Invega Sustenna

Schizophrenia, Schizoaffective Disorder, Antidepressants + 3 more

Treatment

20 Active Studies for Invega Sustenna

What is Invega Sustenna

Paliperidone

The Generic name of this drug

Treatment Summary

Paliperidone is a medication used to treat schizophrenia. It works similarly to risperidone, by blocking dopamine and serotonin receptors in the brain. Paliperidone can also block other receptors, such as alpha 1 and alpha 2 adrenergic receptors and H1 histaminergic receptors. It was approved by the FDA in 2006 and can be taken in either pill form, a monthly injection, a three-month injection, or a six-month injection.

Invega

is the brand name

image of different drug pills on a surface

Invega Sustenna Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Invega

Paliperidone

2006

81

Effectiveness

How Invega Sustenna Affects Patients

Paliperidone is an antipsychotic drug developed by Janssen Pharmaceutica. It is chemically similar to the older antipsychotic drug risperidone. The exact way that paliperidone works is not known, but it is thought to work in a similar way to risperidone.

How Invega Sustenna works in the body

Paliperidone is a medication used to treat schizophrenia. We don't know exactly how it works, but it likely has something to do with blocking dopamine and serotonin receptors in the brain.

When to interrupt dosage

The measure of Invega Sustenna is contingent upon the diagnosed affliction, including Therapeutic procedure, Schizophrenia and Mood stabilizing agents. The magnitude of dosage shifts as per the method of delivery featured 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 Sustenna.

Common Invega Sustenna 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 Sustenna Toxicity & Overdose Risk

Overdosing on Sinemet can cause confusion, seizures, or abnormal movements of the head and neck, which may increase the risk of inhaling vomit when attempting to induce vomiting.

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

221 active studies are being conducted to examine the capacity of Invega Sustenna to provide relief for Schizoaffective Disorder, Schizophrenia and Mood Stabilizing Agents.

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 Sustenna Reviews: What are patients saying about Invega Sustenna?

4.3

Patient Review

5/26/2022

Invega Sustenna for Schizophrenia

No negative effects that I experienced. To be honest, it didn't completely stop the delusions, but I am satisfied overall.

4

Patient Review

2/19/2021

Invega Sustenna for Schizophrenia

I was diagnosed with schizophrenia a few years ago and have been taking Invega for several months. It's helped me a lot, though I have put on quite a bit of weight since starting the medication.

3.7

Patient Review

7/12/2020

Invega Sustenna for Schizophrenia

I was on this medication for over a year and felt amazing. But then, suddenly, it stopped working. I've tried other medications since, but nothing has given me the same results that this drug did. Has anyone else experienced something similar?

2.7

Patient Review

1/27/2021

Invega Sustenna for Schizophrenia With Mood Changes

This medication caused me to gain weight and messed with my prolactin levels, which then led to even more health problems down the road. I don't recommend it to anyone.

2

Patient Review

10/13/2022

Invega Sustenna for Schizophrenia

The side effects of this medication were really terrible. I was given Invega Sustenna 150mg, and it caused me to have head tremors and almost spasms. My speech was slurred, and I had difficulty carrying on a conversation. My memory has also been impacted negatively, and I haven't seen any improvement even after being off the medication for two months.

1.7

Patient Review

3/17/2022

Invega Sustenna for Schizophrenia

The monthly 100mg dose really messed with my head. I felt disconnected from myself and the world around me. I also gained a lot of weight, had trouble sleeping, and lost all interest in sex. Worst experience ever.

1

Patient Review

2/27/2021

Invega Sustenna for Schizophrenia

I've been miserable since beginning this treatment. I often experience mental blanks where I can't think of anything, or else my thoughts are very impoverished. I have no emotions and am always restless. In addition, I've gained weight and lost my sex drive. Finally, my memory, focus, concentration, and learning have all suffered.

1

Patient Review

9/3/2022

Invega Sustenna for Schizophrenia

There are no benefits to this treatment, and the side effects are numerous. I stopped using it over a year ago and I'm still experiencing problems.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about invega sustenna

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

What does INVEGA SUSTENNA do?

"This drug is used to treat mental/mood disorders such as schizophrenia and schizoaffective disorder. Paliperidone is an antipsychotic drug of the atypical type. Its mechanism of action is based on restoring the balance of certain neurotransmitters in the brain."

Answered by AI

What are some common side effects with INVEGA SUSTENNA?

"The most common side effects of INVEGA SUSTENNA® are: reactions at the injection site; sleepiness or drowsiness; dizziness; feeling of inner restlessness or needing to be constantly moving; abnormal muscle movements, including tremor (shaking), shuffling, uncontrolled involuntary movements, and abnormal movements of your..."

Answered by AI

How long does an invega shot last?

"Invega Sustenna is a long-acting injectable formulation of paliperidone that provides coverage for 4 weeks."

Answered by AI

How often is INVEGA SUSTENNA given?

"The recommended amount of INVEGA SUSTENNA to start with is 234 mg on the first day of treatment, then 156 mg one week later. After the second initial dose, monthly maintenance doses can be given in the deltoid muscle or the gluteal muscle."

Answered by AI

Clinical Trials for Invega Sustenna

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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