Invega

Schizophrenia, Schizoaffective Disorder, Antidepressants + 3 more

Treatment

20 Active Studies for Invega

What is Invega

Paliperidone

The Generic name of this drug

Treatment Summary

Paliperidone is a drug used to treat schizophrenia. It works by blocking signals from dopamine, serotonin, and other neurotransmitters in the brain. Paliperidone was approved by the FDA in 2006 and is available in tablet form or as an injection given once a month or every three months.

Invega

is the brand name

image of different drug pills on a surface

Invega Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Invega

Paliperidone

2006

81

Effectiveness

How Invega Affects Patients

Paliperidone is an antipsychotic medication developed by Janssen Pharmaceutica. It is made from the same active ingredient as the older antipsychotic risperidone. How it works is still not clear, but it is thought to work in a similar way to risperidone.

How Invega works in the body

Paliperidone is the active part of a drug used to treat schizophrenia. We don't know exactly how it works, but research suggests that it blocks the effects of dopamine and serotonin on the brain. Blocking these chemicals helps to reduce the symptoms of schizophrenia.

When to interrupt dosage

The proposed dosage of Invega is contingent upon the determined condition, like Therapeutic procedure, Schizophrenia and Mood stabilizing agents. The amount of dosage is subject to the technique of delivery listed in the table beneath.

Condition

Dosage

Administration

Schizophrenia

, 6.0 mg, 3.0 mg, 1.5 mg, 9.0 mg, 75.0 mg, 100.0 mg, 50.0 mg, 150.0 mg, 12.0 mg, 25.0 mg, 175.0 mg, 263.0 mg, 350.0 mg, 525.0 mg, 390.0 mg/mL, 780.0 mg/mL, 1170.0 mg/mL, 156.0 mg/mL, 234.0 mg/mL, 2730.0 mg/mL, 410.0 mg/mL, 546.0 mg/mL, 819.0 mg/mL, 750.0 mg/mL, 150.0 mg/mL, 1.5 mg/mg, 100.0 mg/mL, 500.0 mg/mL, 250.0 mg/mL, 263.0 mg/mL, 350.0 mg/mL, 525.0 mg/mL, 1750.0 mg/mL, 700.0 mg/mL, 1000.0 mg/mL, 1092.0 mg/mL, 1560.0 mg/mL

Oral, , Tablet, extended release - Oral, Tablet, extended release, Intramuscular, Suspension, extended release, Suspension, extended release - Intramuscular, Injection, suspension, extended release, Injection, suspension, extended release - Intramuscular, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Injection, Injection - Intramuscular

Schizoaffective Disorder

, 6.0 mg, 3.0 mg, 1.5 mg, 9.0 mg, 75.0 mg, 100.0 mg, 50.0 mg, 150.0 mg, 12.0 mg, 25.0 mg, 175.0 mg, 263.0 mg, 350.0 mg, 525.0 mg, 390.0 mg/mL, 780.0 mg/mL, 1170.0 mg/mL, 156.0 mg/mL, 234.0 mg/mL, 2730.0 mg/mL, 410.0 mg/mL, 546.0 mg/mL, 819.0 mg/mL, 750.0 mg/mL, 150.0 mg/mL, 1.5 mg/mg, 100.0 mg/mL, 500.0 mg/mL, 250.0 mg/mL, 263.0 mg/mL, 350.0 mg/mL, 525.0 mg/mL, 1750.0 mg/mL, 700.0 mg/mL, 1000.0 mg/mL, 1092.0 mg/mL, 1560.0 mg/mL

Oral, , Tablet, extended release - Oral, Tablet, extended release, Intramuscular, Suspension, extended release, Suspension, extended release - Intramuscular, Injection, suspension, extended release, Injection, suspension, extended release - Intramuscular, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Injection, Injection - Intramuscular

Mood stabilizing agents

, 6.0 mg, 3.0 mg, 1.5 mg, 9.0 mg, 75.0 mg, 100.0 mg, 50.0 mg, 150.0 mg, 12.0 mg, 25.0 mg, 175.0 mg, 263.0 mg, 350.0 mg, 525.0 mg, 390.0 mg/mL, 780.0 mg/mL, 1170.0 mg/mL, 156.0 mg/mL, 234.0 mg/mL, 2730.0 mg/mL, 410.0 mg/mL, 546.0 mg/mL, 819.0 mg/mL, 750.0 mg/mL, 150.0 mg/mL, 1.5 mg/mg, 100.0 mg/mL, 500.0 mg/mL, 250.0 mg/mL, 263.0 mg/mL, 350.0 mg/mL, 525.0 mg/mL, 1750.0 mg/mL, 700.0 mg/mL, 1000.0 mg/mL, 1092.0 mg/mL, 1560.0 mg/mL

Oral, , Tablet, extended release - Oral, Tablet, extended release, Intramuscular, Suspension, extended release, Suspension, extended release - Intramuscular, Injection, suspension, extended release, Injection, suspension, extended release - Intramuscular, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Injection, Injection - Intramuscular

Antidepressants

, 6.0 mg, 3.0 mg, 1.5 mg, 9.0 mg, 75.0 mg, 100.0 mg, 50.0 mg, 150.0 mg, 12.0 mg, 25.0 mg, 175.0 mg, 263.0 mg, 350.0 mg, 525.0 mg, 390.0 mg/mL, 780.0 mg/mL, 1170.0 mg/mL, 156.0 mg/mL, 234.0 mg/mL, 2730.0 mg/mL, 410.0 mg/mL, 546.0 mg/mL, 819.0 mg/mL, 750.0 mg/mL, 150.0 mg/mL, 1.5 mg/mg, 100.0 mg/mL, 500.0 mg/mL, 250.0 mg/mL, 263.0 mg/mL, 350.0 mg/mL, 525.0 mg/mL, 1750.0 mg/mL, 700.0 mg/mL, 1000.0 mg/mL, 1092.0 mg/mL, 1560.0 mg/mL

Oral, , Tablet, extended release - Oral, Tablet, extended release, Intramuscular, Suspension, extended release, Suspension, extended release - Intramuscular, Injection, suspension, extended release, Injection, suspension, extended release - Intramuscular, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Injection, Injection - Intramuscular

Therapeutic procedure

, 6.0 mg, 3.0 mg, 1.5 mg, 9.0 mg, 75.0 mg, 100.0 mg, 50.0 mg, 150.0 mg, 12.0 mg, 25.0 mg, 175.0 mg, 263.0 mg, 350.0 mg, 525.0 mg, 390.0 mg/mL, 780.0 mg/mL, 1170.0 mg/mL, 156.0 mg/mL, 234.0 mg/mL, 2730.0 mg/mL, 410.0 mg/mL, 546.0 mg/mL, 819.0 mg/mL, 750.0 mg/mL, 150.0 mg/mL, 1.5 mg/mg, 100.0 mg/mL, 500.0 mg/mL, 250.0 mg/mL, 263.0 mg/mL, 350.0 mg/mL, 525.0 mg/mL, 1750.0 mg/mL, 700.0 mg/mL, 1000.0 mg/mL, 1092.0 mg/mL, 1560.0 mg/mL

Oral, , Tablet, extended release - Oral, Tablet, extended release, Intramuscular, Suspension, extended release, Suspension, extended release - Intramuscular, Injection, suspension, extended release, Injection, suspension, extended release - Intramuscular, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Injection, Injection - Intramuscular

Therapeutic procedure

, 6.0 mg, 3.0 mg, 1.5 mg, 9.0 mg, 75.0 mg, 100.0 mg, 50.0 mg, 150.0 mg, 12.0 mg, 25.0 mg, 175.0 mg, 263.0 mg, 350.0 mg, 525.0 mg, 390.0 mg/mL, 780.0 mg/mL, 1170.0 mg/mL, 156.0 mg/mL, 234.0 mg/mL, 2730.0 mg/mL, 410.0 mg/mL, 546.0 mg/mL, 819.0 mg/mL, 750.0 mg/mL, 150.0 mg/mL, 1.5 mg/mg, 100.0 mg/mL, 500.0 mg/mL, 250.0 mg/mL, 263.0 mg/mL, 350.0 mg/mL, 525.0 mg/mL, 1750.0 mg/mL, 700.0 mg/mL, 1000.0 mg/mL, 1092.0 mg/mL, 1560.0 mg/mL

Oral, , Tablet, extended release - Oral, Tablet, extended release, Intramuscular, Suspension, extended release, Suspension, extended release - Intramuscular, Injection, suspension, extended release, Injection, suspension, extended release - Intramuscular, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Injection, Injection - Intramuscular

Warnings

There are 20 known major drug interactions with Invega.

Common Invega Drug Interactions

Drug Name

Risk Level

Description

Abemaciclib

Major

The serum concentration of Abemaciclib can be increased when it is combined with Paliperidone.

Acepromazine

Major

Paliperidone may increase the orthostatic hypotensive, hypotensive, and antihypertensive activities of Acepromazine.

Alfuzosin

Major

Paliperidone may increase the hypotensive activities of Alfuzosin.

Amisulpride

Major

Paliperidone may increase the antipsychotic activities of Amisulpride.

Aripiprazole lauroxil

Major

Paliperidone may increase the orthostatic hypotensive, hypotensive, and antihypertensive activities of Aripiprazole lauroxil.

Invega Toxicity & Overdose Risk

Overdosing on this drug may lead to confusion, seizures, or spasms of the head and neck, which could increase the risk of inhaling vomit if emesis is induced.

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Invega Novel Uses: Which Conditions Have a Clinical Trial Featuring Invega?

221 active clinical trials are currently in progress to evaluate the potential of Invega for Schizoaffective Disorder, Schizophrenia and Mood stabilizing agent therapy.

Condition

Clinical Trials

Trial Phases

Therapeutic procedure

0 Actively Recruiting

Schizophrenia

97 Actively Recruiting

Phase 3, Not Applicable, Early Phase 1, Phase 4, Phase 1, Phase 2

Mood stabilizing agents

0 Actively Recruiting

Schizoaffective Disorder

43 Actively Recruiting

Phase 4, Phase 1, Phase 2, Not Applicable, Phase 3

Antidepressants

0 Actively Recruiting

Therapeutic procedure

0 Actively Recruiting

Invega Reviews: What are patients saying about Invega?

5

Patient Review

5/9/2019

Invega for Bipolar I Disorder with Most Recent Episode Mixed

Though it effectively treats mania, I hope to stop taking this medication soon because of the side effects that come with it.

5

Patient Review

4/14/2020

Invega for Schizophrenia

This medication has been effective in keeping my voices at bay. I found coupons for it online that made it much more affordable.

5

Patient Review

8/11/2022

Invega for Bipolar Disorder in Remission

I receive a monthly injection of Invega for bipolar disorder with psychosis, and it has been excellent for me! I can think more clearly and feel more positive about myself. As for the weight gain, I find myself hungry every couple hours, but I eat healthy and drink a lot of water. Great medication that has changed my life.

4

Patient Review

8/7/2015

Invega for Schizophrenia

The weight gain is really the only downside to this medication; other than that, it's quite good.

4

Patient Review

1/18/2022

Invega for Schizophrenia With Mood Changes

Invegga successfully cured my delusions and psychotic behavior. However, I have noted several side effects including lack of motivation, excessive sleeping, increased appetite, and weight gain. Additionally, I experience anxiety and dizziness frequently.

3.7

Patient Review

4/20/2017

Invega for Bipolar Depression

Invega did a great job of stopping my delusional thoughts and psychosis. However, I gained 80 pounds in just six months from the shot. I know this for sure because I stopped taking the pill before and lost 40 pounds--so it's definitely the Invega that caused the weight gain. Hopefully I can try something else soon that will be more effective.

3

Patient Review

3/25/2018

Invega for Bipolar Depression

I've been on this medication for a week now, and I'm not sure how much longer I'll continue taking it. I came off of Risperdal because I gained 40lbs in two months, and while Invaga 3mg hasn't caused me to gain as much weight, I am starting to feel suffocated when I sleep.

3

Patient Review

9/23/2021

Invega for Schizophrenia

I would say that this drug is effective more often than not. It's helped me for seven years now.

2.3

Patient Review

9/12/2016

Invega for Schizophrenia

I would not want this drug anywhere near me. I'm pretty sure it destroyed my ability to orgasm and caused severe anxiety with uncontrolled movements, etc. Only when I stopped taking the drug and it had a chance to exit my system did the anxiety subside! I feel like my brain has been re-wired, having zero interest in sex, or possibly even being able to reach climax impossible. Yes, it did help with hallucinations, but NOT WORTH IT IN MY BOOK!

1

Patient Review

9/22/2022

Invega for Schizophrenia

My brother was given this shot and ended up in the ICU. He now has to learn how to walk again. This drug is incredibly dangerous and needs to be recalled immediately.

1

Patient Review

1/27/2021

Invega for Schizophrenia

Invega is NOT effective, and made me feel incredibly lazy. I would advise against taking this drug, based on my experience.

1

Patient Review

10/29/2019

Invega for Schizophrenia

Invega caused me to gain 65lbs, and I now have high cholesterol, extremely high triglycerides, high liver enzymes, high blood pressure, high Prolactin, and prediabetes. In 2 1/2 years I was never told about my blood work nor was I refered to my primary care physician until I was at "very high risk of a stroke or heart attack at any moment".

1

Patient Review

5/30/2021

Invega for Bipolar Depression

I absolutely hated this drug. It made me feel terrible and I crashed my truck while on it. Northern Human Services in Conway, NH forced me to take it and I would strongly recommend against it.

1

Patient Review

6/19/2022

Invega for Additional Medications to Treat Depression

This shot is the worst. It gave me depression and anxiety, and I exchanged one illness for another. I had voices before, but now I have full-blown depression and anxiety. I'm glad I'm getting off this medication because it is terrible.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about invega

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What does INVEGA do to the brain?

"Invega is designed to correct the imbalance of certain neurotransmitters in the brain, specifically dopamine and serotonin. Its chemical structure is similar to Risperdal's, but it often produces fewer extrapyramidal side effects (tremor, stiffness, etc.)."

Answered by AI

How does INVEGA make you feel?

"Avoid becoming overheated or dehydrated in hot weather or during exercise.

If you are taking INVEGA®, you may feel dizzy, sleepy, or less alert. Be careful when driving or operating machinery until you know how this medicine will affect you. You may be more sensitive to heat while taking this medication. Avoid overheating or becoming dehydrated in hot weather or during exercise."

Answered by AI

What is the drug INVEGA used for?

"Paliperidone is a medication that works in the brain by restoring the balance of dopamine and serotonin. This improves thinking, mood, and behavior in people with schizophrenia and schizoaffective disorder."

Answered by AI

What does INVEGA do to a normal person?

"Invega is a medication that helps restore the balance of certain neurotransmitters in the brain. Invega specifically affects dopamine and serotonin. It is similar to Risperdal in how it works, but often has fewer side effects."

Answered by AI

What are the side effects of taking INVEGA?

"The following side effects may occur: drowsiness, dizziness, lightheadedness, drooling, stomach/abdominal pain, weight gain, or tiredness. If you experience any of these side effects, talk to your doctor. Dizziness and lightheadedness can make you more likely to fall. To avoid falling, get up slowly when you stand up from a sitting or lying position."

Answered by AI

Clinical Trials for Invega

Image of The University of Iowa in Iowa City, United States.

fMRI for Cognitive Flexibility

18 - 35
All Sexes
Iowa City, IA

The goal of this basic experimental research study is to examine how the human thalamus supports flexible thinking and behavior. Specifically, the research aims to elucidate how the mediodorsal (MD) thalamus encodes and updates "context"-the mental framework that determines which rules or actions are relevant in a given situation. This work may contribute to understanding why certain psychiatric conditions, such as schizophrenia and ADHD, involve difficulties with cognitive flexibility and control. The primary research questions are: Does the MD thalamus represent the context that organizes how working memory guides task selection? Does the MD thalamus signal when context needs to be updated after a change in task demands? Do these thalamic representations support generalization to new situations or rules? Participants will complete cognitive tasks while undergoing high-resolution brain imaging using 7-Tesla MRI. The investigators will combine behavioral data, computational modeling, and advanced neuroimaging analyses to examine how the thalamus interacts with the cortex during flexible decision-making.

Waitlist Available
Has No Placebo

The University of Iowa

Image of Mayo Clinic in Rochester, United States.

Weight Loss Medications for Obesity in Bipolar Disorder

18 - 65
All Sexes
Rochester, MN

The goal of this clinical trial is to identify the specific characteristics (phenotypes) that may be useful to help select the right medication for weight loss, and to study the effect of individualized guided medication in patients with bipolar disorder ages 18-65. The main questions it aims to answer are: * Can the investigators compare the distribution of obesity characteristics (hungry brain, hungry gut, emotional hunger) between bipolar patients and non-bipolar participants (comparing from IRB #24-002375)? * Can the investigators evaluate the feasibility of anti-obesity medication (AOM) in patients with bipolar disorder? Participation will last for about 17-18 weeks and includes 7 in-person study visits, 4 phone call visits, and 12 virtual group therapy sessions. The first visit lasts about 2 hours and includes going over the informed consent form, a diagnostic interview to confirm diagnosis, gathering vital signs, mood questionnaires, an ECG, and urine drug and pregnancy tests (if applicable). The second visit lasts about 6-7 hours and involves multiple procedures and completing questionnaires to determine which study drug would allow participants to lose weight most effectively. At the third visit, participants will be assigned to take one of three FDA approved medications for weight loss: Semaglutide (Wegovy®), Naltrexone/Bupropion (Contrave®), or Phentermine/Topiramate (Qysmia®). It is possible that participants could be assigned to a group that receives no study medication. All participants will be enrolled in a 12-week virtual group therapy program targeted for weight loss. On this third visit the investigators will also gather vital signs, and participants will give a sample of blood. After the third visit, participants will come in for study visits every 4 weeks for 16 weeks (4 visits) to assess medication adherence, vitals, and answer questions about mood and eating (participants will also give a sample of blood at the 8-week and 16-week visits). Every two weeks in between in-person visits, the study team will call participants to assess medication adherence. Participants will be compensated for time spent in this study.

Phase 4
Waitlist Available

Mayo Clinic

Mark A Frye, M.D.

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Emraclidine for Schizophrenia

18 - 65
All Sexes
Little Rock, AR

Schizophrenia is a common and severe psychiatric illness characterized by extreme disturbances of cognition and thought, affecting language, perception and sense of self. This study will assess adverse events, change in disease activity, and how oral emraclidine moves through the body in adult participants with schizophrenia Emraclidine is an investigational drug being developed for the treatment of schizophrenia. Participants are placed in one of two parts, Part A or Part B, where each group will receive a different treatment. Participants will receive either oral emraclidine or placebo. Approximately 258 participants will be enrolled across roughly 32 sites in the United States. Participants in Part A will be assigned to one of multiple ascending doses of emraclidine or placebo administered orally for 14 days or up to 21 days. Participants in Part B will receive Emraclidine or placebo administered orally for up to 42 days. Participants will be followed for 30 days after the last dose of the study drug. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Phase 2
Recruiting

Woodland International Research Group /ID# 275747 (+6 Sites)

ABBVIE INC.

AbbVie

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iTEST for Psychosis

18 - 65
All Sexes
San Diego, CA

The purpose of this study is to evaluate the effectiveness of a psychosocial intervention called iTEST for people with psychotic disorders that targets introspective accuracy, or the ability to accurately gauge ones abilities. iTEST combines daily cognitive training on a mobile device with coaching that addresses recovery goals. In this trial, we will randomize people to one of two interventions conditions, iTEST or a control condition that receives coaching and cognitive training that does not emphasize introspective accuracy. Both interventions will take place over 12 weeks and participants will be asked to complete assessments at baseline, 6 weeks, 12 weeks, and 24 weeks. The primary outcome of the study is community functioning. Participants will be from three metropolitan areas: San Diego, Dallas, or Miami.

Recruiting
Has No Placebo

UC San Diego (+2 Sites)

Amy Pinkham, PhD

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