Europe — EMA
Paliperidone Teva (Paliperidone Palmitate)
GNH USA supplies Paliperidone Teva (Paliperidone Palmitate), an atypical antipsychotic for schizophrenia and schizoaffective disorder.
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What is Paliperidone Palmitate?
Paliperidone palmitate, the active ingredient in Paliperidone Teva, is an atypical antipsychotic presented as a long‑acting injectable suspension for intramuscular use. It is indicated for the treatment of schizophrenia in adults. GNH USA supplies Paliperidone Teva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals and pharmacies worldwide.
What is Paliperidone Palmitate used for?
Paliperidone palmitate is a dopamine‑serotonin antagonist used in chronic psychotic disorders. - Schizophrenia: maintenance therapy to reduce relapse and control psychotic symptoms. - Schizoaffective disorder: management of psychotic features alongside mood symptoms. - Maintenance after acute episode: provides sustained drug levels to support long‑term stability.
What are the side effects of Paliperidone Palmitate?
Paliperidone palmitate may cause a range of adverse reactions, most of which are dose‑related and reversible upon discontinuation.
Common Side Effects: - Injection site pain: mild to moderate discomfort at the injection site. - Weight gain: gradual increase in body weight. - Akathisia: inner restlessness or inability to stay still. - Drowsiness: somnolence or reduced alertness. - Constipation: decreased bowel movements. - Elevated prolactin: hormonal changes leading to menstrual disturbances or galactorrhea.
Serious or Rare Side Effects: - Neuroleptic malignant syndrome: life‑threatening reaction with fever and muscle rigidity. - Tardive dyskinesia: persistent involuntary movements. - Seizures: increased risk in susceptible individuals. - Orthostatic hypotension: sudden drop in blood pressure upon standing. - Hyperglycemia: elevated blood glucose levels. - Cardiovascular events: arrhythmias or myocardial infarction.
What precautions apply to Paliperidone Palmitate?
Before initiating therapy with Paliperidone Teva, clinicians should evaluate patient history and monitor for specific risks. - Cardiovascular disease: assess for history of arrhythmias or heart failure. - Metabolic disorders: monitor weight, glucose, and lipid profiles regularly. - Pregnancy: avoid use unless benefits outweigh potential fetal risks. - Breastfeeding: contraindicated as drug is excreted in milk. - Elderly patients: start at lower dose and observe for orthostatic hypotension. - Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.
What does Paliperidone Palmitate interact with?
Paliperidone palmitate can interact with several medication classes, altering efficacy or safety.
Major Interactions (Avoid): - CYP3A4 inhibitors (e.g., ketoconazole): may increase paliperidone levels and toxicity. - CNS depressants (e.g., benzodiazepines): can enhance sedation and respiratory depression.
Moderate Interactions (Monitor Closely):\n- CYP3A4 inducers (e.g., carbamazepine): may reduce drug exposure, risking loss of efficacy. - Antihypertensives: additive orthostatic hypotension may occur. - Anticholinergic agents: may exacerbate cognitive side effects.



