
Abilify (aripiprazole) is a prescription drug used to treat several mental health conditions, including schizophrenia, bipolar I disorder, autism spectrum disorder, and Tourette syndrome. It is an antipsychotic medication that works by balancing the levels of dopamine and serotonin in the brain, which are hormones that regulate mood, behaviour, and thoughts. While Abilify has a lower likelihood of certain side effects compared to other antipsychotic medications, it can still cause muscle soreness and stiffness, along with other side effects such as nausea, vomiting, constipation, headaches, and weight gain. It is important to consult a doctor before starting or stopping this medication and to be cautious of its potential side effects.
| Characteristics | Values |
|---|---|
| Muscle soreness | Muscle stiffness, spasms, jerking, tremors, shaking, loss of balance or coordination, restlessness, shuffling walk, muscle twitching, muscle rigidity, muscle tightness, muscle weakness, neck muscle spasms, neck pain |
| Other side effects | Nausea, vomiting, constipation, headache, dry eyes, blurred vision, dizziness, drowsiness, trouble with thinking, controlling movements, changes in metabolism, blood sugar levels, cholesterol levels, sexual side effects, akathisia, tardive dyskinesia, neuroleptic malignant syndrome, increased risk of death in older adults with psychosis due to dementia, risk of death in elderly patients with dementia |
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What You'll Learn
- Neuroleptic malignant syndrome (NMS) is a rare but life-threatening side effect of Abilify, causing high fever, stiff muscles, and confusion
- Tardive dyskinesia (TD) is a condition characterised by muscle movements that the patient cannot control, including twitching of the face and mouth
- Withdrawal symptoms from stopping Abilify include muscle twitches
- Abilify may cause abnormal/prolonged muscle contractions, cogwheel rigidity, muscle tightness, and muscular weakness
- Abilify can cause muscle spasms, which may be a symptom of extrapyramidal symptoms (EPS)

Neuroleptic malignant syndrome (NMS) is a rare but life-threatening side effect of Abilify, causing high fever, stiff muscles, and confusion
Abilify (aripiprazole) is an atypical antipsychotic medication used to treat schizophrenia and other mental health conditions. While Abilify has a lower likelihood of certain side effects compared to other antipsychotic medications, it can still cause a range of mild to severe side effects.
One rare but potentially life-threatening side effect of Abilify is Neuroleptic Malignant Syndrome (NMS). NMS is a well-documented condition associated with antipsychotic or neuroleptic medications. It is characterised by high fever, muscular rigidity, and mental status changes, including confusion. Other symptoms may include uncontrolled changes in heart rate and blood pressure, and laboratory findings such as elevated creatine phosphokinase (CPK) levels and leukocytosis.
NMS can be difficult to diagnose, especially when induced by atypical antipsychotics like aripiprazole, as it may present without clear clinical features. However, early recognition and immediate medical attention are crucial, as leaving NMS untreated can result in death. In some cases, NMS symptoms may resolve with discontinuation of the medication and supportive care.
In addition to NMS, Abilify may cause other movement problems, such as tardive dyskinesia, which involves uncontrolled movements of the face, mouth, legs, arms, and torso. Akathisia, characterised by restlessness or the inability to sit still, is also a commonly reported side effect of Abilify.
It is important to monitor for side effects while taking Abilify and to consult a healthcare provider if any adverse reactions occur. They may recommend adjusting the dosage or switching to a different medication to manage the symptoms.
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Tardive dyskinesia (TD) is a condition characterised by muscle movements that the patient cannot control, including twitching of the face and mouth
Abilify (aripiprazole) is an atypical antipsychotic medication used to treat schizophrenia and other mental health conditions. It is associated with various side effects, and while movement problems are less common with Abilify than with other antipsychotics, they can still occur.
Tardive dyskinesia (TD) is a condition characterised by involuntary muscle movements that the patient cannot control. TD is primarily associated with the use of antipsychotic medications, including atypical antipsychotics like Abilify. It can manifest as early as 1 to 6 months after starting treatment with a dopamine receptor antagonist. TD involves uncontrolled movements, particularly in the face and mouth, such as lip-smacking, tongue protrusion, perioral movements, and chewing movements. These movements can also extend to the arms, legs, fingers, and torso, and in rare cases, the muscles used for breathing.
The exact cause of TD is unknown, but the main theory is that it develops due to the use of dopamine receptor-blocking medications. Dopamine antagonists block dopamine for an extended period, which may increase the sensitivity of dopamine receptors in the basal ganglia region of the brain, which is responsible for controlling movement. This excess dopamine, along with other neurotransmitters like serotonin, acetylcholine, and GABA, contributes to the involuntary movements characteristic of TD.
The risk of developing TD increases with certain factors, including age, sex, race, and pre-existing conditions. People over 40, especially those over 65, are more susceptible due to age-related neurological changes. Females, particularly post-menopausal women, are also at a higher risk, with rates of TD as high as 30% after prolonged exposure to antipsychotics. Additionally, Black Americans have a higher likelihood of developing TD compared to White Americans, while people of Filipino and Asian descent have a lower risk. Individuals with bipolar disorder who take antipsychotics are more sensitive to developing TD compared to others taking similar medications.
If you experience symptoms of TD while taking Abilify, it is crucial to consult your healthcare provider immediately. They may recommend lowering the dose, adding another medication to prevent the movements, or switching to an alternative treatment. An off-label medication called tetrabenazine (Xenazine) can help control dopamine levels in the brain and improve movement. In cases where TD affects only one part of the body, botulinum toxin (BOTOX) may be suggested to block nerve signals and stop muscle twitching. Deep brain stimulation (DBS) is another potential treatment option.
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Withdrawal symptoms from stopping Abilify include muscle twitches
Abilify (aripiprazole) is an atypical antipsychotic medication used to treat schizophrenia and other mental health conditions. It is not recommended to stop taking Abilify or reduce the dosage significantly without consulting a medical professional first. Withdrawal symptoms from stopping Abilify can vary from person to person and may include muscle twitches, known as tardive dyskinesia.
Tardive dyskinesia is a rare but severe side effect of Abilify withdrawal, characterised by muscle spasms and tremors. It can lead to further complications if left untreated, so it is crucial to seek immediate medical attention if you experience any unusual physical changes when discontinuing Abilify.
Other common Abilify withdrawal symptoms include nausea, vomiting, dizziness, and headaches. More severe side effects may include insomnia, agitation, anxiety, and depression. The timeline for Abilify withdrawal symptoms can vary, typically starting within a few days to a week after stopping the medication and lasting from a few days to several weeks.
To minimise the severity of withdrawal symptoms, gradual tapering of the medication under medical supervision is recommended. This process should be tailored to the individual, taking into account factors such as dosage, duration of use, and body chemistry. It is important to prioritise your health and seek appropriate medical advice when considering discontinuing Abilify or any other medication.
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Abilify may cause abnormal/prolonged muscle contractions, cogwheel rigidity, muscle tightness, and muscular weakness
Abilify (aripiprazole) is an atypical antipsychotic medication used to treat several mental health conditions, including schizophrenia, bipolar I disorder, autism spectrum disorder, and Tourette syndrome. It works by balancing the levels of dopamine and serotonin in the brain, which are hormones that regulate mood, behaviour, and thoughts.
While Abilify has a lower likelihood of certain side effects compared to other antipsychotic medications, it can still cause abnormal/prolonged muscle contractions, cogwheel rigidity, muscle tightness, and muscular weakness. These muscle-related side effects may be indicative of a rare but serious condition called neuroleptic malignant syndrome (NMS), which can be life-threatening and requires immediate medical attention. NMS is characterised by high fever, stiff muscles, and confusion, along with uncontrolled changes in heart rate and blood pressure.
Additionally, Abilify may cause tardive dyskinesia, a condition characterised by involuntary muscle movements, particularly of the face, jaw, and other parts of the body. This condition can become permanent in some cases, and if symptoms develop, discontinuation of the medication may be recommended. Akathisia, a feeling of restlessness or the inability to sit still, is another movement disorder that may occur with Abilify use.
Other muscle-related side effects of Abilify may include muscle twitching, jerking, tremors, shaking, and loss of balance or coordination. These symptoms can be indicative of extrapyramidal symptoms (EPS) and should be reported to a healthcare provider. It is important to note that Abilify may also cause drowsiness and affect coordination, increasing the risk of falls and fractures.
If you are experiencing any muscle-related side effects while taking Abilify, it is important to consult your healthcare provider. They may recommend adjusting the dosage or switching to a different medication to manage these side effects.
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Abilify can cause muscle spasms, which may be a symptom of extrapyramidal symptoms (EPS)
Abilify (aripiprazole) is an atypical antipsychotic medication used to treat several mental health conditions, including schizophrenia, bipolar I disorder, autism spectrum disorder, and Tourette syndrome. While Abilify has a lower likelihood of certain side effects compared to other antipsychotic medications, it can still cause muscle spasms in some individuals.
Muscle spasms are involuntary contractions of the muscles and can be a symptom of a condition known as extrapyramidal symptoms (EPS). EPS is a group of movement disorders that can occur as a side effect of antipsychotic medications like Abilify. In addition to muscle spasms, other symptoms of EPS include muscle stiffness, tremors or shaking, loss of balance or coordination, restlessness, and a shuffling walk.
The occurrence of muscle spasms and other EPS symptoms in individuals taking Abilify is relatively uncommon. However, it is important to monitor for these side effects, as they can significantly impact an individual's quality of life and daily functioning. If you experience muscle spasms or other concerning symptoms while taking Abilify, it is crucial to consult your healthcare provider. They may recommend adjusting the dosage or switching to a different medication to alleviate these side effects.
It is worth noting that muscle twitching and jerking movements may also be indicative of tardive dyskinesia (TD), another potential side effect of Abilify. TD is a condition characterized by involuntary and uncontrollable muscle movements, particularly in the face, jaw, and other parts of the body. While less common with Abilify, the risk of developing TD increases with prolonged use of the medication. Therefore, healthcare providers typically recommend the lowest effective dose to manage this risk.
Additionally, muscle spasms and stiffness can also be a symptom of neuroleptic malignant syndrome (NMS), a rare but life-threatening side effect of Abilify. NMS is characterized by high fever, confusion, and uncontrolled changes in heart rate and blood pressure. If you experience any signs of NMS, seek immediate medical attention as leaving it untreated can result in serious complications, including death.
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Frequently asked questions
Abilify (aripiprazole) is an antipsychotic medication that helps treat several kinds of mental health conditions, including schizophrenia, bipolar I disorder, autism spectrum disorder and Tourette syndrome.
Some people have reported experiencing muscle soreness, tightness, stiffness, and spasms while taking Abilify. However, this is not a common side effect.
If you experience any side effects that are bothersome or get worse over time, consult your healthcare provider. They may recommend lowering your dosage or switching you to a different medication.
Some other side effects of Abilify include nausea, vomiting, constipation, headaches, restlessness, drowsiness, dizziness, and changes in metabolism and weight.
















