Compare Abilify vs. Geodon

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Abilify
(aripiprazole)

Geodon
(ziprasidone)

Helps control your thoughts and mood. Abilify (Aripiprazole) is good for treating psychosis and mania, and can help with depression. Less likely to cause side effects than any other antipsychotic, but has a risk of suicidal thoughts for people age 24 and younger.Helps control your thoughts and mood. Geodon (Ziprasidone) treats bipolar disorder and schizophrenia, and causes fewer side effects than similar medicines. It’s not a good choice if you have heart problems.
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Prices and coupon for 30 (5mg) tablets of aripiprazole
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Prices and coupon for 30 (40mg) capsules of ziprasidone
Reviews & ratings
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4.29Abilify
Reviews for Abilify (aripiprazole)
44%
of people (All ages) say Abilify (aripiprazole) is worth it
40%
say it works well
34%
say it's a big hassle
252 reviews
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Have you used Geodon (ziprasidone)?
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Side effects
AbilifyGeodon
  • Headache 4%
  • Agitation 2%
  • Sleep difficulty 5%
  • Anxiety 4%
  • Nausea 4%
  • Restlessness 9%
  • Constipation 4%
  • Vomiting 5%
  • Dizziness 3%
  • Indigestion 2%
More Abilify side effects »
  • Extrapyramidal symptoms 6%
  • Drowsiness 7%
  • Nausea 3%
  • Constipation 1%
  • Respiratory tract infection 5%
  • Dizziness 2%
  • Indigestion 1%
  • Restlessness 1%
  • Muscle weakness 2%
  • Diarrhea 1%
More Geodon side effects »
How it works
AbilifyGeodon
Abilify (Aripiprazole) is an atypical antipsychotic. Researchers don't know exactly how it works. It seems to change dopamine and serotonin activity in your brain, which affects thoughts and mood.Geodon (Ziprasidone) is a second generation antipsychotic. It treats schizophrenia and bipolar disorder by adjusting the levels of dopamine and serotonin in your brain, which affects thoughts and mood.
Type of medication
AbilifyGeodon
Prescription only
Prescription only
Available as
AbilifyGeodon
  • Pill
  • Dissolving tablet
  • Liquid
  • Injection
  • Pill
  • Injection
Used for
AbilifyGeodon
Risk factors for serious side effects
AbilifyGeodon
  • Elderly patients with dementia
  • Age 24 years or younger
      • History of heart problems
      • Drug interactions
        • People with diabetes
        • People with high cholesterol
        • People with diabetes
        • Alcohol
        • Taking other medicines that make you less alert
          • Phenylketonuria (PKU)
          Detailed Abilify (aripiprazole) risks & warnings »
          • Elderly patients with dementia
            • History of heart problems
            • Drug interactions
            • Low potassium
            • Low magnesium
              • Duration of treatment
                • Women of childbearing age
                Detailed Geodon (ziprasidone) risks & warnings »
                Pregnancy

                Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

                Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

                Sleep
                AbilifyGeodon
                No sleep related info.
                • Can cause drowsiness when you first start taking it, so avoid activities that require you to be alert until you know how it affects you.
                Weight
                AbilifyGeodon
                • Least likely antipsychotic to cause weight gain.
                • Abilify (Aripiprazole) can cause you to gain weight. Abilify (Aripiprazole) is the least likely to cause weight gain compared to other antipsychotic medications. Exercise and eat healthy food to lower your risk.
                • It causes slightly less weight gain than similar medicines.
                Upsides and benefits
                AbilifyGeodon
                • Effective at relieving psychotic symptoms and manic episodes. All antipsychotic medicines are about equally effective.
                • More energizing than other antipsychotics.
                • Fewer side effects than any other antipsychotics.
                • Least likely antipsychotic to cause weight gain.
                • Less likely to cause heart problems compared to some antipsychotics.
                • Studies show that it can also be helpful for depression, especially in women, if your symptoms don't go away with an antidepressant alone.
                • Available as a generic, which is cheaper.
                • Geodon (Ziprasidone) can be used with lithium or valproate to better treat bipolar disorder.
                • Geodon (Ziprasidone) can treat agitation in people with schizophrenia by reducing symptoms of anxiety, nervousness, and distress.
                • Compared to other antipsychotics, it has a lower risk of weight gain, hyperglycemia, and hyperlipidemia.
                • The Geodon (Ziprasidone) capsule is available as a generic.
                • The injectable form can treat sudden agitation in schizophrenia when it's not possible to use the capsules.
                • It's available as a pill that you take by mouth daily for continuous treatment and as an injection used for short-term treatment of agitation.
                Downsides and risks
                AbilifyGeodon
                • Mild risk of Extrapyramidal Symptoms (EPS): Movement disorders that include stiffness, tremor, restlessness, and slow, repetitive, or involuntary movements.
                • Can cause higher risk of suicidal thoughts and behavior for people age 24 and younger.
                • You might need routine blood tests to check how the medicine is affecting your body.
                • All antipsychotics come with side effects that make them difficult to take. You might need to try a few different medicines until you find one that works for you and that you can tolerate.
                • Elderly people with dementia shouldn’t take Geodon (Ziprasidone).
                • You shouldn’t take Geodon (Ziprasidone) if you have a history of heart problems (slow heart rate, recent heart attack, heart failure, or heart rhythm problems). It’s also not safe to take if you have low potassium or magnesium, or are taking medicines that increase the risk of this happening (diuretics).
                • You'll need to get blood tests before you start taking Geodon (Ziprasidone).
                • It causes slightly less weight gain than similar medicines.
                • Can't take Geodon (Ziprasidone) capsules and injections at the same time. Capsules should be used instead of the injection as soon as possible.
                Tips from our pharmacists for people taking the medication
                AbilifyGeodon
                • Takes 4 to 6 weeks to see full effects on thoughts and mood.
                • Makes you energized. Take in the morning to avoid difficulty sleeping.
                • For the first week, avoid activities that require you to be alert.
                • May worsen cholesterol or blood sugar.
                • Report any unusual thoughts, inability to control muscle movements, or fever and excess sweating to your doctor.
                • Elderly people with dementia shouldn't take it.
                • It usually takes 4 to 6 weeks to see the full effects, so hang in there and wait until it works to figure out the right dose for you.
                • Take Geodon (Ziprasidone) twice a day, preferably with food.
                • Can cause drowsiness when you first start taking it, so avoid activities that require you to be alert until you know how it affects you.
                • Geodon (Ziprasidone) can cause heart problems, so call your doctor right away if you faint or feel a change in your heartbeat.
                • Let your doctor know if you're taking a diuretic (water pill) or have a condition like chronic diarrhea that'll lower the amount of potassium or magnesium in your blood.
                Learn more
                More about AbilifySide effectsReviews & ratingsAlternativesFDA package insert
                Have you used Abilify (aripiprazole)?
                Worth itNot sureNot worth it
                More about GeodonSide effectsReviews & ratingsAlternativesFDA package insert
                Have you used Geodon (ziprasidone)?
                Worth itNot sureNot worth it