Invega Sustenna善思達

Invega Sustenna

paliperidone

Manufacturer:

Janssen

Distributor:

DCH Auriga - Healthcare
/
Four Star
Concise Prescribing Info
Contents
Paliperidone palmitate
Indications/Uses
Schizophrenia in adults. Schizoaffective disorder in adults as monotherapy & as an adjunct to mood stabilizers or antidepressants.
Dosage/Direction for Use
IM Initially 150 mg on treatment day 1 & 100 mg 1 wk later, both administered in the deltoid muscle. Following 2nd initiation dose, mthly maintenance dose can be administered in either deltoid or gluteal muscle. Recommended maintenance dose: 75 mg; may be adjusted w/in the recommended range of 50-150 mg based on individual patient tolerability &/or efficacy. Adjustment may be made mthly.
Contraindications
Hypersensitivity to paliperidone or risperidone.
Special Precautions
Increased mortality in elderly patients w/ dementia-related psychosis. Cerebrovascular adverse events, including stroke, in elderly patients w/ dementia-related psychosis. Discontinue treatment if neuroleptic malignant syndrome or tardive dyskinesia occurs. Avoid in combination w/ drugs that prolong QTc, patients w/ congenital QT syndrome or history of cardiac arrhythmias. Monitor for metabolic changes (hyperglycemia, DM & wt gain). Hyperprolactinemia. Monitor orthostatic vital signs in patients vulnerable to hypotension. Reports of somnolence, postural hypotension, motor & sensory instability. Leukopenia, neutropenia & agranulocytosis. Use cautiously in patients w/ history of seizures or w/ conditions that lower seizure threshold; in patients at risk for aspiration pneumonia. Patients w/ Parkinson's disease or dementia w/ Lewy bodies can experience increased sensitivity to Invega Sustenna. Priapism. Conditions that contribute to core body temp elevation or dehydration. Avoid inj into a blood vessel. Moderate to severe renal impairment (CrCl <50 mL/min). Use caution when performing activities requiring mental alertness. Pregnancy & lactation. Childn <18 yr. Elderly.
Adverse Reactions
Inj site reactions, somnolence/sedation, dizziness, akathisia, extrapyramidal disorder.
Drug Interactions
Additive effect w/ drugs that may cause orthostatic hypotension (eg, nitrates, antihypertensive medicines). Decreased exposure w/ strong inducers of both CYP3A4 & P-gp (eg, carbamazepine, rifampin, or St John's wort). Antagonized effect of levodopa & other dopamine agonist.
MIMS Class
Antipsychotics
ATC Classification
N05AX13 - paliperidone ; Belongs to the class of other antipsychotics.
Presentation/Packing
Form
Invega Sustenna pre-filled inj 50 mg
Packing/Price
1's
Form
Invega Sustenna pre-filled inj 75 mg
Packing/Price
1's
Form
Invega Sustenna pre-filled inj 100 mg
Packing/Price
1's
Form
Invega Sustenna pre-filled inj 150 mg
Packing/Price
1's
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