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Doctor insights on: Sustenna Paliperidone Palmitate

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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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I read online that invega sustennas (paliperidone palmitate) half life is 29 to 49 days. If I was injected with 234mg I will need 49*5=245 days to clear out of my system?

I read online that invega sustennas (paliperidone palmitate) half life is 29 to 49 days. If I was injected with 234mg I will need 49*5=245 days to clear out of my system?

Likely 30 days: It depends on your individual metabolism, liver and mostly kidney function. In general conditions, no matter the dose, it will likely take an average of 30 days for Invega (paliperidone) Sustena to clear from your system. ...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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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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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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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

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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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

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AM on invega sustenna (paliperidone palmitate). Also anal fissure last year. Why do I often smell out of butt. Sometimes diet causes bad stool and I have to keep wiping?

AM on invega sustenna (paliperidone palmitate). Also anal fissure last year. Why do I often smell out of butt. Sometimes diet causes bad stool and I have to keep wiping?

Proctologist: In view of the frequency of your anal problems it would be best to be evaluated and treated by a proctologist or a colonrectal SURGEON and be put on a steady regimen with follow-up visits as well. Dietary advice for your bowel problems can also be addressed by these specialists. ...Read more

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How will I know what caused my hypothyroidism? I was on seroquel and that can cause it. Now on geodon and invega sustenna (paliperidone palmitate) before that. Was healthy b4

How will I know what caused my hypothyroidism? I was on seroquel and that can cause it. Now on geodon and invega sustenna (paliperidone palmitate) before that. Was healthy b4

Before you? Why...: Get this treated! Especially if it is more than marginal, it is important to get your levels right. Then, the Dr might be able to determine a cause. Until then, it doesn't matter. Do advise about all meds you take - alternatives may be found if needed. Best wishes! ...Read more

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Out of all these what could be the source of my akathisia. Invega sustenna, (paliperidone palmitate) depekene, cogentin, benadryl, or ativan?

Out of all these what could be the source of my akathisia. Invega sustenna, (paliperidone palmitate) depekene, cogentin, benadryl, or ativan?

Akithisia: I understand your distress.

Your Akithisia is likely due to Invega sustenna, (paliperidone palmitate).

Cogentin and Benadryl are for Akithisia, taking them for long time can have risk of dementia.

See Psychiatrist for Diagnosis-Psychosis, Bipolar Disorder or Anxiety; based upon that determine Medication needed, discuss benefits, side effects, interactions, dose and follow up; Therapy for stress ...Read more

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Is there a cure for hypothyroidism? I think my use of seroquel or zyprexa or invega sustenna (paliperidone palmitate) might have caused it. Will cessation of these meds fix it

Is there a cure for hypothyroidism? I think my use of seroquel or zyprexa or invega sustenna (paliperidone palmitate) might have caused it. Will cessation of these meds fix it

See your doctor: There are excellent treatments for hypothyroidism which can include replacement of the thyroid hormone.
You need to see your physician so the exact cause of the condition can be determined and treatment can be instituted. ...Read more

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Could my hypothyroidism be caused by the start and stop of an iodine supplement or be caused by the zyprexa seroque and invega sustenna (paliperidone palmitate) I have been on?

Could my hypothyroidism be caused by the start and stop of an iodine supplement or be caused by the zyprexa seroque and invega sustenna (paliperidone palmitate) I have been on?

Hypothyroid: Most likely you would have become hypothyroid anyway. Heavy doses of iodine can sometimes affect your thyroid function, but a simple dietary supplement usually will not. ...Read more

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I have an ativan habit because I cant sleep at night. I am taking invega sustenna, (paliperidone palmitate) benadryl, geodon 80mg, and cogentin. I'm trying to rid of ativan?

I have an ativan habit because I cant sleep at night. I am taking invega sustenna, (paliperidone palmitate) benadryl, geodon 80mg, and cogentin. I'm trying to rid of ativan?

Ativan (lorazepam): Ativan (lorazepam) is not indicated for treatment of insomnia. It produces tolerance and dependence when used long-term. Long-term treatment with medication alone is not the optimal treatment strategy. Any abrupt or overly rapid reduction in Ativan (lorazepam) dose among chronic users can produce withdrawal. Symptoms and signs can include tremors, anxiety, perceptual disturbances, dysphoria, psychosis, and seizures. ...Read more

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My legs are weak and I ache could that be akathisia? I am on geodon and have invega sustenna (paliperidone palmitate) still in my system. Gravity on my limbs also ache.

No but...: The symptoms you describe are not those of akathisia. Akathisia is associated with a feeing of restlessness and not pain. However, your symptoms could still be a side effect of the antipsychotics you list as they coil be related to stiffness that can happen from these medications. That side effect may get better by taking some diphenhydramine or benztropine. ...Read more

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Does the shot for invega (paliperidone) have thimerosal?

Does the shot for invega (paliperidone) have thimerosal?

No: Invega sustenna (paliperidone palmitate) is a water-based suspension of particles that carry the invegaedication. Thimerosal was used in the past with some vaccines as a preservative. Given how sustenna is made it does not need a preservative. ...Read more

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