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Uses: -Treatment of schizophrenia (oral) -Acute treatment of agitation in schizophrenia (IM) Usual Adult Dose for Bipolar Disorder: Acute Treatment of Manic or Mixed Episodes: -Initial dose: 40 mg orally twice daily -Increase dose to 60 mg or 80 mg twice daily on the second day; subsequently adjust dose based on tolerance and efficacy within the dose range of 40 to 80 mg orally twice a day Maintenance Treatment (as adjunct to lithium or valproate): -Once stabilized, continue on same dose within the range of 40 to 80 mg orally twice daily. Comments: -The mean ziprasidone dose administered in flexible-dose clinical trials was approximately 120 mg per day. -Monotherapy has not been systematically evaluated for maintenance treatment of bipolar I disorder.
Intramuscular: Recommended dose: 10 to 20 mg IM; may repeat 10 mg IM every 2 hours or 20 mg IM every 4 hours up to maximum daily dose Maximum dose: 40 mg IM per day Duration of therapy: Use beyond 3 consecutive days has not been studied Comments: -Coadministration of IM ziprasidone to patient’s already taking oral ziprasidone has not been studied and is not recommended. -If long-term therapy is indicated, oral capsules should replace IM administration as soon as possible.
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