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description Monograph

Aripiprazole and Adherence to Antipsychotic Treatment Plans

Target Audience: Pharmacist

star star star star star_outline 4.2/5 based on 904 ratings
schedule 2.00 Contact Hours (0.20 CEUs)
category Disease State Management/Drug Therapy
local_activity Knowledge

Course Overview

The percentage of patients who fail to adhere to treatment plans involving antipsychotics is extremely high. Non-adherence is primarily caused by patients stopping their antipsychotic medications because of their associated side effects. Non-adherence to treatment plans can trigger many problems for patients, including illness relapse and re-hospitalization. Many healthcare professionals have a suboptimal working knowledge of antipsychotic medication side effects, and this lack of knowledge may compromise patient care. Healthcare professionals may assist patients in mitigating common side effects to reduce non-adherence. One option is the selection of aripiprazole as the antipsychotic treatment choice. Aripiprazole can have a more favorable profile regarding side effects generally seen with antipsychotics, which could lead to better patient adherence to treatment plans.

Learning Objectives

Upon completion of this educational activity, participants should be able to:

  • Describe the basic indications of aripiprazole treatment
  • List the different aripiprazole dosage forms and dosing frequencies
  • Discuss essential psychiatric assessment specific to aripiprazole
  • Identify the potential side effects of antipsychotics, including aripiprazole
  • Outline strategies to mitigate common side effects to reduce non-adherence

Faculty

Authors & Activity Planners
Anna Shurtleff Smith, MPH, BSN-RN
View Bio +
Anna Shurtleff Smith is a graduate of the University of North Texas Health Science Center, School of Public Health with a community health focus, and Texas Tech University School of Nursing. She has clinical experience in both inpatient and outpatient settings. Anna is passionate about patient education, health literacy, and health communications. When not writing, she can be found enjoying the outdoors and enjoying family time.
Amanda Mayer, PharmD
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Amanda Mayer is a graduate of the University of Montana, Skaggs School of Pharmacy. She has clinical experience working in inpatient mental health, which is her passion. She has also done fill-in work at retail pharmacies throughout her career. Amanda appreciates the wide variety of professional opportunities available to pharmacists. Amanda loves spending time with her family and spends most of her free time exploring new restaurants, hiking in the summer and snowboarding and cross-country skiing in the winter.

I. Introduction

II. Antipsychotics and Non-adherence to Treatment Plans

III. History of Aripiprazole

IV. Clinical Pharmacology

1. Mechanism of Action
2. Pharmacokinetics

V. Labeled and Off-labeled Uses

1. Labeled Uses
2. Off-label Uses

VI. Dosage and Administration

1. Labeled Uses
2. Dosage Forms and Strengths
3. Administration

VII. Contraindications

VIII. Warnings

IX. Adverse Reactions

X. Adverse Reaction Case Report

XI. Drug Interactions

XII. Specific Populations

1. Pregnancy
2. Lactation
3. Pediatric
4. Geriatric
5. Renal Impairment
6. Hepatic Impairment

XIII. Clinical Studies

1. Bipolar I Disorder
2. Major Depressive Disorder
3. Schizophrenia
4. Autistic Disorder
5. Tourette Syndrome
6. Suicidal Ideation
7. Dementia-Related Psychosis

XIV. Look-alike/Sound-alike Concerns

XV. Storage and Handling

XVI. Patient Counseling

XVII. Case Study

XVIII. Summary

From May 26, 2023 through May 26, 2026, participants must:

  1. Read the "learning objectives" and "author and planning team disclosures"
  2. Study the section entitled "educational activity"
  3. Complete the Course Test and Evaluation form. The Course Test will be graded automatically. Following successful completion of the Course Test with a score of 70% or higher, a statement of participation will be made available immediately. (No partial credit will be given.)

Credit for this course will be automatically uploaded to CPE Monitor®.

Faculty Planner Disclosure

The following individuals were involved in the development of this activity: Anna S. Smith, MPH, BSN-RN, Amanda Mayer, PharmD, Yasmine S. Ali, MD, Jeff Goldberg, PharmD, BCPP, and Pamela M. Sardo, PharmD, B.S. Pamela Sardo, PharmD, BS, was an employee of Rhythm Pharmaceuticals until March 2022 and has no conflicts of interest or relationships regarding the subject matter discussed. There are no financial relationships relevant to this activity to report or disclose by any of the individuals involved in the development of this activity.

Unlabeled Use Disclosure

The information provided in this course is general in nature and it is solely designed to provide participants with continuing education credit(s). This course and materials are not meant to substitute for the independent, professional judgment of any participant regarding that participant’s professional practice, including but not limited to patient assessment, diagnosis, treatment and/or health management. Medical and pharmacy practices, rules, and laws vary from state to state, and this course does not cover the laws of each state; therefore, participants must consult the laws of their state as they relate to their professional practice. Healthcare professionals, including pharmacists and pharmacy technicians, must consult with their employer, healthcare facility, hospital, or other organization, for guidelines, protocols, and procedures they are to follow. The information provided in this course does not replace those guidelines, protocols, and procedures but is for academic purposes only, and this course’s limited purpose is for the completion of continuing education credits. Participants are advised and acknowledge that information related to medications, their administration, dosing, contraindications, adverse reactions, interactions, warnings, precautions, or accepted uses are constantly changing, and any person taking this course understands that such person must make an independent review of medication information prior to any patient assessment, diagnosis, treatment and/or health management. Any discussion of off-label use of any medication, device, or procedure is informational only and such uses are not endorsed hereby. Nothing contained in this course represents the opinions, views, judgments, or conclusions of RxCe.com LLC. RxCe.com LLC is not liable or responsible to any person for any inaccuracy, error, or omission with respect to this course, or course material.

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Accreditation

In support of improving patient care, RxCE.com is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.