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What the FDA labels say about taking them together

Aripiprazole and paliperidone

Paliperidone's FDA label of January 31, 2025 names aripiprazole in its warnings and precautions section; aripiprazole's label does not name paliperidone itself but warns about its class (Atypical antipsychotics).

Check it at the source: the aripiprazole FDA label on DailyMed (effective January 29, 2025, Otsuka America Pharmaceutical, Inc.); the paliperidone FDA label on DailyMed (effective January 31, 2025, Janssen Pharmaceuticals, Inc.).

What does the aripiprazole label say about paliperidone?

Aripiprazole's label does not name paliperidone itself; it warns about its class (Atypical antipsychotics):

Aripiprazole label, boxed warning

INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS and SUICIDAL THOUGHTS AND BEHAVIORS WITH ANTIDEPRESSANT DRUGS Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death.

Aripiprazole label, boxed warning

Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death.

Source: FDA drug label (ABILIFY), Otsuka America Pharmaceutical, Inc., effective January 29, 2025 (SPL set c040bd1d-45b7-49f2-93ea-aed7220b30ac), via openFDA; the full label on DailyMed

What does the paliperidone label say about aripiprazole?

Paliperidone label, warnings and precautions

Patients with Dementia-Related Psychosis In placebo-controlled trials with risperidone, aripiprazole, and olanzapine in elderly subjects with dementia, there was a higher incidence of cerebrovascular adverse reactions (cerebrovascular accidents and transient ischemic attacks) including fatalities compared to placebo-treated subjects.

Source: FDA drug label (INVEGA), Janssen Pharmaceuticals, Inc., effective January 31, 2025 (SPL set 7b8e5b26-b9e4-4704-921b-3c3c0d159916), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

47Aripiprazole generic labelers
18Paliperidone generic labelers
AripiprazolePaliperidone
Labeled forDepression, Bipolar disorder, SchizophreniaSchizophrenia
Boxed warningYesYes
Pharmacy cost (NADAC)$0.110 per tablet 5 mg tablet$0.972 per tablet 3 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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