness, respiratory infections, muscle stiffness, dizziness, restlessness, blurry vision, exhaustion, vomiting, headaches, and nausea.

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Ziprasidone Hydrochloride Novel Uses: Which Conditions Have a Clinical Trial Featuring Ziprasidone Hydrochloride?

456 active clinical trials are underway to assess the potential of Ziprasidone Hydrochloride in alleviating Agitation, Alzheimer's Disease and Schizophrenia.

Condition

Clinical Trials

Trial Phases

Acute Agitation

0 Actively Recruiting

Bipolar Disorder

0 Actively Recruiting

Schizophrenia

31 Actively Recruiting

Early Phase 1, Not Applicable, Phase 4

Alzheimer's Disease

112 Actively Recruiting

Phase 2, Phase 3, Not Applicable, Phase 1, Phase 4, Early Phase 1

Bipolar Disorder

0 Actively Recruiting

Acute Coryza

1 Actively Recruiting

Not Applicable

Unipolar Depression

0 Actively Recruiting

Agitation

3 Actively Recruiting

Phase 2, Phase 3, Not Applicable

Schizophrenia

97 Actively Recruiting

Phase 3, Not Applicable, Early Phase 1, Phase 4, Phase 1, Phase 2

Ziprasidone Hydrochloride Reviews: What are patients saying about Ziprasidone Hydrochloride?

5

Patient Review

8/12/2014

Ziprasidone Hydrochloride for Agitation associated with Schizophrenia

5

Patient Review

11/20/2020

Ziprasidone Hydrochloride for Mania associated with Bipolar Disorder

I started taking this medication in addition to my depression medication, as it was supposed to help improve my mood. Unfortunately, I began hallucinating soon after starting the medication. It took me a few months to realize that the hallucinations were caused by the ziprasidone. Thankfully, I had a GeneSight test which helped me identify the problem. I start my new medications tomorrow and hopefully will see some improvement.

4.7

Patient Review

10/25/2015

Ziprasidone Hydrochloride for Mania associated with Bipolar Disorder

I've been on 60 mg for three weeks now. I'm supposed to take one in the morning and one with dinner, but the morning pill makes me so sleepy that I can't function. If I take the dinner pill too late, then I can get up in the morning. The good news is that I haven't had any manic episodes; however, the bad news is that my sex drive has totally disappeared.

2.7

Patient Review

1/7/2016

Ziprasidone Hydrochloride for Schizophrenia

I was on Quetiapine before this Medication and the difference is huge, I'm feeling more energetic and my depression has lifted. Instead of sleeping close to 15 hours most days I'm now happy with 8-9 hours sleep. My thinking is clearer and overall I feel in a better space.

2.7

Patient Review

8/24/2014

Ziprasidone Hydrochloride for Schizophrenia

Unfortunately, this medication caused a lot of weight gain and other problems like tremors, mouth sores, and fatigue.

2.3

Patient Review

8/19/2014

Ziprasidone Hydrochloride for Mania associated with Bipolar Disorder

I've only been taking this medication for a short while, but it's already helped me. The only downside is that I've developed twitching in my facial muscles.

1.7

Patient Review

8/1/2020

Ziprasidone Hydrochloride for Additional Medications to Treat Depression

I have now tried this treatment four times. I suffer from bi-polar type one with mixed episodes and Geodon has always helped me in the past. I alternate between taking Saphris and Geodon when I build up a tolerance to one or the other. I am currently taking 60mg, but have been as high as 120mg before with no problems.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about ziprasidone hydrochloride

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Does ziprasidone help you sleep?

"A sleep study of 12 healthy men showed that those treated with ziprasidone had better sleep continuity and efficiency, less REM sleep, and more stage 2 sleep and slow wave sleep than those who did not receive the treatment."

Answered by AI

What type of medication is ziprasidone hydrochloride?

"Ziprasidone is a type of antipsychotic medication that works by changing the activity of certain natural substances in the brain."

Answered by AI

What is the side effect of ziprasidone hydrochloride?

"The following side effects may occur with this medication: drowsiness, dizziness, lightheadedness, weakness, nausea, vomiting, runny nose, and cough. If you experience any of these side effects, tell your doctor. Dizziness and lightheadedness can increase your risk of falling."

Answered by AI

What is Ziprasidone Hydrochloride used for?

"Ziprasidone is a medication used to treat symptoms associated with mental disorders such as schizophrenia, mania, or bipolar disorder. It is not to be used in elderly patients who suffer from behavioral problems related to dementia. Ziprasidoneadjusts the levels of certain chemicals in the brain in order to alleviate psychotic disorders."

Answered by AI

Clinical Trials for Ziprasidone Hydrochloride

Image of University of South Florida in Tampa, United States.

WeACT Program for Caregivers of People With Dementia

18+
All Sexes
Tampa, FL

The goal of this clinical trial is to learn whether WeACT, a self-paced, web-based program, is feasible and helpful for adult family caregivers of a relative living with dementia. WeACT is based on acceptance and commitment therapy (ACT), which teaches skills to handle difficult thoughts and feelings and take steps toward what matters most. The main questions this study aims to answer are: * Can caregivers complete WeACT as planned? * Do caregivers show improvements in mental health and coping after using WeACT? * What are caregivers' experiences with the program, and what suggestions do they have to improve it? Participants will: * Complete six self-paced weekly online modules and use the daily practice section during the program. * Complete online questionnaires before starting and after completing the program. * Take part in one online interview about their experience.

Waitlist Available
Has No Placebo

University of South Florida

Areum Han

Image of University of Texas Medical Branch, Galveston in Galveston, United States.

Smartphone App for Cognitive Impairment

50 - 100
All Sexes
Galveston, TX

The objective of this project is to test the feasibility of using a smartphone app in a community setting through collaborating with community-based organizations. The app is called utmbHealthyBrain and it has three activities: (1) drawing, (2) Tai-Chi and meditation, and (3) prayer reading. It also has a "share" function to enable users to interact with their family and friend. These activities can be translated to humans' well-beings such as a more stable emotion, more muscle movement, and better social engagement. This app does not collect any personal data and users are not required to register an account either. The overall study period is 6 weeks including one introduction session (week 1), four weeks of intervention (week 2 to 5), and final feedback session (week 6).

Waitlist Available
Has No Placebo

University of Texas Medical Branch, Galveston

Wei-Chen Lee, PhD

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Image of The University of Iowa in Iowa City, United States.

fMRI for Cognitive Flexibility

18 - 35
All Sexes
Iowa City, IA

The goal of this basic experimental research study is to examine how the human thalamus supports flexible thinking and behavior. Specifically, the research aims to elucidate how the mediodorsal (MD) thalamus encodes and updates "context"-the mental framework that determines which rules or actions are relevant in a given situation. This work may contribute to understanding why certain psychiatric conditions, such as schizophrenia and ADHD, involve difficulties with cognitive flexibility and control. The primary research questions are: Does the MD thalamus represent the context that organizes how working memory guides task selection? Does the MD thalamus signal when context needs to be updated after a change in task demands? Do these thalamic representations support generalization to new situations or rules? Participants will complete cognitive tasks while undergoing high-resolution brain imaging using 7-Tesla MRI. The investigators will combine behavioral data, computational modeling, and advanced neuroimaging analyses to examine how the thalamus interacts with the cortex during flexible decision-making.

Waitlist Available
Has No Placebo

The University of Iowa

Image of St. Joseph's Healthcare Hamilton in Hamilton, Canada.

Multimodal Intervention for Bipolar Disorder

18 - 35
All Sexes
Hamilton, Canada

People with bipolar disorder (BD) are at high risk of relapse following hospital discharge, partly due to a lack of BD-specific expertise and resources within community services required for comprehensive treatment. Although clinical guidelines recommend combining medication and psychosocial support, and research shows that early intervention is associated with improved outcomes, no structured care programs currently exist for individuals in the early stages of BD, contributing to chronic illness progression and preventable hospitalizations. This open-label pilot trial will assess the feasibility, acceptability, and preliminary effectiveness of a structured care pathway to support the transition from hospital to community care. The intervention includes group-based psychoeducation, individual peer support, and personalized support for community healthcare providers to improve illness insight, treatment adherence, and symptom management.

Recruiting
Has No Placebo

St. Joseph's Healthcare Hamilton

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Image of Vanderbilt Psychiatric Hospital in Nashville, United States.

Brain Stimulation for Cannabis Craving in Schizophrenia

18 - 65
All Sexes
Nashville, TN

The central hypothesis is this: Brain circuits most relevant to cannabis use in schizophrenia are distinct from pathways identified in healthy controls who use cannabis. This study seeks to provide evidence that targeted stimulation of the DMN leads to both altered network activity and a concomitant behavioral change in cue-induced craving and cognitive performance in individuals with schizophrenia and schizoaffective disorder, while targeted stimulation of the L DLPFC leads to these changes in healthy controls who use cannabis. This study will test a model that integrates brain network pathophysiology and cognition to 1) explain the prevalence of cannabis use in schizophrenia and 2) identify a target for engagement in schizophrenia. This study seeks to establish a neuroscientific framework to guide future treatment-oriented studies aimed at reducing craving and improving cognitive performance in individuals with schizophrenia and schizoaffective disorder. This is a study of the effect of 2 rTMS interventions on functional connectivity and craving in individuals with schizophrenia or schizoaffective disorder and healthy controls who use cannabis. Aim 1: Target Engagement: Determine if rTMS manipulates functional connectivity of each target (DMN, L DLPFC) (n=100). Aim 2: Clinical Efficacy: Determine if rTMS affects cue-induced craving and if craving change correlates with change in functional connectivity (n=100). As an exploratory analysis, the factors that explain individual variance in rTMS-induced connectivity change will also be explored.

Waitlist Available
Has No Placebo

Vanderbilt Psychiatric Hospital

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Repetitive Transcranial Magnetic Stimulation for Schizophrenia

18 - 65
All Sexes
Nashville, TN

The central hypothesis is this: DMN connectivity can be modulated with inhibitory cTBS when delivered on an accelerated treatment schedule. This study seeks to provide evidence that accelerated, network-targeted inhibitory stimulation of the DMN leads to both altered network activity and a concomitant behavioral change in cognitive performance in individuals with schizophrenia and schizoaffective disorder. This study will also compare the effect of inhibitory cTBS in healthy individuals, as it may also lead to both altered network activity and a behavioral change in cognitive performance in individuals without schizophrenia or schizoaffective disorder. If successful, this study will have identified a safe, effective, and broadly applicable treatment for cognitive impairment in schizophrenia that has potential for translation into many other psychiatric and neurodevelopmental disorders, such as autism.

Waitlist Available
Has No Placebo

Vanderbilt Psychiatric Hospital

Heather Ward, MD

Image of Woodland International Research Group /ID# 275747 in Little Rock, United States.

Emraclidine for Schizophrenia

18 - 65
All Sexes
Little Rock, AR

Schizophrenia is a common and severe psychiatric illness characterized by extreme disturbances of cognition and thought, affecting language, perception and sense of self. This study will assess adverse events, change in disease activity, and how oral emraclidine moves through the body in adult participants with schizophrenia Emraclidine is an investigational drug being developed for the treatment of schizophrenia. Participants are placed in one of two parts, Part A or Part B, where each group will receive a different treatment. Participants will receive either oral emraclidine or placebo. Approximately 258 participants will be enrolled across roughly 32 sites in the United States. Participants in Part A will be assigned to one of multiple ascending doses of emraclidine or placebo administered orally for 14 days or up to 21 days. Participants in Part B will receive Emraclidine or placebo administered orally for up to 42 days. Participants will be followed for 30 days after the last dose of the study drug. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Phase 2
Recruiting

Woodland International Research Group /ID# 275747 (+6 Sites)

ABBVIE INC.

AbbVie

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