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Written By Veda Maddala , M Pharmacy
Reviewed By Sunny S , MBBS
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Composition :

ARIPIPRAZOLE-20MG

Manufacturer/Marketer :

Cnx Health Care Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Axepine MD 20 Tablet

Axepine MD 20 Tablet belongs to a class of drugs called antipsychotics and mood stabilizers primarily used to treat mood disorders like schizophrenia, irritability linked with autism, and Tourette's syndrome. Besides this, Axepine MD 20 Tablet also helps in managing mental depression along with other antidepressant medicines. Schizophrenia affects the ability of a person to feel, think and behave clearly. Tourette's syndrome is a mental disorder characterized by uncontrollable, repetitive movements or unwanted sounds (tics). Psychosis may be caused due to disturbances in chemical messenger activity known as neurotransmitters (like dopamine and serotonin) in the brain.

Axepine MD 20 Tablet contains Aripiprazole which stabilizes and blocks the dopamine and serotonin receptors in the brain, preventing its overactivity, thereby controlling the positive symptoms like hallucinations, misbelief, and unfriendly characteristics of schizophrenia. Axepine MD 20 Tablet improves the activity of dopamine and serotonin receptors in other areas of the brain. It helps control negative symptoms (like lack of emotion, social isolation, poor attention, and memory loss) of schizophrenia. Thus, Axepine MD 20 Tablet improves mood swings, depression, and other psychotic problems. 

Take Axepine MD 20 Tablet as prescribed. Your doctor will advise you how often you take Axepine MD 20 Tablet based on your medical condition. Some people may experience drowsiness, headache, tiredness, akathisia (inability to sit still), difficulty sleeping, light-headedness, indigestion, shaking, blurred vision, nausea, vomiting, anxiety, and increased saliva production. Most of these side effects of Axepine MD 20 Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Axepine MD 20 Tablet or any other medicines, please tell your doctor. Axepine MD 20 Tablet should be used with caution in elderly patients above 65 years of age. There is an increased risk of adverse reactions such as dizziness, inability to move and balance, orthostatic hypotension (fall in blood pressure when standing up), and drowsiness. Avoid taking Axepine MD 20 Tablet if you are pregnant or breastfeeding and consult a doctor. Axepine MD 20 Tablet is not recommended for children below 15 years of age. If you have any self-harming thoughts or behavior while taking Axepine MD 20 Tablet , please contact a doctor immediately. If you have diabetes, abnormal blood pressure, high cholesterol, fits, involuntary muscle movements especially in the face, attention-deficit hyperactivity disorder (ADHD), blood clots, a history of stroke or heart attack, kidney or liver problems, inform your doctor before taking Axepine MD 20 Tablet . 

Uses of Axepine MD 20 Tablet

Schizophrenia, Mania, Bipolar disorder

Directions for Use

Tablet: Take it with or without food as advised by the doctor and swallow it as a whole with a glass of water. Do not crush, chew or break it. Oral solution: Shake the bottle well before use and take it as advised by the doctor. Take it with the help of a measuring cup that is provided with the pack.

Medicinal Benefits

Axepine MD 20 Tablet contains Aripiprazole which helps treat various psychotic conditions like schizophrenia, mood disorders (such as mania and bipolar disorder), and sometimes depression. Axepine MD 20 Tablet inhibits the dopamine receptor in our brain thereby controlling the positive symptoms (like hallucinations, misbelief, and unfriendliness) and negative symptoms (like social isolation, lack of emotion, poor attention, and memory loss) of schizophrenia. Thus, Axepine MD 20 Tablet improves overall behavior and thoughts and helps in having a better social life and comfortably doing daily activities. Axepine MD 20 Tablet may be used in combination with other medicines to treat depression. Additionally, Axepine MD 20 Tablet is also used to reduce unwanted sounds (tics) severity in Tourette's syndrome (a nervous system problem that causes unwanted sounds or sudden movements). 

Storage

Store in a cool and dry place away from sunlight
Side effects of Axepine MD 20 Tablet
Here are the 7 step-by-step strategies to manage the side effect of "inability to sleep" caused by medication usage:
  • Prepare for a restful night's sleep: Develop a calming pre-sleep routine, like reading or meditation, to help your body relax and prepare for sleep.
  • Create a sleep-conducive Environment: Make bedroom a sleep haven by ensuring it is quiet, dark and calm.
  • Follow a Sleep Schedule: Go to bed and get up at the same time every day to help regulate your body's internal clock and increase sleep quality.
  • Try relaxing techniques like deep breathing, mindfulness meditation and any others.
  • Limit stimulating activities before bedtime: Avoid stimulating activities before bedtime to improve sleep quality.
  • Monitor Progress: Keep track of your sleep patterns to identify areas for improvement.
  • Consult a doctor if needed: If these steps don't improve your sleep, consult a doctor for further guidance and therapy.
Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:
  • Talk to your doctor about your back pain and potential medication substitutes or dose changes.
  • Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
  • To lessen the tension on your back, sit and stand upright and maintain proper posture.
  • To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
  • Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
  • Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
  • To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
  • Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
  • Back discomfort can worsen by bending, twisting, and heavy lifting.
  • Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.
  • Consult your doctor if you experience skin redness, itching, or irritation after taking medication.
  • Apply cool compresses or calamine lotion to the affected skin area to reduce irritation.
  • Stay hydrated by drinking plenty of water to help alleviate symptoms and keep your skin soothing.
  • Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.
  • Restlessness is related to mental health and needs medical attention if it's severe.
  • Regular practice of meditation and yoga can help calm your mind. This can reduce restlessness.
  • Prevent smoking as it can impact your calmness of body and mind.
  • Talk to your friends and family about restlessness, who can provide a solution for why you feel restless.
  • Get sufficient sleep for a minimum of 6-7 hours to reduce restlessness.
  • Avoid driving or operating machinery or activities that require high focus until you know how the medication affects you.
  • Maintain a fixed sleeping schedule, create a relaxing bedtime routine and ensure your sleeping space is comfortable to maximize your sleep quality.
  • Limit alcohol and caffeine as these may worsen drowsiness and disturb sleep patterns.
  • Drink plenty of water as it helps with alertness and keeps you hydrated and for overall well-being.
  • Moderate physical activity can improve energy levels, but avoid intense workouts right before bedtime.
  • Restlessness is related to mental health and needs medical attention if it's severe.
  • Regular practice of meditation and yoga can help calm your mind. This can reduce restlessness.
  • Prevent smoking as it can impact your calmness of body and mind.
  • Talk to your friends and family about restlessness, who can provide a solution for why you feel restless.
  • Get sufficient sleep for a minimum of 6-7 hours to reduce restlessness.

Drug Warnings

If you are allergic to Axepine MD 20 Tablet or any other medicines, please tell your doctor. Axepine MD 20 Tablet should be used with caution in elderly patients above 65 years of age as there is an increased risk of adverse reactions such as dizziness, changes in the ability to move and balance, orthostatic hypotension (fall in blood pressure when standing up), and drowsiness. Avoid taking Axepine MD 20 Tablet if you are pregnant or breastfeeding and consult a doctor. Axepine MD 20 Tablet is not recommended for children below 15 years of age. If you have any self-harming thoughts or behavior while taking Axepine MD 20 Tablet , please contact a doctor immediately. If you develop impulse control disorders such as excessive eating, spending, addictive gambling, or abnormally high sex drive, inform your doctor so that the dose may be adjusted appropriately, or are advised to stop taking Axepine MD 20 Tablet . If you have diabetes, abnormal blood pressure, high cholesterol, fits, involuntary muscle movements especially in the face, attention-deficit hyperactivity disorder (ADHD), blood clots, history of stroke or heart attack, kidney or liver problems, inform your doctor before taking Axepine MD 20 Tablet .

Drug-Drug Interactions

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AripiprazoleMetoclopramide
Critical
AripiprazolePhenobarbital
Severe

Drug-Drug Interactions

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AripiprazoleMetoclopramide
Critical
How does the drug interact with Axepine MD 20 Tablet:
Co-administration of Metoclopramide with Axepine MD 20 Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Axepine MD 20 Tablet with Metoclopramide is generally avoided as it can result in an interaction, it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
AripiprazolePhenobarbital
Severe
How does the drug interact with Axepine MD 20 Tablet:
Phenobarbital can considerably lower Axepine MD 20 Tablet levels in the blood, making the medicine less effective in treating the illness.

How to manage the interaction:
Although taking phenobarbital with Axepine MD 20 Tablet can lead to interaction, they can be taken if recommended by a doctor. Do not stop using any medications without talking to a doctor.
AripiprazoleEsketamine
Severe
How does the drug interact with Axepine MD 20 Tablet:
Using Esketamine together with Axepine MD 20 Tablet may increase side effects (drowsiness, confusion, difficulty concentrating, and impairment in thinking, judgment, reaction speed, and motor coordination).

How to manage the interaction:
Taking Axepine MD 20 Tablet with Esketamine together can result in an interaction, but it can be taken if a doctor has advised it. If you're having any of these symptoms like feeling sleepy, having trouble concentrating, or feeling confused, it's important to let your doctor know right away. They may be able to recommend other options for you that won't cause these problems. Do not stop using any medications without talking to a doctor.
AripiprazoleOxycodone
Severe
How does the drug interact with Axepine MD 20 Tablet:
Using Axepine MD 20 Tablet together with Oxycodone can cause central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Taking Axepine MD 20 Tablet with Oxycodone together can result in an interaction, but it can be taken if a doctor has advised it. Do not exceed the doses, frequency, or duration of usage advised by a doctor. Furthermore, because these medications may induce dizziness, sleepiness, trouble focusing, and impairment in judgement, response speed, and motor coordination, you should avoid driving or operating dangerous machinery. Do not stop using any medications without a doctor's advice.
AripiprazoleTetrabenazine
Severe
How does the drug interact with Axepine MD 20 Tablet:
Combining Axepine MD 20 Tablet with Tetrabenazine can increase the risk of side effects.

How to manage the interaction:
Taking Axepine MD 20 Tablet with Tetrabenazine together can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience muscle spasms or movements that you can't stop or control, such as lip smacking, chewing, puckering, frowning or scowling, tongue thrusting, teeth clenching, jaw twitching, blinking, eye-rolling, shaking or jerking of arms and legs, tremor, jitteriness, restlessness, pacing, and foot tapping, consult the doctor right away. Do not stop using any medications without a doctor's advice.
AripiprazoleBuprenorphine
Severe
How does the drug interact with Axepine MD 20 Tablet:
When buprenorphine is used with Axepine MD 20 Tablet, it may possibly lead to significant adverse effects such as respiratory distress, unconsciousness.

How to manage the interaction:
Co-administration of buprenorphine alongside Axepine MD 20 Tablet can result in an interaction, it can be taken if a doctor has advised it. Do not exceed the doses, frequency, or duration of usage advised by a doctor. You should avoid driving or operating hazardous machinery. Do not discontinue any medications without consulting a doctor.
AripiprazoleMitotane
Severe
How does the drug interact with Axepine MD 20 Tablet:
When Axepine MD 20 Tablet and Mitotane are taken together, may decrease the blood levels of Axepine MD 20 Tablet, which may make Axepine MD 20 Tablet less effective in treating your condition

How to manage the interaction:
There may be a possibility of interaction between Axepine MD 20 Tablet and Mitotane, but it can be taken if prescribed by a doctor. Do not stop using any medications without talking to a doctor.
AripiprazoleSodium oxybate
Severe
How does the drug interact with Axepine MD 20 Tablet:
Using sodium oxybate together with Axepine MD 20 Tablet may increase side effects.

How to manage the interaction:
Taking Axepine MD 20 Tablet with Sodium oxybate together can result in an interaction, but it can be taken if a doctor has advised it. It's important to keep an eye on your health and be aware of any changes. If you notice any of these signs - feeling tired, dizzy, lighthead ed, confused, sad, having low blood pressure, or difficulty breathing - make sure to contact a doctor right away. Do not stop using any medications without a doctor's advice.
AripiprazoleTramadol
Severe
How does the drug interact with Axepine MD 20 Tablet:
Co-administration of Axepine MD 20 Tablet with tramadol can increase the risk of irregular heart rhythms, breathing problems.

How to manage the interaction:
Taking Axepine MD 20 Tablet with tramadol together is avoided as it can result in an interaction, it can be taken if a doctor has advised it. However, contact a doctor immediately if you experience any symptoms such as dizziness, lightheadedness, fainting, shortness of breath, or irregular heartbeat. Do not exceed the doses, frequency, or duration of usage advised by a doctor. Avoid driving or operating dangerous machinery. Do not discontinue any medications without consulting a doctor.
AripiprazoleCarbamazepine
Severe
How does the drug interact with Axepine MD 20 Tablet:
Taking carbamazepine and Axepine MD 20 Tablet together can reduce the effects of Axepine MD 20 Tablet which may make the medication less effective.

How to manage the interaction:
Taking carbamazepine and Axepine MD 20 Tablet together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Limit the intake of caffeine as it may reduce the effectiveness of Axepine MD 20 Tablet .
  • Eat plenty of fruits and vegetables. Eat more fish, especially oily fish such as salmon, sardines, trout, mackerel, pilchards and herring.
  • Cut down sugars, salt and saturated fats.
  • Drink adequate water to keep the body hydrated.
  • Do regular exercise and maintain a stable weight as Axepine MD 20 Tablet may cause weight gain.
  • Avoid consumption of alcohol as it may increase drowsiness.

Habit Forming

No

Therapeutic Class

ANTIPSYCHOTICS

Axepine MD 20 Tablet Substitute

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Author Details

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Axepine MD 20 Tablet contains Aripiprazole, an antipsychotic that works by inhibiting the dopamine receptors in the brain and prevents its overactivity. Thereby, helps in controlling the positive symptoms (such as hallucinations, misbelief and unfriendliness) of schizophrenia. Also, Axepine MD 20 Tablet improves the activity of dopamine receptors in other areas of the brain and helps in controlling negative symptoms (such as social isolation, lack of emotion, poor attention and memory loss) of schizophrenia. Thereby, Axepine MD 20 Tablet improves behaviour, thoughts and helps in having a better social life and enables to comfortably do daily activities.

No, you are not recommended to take Axepine MD 20 Tablet with ibuprofen as co-administration of these medicines may increase the risk of fits and increase the levels of Axepine MD 20 Tablet in the blood leading to increased adverse effects. However, please consult a doctor before taking Axepine MD 20 Tablet with other medicines.

Axepine MD 20 Tablet may cause weight gain in some patients but it is not necessary for everyone taking Axepine MD 20 Tablet to experience this side effect. However, in order to avoid gaining weight while taking Axepine MD 20 Tablet , you are advised to do regular exercise and avoid high-calorie drinks. Instead take non-alcoholic drinks, herbal tea and lemon water.

Axepine MD 20 Tablet is not recommended for dementia (loss of memory or other mental abilities) patients, especially in elderly people as it may cause severe adverse effects including stroke. Therefore, it is advised to inform your doctor if you have dementia or a history of stroke before taking Axepine MD 20 Tablet .

Yes, Axepine MD 20 Tablet may cause high blood sugar levels. Therefore, regular monitoring of blood sugar levels is recommended while taking Axepine MD 20 Tablet and inform your doctor if you have diabetes before taking Axepine MD 20 Tablet . However, if you experience dry mouth, increased thirst or urination, fruity breath odour, please consult a doctor as these might be signs of high blood sugar.

No, you are not recommended to stop taking Axepine MD 20 Tablet without consulting your doctor as it may worsen the condition or cause recurring symptoms. Therefore, take Axepine MD 20 Tablet for as long as your doctor has prescribed it, and if you experience any difficulty while taking Axepine MD 20 Tablet , please consult your doctor so that the dose may be gradually reduced.

Drug-Drug Interactions Checker List

  • METOPROLOL
  • OLANZAPINE
  • FLUOXETINE
  • PAROXETINE
  • VENLAFAXINE
  • ITRACONAZOLE
  • KETOCONAZOLE
  • AMIODARONE
  • FLECAINIDE
  • QUINIDINE
  • NEVIRAPINE
  • EFAVIRENZ
  • INDINAVIR
  • RITONAVIR
  • IBUPROFEN
  • RIFAMPICIN
  • RIFABUTIN
  • PHENYTOIN
  • CARBAMAZEPINE
  • PHENOBARBITAL

Special Advise

  • Elderly patients more than 65 years with dementia-related psychosis treated with Axepine MD 20 Tablet can be at an increased risk of death. 
  • Axepine MD 20 Tablet is not prescribed and approved for the treatment of dementia-related psychosis. 
  • Increased risk of suicidal thinking and behavior changes has been observed in children, adolescents, and young adults taking Axepine MD 20 Tablet , so close monitoring for worsening and the emergence of suicidal thoughts and behaviours is required.  

Disease/Condition Glossary

Schizophrenia: It is a mental disorder that affects a person's ability to feel, think and behave clearly. Mania is a mental condition that causes intense excitement, high energy, and delusions (misbeliefs). Mania may occur due to lack of sleep or sleep pattern changes, high levels of stress, and alcohol intake. Seek medical help immediately if you have any self-harming or suicidal thoughts.

Bipolar disorder: It is also called manic depression, associated with extreme mood swings ranging from manic highs to depressive lows. The symptoms of bipolar disorder include mania (high energy and excitability) and depression (loss of interest, hopelessness, low energy). Bipolar disorder involves lifelong treatment. 

Depression: It is a mental condition characterized by low mood and a loss of interest in activities. People affected by this condition are often unsocial and try to keep isolated from other social activities. 

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