Arpizol 20 Tablet (Aripiprazole 20mg): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- High fever with muscle rigidity, confusion, or irregular pulse (possible neuroleptic malignant syndrome).
- Involuntary movements of the face, tongue, or limbs (possible tardive dyskinesia).
- Severe allergic reaction with rash, swelling of face, lips, or throat, or difficulty breathing.
- Excessive thirst, frequent urination, and blurred vision (possible hyperglycemia).
- Fainting or severe dizziness upon standing (possible orthostatic hypotension).
- Seizures or loss of consciousness.
- Suicidal thoughts or worsening depression.
- Yellowing of skin or eyes, dark urine, or severe abdominal pain.
If experiencing severe symptoms, call emergency services immediately.
What is arzu 20mg tablet used for?
This medicine contains aripiprazole 20 mg, an atypical antipsychotic used to treat schizophrenia, bipolar mania, and as an add-on for major depressive disorder. It works by balancing dopamine and serotonin in the brain. It is taken orally once daily, with or without food. Common side effects include headache, anxiety, and restlessness. Serious side effects are rare but require immediate medical attention.
- Generic Name: Aripiprazole
- Manufacturer: Lupin Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 arzu 20mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एरिपिप्राजोल 20 मिलीग्राम की गोली है, जिसका उपयोग सिज़ोफ्रेनिया, बाइपोलर डिसऑर्डर और अवसाद के इलाज में किया जाता है। यह मस्तिष्क में डोपामिन और सेरोटोनिन के स्तर को संतुलित करके काम करती है। यह मतिभ्रम, भ्रम, और मूड स्विंग्स को कम करने में मदद करती है। यह दवा ऑटिज़्म से जुड़ी चिड़चिड़ाहट और टूरेट सिंड्रोम में भी प्रभावी हो सकती है। इसे डॉक्टर की सलाह के अनुसार ही लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, बेचैनी, अनिद्रा, और मतली शामिल हैं। कुछ लोगों को नींद आना, चक्कर आना, या धुंधली दृष्टि हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन इनमें न्यूरोलेप्टिक मैलिग्नेंट सिंड्रोम, टार्डिव डिस्किनेसिया, और एलर्जी प्रतिक्रियाएं शामिल हैं। यदि आपको मांसपेशियों में अकड़न, बुखार, भ्रम, या अनियमित दिल की धड़कन महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से दवा की खुराक न बदलें और न ही अचानक बंद करें। इस दवा को भोजन के साथ या बिना भोजन के लिया जा सकता है। शराब का सेवन न करें, क्योंकि इससे नींद और चक्कर आ सकते हैं। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन न चलाएं। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर को बताएं। इस दवा को बच्चों और पालतू जानवरों से दूर रखें।
💊 arzu 20mg tablet Uses & Benefits
[{"condition":"Schizophrenia","description":"This medicine helps reduce hallucinations, delusions, disorganized thinking, and negative symptoms in adults and adolescents with schizophrenia.","evidence":"Well-established"},{"condition":"Bipolar I disorder (manic or mixed episodes)","description":"This medicine is used for acute treatment of manic or mixed episodes and for maintenance therapy to prevent relapse.","evidence":"Well-established"},{"condition":"Major depressive disorder (adjunctive)","description":"This medicine is added to antidepressant therapy to improve symptoms in adults with major depressive disorder who have had an inadequate response to antidepressants alone.","evidence":"Well-established"},{"condition":"Irritability associated with autism spectrum disorder","description":"This medicine may reduce irritability, aggression, and self-injurious behavior in children and adolescents with autism spectrum disorder.","evidence":"Well-established"},{"condition":"Tourette syndrome","description":"This medicine may help control motor and vocal tics in patients with Tourette syndrome.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Obsessive-compulsive disorder (augmentation)","description":"Sometimes used as an add-on treatment for OCD when standard treatments are not fully effective.","evidence":"Limited"},{"condition":"Post-traumatic stress disorder","description":"Occasionally used as an adjunctive treatment for PTSD, but evidence is limited.","evidence":"Limited"},{"condition":"Borderline personality disorder","description":"May be used off-label to reduce impulsivity and mood instability, but evidence is not strong.","evidence":"Limited"}]
Primary treatment for: Schizophrenia
Also treats: Bipolar I disorder, Major depressive disorder (adjunctive), Irritability associated with autism spectrum disorder, Tourette syndrome
📋 Drug Information
| Generic Name(s) | Aripiprazole |
| Brand Name | Arip MT 5 Tablet |
| Manufacturer | Lupin Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Atypical Antipsychotics |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature between 15°C and 30°C (59°F to 86°F). Keep it in its original container, tightly closed, away from moisture, heat, and direct sunlight. Do not store it in the bathroom. Keep out of reach of children and pets. |
| Shelf Life | The shelf life of this medicine is typically 24 months from the date of manufacture. Check the expiry date on the packaging before use. Do not use this medicine after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by modulating dopamine and serotonin activity in the brain. It is a partial agonist at dopamine D2 and serotonin 5-HT1A receptors, meaning it activates these receptors to a moderate degree. It also acts as an antagonist at serotonin 5-HT2A receptors. This unique mechanism helps stabilize dopamine signaling, which is thought to be dysregulated in schizophrenia and bipolar disorder. By partially stimulating D2 receptors, it can reduce positive symptoms like hallucinations while potentially causing fewer extrapyramidal side effects than older antipsychotics. The balance between dopamine and serotonin modulation contributes to its mood-stabilizing and antipsychotic effects.
Mechanism Steps
💡 How to Take arzu 20mg tablet
Strength: This medicine is available as an immediate-release oral tablet containing 20 mg of aripiprazole.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for schizophrenia is 10 to 15 mg once daily, with a maximum of 30 mg daily. For bipolar mania, the recommended dose is 15 to 30 mg once daily. For adjunctive treatment of major depressive disorder, the recommended dose is 2 to 5 mg once daily, with a maximum of 15 mg daily. For irritability associated with autism spectrum disorder, the recommended dose is 5 to 15 mg once daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and concomitant medications. Do not adjust the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children and adolescents. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. A lower starting dose may be recommended. This medicine is not approved for dementia-related psychosis in elderly patients due to an increased risk of stroke and death. Dose must be individualized by a qualified clinician based on renal and hepatic function and concomitant medications. |
| Renal Impairment | No dose adjustment is required for patients with mild to moderate renal impairment. In severe renal impairment, this medicine should be used with caution. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | No dose adjustment is required for patients with mild to moderate hepatic impairment. In severe hepatic impairment, a lower starting dose and slower titration are recommended. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose of this medicine is 30 mg for adults. For adjunctive treatment of major depressive disorder, the maximum daily dose is 15 mg. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of arzu 20mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Fluoxetine | Major | |
| Paroxetine | Major | |
| Ketoconazole | Major | |
| Carbamazepine | Major | |
| Rifampin | Major | |
| Alcohol | Moderate | |
| Metformin | Moderate | |
| Levodopa | Moderate | |
| Amiodarone | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine, quinidine)
- CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin, ritonavir)
- CYP3A4 inducers (e.g., carbamazepine, rifampin, St. John's wort)
- Antihypertensive drugs
- Central nervous system depressants (e.g., alcohol, benzodiazepines)
⚡ Moderate Interactions
- Metformin
- Levodopa
- QT-prolonging drugs (e.g., amiodarone, sotalol)
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Both alcohol and this medicine can cause drowsiness and dizziness, and their combined use may impair your ability to drive or operate machinery. Alcohol may also worsen the side effects of this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to aripiprazole or any component of this medicine.","Use in elderly patients with dementia-related psychosis (increased risk of stroke and death).","Concomitant use with strong CYP2D6 or CYP3A4 inhibitors or inducers without dose adjustment.","Patients with a history of neuroleptic malignant syndrome.","Patients with uncontrolled epilepsy or seizure disorders (relative contraindication)."]
⚠️ Warnings & Precautions
["This medicine may increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults. Monitor closely for mood changes.","Elderly patients with dementia-related psychosis are at an increased risk of stroke and death. This medicine is not approved for this use.","This medicine may cause neuroleptic malignant syndrome (NMS), a rare but potentially fatal condition. Seek immediate medical attention if symptoms occur.","Tardive dyskinesia may develop with long-term use. The risk increases with duration of treatment. Discontinue if symptoms appear.","This medicine may cause metabolic changes such as hyperglycemia, weight gain, and dyslipidemia. Monitor regularly.","This medicine may cause orthostatic hypotension. Use caution in patients with cardiovascular disease.","This medicine may impair judgment, thinking, or motor skills. Avoid driving or operating machinery until you know how it affects you.","This medicine may cause seizures, especially in patients with a history of seizures. Use with caution.","This medicine may cause difficulty swallowing, which can lead to aspiration pneumonia. Use with caution in patients at risk.","Do not stop this medicine abruptly, as it may cause withdrawal symptoms or relapse. Taper gradually under medical supervision."]
🤱 Lactation Safety
This medicine is excreted in human breast milk. There is limited information on the effects of this medicine on breastfed infants. Breastfeeding is not recommended while taking this medicine unless the potential benefit outweighs the risk. Consult your doctor to discuss the best feeding option for your baby.
💊 Overdose Management
In case of overdose, seek immediate medical attention. Symptoms of overdose may include drowsiness, vomiting, tremor, and hypotension. There is no specific antidote for this medicine. Treatment should be symptomatic and supportive. Monitor vital signs, cardiac rhythm, and respiratory function. Activated charcoal may be considered if the overdose is recent and the patient is alert. Contact a poison control center for guidance.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose. If you are unsure what to do, contact your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without medical advice. This medicine can be taken with or without food, but taking it with food may reduce stomach upset. Avoid alcohol while taking this medicine, as it can increase drowsiness and dizziness. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. This medicine may interact with other medicines, so always tell your doctor about all the medicines you are taking. Keep this medicine in its original container, away from moisture and heat. Do not share this medicine with others, even if they have similar symptoms. If you miss a dose, take it as soon as you remember, but skip it if it is almost time for your next dose. Do not double the dose. Store this medicine at room temperature, away from direct sunlight. Keep out of reach of children and pets. Regular follow-up with your doctor is important to monitor your progress and adjust the dose if needed.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the effects of this medicine, especially drowsiness, dizziness, and orthostatic hypotension. A lower starting dose may be recommended. This medicine is not approved for dementia-related psychosis in elderly patients due to an increased risk of stroke and death. Regular monitoring of renal and hepatic function is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Your doctor will discuss the potential risks and benefits of continuing this medicine during pregnancy. Effective contraception may be recommended while taking this medicine. If you become pregnant while taking this medicine, contact your doctor immediately.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. This medicine may interact with anesthetic agents and other medications used during surgery. Your doctor may recommend adjusting the dose or temporarily stopping the medicine before surgery. Do not stop the medicine without medical advice.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. This medicine may cause dry mouth, which can increase the risk of dental problems. It may also interact with medications used during dental procedures. Maintain good oral hygiene and regular dental check-ups.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness, dizziness, or orthostatic hypotension, which can affect your ability to exercise safely. Avoid strenuous exercise until you know how this medicine affects you. Stay hydrated during exercise. If you feel dizzy or faint, stop exercising and sit or lie down. Consult your doctor before starting any new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness, dizziness, or difficulty concentrating, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. It may also cause restlessness or akathisia, which can make it hard to sit still. These effects often improve over time. Talk to your doctor if you have concerns about your ability to work or perform daily activities.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Your doctor may gradually reduce the dose to prevent withdrawal symptoms or relapse. If you experience serious side effects such as neuroleptic malignant syndrome, tardive dyskinesia, or severe allergic reactions, seek immediate medical attention and follow your doctor's advice regarding discontinuation.
📅 Long-Term Use Effects
Long-term use of this medicine may be associated with metabolic changes such as weight gain, high blood sugar, and high cholesterol. Regular monitoring of these parameters is recommended. Tardive dyskinesia, a potentially irreversible movement disorder, may occur with long-term use. The risk increases with the duration of treatment. Regular follow-up with your doctor is important to monitor for these effects and adjust treatment as needed. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help manage symptoms of schizophrenia and bipolar disorder alongside medication.
Evidence: Well-establishedCan improve communication and support for patients with mental illness.
Evidence: Well-establishedRegular exercise, healthy diet, and good sleep hygiene can complement medical treatment.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, it is always advisable to inform your healthcare provider about all medicines you are taking before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label clearly visible. Bring a copy of your prescription and a letter from your doctor explaining your medical condition and the need for this medicine. If you are crossing time zones, consult your doctor about how to adjust your dosing schedule. Store the medicine in a cool, dry place, away from direct sunlight. Keep it in your carry-on luggage to avoid loss or exposure to extreme temperatures. Check the customs regulations of your destination country regarding prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Some effects may be noticed within a few days, but full therapeutic benefits may take 2 to 4 weeks or longer. It is important to continue taking the medicine as prescribed.
A: No, you should not stop taking this medicine without consulting your doctor. Stopping suddenly can cause withdrawal symptoms or relapse of your condition.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: This medicine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Consult your doctor if you are pregnant or planning to become pregnant.
A: It is advisable to avoid alcohol while taking this medicine, as it can increase drowsiness and dizziness.
🤔 Common Patient Concerns
🔄 Substitutes for arzu 20mg tablet
View AllAlternative brands with exact same active ingredient:
-
rpz 20mg tabletNodysis Pharma Pvt Ltd ₹63.75 21.7% CHEAPER
-
stayhappi aripiprazole 20mg tabletSarvagunaushdhi Pvt Ltd ₹83.33 2.3% COSTLIER
-
apiz 20mg tabletReliance Formulation Pvt Ltd ₹88.39 8.5% COSTLIER
-
arive 20mg tabletAlkem Laboratories Ltd ₹91.88 12.8% COSTLIER
-
aria 20mg tabletAbbott ₹91.88 12.8% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is addictive.
Fact: This medicine is not habit-forming and does not cause addiction. It is a prescription medicine used to treat serious mental health conditions. - Myth: This medicine will change my personality.
Fact: This medicine is intended to reduce symptoms of mental illness and improve your quality of life. It does not change your personality. - Myth: I can stop taking this medicine once I feel better.
Fact: You should not stop taking this medicine without consulting your doctor. Stopping suddenly can cause withdrawal symptoms or relapse of your condition. - Myth: This medicine is only for severe mental illness.
Fact: This medicine is used for a range of conditions, including schizophrenia, bipolar disorder, and as an add-on treatment for depression. It can be prescribed for various severity levels.
🔄 Alternative Options
Generic Alternatives
- Aripiprazole 20 mg tablet
Brand Alternatives
- Abilify
- Aripiprazole 20 mg tablet (various manufacturers)