Is ziprasidone (Geodon) available in the United States?

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Last updated: September 20, 2026 • View editorial policy

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Yes, ziprasidone is available in the United States

Ziprasidone (brand name Geodon) is FDA-approved and commercially available in the United States in both oral capsule and intramuscular injection formulations. 1

Available Formulations

Oral Capsules

  • Strengths: 20 mg, 40 mg, 60 mg, and 80 mg capsules 1
  • Administration: Must be taken with food (at least 500 kcal meal) to ensure adequate absorption 2
  • Storage: Room temperature (59°F to 86°F or 15°C to 30°C) 1

Intramuscular Injection

  • Strength: 20 mg/mL in single-dose vials 1
  • Formulation: Ziprasidone mesylate for injection 1
  • Use: For intramuscular use only 1

FDA-Approved Indications

The oral formulation is approved for:

  • Treatment of schizophrenia in adults 1
  • Acute treatment of manic or mixed episodes associated with bipolar I disorder in adults (as monotherapy) 1
  • Maintenance treatment of bipolar I disorder as adjunct to lithium or valproate in adults 1

The intramuscular formulation is approved for:

  • Acute treatment of agitation in schizophrenic patients in adults 1

Clinical Use in the United States

Multiple U.S. clinical guidelines and studies document ziprasidone's use in American emergency departments and psychiatric settings. Ziprasidone IM 20 mg has been shown effective in rapidly reducing symptoms of acute agitation in patients with known psychotic disorders, with notably lower incidence of movement disorders compared to haloperidol 3. The drug has been commercially available in the U.S. since its initial FDA approval in 2001 4, 5.

The medication is distributed by Viatris Specialty LLC in Morgantown, West Virginia 1.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.