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Doctor insights on: Invega Sustenna Medication

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How long does it take for invega sustenna completely leave the system and lose its effectiveness? I read the half life ranged from 25 to 49 days.

How long does it take for invega sustenna completely leave the system and lose its effectiveness? I read the half life ranged from 25 to 49 days.

Long time: It roughly takes 5-6 half lives for a drug to be out of your system. Using this, after your last dose, you could expect it to take 50 to 300 days.
Factors that affect your rate include age, health, weight, metabolism etc. Discuss w/ your Dr and be patient. ...Read more

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I took 234mg monthly invega sustenna shots for 2 years. How would I go about tapering this to quit taking it?

I took 234mg monthly invega sustenna shots for 2 years. How would I go about tapering this to quit taking it?

Invega sustenna: Sir, you are on a maximum dose of a specific drug for a specific disorder, no one can tell you how to get off or taper without being evaluated by the prescriber, or having a second opinion by another specialist (psychiatrist) if you would, and it's your right. Cannot be decided on this platform, best wishes ...Read more

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I have been on invega sustenna for 6 months 234 MG monthly. I am going to stop taking it cold turkey due to side effects. What will happen to me????

I have been on invega sustenna for 6 months 234 MG monthly. I am going to stop taking it cold turkey due to side effects. What will happen to me????

The medication will: Taper out of your system over time. You are unlikely to experience an acute response to discontinuation however in the absence of something else to treat your schizophrenia or schizoaffective disorder you will most likely have a recurrence of your psychiatric symptoms. This decision is not one that should be taken lightly. Discuss this seriously with your health care professional before stopping. ...Read more

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Different between invega sustenna (paliperidone palmitate) injection and pills?

Different between invega sustenna (paliperidone palmitate) injection and pills?

Same medicine: But the form is different. The Sustenna is a shot that you take once a month. The pills you have to take every day. It is the same medicine though. If you had trouble swallowing pills, or remembering to take your medicine every day, the sustenna is a good choice because you just have to go to your doctor once a month for the shot. ...Read more

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Why does the injection site hurt after getting a shot of invega sustenna. My right shoulder is Painful if I use it.?

Why does the injection site hurt after getting a shot of invega sustenna. My right shoulder is Painful if I use it.?

Injection site react: Use an ice pack on your arm for 15-20 minutes and ibuprofen 800 or Tylenol to assist you in symptomatic relief. Stay calm and the reaction will subside as the drug is absorbed. Good luck to you and stay well. ...Read more

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Is 3mg of Invega Sustenna (paliperidone palmitate) a low dose?

Yes: Invega Sustenna (paliperidone palmitate) (monthly injectable form) ranges from 39mg - 234mg per month.

the tablet form of invega ranges from 1-12mg daily ...Read more

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Is 78 mg of Invega Sustenna (paliperidone palmitate) a low dose?

Is 78 mg of Invega Sustenna (paliperidone palmitate) a low dose?

Yes: Once the initial doses are completed, the monthly dose range is between 39 and 234 mg. The 78 mg dose is a low one. ...Read more

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What to do if invega sustenna (paliperidone palmitate) has messed up my memory? It also causes loss of coordination and balance

What to do if invega sustenna (paliperidone palmitate) has messed up my memory? It also causes loss of coordination and balance

Drug side effects: If you notice side effects from any medication, be sure to tell your prescribing doc and ask about/for alternatives & options. Of note, benzodiazepines like Klonopin (clonazepam) can also mess up memory & cause loss of coordination & balance. ...Read more

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Did nurse damage my shoulder? I got a high on the shoulder shot of invega sustenna. It was very painful. Was it in the bursa ligament tendon. 3 days

Did nurse damage my shoulder? I got a high on the shoulder shot of invega sustenna. It was very painful. Was it in the bursa ligament tendon. 3 days

Injection: There are known instances where a injection a vaccination given too proximal on the shoulder can cause rotator cuff problems if you were worried about this you should see an orthopedic surgeon ...Read more

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What happens if I mix alcohol with geodon and invega sustenna (paliperidone palmitate)?

What happens if I mix alcohol with geodon and invega sustenna (paliperidone palmitate)?

Adverse effects: You should not mix alcohol (as a general rule) with any medications. Discuss with your Doctor if you drink alcohol often and are taking theses meds with them. ...Read more

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The nurse gave me my invega sustenna shot near the acromion and the humerus. Using my arm leads to immense pain. Did she damage my shoulder? Heal?

The nurse gave me my invega sustenna shot near the acromion and the humerus. Using my arm leads to immense pain. Did she damage my shoulder? Heal?

See your doctor: I would go back to your doctor and nurse and explain your symptoms. You should be checked to see if you have any bleeding, infection or swelling that is causing your pain. If your symptoms worsen dramatically please go to a nearby ER or urgent care for evaluation. ...Read more

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It's been a month since my last invega sustenna (paliperidone palmitate) shot at 234mg. Now I just started geodon. What's the source of my akathisia?

It's been a month since my last invega sustenna (paliperidone palmitate) shot at 234mg. Now I just started geodon. What's the source of my akathisia?

Could be both: Both Invega Sustenna (paliperidone palmitate) and Geodon are classified as second generation antipsychotics. They are used to treat mood disorders and psychosis. One of the most common side effects of these medications is akathisia, which is a feeling of inner restlessness compelling the need to be in constant motion. Being on two of them can exacerbate this. Recommend discussing options for treatment with your doctor. ...Read more

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On 12mg invega. Will invega sustenna (paliperidone palmitate) make me less tired & hungry than the invega? It is really working but I've gained 30lbs & am really tired.

On 12mg invega. Will invega sustenna (paliperidone palmitate) make me less tired & hungry than the invega? It is really working but I've gained 30lbs & am really tired.

Talk w/ your doctor: You should discuss your concerns w/ your psychiatrist. Try to implement a healthy diet ; exercise regimen that has the approval of your doctors. Studies have shown that both Invega and Invega sustenna (paliperidone palmitate) cause weight gain. It is important that you take a more active role in your health. Cutting calories and regular exercise will help you control your weight. ...Read more

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I was misdiagnozed and took invega sustenna (paliperidone palmitate) for 3 months, I've stopped 3 months ago I still feel anhedonia how long it will take to feel better?

Unclear: It would be helpful if you clarified "anhedonia, " as well as what the incorrect and correct diagnoses were. Also what other medicines you might be taking, now. The anhedonic effects of this medicine are mild, and go away quickly -- with in day or at most weeks -- when it is stopped. ...Read more

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How different or same is the risperdal consta than invega sustenna (paliperidone palmitate)?

How different or same is the risperdal consta than invega sustenna (paliperidone palmitate)?

Very close.: Similar side effects and the same mechanism of action (effect in the brain). Consta delivers risperidone over 2 wks-your body breaks risperidone into the active ingredient in invega, so if you're on risperdal, you're already getting invega. Sustenna injections don't have to be given as often.

https://pro. Psychcentral. Com/long-acting-injectable-antipsychotics-a-primer/004332.html ...Read more

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Why do I still not have full pain free range of motion three months after deltoid 234 mg shot of invega sustenna? Right Shoulder cannot go up & left

Why do I still not have full pain free range of motion three months after deltoid 234 mg shot of invega sustenna? Right Shoulder cannot go up & left

Shoulder pain: If there has been no significant shoulder injury prior to your symptoms, you may have developed chronic deltoid tendonitis which may or may not be related to that injection. Either way it's time to see an orthopedic surgeon for diagnosis and treatment. ...Read more

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I am on invega sustenna (paliperidone palmitate) and I am so scatterbrained I can't remember anything and have memory lapses. Is this common side effect? Is there a remedy?

I am on invega sustenna (paliperidone palmitate) and I am so scatterbrained I can't remember anything and have memory lapses. Is this common side effect? Is there a remedy?

Possibly: Although rare, it can happen. It would be intersting to know the dose, I vega as well as clonazep. Are you overmedicated? Have u noticed a clear correlation starting the invega (paliperidone) and feeling the cognitive deterioration? If that's the case talk to your Dr. As he may have to adjust dose first, evaluate benefits vs risks and decide to keep you on it or not. ...Read more

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I took St. John's wort in effort to get the invega sustenna (paliperidone palmitate) out of my system but doesn't seem to be working. Restlessness is what I'm struggling with?

I took St. John's wort in effort to get the invega sustenna (paliperidone palmitate) out of my system but doesn't seem to be working. Restlessness is what I'm struggling with?

Agitation: It is common to feel agitated after you’ve discontinued Invega (paliperidone). The agitation may feel like overwhelming nervousness and/or internal excitation. Some people become irritable and/or restless due to the fact that they feel agitated. To cope with the agitation, you may want to consider exercise, relaxation. Quitting cold turkey may leave a person’s neurotransmission and nervous system in disarray. ...Read more

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What has more weight gain zyprexa or invega sustenna? Which is a more effective antipsychotic?

What has more weight gain zyprexa or invega sustenna? Which is a more effective antipsychotic?

Zyprexa--weight gain: First, both are very good antipsychotics. Invega Sustenna specifically is a long-acting shot. So it doesn't need to be taken daily. Invega is similar to Risperdal but developed to have fewer side effects for some people. Zyprexa comes in tablets and long-acting shots and works very well for many people. But, it is well known for causing significant weight gain in some people. ...Read more

Dr. Yun Tran Dr. Tran
1 doctor agreed:
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Does caffeine affect my meds geodon and invega sustenna (paliperidone palmitate)? I feel more anxious after all the caffeine effects wear out? More akathisia

Dr. Yun Tran Dr. Tran
1 doctor agreed:
Does caffeine affect my meds geodon and invega sustenna (paliperidone palmitate)? I feel more anxious after all the caffeine effects wear out? More akathisia

Quit caffeine: I advise avoiding caffeine. You may be getting caffeine withdrawal. If you could tough it out for a couple of weeks without caffeine, you won‘t be controlled by it. Meanwhile, talk to your doctor about what you are experiencing. ...Read more

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My wife weights 417 and has not had a menstrual cycle in over two years she is also on invega sustenna (paliperidone palmitate) what could be the problem weight are meds?

My wife weights 417 and has not had a menstrual cycle in over two years she is also on invega sustenna (paliperidone palmitate) what could be the problem weight are meds?

Either: Antipsychotics can affect the hormones that regulate cycles. Women who are very low weight or who exercise a lot can also stop menstruating. Blood tests of fsh, estradiol, tsh, and prolactin can help determine which is the cause. ...Read more

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My stools have gotten more mushy causing me to have to wipe many times which makes me in the bathroom too long. I am also on invega sustenna (paliperidone palmitate) etc.?

My stools have gotten more mushy causing me to have to wipe many times which makes me in the bathroom too long. I am also on invega sustenna (paliperidone palmitate) etc.?

Change diet: Stool consistency is generally related to diet, fluid intake and also to medication side effects. If you have noticed a significant change to a softer quality, check if you are eating more of anything that has laxative effects, more fiber, fruits, herbal teas, etc. If you are not sure, you can consult a dietist. Same way, check with your prescriber if any of your meds could be the cause. ...Read more

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Does invega sustenna (paliperidone palmitate) zyprexa cause hypothyroidism.?

Does invega sustenna (paliperidone palmitate) zyprexa cause hypothyroidism.?

Maybe-if weight gain: Invega Sustenna (paliperidone palmitate) & Zyprexa are different, used for same diagnoses. Thyroid dysfunction may be common in major psychiatric conditions so difficult to establish causality. There are look-back reviews indicating possibility of these medications affecting thyroid state; getting thyroid panel before starting either drug is a good idea (to rule out pre-existing thyroid problem).Weight gain can be related. ...Read more

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On invega sustenna (paliperidone palmitate) and experiencing memory loss and tiredness among other side effects. Can/should I change to geodon?

On invega sustenna (paliperidone palmitate) and experiencing memory loss and tiredness among other side effects. Can/should I change to geodon?

Invega Sustenna (paliperidone palmitate) and: Geodon (ziprasidone) have similar side effect profiles though different individuals may experience them differently. It is best to work closely with your prescriber re medication choice. Lifestyle measures and therapy can help improve psychiatric conditions and overcome side effects (which often diminish or disappear with continued medication use). Best regards. ...Read more

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Will I have trouble sleeping if I switch from zyprexa to the invega sustenna shot? Zyprexa is extremely sedating and invega sustenna is not at all.

Will I have trouble sleeping if I switch from zyprexa to the invega sustenna shot? Zyprexa is extremely sedating and invega sustenna is not at all.

Med change question: Very common to lower dose or switch med when sedation is excessive. If you're sleeping less on the new med, especially during the day, you're likely to be more active and your sleep may improve. Be sure you are seen regularly by prescribing doc to monitor your sleep and overall well-being as you switch to invega sustenna. Sounds like you're doing the right thing! I hope this helps. Best wishes. ...Read more

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Why has my nose looked more pushed up these days? Like a pig nose. It used to be normal but I am on Zyprexa and now invega sustenna (paliperidone palmitate). Is it possible

Why has my nose looked more pushed up these days? Like a pig nose. It used to be normal but I am on Zyprexa and now invega sustenna (paliperidone palmitate). Is it possible

No, need monitoring: Never heard or seen about this "pushed nose" side effect but I hope you are watching your diet and weight as well as your psychiatrist/primary care doctor is monitoring you for possible metabolic side effect of these 2 medications. ...Read more