This antipsychotic medication is used to treat schizophrenia as well as the manic phase of bipolar 1 disorder.

IUPAC name: 9-chloro-4-methyl-13-oxa-4-azatetracyclo[,6.07,12]octadeca-1(18),7(12),8,10,14,16-hexaene

Drug class: Atypical antipsychotics

Route of administration: Sublingual

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Is it a drug that needs a prescription? YES

Is it an OTC drug? NO

Mechanism of action

This medication works by regulating and restoring the activity of certain neurotransmitters (such as dopamine and serotonin) in the brain and helps to enhance thoughts, feelings, moods, and behavior.

Side effects

It may cause dizziness, drowsiness, headache, unsteadiness, restlessness, constipation, weakness, weight gain, salivation, dry mouth, nausea, loss of appetite, depression, anxiety, and lack of energy.


Before using this medication, take the following precautions and notify your doctor:

If you are allergic to it or to other antipsychotic drugs, or if you have any other allergies,

If you are taking any other medication (prescribed, non-prescribed, or herbal products),

If you have a history of hepatic issues (liver disease), dementia, leukemia (low white blood cell count), seizures (fits), breathing/lung problems (including sleep apnea, severe asthma, COPD-chronic obstructive pulmonary disease), diabetes, high cholesterol, obesity, cardiac disease (heart attack, congestive heart failure, arrhythmia), kidney problems, trouble swallowing, Alzheimer’s disease, drug abuse,

If you have undergone any type of surgery,

Even if you don’t have diabetes, using this drug may cause hyperglycemia.

Limit your alcohol usage since it increases your chances of developing blurred vision, dizziness, or drowsiness. It may also cause a loss of alertness.

This drug’s adverse effects are more severe in older adults with dementia.

Avoid activities that can cause you to overheat while taking this medication.

Avoid abruptly discontinuing this medication without first talking to your doctor.

If you are pregnant, talk to your doctor. Using this drug in the last trimester of pregnancy is not recommended since it might harm the unborn child.

Consult your doctor while breastfeeding.

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