Paliperidone

Schizophrenia, Schizoaffective Disorder, Antidepressants + 3 more

Treatment

20 Active Studies for Paliperidone

What is Paliperidone

Paliperidone

The Generic name of this drug

Treatment Summary

Paliperidone is a medication used to treat schizophrenia. It is a metabolite of risperidone, but the exact mechanism of action is unknown. Paliperidone works by blocking dopamine, serotonin, and other receptors in the brain that are associated with schizophrenia. It was approved by the FDA in 2006 and is available in tablet form, as a once-monthly injection, an every-three-month injection, and a twice-yearly gluteal injection.

Invega

is the brand name

image of different drug pills on a surface

Paliperidone Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Invega

Paliperidone

2006

81

Effectiveness

How Paliperidone Affects Patients

Paliperidone is an antipsychotic medicine created by Janssen Pharmaceutica. It is a modified form of the older antipsychotic drug risperidone. The exact way it works is not known, but it is thought to work in a similar way as risperidone.

How Paliperidone works in the body

Paliperidone is the active form of risperidone. The exact way it works to treat schizophrenia is not known, but it is thought to be due to blocking two different types of receptors in the brain: dopamine type 2 and serotonin type 2.

When to interrupt dosage

The recommended measure of Paliperidone is contingent on the identified circumstance, such as Therapeutic procedure, Schizophrenia and Mood stabilizing agents. The dosage will differ depending on the technique of delivery featured in the table below.

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 Paliperidone.

Common Paliperidone 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.

Paliperidone Toxicity & Overdose Risk

Taking too much of this medication may lead to confusion, seizures, or uncontrollable movements in the head and neck. These side effects could cause someone to choke if they vomit after taking an overdose.

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

221 active studies are currently assessing the potential of Paliperidone to provide relief of Schizoaffective Disorder, Schizophrenia and Mood stabilizing effects.

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

Paliperidone Reviews: What are patients saying about Paliperidone?

5

Patient Review

9/24/2017

Paliperidone for Schizophrenia With Mood Changes

Out of all the antipsychotics I've tried, this one has been the most effective for me. I don't experience hallucinations as often and my mood is stable. The worst side effect is the flat affect but it's manageable. Overall, I would say this is the best option out there.

4.7

Patient Review

5/10/2012

Paliperidone for Schizophrenia With Mood Changes

This treatment effectively removed my headache and the associated dizziness.

4.3

Patient Review

2/23/2017

Paliperidone for Schizophrenia With Mood Changes

I did experience some weight gain and dry mouth while on this medication. However, it was worth it because I was finally able to get up in the morning without feeling exhausted.

4

Patient Review

12/22/2013

Paliperidone for Schizophrenia

This medication has helped me a lot. I've tried other meds in the past (e.g. risperidone), but they didn't work as well for me. This combination of medications has allowed me to feel better and think more positively.

4

Patient Review

12/10/2008

Paliperidone for Manic-Depression

I think it's helped me lose weight and I don't have as much muscle fatigue. I also don't talk to myself as much, which is a plus!

3.7

Patient Review

9/22/2008

Paliperidone for Mania associated with Bipolar Disorder

My son was given this medication and it caused some very concerning side effects. He was extremely hyper and then the complete opposite - shaking and drowsy. We had to stop giving it to him.

3.3

Patient Review

10/23/2007

Paliperidone for Additional Medications to Treat Depression

3.3

Patient Review

5/30/2008

Paliperidone for Bipolar I Disorder with Most Recent Episode Mixed

3.3

Patient Review

5/30/2016

Paliperidone for Psychosis caused by a Disease

I experienced some negative side effects while taking this medication, including mood changes, headaches, dizziness, and weakness.

1

Patient Review

4/15/2019

Paliperidone for Additional Medications to Treat Depression

I've found this medication to be totally life-changing in the best way possible.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about paliperidone

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

What does paliperidone do to the brain?

"Paliperidone helps to treat schizophrenia by blocking the receptors for the neurotransmitters dopamine and serotonin. By doing this, it helps to normalise the activity of the brain and reduce symptoms."

Answered by AI

What is paliperidone used to treat?

"This medication is used to treat the symptoms of mental disorders such as schizophrenia. It can also be used by itself or with other medications to treat patients with schizoaffective disorder. Do not give this medicine to elderly patients who have dementia and are exhibiting behavioral problems."

Answered by AI

What are side effects of paliperidone?

"The following are side effects that may occur when you receive a vaccine: pain, swelling, or redness at the injection site; extreme tiredness; dizziness, feeling unsteady, or having trouble keeping your balance; restlessness; agitation; headache; dry mouth; or weight gain."

Answered by AI

What happens when you take paliperidone?

"Paliperidone belongs to a class of drugs called atypical antipsychotics.

This drug is used to treat mental and mood disorders such as schizophrenia and schizoaffective disorder. It can help to decrease hallucinations, think more clearly and positively, feel less agitated, and take a more active part in everyday life. Paliperidone belongs to a class of drugs known as atypical antipsychotics."

Answered by AI

Clinical Trials for Paliperidone

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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

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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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