Xeplion Prolonged release suspension for intramuscular injection
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of schizophrenia and prevention of symptom recurrence.
Dosage (summary)
Initial: 150 mg IM on Day 1, 100 mg IM on Day 8; Maintenance: 75 mg IM monthly.
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Not established for pregnancy; contraindicated in breastfeeding.
Key Drug Interactions
- Caution with risperidone
- Caution with QT prolonging drugs
- Caution with psychostimulants
Contraindications
- Hypersensitivity to paliperidone
- Moderate to severe renal impairment
- Parkinson's disease
- Dementia with Lewy Bodies
Common side effects
- Insomnia
- Headache
- Weight gain
- Somnolence
- Akathisia
Counselling Points
- Monitor for weight gain
- Avoid missed doses
- Caution with driving
- Report signs of infection
Serious warnings
- Neuroleptic Malignant Syndrome
- Tardive Dyskinesia
- Agranulocytosis
- Hyperglycemia
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