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Best Atypical Antipsychotic for schizophrenia

Top-rated pick: Aristada — pharmaranks score 70/100, the highest of the 29 Atypical Antipsychotic drugs used for schizophrenia, ranked by our independent FDA recall-safety score. Compare them with all treatments for schizophrenia or the full Atypical Antipsychotic class. Not medical advice — always consult a professional.

Quick answer: Of the 29 atypical antipsychotic drugs we rate for schizophrenia, 16 are available as lower-cost generics, and most are tablet. Our ranking reflects each drug’s FDA recall-safety record — not clinical effectiveness for schizophrenia; the right choice depends on your situation, so confirm it with your prescriber.

Rated against independent regulatory sources·Last updated August 22, 2026·How we rate

How atypical antipsychotic work

Atypical antipsychotics block dopamine D2 receptors and serotonin 5-HT2A receptors in the brain, rebalancing these signaling chemicals to reduce hallucinations, delusions, and mood symptoms in conditions like schizophrenia and bipolar disorder.

Source: Atypical Antipsychotic Agents - StatPearls - NCBI Bookshelf

Top atypical antipsychotic for schizophrenia: 1. Aristada · 2. Aristada Initio Kit · 3. Asenapine Maleate

Best-rated Atypical Antipsychotic for schizophrenia, ranked by pharmaranks score
#DrugRatingPharmacy pays
170/100View →
270/100View →
370/100$74View →
470/100$9View →
570/100$33View →
670/100View →
770/100View →
870/100View →
970/100$2View →
1070/100$74View →

Full ranking · 29 drugs

#1 of 14 in Atypical Antipsychotic

aristada

Boxed warning

PrescriptionFDA-sourced

70/100

Aristada (Aripiprazole Lauroxil) is an atypical antipsychotic used to treat Schizophrenia.

(2 data points)
atypical antipsychoticschizophrenia

Price varies

View details →
#1 of 14 in Atypical Antipsychotic

aristada initio kit

Boxed warning

PrescriptionFDA-sourced

70/100

Aristada Initio Kit (Aripiprazole Lauroxil) is an atypical antipsychotic used to treat Schizophrenia.

(2 data points)
atypical antipsychoticschizophrenia

Price varies

View details →
#1 of 14 in Atypical Antipsychotic

asenapine maleate

Boxed warning

PrescriptionFDA-sourced

70/100

Asenapine Maleate is an atypical antipsychotic used to treat Bipolar Disorder, Schizophrenia.

(17 data points)
atypical antipsychoticbipolar disorderschizophrenia

Pharmacy pays

From ~$69.80/30· 3 forms Save up to 97% in class
View details →
VIATRIS logo
#1 of 14 in Atypical Antipsychotic

geodon

Boxed warning

PrescriptionFDA-sourced

70/100

Geodon (Ziprasidone Hydrochloride) is an atypical antipsychotic used to treat Tourette Syndrome, Schizophrenia.

(11 data points)
atypical antipsychotictourette syndromeschizophrenia

Pharmacy pays

From ~$8.21/30· 5 forms Save up to 78% in class
View details →
#1 of 14 in Atypical Antipsychotic

invega

Boxed warning

PrescriptionFDA-sourced

70/100

Invega (Paliperidone) is an atypical antipsychotic used to treat Bipolar Disorder, Depressive Disorder, Schizophrenia.

(2 data points)
atypical antipsychoticbipolar disorderdepressive disorder

Pharmacy pays

From ~$28.84/30· 4 forms Save up to 94% in class
View details →
#1 of 14 in Atypical Antipsychotic

invega hafyera

Boxed warning

PrescriptionFDA-sourced

70/100

Invega Hafyera (Paliperidone Palmitate) is an atypical antipsychotic used to treat Bipolar Disorder, Depressive Disorder, Schizophrenia.

(2 data points)
atypical antipsychoticbipolar disorderdepressive disorder
Available online
View details →
#1 of 14 in Atypical Antipsychotic

invega sustenna

Boxed warning

PrescriptionFDA-sourced

70/100

Invega Sustenna (Paliperidone Palmitate) is an atypical antipsychotic used to treat Bipolar Disorder, Depressive Disorder, Schizophrenia.

(2 data points)
atypical antipsychoticbipolar disorderdepressive disorder
Available online
View details →
#1 of 14 in Atypical Antipsychotic

invega trinza

Boxed warning

PrescriptionFDA-sourced

70/100

Invega Trinza (Paliperidone Palmitate) is an atypical antipsychotic used to treat Bipolar Disorder, Depressive Disorder, Schizophrenia.

(2 data points)
atypical antipsychoticbipolar disorderdepressive disorder
Available online
View details →
#1 of 14 in Atypical Antipsychotic

risperdal

Boxed warning

PrescriptionFDA-sourced

70/100

Risperdal (Risperidone) is an atypical antipsychotic used to treat Autistic Disorder, Bipolar Disorder, Dementia, Tourette Syndrome.

(2 data points)
atypical antipsychoticautistic disorderbipolar disorder

Pharmacy pays

From ~$1.07/30· 8 forms
View details →
ABBVIE logo
#1 of 14 in Atypical Antipsychotic

saphris

Boxed warning

PrescriptionFDA-sourced

70/100

Saphris (Asenapine Maleate) is an atypical antipsychotic used to treat Bipolar Disorder, Schizophrenia.

(6 data points)
atypical antipsychoticbipolar disorderschizophrenia

Pharmacy pays

From ~$69.80/30· 3 forms Save up to 97% in class
View details →

uzedy

Boxed warning

PrescriptionFDA-sourced

56/100

Uzedy (Risperidone) is an atypical antipsychotic used to treat Autistic Disorder, Bipolar Disorder, Dementia, Tourette Syndrome.

(124 data points)
atypical antipsychoticautistic disorderbipolar disorder

Pharmacy pays

From ~$1.07/30· 8 forms
View details →
OTSUKA logo

abilify asimtufii

Boxed warning

PrescriptionFDA-sourced

New

Abilify Asimtufii (Aripiprazole) is an atypical antipsychotic used to treat Schizophrenia.

atypical antipsychoticschizophrenia

Pharmacy pays

From ~$0.10· 8 forms
View details →
OTSUKA logo

abilify maintena kit

Boxed warning

PrescriptionFDA-sourced

New

Abilify Maintena Kit (Aripiprazole) is an atypical antipsychotic used to treat Schizophrenia.

atypical antipsychoticschizophrenia

Pharmacy pays

From ~$0.10· 8 forms
View details →

clozaril

Boxed warning

PrescriptionFDA-sourced

New

Clozaril (Clozapine) is an atypical antipsychotic used to treat Bipolar Disorder, Psychotic Disorders, Schizophrenia.

atypical antipsychoticbipolar disorderpsychotic disorders

Pharmacy pays

From ~$7.63/30· 8 forms Save up to 93% in class
View details →

erzofri

Boxed warning

PrescriptionFDA-sourced

New

Erzofri (Paliperidone Palmitate) is an atypical antipsychotic used to treat Bipolar Disorder, Depressive Disorder, Schizophrenia.

atypical antipsychoticbipolar disorderdepressive disorder
Available online
View details →

fanapt

Boxed warning

PrescriptionFDA-sourced

New

Fanapt (Iloperidone) is an atypical antipsychotic used to treat Schizophrenia.

atypical antipsychoticschizophrenia

Price varies

View details →

latuda

Boxed warning

PrescriptionFDA-sourced

New

Latuda (Lurasidone Hydrochloride) is an atypical antipsychotic used to treat Bipolar Disorder, Major Depressive Disorder, Schizophrenia.

atypical antipsychoticbipolar disordermajor depressive disorder

Pharmacy pays

From ~$4.19/30· 5 forms Save up to 78% in class
View details →

lurasidone hydrochloride

Boxed warning

PrescriptionFDA-sourced

New

Lurasidone Hydrochloride is an atypical antipsychotic used to treat Bipolar Disorder, Major Depressive Disorder, Schizophrenia.

atypical antipsychoticbipolar disordermajor depressive disorder

Pharmacy pays

From ~$4.19/30· 5 forms Save up to 78% in class
View details →

opipza

Boxed warning

PrescriptionFDA-sourced

New

Opipza (Aripiprazole) is an atypical antipsychotic used to treat Schizophrenia.

atypical antipsychoticschizophrenia

Pharmacy pays

From ~$0.10· 8 forms
View details →

paliperidone

Boxed warning

PrescriptionFDA-sourced

New

Paliperidone is an atypical antipsychotic used to treat Bipolar Disorder, Depressive Disorder, Schizophrenia.

atypical antipsychoticbipolar disorderdepressive disorder

Pharmacy pays

From ~$28.84/30· 4 forms Save up to 94% in class
View details →

quetiapine fumarate

PrescriptionFDA-sourced

New

Quetiapine Fumarate is an atypical antipsychotic used to treat Autistic Disorder, Bipolar Disorder, Major Depressive Disorder, Psychotic Disorders.

atypical antipsychoticautistic disorderbipolar disorder

Pharmacy pays

From ~$0.87/30· 8 forms Save up to 21% in class
View details →
OTSUKA logo

rexulti

Boxed warning

PrescriptionFDA-sourced

New

Rexulti (Brexpiprazole) is an atypical antipsychotic used to treat Major Depressive Disorder, Schizophrenia.

atypical antipsychoticmajor depressive disorderschizophrenia

Price varies

View details →

rykindo

Boxed warning

PrescriptionFDA-sourced

New

Rykindo (Risperidone) is an atypical antipsychotic used to treat Autistic Disorder, Bipolar Disorder, Dementia, Tourette Syndrome.

atypical antipsychoticautistic disorderbipolar disorder

Pharmacy pays

From ~$1.07/30· 8 forms
View details →

secuado

Boxed warning

PrescriptionFDA-sourced

New

Secuado (Asenapine) is an atypical antipsychotic used to treat Bipolar Disorder, Schizophrenia.

atypical antipsychoticbipolar disorderschizophrenia

Pharmacy pays

From ~$69.80/30· 3 forms Save up to 97% in class
View details →

Frequently asked

What is the best atypical antipsychotic for schizophrenia?
By our independent recall-safety rating — not an efficacy measure — aristada ranks highest among Atypical Antipsychotic drugs used for schizophrenia. Always consult a professional.
Which atypical antipsychotic drugs treat schizophrenia?
pharmaranks lists 29 Atypical Antipsychotic products used for schizophrenia, per NIH RxClass drug-classification data — each independently rated and ranked above.
How are these ranked?
By our independent score, currently based on FDA regulatory recall-safety data (the methodology blends additional sources as they come online). See the How we rate page.