Order and treatment record
Bring or send the signed order, diagnosis, intended dose, last injection or oral dose, next due date, initiation history, and prescriber contact details.
Aristada is an aripiprazole lauroxil injection for schizophrenia in adults. The interval depends on the prescribed strength: labelled options include monthly, every six weeks and every two months. Some strengths are given into the buttock muscle only, while the lowest strength also permits a shoulder injection. Your prescriber chooses the strength and interval together. Oral aripiprazole tolerability and an appropriate start regimen are needed. Aristada Initio is a separate starter product, not another name for the maintenance injection.
Aristada is a long-acting aripiprazole lauroxil injection approved for schizophrenia in adults. The prescribed strength determines whether it is given monthly, every six weeks or every two months. A healthcare professional gives it into a muscle. The 441 mg dose can be given in the shoulder or buttock. The other strengths use the buttock muscle. Aristada does not carry the same approved bipolar I indication as some other aripiprazole injections.
Aripiprazole lauroxil is converted in the body to aripiprazole. The extended-release formulation provides ongoing exposure. Aripiprazole acts at dopamine and serotonin receptors, though the exact mechanism of benefit in schizophrenia is not fully understood. The amount on the syringe cannot be compared directly with the dose of another branded aripiprazole injection.
For someone new to aripiprazole, the clinician first establishes tolerability with the oral medicine. Review previous benefit, restlessness, impulse-control changes and interacting medicines before selecting an interval. Aristada Initio is not suitable for every patient who needs a dose adjustment because of an interaction or metabolism difference.
Review the current oral dose or injection history with your prescriber. Monthly strengths, the six-week option and the two-month option have different conversion rules. A longer interval is a clinical choice, not simply a way to book fewer visits.
One initiation option uses Initio, one oral aripiprazole dose and the first Aristada injection. Another uses 21 consecutive days of oral aripiprazole with the first Aristada injection. Oral tolerability is still established beforehand when unknown.
Document the product, strength, site, date and next due date. Tell the treating team if symptoms return, work becomes harder, or adverse effects affect daily life. Do not shorten the interval or add tablets on your own.
Bring the exact product name, prescribed strength, last injection date, oral medicine list and the responsible prescriber’s contact information. Include discharge notes, recent blood tests and any written start or restart plan. Tell the team about pregnancy, breastfeeding, allergies, seizures, fainting, substance use and new medicines or supplements. If a dose is delayed or records are unclear, contact the prescriber before travelling to an administration visit.
The boxed warning states that antipsychotics increase the risk of death in older adults with dementia-related psychosis. This medicine is not approved for that use. Restlessness is a prominent labelled adverse effect. Weight and metabolic changes, dizziness, falls, drowsiness, compulsive urges and movement disorders also require review. Avoid hazardous work or driving until you know the effect on your alertness. Persistent or severe injection pain should be assessed rather than dismissed as unavoidable. Seek emergency care for severe trouble breathing, throat or tongue swelling, loss of consciousness, or high fever with severe muscle stiffness and confusion. Contact the treating team promptly for new involuntary movements, severe restlessness, worsening psychosis, marked dizziness or troublesome injection-site symptoms. Do not wait for the next routine injection to report a serious concern.
The late-dose plan depends on both the last strength and elapsed time. Some gaps require no supplementation, some require Initio or seven days of oral aripiprazole, and longer gaps require a full restart approach. This is why “I am a few weeks late” is not enough information. Call with the actual product, strength and date.
Before an injection appointment, ask which clinic can accept the prescription, how the medicine will be obtained, and which costs belong to the medicine, administration and psychiatry follow-up. A benefits check, prior authorization and medicine delivery are different steps. Ask for the proposed cost before each step. Manufacturer assistance has its own eligibility rules. Office-visit coverage does not establish medication coverage, and a listed clinic does not establish that the product is stocked or can be given there today.
Nao Medical can coordinate psychiatric injection care with your prescribing psychiatrist. Share the current order, exact medicine, last dose date and treatment history through the confirmed clinical intake process. The clinicians review product-specific initiation or restart requirements and arrange medication delivery, administration and follow-up. Keep your existing treatment plan until the next appointment is agreed.
Aristada is a long-acting aripiprazole lauroxil injection approved for schizophrenia in adults. The prescribed strength determines whether it is given monthly, every six weeks or every two months. A healthcare professional gives it into a muscle. The 441 mg dose can be given in the shoulder or buttock. The other strengths use the buttock muscle. Aristada does not carry the same approved bipolar I indication as some other aripiprazole injections.
For someone new to aripiprazole, the clinician first establishes tolerability with the oral medicine. Review previous benefit, restlessness, impulse-control changes and interacting medicines before selecting an interval. Aristada Initio is not suitable for every patient who needs a dose adjustment because of an interaction or metabolism difference.
Review the current oral dose or injection history with your prescriber. Monthly strengths, the six-week option and the two-month option have different conversion rules. A longer interval is a clinical choice, not simply a way to book fewer visits.
One initiation option uses Initio, one oral aripiprazole dose and the first Aristada injection. Another uses 21 consecutive days of oral aripiprazole with the first Aristada injection. Oral tolerability is still established beforehand when unknown.
Document the product, strength, site, date and next due date. Tell the treating team if symptoms return, work becomes harder, or adverse effects affect daily life. Do not shorten the interval or add tablets on your own.
The late-dose plan depends on both the last strength and elapsed time. Some gaps require no supplementation, some require Initio or seven days of oral aripiprazole, and longer gaps require a full restart approach. This is why “I am a few weeks late” is not enough information. Call with the actual product, strength and date.
For someone new to aripiprazole, the clinician first establishes tolerability with the oral medicine. Review previous benefit, restlessness, impulse-control changes and interacting medicines before selecting an interval. Aristada Initio is not suitable for every patient who needs a dose adjustment because of an interaction or metabolism difference.
A switch needs the responsible psychiatrist's documented plan, not just an administration appointment. Review the exact current product, strength, last dose, response and tolerability. The new injection has its own indication, prior-treatment, loading or oral-coverage rules. Ask whether Nao provides the prescribing evaluation or accepts an outside order, and confirm delivery, the administering site and follow-up before changing treatment. Do not stop or convert medicines yourself.
Continuing antipsychotic care reviews symptoms, daily function, injection dates, movement symptoms, sedation, falls, weight, blood pressure and medicine-specific blood tests. Blood sugar/lipids, prolactin or heart-rhythm assessment may be relevant depending on the product and history. Ask the psychiatrist which tests are due and who reviews them. An administration-only visit does not replace that care. Report new involuntary movements, marked restlessness, fainting or troublesome injection-site changes promptly.
The reviewed current US prescribing information for Aristada does not specify a restricted REMS administration/distribution program. That does not remove the medicine’s prescribing, administration, initiation or monitoring requirements. Confirm the exact product and current FDA status with the treating clinician and dispensing service; a manufacturer access program is not itself an FDA REMS.
Have your insurance card ready when booking. Share member details through the clinic’s confirmed secure intake process. Check with the clinic and your insurer that the exact plan covers the clinician and requested service. Ask about visit charges, any separately billed tests or medicines, and any referral or authorization requirement. Coverage and your copay or deductible depend on the plan; request a written estimate if paying yourself.
Contact the treating team before the next dose. Severe or persistent pain needs assessment. Discuss the site, technique, examination findings and alternative treatment plan rather than leaving a gap without support.
Aristada is made by Alkermes. It contains aripiprazole lauroxil in a long-acting injection. Aristada Initio is a separate starter formulation from the same manufacturer.
Store Aristada at room temperature, 20°C to 25°C (68°F to 77°F). The label permits excursions from 15°C to 30°C (59°F to 86°F). It does not require routine refrigeration under the label. If the medicine was stored outside those limits, ask the dispensing pharmacy to assess the exposure before the healthcare professional uses it.
Aristada can remain in the body for months after the last injection. Its label reports an average terminal half-life of about 54 to 57 days across the studied dosing schedules. A half-life describes a drug level falling by half, not complete clearance or how long a particular side effect will last. Tell the prescriber the last dose and date before switching medicines, treating an adverse effect or changing interacting medication.
There is no guaranteed symptom-improvement date. With a labeled initiation regimen, aripiprazole concentrations reach relevant levels within about four days, while steady concentrations build over several months. That does not mean everyone feels better in four days or must wait months for any benefit. Keep the prescribed Initio-plus-oral-dose or 21-day oral-coverage plan and review symptoms with the psychiatrist. Seek earlier assessment if symptoms worsen.
Bring or send the signed order, diagnosis, intended dose, last injection or oral dose, next due date, initiation history, and prescriber contact details.
Include current medicines, allergies, prior adverse effects, pregnancy or breastfeeding considerations, recent hospitalization records, and relevant laboratory or monitoring results.
Share insurance cards, the specialty pharmacy or distributor if known, prior authorization status, and the intended patient-specific delivery destination.
Wait for the care team to confirm order acceptance, medication arrival, the eligible clinic, trained staff, and appointment time before traveling.
Bronx
932 E 174th St, Bronx, NY 10460
A nearby Nao Medical access point for evaluation, records coordination, and follow-up planning for patients in West Farms, Crotona Park East, and nearby Bronx neighborhoods. The administration clinic will be confirmed separately by the care team.
Queens
37-15 23rd Ave, Astoria, NY 11105
A nearby Nao Medical access point for evaluation, records coordination, and follow-up planning for patients in Astoria, Ditmars, East Elmhurst, and nearby Queens neighborhoods. The administration clinic will be confirmed separately by the care team.
Bronx
2063A Bartow Ave, Bronx, NY 10475
A nearby Nao Medical access point for evaluation, records coordination, and follow-up planning for patients in Co-op City, Pelham Bay, Baychester, and nearby Bronx neighborhoods. The administration clinic will be confirmed separately by the care team.
Brooklyn
341 Eastern Pkwy, Brooklyn, NY 11216
A nearby Nao Medical access point for evaluation, records coordination, and follow-up planning for patients in Crown Heights, Prospect Heights, and nearby Brooklyn neighborhoods. The administration clinic will be confirmed separately by the care team.
Long Island
232 W Old Country Rd, Hicksville, NY 11801
A nearby Nao Medical access point for evaluation, records coordination, and follow-up planning for patients in Hicksville, Plainview, Bethpage, and nearby Nassau County communities. The administration clinic will be confirmed separately by the care team.
Queens
80-10 Northern Blvd, Jackson Heights, NY 11372
A nearby Nao Medical access point for evaluation, records coordination, and follow-up planning for patients in Jackson Heights, Elmhurst, Corona, and nearby Queens neighborhoods. The administration clinic will be confirmed separately by the care team.
Queens
90-18 Sutphin Blvd, Jamaica, NY 11435
A nearby Nao Medical access point for evaluation, records coordination, and follow-up planning for patients in Jamaica, Briarwood, Richmond Hill, and nearby Queens neighborhoods. The administration clinic will be confirmed separately by the care team.
Queens
30-07 36th Ave, Astoria, NY 11106
A nearby Nao Medical access point for evaluation, records coordination, and follow-up planning for patients in Long Island City, Astoria, Sunnyside, and nearby Queens neighborhoods. The administration clinic will be confirmed separately by the care team.
Long Island
135 Mineola Blvd, Mineola, NY 11501
A nearby Nao Medical access point for evaluation, records coordination, and follow-up planning for patients in Mineola, Garden City, Westbury, and nearby Nassau County communities. The administration clinic will be confirmed separately by the care team.
Manhattan
259 1st Ave, New York, NY 10003
A nearby Nao Medical access point for evaluation, records coordination, and follow-up planning for patients in StuyTown, East Village, Gramercy, and nearby Manhattan neighborhoods. The administration clinic will be confirmed separately by the care team.
Brooklyn
308 Graham Ave, Brooklyn, NY 11211
A nearby Nao Medical access point for evaluation, records coordination, and follow-up planning for patients in Williamsburg, Greenpoint, Bushwick, and nearby Brooklyn neighborhoods. The administration clinic will be confirmed separately by the care team.
Official sources checked August 1, 2026. The DailyMed label shown above has an effective date of 2025-01-28 and identifies prescribing-information revision 01/2025. Questions or corrections about this medical information can be sent to service@naomedical.com.
Content was updated August 4, 2026 using the sources cited above. Medical guidance, prescribing information, medication availability, and insurance rules can change. A licensed clinician must confirm current information and determine each patient's eligibility, testing, treatment, administration setting, and follow-up. Call 911 for a medical emergency. Contact Nao Medical with a question or correction.