Precautions and Warnings With Paliperidone Palmitate
People who are receiving injections of paliperidone palmitate should be aware of the drug's warnings and precautions -- in particular, that this medication may increase your risk for strokes, heart rhythm problems, or other potentially dangerous complications. To help ensure a safe treatment with this antipsychotic medicine, make sure your healthcare provider is aware of your medical history and current medications.
What Should I Tell My Healthcare Provider Before Receiving Paliperidone Palmitate?You should talk with your healthcare provider prior to receiving paliperidone palmitate (Invega® Sustenna®) if you have:
- Liver disease, such as hepatitis, cirrhosis, or liver failure
- Kidney disease, such as kidney failure
- Any kind of dementia, including Alzheimer's dementia or dementia with Lewy bodies (DLB)
- Parkinson's disease
- A certain heart arrhythmia known as QT prolongation or long QT syndrome
- Any other heart arrhythmia (abnormal heartbeat)
- Low blood pressure (hypotension)
- Diabetes or high blood glucose (sugar) or a close family member with diabetes
- High cholesterol
- Heart disease or congestive heart failure
- A history of a heart attack or stroke
- Been told you have a low white blood cell count
- Have low levels of potassium or magnesium in your blood
- Seizures or a seizure disorder
- Ever had thoughts of suicide or harming yourself
- A tendency to be dehydrated or will be exposed to high temperatures
- A history of dizziness or fainting
- Narrowing or blockage of the stomach or intestines
- Difficulty swallowing
- Any allergies, including to foods, dyes, or preservatives.
Also, let your healthcare provider know if you are:
- Pregnant or thinking of becoming pregnant.
You should also tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.