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Fanapt Coupon - Fanapt 6mg tablet

Fanapt

Iloperidone
Used for Schizophrenia
Used for Schizophrenia

Fanapt (iloperidone) is used to improve mood, thoughts, and behaviors in adults who have schizophrenia, but it can be expensive because it's only available as brand name.

Reviewed by:
reviewer
Sean Moshrefi, PharmD
Last reviewed on March 26, 2021
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What is Fanapt (iloperidone)?

What is Fanapt (iloperidone) used for?

  • Schizophrenia

How Fanapt (iloperidone) works

Fanapt (iloperidone) is an atypical antipsychotic. It makes dopamine and serotonin levels more stable in your brain to help control your thoughts, mood, and behaviors.

Drug Facts

Common BrandsFanapt
Drug ClassSecond Generation (Atypical) Antipsychotic
Controlled Substance ClassificationNot a controlled medication
Generic StatusNo lower-cost generic available
AvailabilityPrescription only
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What are the side effects of Fanapt (iloperidone)?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Dizziness (10%)
  • Dry mouth (8%)
  • Feeling tired (4%)
  • Stuffy nose (5%)
  • Feeling faint/light-headed when standing quickly (3%)
  • Sleepiness (9%)
  • Fast heartbeat (3%)
  • Weight gain (1%)

Other Side Effects

  • Nausea
  • Diarrhea
  • Stomach pain
  • Breast enlargement for males
  • Missed menstrual period for females
  • Joint pain
  • Decreased sexual ability in males

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Severe allergic reactions: trouble breathing, hives, swelling of your face, lips, tongue, or throat
  • Stroke: numbness or weakness typically on one side of the body, loss of balance, headache, blurred vision, difficulty speaking
  • Serious brain and nervous system reaction: high fever, muscle stiffness, confusion, sweating, changes in pulse, heart rate, and blood pressure
  • Uncontrollable movements of the face, tongue, or other body parts that may not go away or start after you stop taking Fanapt (iloperidone)
  • Extremely high blood sugar levels: increased hunger or thirst, urination problems
  • Low white blood cell count: flu-like symptoms or infections
  • Seizures
  • Difficulty swallowing
  • Dizzy or fainting spells that result in falls

Source: FDA

The following side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Fast, pounding, or irregular heartbeat or pulse

Less common

Blurred vision

body aches or pain

chills

cold sweats

confusion

cough

difficult or labored breathing

difficulty with moving

difficulty with speaking

dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position

drooling

ear congestion

fever

headache

inability to sit still

loss of balance control

loss of voice

muscle pain or stiffness

muscle trembling, jerking, or stiffness

nasal congestion

need to keep moving

pain in the joints

restlessness

runny nose

shakiness in the legs, arms, hands, or feet

shortness of breath

shuffling walk

sneezing

sore throat

stiffness of the limbs

sweating

tightness in the chest

trembling or shaking of the hands or feet

twitching, twisting, uncontrolled repetitive movements of the tongue, lips, face, arms, or legs

uncontrolled movements, especially of the face, neck, and back

unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness

Rare

Abdominal or stomach fullness

aching or discomfort in the lower legs or sensation of crawling in the legs

actions that are out of control

aggressive or angry

agitation

anxiety

attack, assault, or force

back pain

black, tarry stools

bloody nose

burning while urinating

burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

chest pain or discomfort

coma

confusion as to time, place, or person

constipation

convulsions

decrease in the amount of urine

decrease in the frequency of urination

decrease in urine volume

decreased awareness or responsiveness

decreased urination

decreased weight

depression

difficult or painful urination

difficulty in passing urine (dribbling)

difficulty with walking

dilated neck veins

dizziness

dry mouth

dry skin and hair

extreme thirst

extremely high fever or body temperature

fainting

false beliefs that cannot be changed by facts

fast, shallow breathing

feeling cold

frequent urination

gaseous abdominal pain

groin pain

hair loss

hoarseness or husky voice

holding false beliefs that cannot be changed by fact

hostility

inability to move the eyes

increased blinking or spasms of the eyelid

increased thirst

irregular breathing

irritability

lightheadedness

loss of appetite

loss of bladder control

mimicry of speech or movements

mood swings

muscle aching or cramping

muscle spasms

muscle twitching

nausea or vomiting

nervousness

noisy breathing

noisy, rattling breathing

numbness or tingling in the hands, feet, or lips

pale, clammy skin

peculiar postures or movements, mannerisms, or grimacing

pounding, slow heartbeat

rapid breathing

rapid weight gain

recurrent fever

restlessness

seizures

severe sleepiness

slow movement

slow reflexes

sore throat

sore tongue

sores, ulcers, or white spots on the lips or in the mouth

sticking out of tongue

stupor

sunken eyes

swelling

swelling of the face, ankles, fingers, feet, or lower legs

swollen glands

swollen joints

swollen, tender prostate

talking, feeling, and acting with excitement

thirst

troubled breathing at rest

troubled breathing with exertion

uncontrolled twisting movements of the neck, trunk, arms, or legs

unusual bleeding or bruising

unusual excitement, nervousness, or restlessness

unusual facial expressions

weight gain

wrinkled skin

yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Diarrhea

sleepiness or unusual drowsiness

Less common

Abdominal or stomach discomfort

not able to ejaculate semen

rash

stuffy nose

Rare

Absent, missed, or irregular menstrual periods

blindness

blurred vision

breast pain

burning feeling in the chest or stomach

burning upper abdominal pain

canker sores

continuing ringing or buzzing or other unexplained noise in the ears

decreased interest in sexual intercourse

decreased vision

delusions of persecution, mistrust, suspiciousness, or combativeness

dry eyes

feeling of constant movement of self or surroundings

hearing loss

inability to have or keep an erection

increase in blood flow to the whites of the eyes

increased appetite

increased watering of the mouth

indigestion

irregular menstruation

irritation or soreness of the mouth

longer or heavier menstrual periods

loss in sexual ability, desire, drive, or performance

loss of bowel control

loss of memory

normal menstrual bleeding occurring earlier, possibly lasting longer than expected

problems with memory

redness, swelling, or itching of the eyelids

sensation of spinning

stomach upset

stopping of menstrual bleeding

swelling of the breasts or breast soreness in both females and males

swelling or inflammation of the mouth

tenderness in the stomach area

uncontrolled eye movements

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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pros-and-cons

Pros and cons of Fanapt (iloperidone)

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Pros

There are patient assistance programs that can lower the copay.

Available in many different strengths to make it easier to customize your dose

Available in specially-designed starter pack when you first start to help you figure out your dose.

Considered first choice treatment for schizophrenia symptom management

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Cons

Can be expensive because it is only available as a brand medication

You will need to follow a strict dosing schedule the first two weeks as your body adjusts to the medication.

You might have to see your healthcare provider several times until you find a dose that works best for you.

Need to take twice a day

pharmacist-tips

Pharmacist tips for Fanapt (iloperidone)

pharmacist
  • Takes up to 2 to 6 weeks before you will feel the medication's full effects.

    • You will likely go through a 2-week period of getting used to Fanapt (iloperidone), as it can cause changes in blood pressure. You might be more likely to faint or fall during this time.

      • Don't stop taking Fanapt (iloperidone) without talking to your healthcare provider, even if you start to feel better.

        • There may be metabolic changes while you are taking Fanapt (iloperidone). You should regularly check your blood sugar levels, cholesterol, triglycerides and weight as these can all increase your risk of heart disease.

          • When first starting out with Fanapt (iloperidone) it may make you sleepy and drowsy. Therefore you should not drive or operate heavy machinery until you know how this medication affects you.

            • You should avoid drinking alcohol and you should not breastfeed while taking this medication.

              • You should let your healthcare provider know if you become pregnant or plan on becoming pregnant while taking this medication.

                • Let your healthcare provider know all the medications you are taking, including vitamins and herbal supplements as there can be drug interactions with Fanapt (iloperidone).

                  faqs

                  Frequently asked questions about Fanapt (iloperidone)

                  Can Fanapt (iloperidone) make me feel sleepy?
                  Fanapt (iloperidone) can cause sleepiness. Be careful driving or doing anything that requires mental alertness until you know how this medication affects you.
                  Can I drink alcohol while taking Fanapt (iloperidone)?
                  Avoid drinking alcohol while taking Fanapt (iloperidone) because it can worsen some of the side effects, such as dizziness and sleepiness.
                  Can Fanapt (iloperidone) cause weight gain?
                  Compared to other medications in this class, Fanapt (iloperidone) did not have significant weight gain in clinical studies. On average, people gained 5 pounds in clinical studies (https://www.fanapt.com/safety-information)). This doesn't mean that you will not gain weight on this medication. You should continue to monitor your weight regularly and let your healthcare provider know if your appetite and weight has changed.
                  Is Fanapt (iloperidone) a controlled substance?
                  No, Fanapt (iloperidone) is not a controlled substance and is not considered by the DEA to be a drug of high abuse or misuse potential. This medication is an antipsychotic medication used in adults to treat schizophrenia.
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                  What are the risks and warnings for Fanapt (iloperidone)?

                  Fanapt (iloperidone) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

                  risk-warning

                  Higher risk of death in elderly people with dementia

                  • Risk factors: Over age 65 with dementia

                    There is higher risk of death in people over 65 years old with dementia taking medications like Fanapt (iloperidone) to treat psychosis. Fanapt (iloperidone) is not approved for treatment of people with dementia-related psychosis.

                    risk-warning

                    Neuroleptic malignant syndrome

                    This is a rare, but life-threatening condition associated with antipsychotic medications. Symptoms include high fever, fast heart rate, full body stiffness, and confusion. Seek medical attention right away if you notice any of these symptoms. Your healthcare provider will likely find you another medication that will work better for you.

                    risk-warning

                    High blood sugar, high cholesterol, and weight gain

                    Fanapt (iloperidone) can cause high blood sugar or diabetes, high cholesterol, and weight gain. These changes may raise your risk of heart disease and stroke. Talk to your healthcare provider about your risks and preventive measures you can take.

                    risk-warning

                    Difficulty controlling movements

                    • Risk factors: Long-term use of atypical antipsychotics

                      Long-term use of Fanapt (iloperidone) has been associated with tardive dyskinesia, a condition where you feel constantly restless. This can be permanent if it's not caught in time. Symptoms can include lip smacking, grimacing, and unusual eye blinking. Talk to your healthcare provider right away if this happens.

                      risk-warning

                      Changes in blood pressure and heartbeat

                      • Risk factors: High blood pressure | History of heartbeat problems

                        Fanapt (iloperidone) can cause changes in your blood pressure and heart beat. Be careful when you get up from sitting or lying down for a while, because you might feel dizzy and possibly fall. If you've had problems in the past with your heart or heart rhythm, talk to your healthcare provider to see if you should take something else besides Fanapt (iloperidone). In addition, contact your healthcare provider if you feel faint or experience any abnormal heartbeats while using Fanapt (iloperidone).

                        risk-warning

                        High prolactin levels

                        Fanapt (iloperidone) can cause prolactin levels in the blood to go up. High prolactin levels can lead to fertility problems, enlarged male breasts, sexual dysfunction, absent or irregular menstrual periods, and weak bones. Your provider may do regular blood tests to make sure that prolactin levels are within normal range.

                        risk-warning

                        Trouble controlling body temperature

                        Fanapt (iloperidone) can make it harder for your body to control its own temperature. This can make it harder for your body to cool down after getting exposed to hot weather. It can also make it harder for your body to warm up after getting exposed to cold weather. Be careful to monitor your body temperatures when you're exposed to extreme temperatures outside.

                        risk-warning

                        Difficulty swallowing

                        • Risk factors: Older adults with Alzheimer's dementia

                          Fanapt (iloperidone) can sometimes make it hard for you to swallow food or liquids. This can be dangerous if food or liquids get into your lungs, because it can cause issues with your breathing and potentially pneumonia. Make sure to chew your food completely and swallow carefully.

                          dosage

                          Fanapt (iloperidone) dosage forms

                          tablet
                          Tablet
                          DosageAs low as
                          1mg$852.63 for 30 tablets
                          2mg$1727.71 for 60 tablets
                          4mg$748.44 for 30 tablets
                          6mg$2119.42 for 60 tablets
                          8mg$2124.25 for 60 tablets
                          10mg$3420.40 for 60 tablets
                          12mg$3413.10 for 60 tablets
                          titration pack
                          Titration pack
                          DosageAs low as
                          8 tablets$248.71 for 1 titration pack

                          Typical dosing for Fanapt (iloperidone)

                          Treatment starts with a low dose and then gradually increases over 4 to 7 days. The usual target dose is 12 to 24 mg by mouth per day. Your healthcare provider will help figure out your dose, but generally you will take 1 tablet in the morning and 1 tablet in the evening.

                          interactions

                          Interactions between Fanapt (iloperidone) and other drugs

                          Fanapt (iloperidone) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Fanapt (iloperidone). Please note that only the generic name of each medication is listed below.

                          Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

                          Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                          Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                          drug-cost

                          How much does Fanapt (iloperidone) cost?

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                          alternatives

                          What are alternatives to Fanapt (iloperidone)?

                          There are a number of medications that your doctor can prescribe in place of Fanapt (iloperidone). Compare a few possible alternatives below.
                          Fanapt (iloperidone)
                          Used for:
                          • Schizophrenia

                          $2119.42 Lowest GoodRx priceView Prices
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                          • Psychotic and behavioral disorders

                          • Tourette syndrome in adults and children

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                          $10.76 Lowest GoodRx priceView Prices
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                          • Schizophrenia - people ages 13 years and older

                          • Manic or mixed episodes associated with bipolar I disorder - people ages 10 years and older

                          • Irritability associated with autism - children ages 5 to 17 years old

                          $3.44 Lowest GoodRx priceView Prices
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                          Fanapt (iloperidone) images

                          White Round Logo And 6 - Fanapt 6mg Tablet
                          This medicine is White, Round Tablet Imprinted With "Logo" And "6".White Round Logo And 6 - Fanapt 6mg Tablet

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