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Molecule

Iloperidone

Atypical Antipsychotic
Available on requestPsychiatry
Presentations
15
Brands
1
Manufacturers
1
Available from stock
0

Iloperidone is an atypical antipsychotic indicated for treatment of schizophrenia in adults. It is available as tablets and kits for oral use. MedsAcross supplies Iloperidone for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Atypical Antipsychotic
ATC classification
N05AX14 Iloperidone · Antipsychotics, subgroup N05AX
US FDA first approval
6 May 2009
EU status
Refused
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet, Kit
Identifiers
UNII VPO7KJ050NRxCUI 73178CAS 133454-47-4DrugBank DB04946Q4199443

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

FANAPT ® is indicated for: Treatment of schizophrenia in adults. Acute treatment of manic or mixed episodes associated with bipolar I disorder in adults. FANAPT is an atypical antipsychotic indicated for: Treatment of schizophrenia in adults.

Source: US FDA prescribing information

How it works

The mechanism of action of iloperidone in schizophrenia and bipolar I disorder is unknown. However, the efficacy of iloperidone could be mediated through a combination of dopamine type 2 (D 2 ) and serotonin type 2 (5-HT 2 ) antagonism. Iloperidone forms an active metabolite, P88, that has an in vitro receptor binding profile similar to the parent drug.

Source: US FDA prescribing information

Dosing overview

Administer FANAPT orally twice daily without regard to meals. Titrate the dosage of FANAPT to avoid orthostatic hypotension. See Full Prescribing Information for titration schedule. Recommended Dosage: Indication Starting Dosage Recommended Dosage Schizophrenia 1 mg twice daily 6 mg to 12 mg twice daily Bipolar Mania 1 mg twice daily 12 mg twice daily CYP2D6 Poor Metabolizers: See Full Prescribing Information for titration schedule and recommended dosage.

Source: US FDA prescribing information

Contraindications

FANAPT is contraindicated in individuals with a known hypersensitivity reaction to the product. Anaphylaxis, angioedema, and other hypersensitivity reactions have been reported. Known hypersensitivity to FANAPT or to any components in the formulation.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (increased mortality in elderly patients with dementia-related psychosis): Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. FANAPT is not approved for the treatment of patients with dementia-related psychosis. FANAPT is not approved for use in patients with dementia-related psychosis. Cerebrovascular Adverse Reactions in Elderly Patients with Dementia- Related Psychosis: Increased incidence of cerebrovascular adverse reactions (e.g., stroke, transient ischemic attack). QT prolongation: Prolongs QT interval and may be associated with arrhythmia and sudden death. Avoid use of FANAPT in combination with other drugs that are known to prolong QTc, use caution and consider dose modification when prescribing FANAPT with other drugs that inhibit FANAPT metabolism.

Source: US FDA prescribing information

Side effects

The following adverse reactions are discussed in more detail in other sections of the labeling: Increased Mortality in Elderly Patients with Dementia-Related Psychosis Cerebrovascular Adverse Reactions, Including Stroke, in Elderly Patients with Dementia-Related Psychosis QT Prolongation Neuroleptic Malignant Syndrome (NMS) Tardive Dyskinesia Metabolic Changes Orthostatic Hypotension and Syncope Falls Seizures Leukopenia, Neutropenia and Agranulocytosis Hyperprolactinemia Body Temperature Regulation Dysphagia Priapism Potential for Cognitive and Motor Impairment Intraoperative Floppy Iris Syndrome Commonly observed adverse reactions (incidence ≥5% and 2-fold greater than placebo) were: Schizophrenia: dizziness, dry mouth, fatigue, nasal congestion, orthostatic hypotension, somnolence, tachycardia, and weight increased.

Source: US FDA prescribing information

Interactions

The dose of FANAPT should be reduced in patients co-administered a strong CYP2D6 or CYP3A4 inhibitor. Clinically Important Drug Interactions with FANAPT Table 7 presents clinically important drug interactions with FANAPT. Table 7: Clinically Important Drug Interactions with FANAPT Strong CYP2D6 Inhibitors Clinical Impact Coadministration of fluoxetine with iloperidone increased exposure (area under curve, [AUC]) of iloperidone and its metabolite P88, by about 2- to 3- fold, and decreased the AUC of its metabolite P95 by one-half. Coadministration of paroxetine with iloperidone resulted in increased mean steady-state peak concentrations of iloperidone and its metabolite P88, by about 1.6- fold, and decreased mean steady-state peak concentrations of its metabolite P95 by one-half. Intervention Reduce the dose of FANAPT by one-half when administered with strong CYP2D6 inhibitors.

Source: US FDA prescribing information

Storage

Storage Store FANAPT tablets at controlled room temperature, 25℃ (77℉), excursions permitted to 15° to 30 ℃ (59° to 86℉).

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

15 presentations of Iloperidone, sorted by availability.

MedicineManufacturerRegisterAvailability
Fanapt kitOralVanda PharmaceuticalsUS FDAAvailable on request
Iloperidone 1 mg tabletOralGeneric name—US FDAAvailable on request
Iloperidone 10 mg tabletOralGeneric name—US FDAAvailable on request
Iloperidone 12 mg tabletOralGeneric name—US FDAAvailable on request
Iloperidone 2 mg tabletOralGeneric name—US FDAAvailable on request
Iloperidone 4 mg tabletOralGeneric name—US FDAAvailable on request
Iloperidone 6 mg tabletOralGeneric name—US FDAAvailable on request
Iloperidone 8 mg tabletOralGeneric name—US FDAAvailable on request
Fanapt 1 mg tabletOralVanda PharmaceuticalsUS FDAAvailable on request
Fanapt 10 mg tabletOralVanda PharmaceuticalsUS FDAAvailable on request
Fanapt 12 mg tabletOralVanda PharmaceuticalsUS FDAAvailable on request
Fanapt 2 mg tabletOralVanda PharmaceuticalsUS FDAAvailable on request
Fanapt 4 mg tabletOralVanda PharmaceuticalsUS FDAAvailable on request
Fanapt 6 mg tabletOralVanda PharmaceuticalsUS FDAAvailable on request
Fanapt 8 mg tabletOralVanda PharmaceuticalsUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 6 May 2009Drugs@FDA
EU (EMA)RefusedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Iloperidone in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Iloperidone available for export from India?

Yes, on request. MedsAcross lists 15 presentations of Iloperidone and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Iloperidone have?

The catalogue lists 1 brand names for Iloperidone, including Fanapt.

Is Iloperidone approved by the US FDA?

Yes. The US FDA first approved Iloperidone on 6 May 2009, according to Drugs@FDA.

Does Iloperidone need cold chain shipping?

No listed presentation of Iloperidone is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Iloperidone in?

Iloperidone is classified under ATC code N05AX14 (Iloperidone).

References

  1. FANAPT prescribing information (Vanda Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 6 May 2026

Request Iloperidone for export supply

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