Paliris 1.5 Tablet
Paliperidone
1.5mg
Sun Pharmaceutical Industries Ltd.
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Available as:
Indications
Paliris 1.5 Tablet is used for:
Schizophrenia, Schizoaffective Disorder
Adult Dose
Oral
Schizophrenia
Adult: Initially, 6 mg once daily in the morning.
May be titrated upward or downward in increments of 3 mg/day at intervals >5 days; not to exceed 12 mg/day
Schizoaffective Disorder
Indicated for schizoaffective disorder as monotherapy and as an adjunct to mood stabilizers or antidepressants
6 mg PO qDay in am (range 3-12 mg); titration may not be necessary; if exceeding 6 mg/day, increases of 3 mg/day recommended at intervals of 4 days of more; not to exceed 12 mg/day
Child Dose
Schizophrenia
<12 years: Safety and efficacy not established
>12 years (<51 kg): 3 mg/day PO initially; may be increased if necessary in increments of 3 mg/day at intervals ?5 days; not to exceed 6 mg/day
>12 years (>51 kg): 3 mg/day PO initially; may be increased if necessary in increments of 3 mg/day at intervals ?5 days; not to exceed 12 mg/day
Schizoaffective Disorder
<18 years: Safety and efficacy not established
Renal Dose
Renal impairment
CrCl 50-79 mL/min: 3 mg/day initially; not to exceed 6 mg/day
CrCl 10-49 mL/min: 1.5 mg/day initially; not to exceed 3 mg/day
CrCl <10 mL/min: Not recommended
Administration
May be taken with or without food
Contra Indications
Hypersensitivity to paliperidone or risperidone.
Precautions
Patient w/ known CV disease or family history of QT prolongation, history of seizures or other conditions that potentially lower the seizure threshold, predisposition to GI obstruction, possible prolactin-dependent tumours, Parkinson's disease. Cataract surgery. Elderly w/ dementia-related psychosis and risk factors for stroke. Renal impairment. Pregnancy and lactation. Patient Counselling This drug may cause somnolence and impairment of judgment, thinking or motor skills, if affected, avoid driving, operating machinery or performing hazardous tasks. Monitoring Parameters Monitor mental status changes, vital signs, wt, BP, electrolyte, renal and hepatic function. Closely monitor for worsening glucose control in patients w/ pre-existing DM.
Lactation: Drug excreted in breast milk; do not nurse
Pregnancy-Lactation
Interactions
Increased risk of QT prolongation w/ class IA (e.g. quinidine, disopyramide) and class III (e.g. amiodarone, sotalol) antiarrhythmics. Additive effects w/ drugs that cause orthostatic hypotension (e.g. other antipsychotics, tricyclics). May antagonise actions of levodopa and other dopaminergics. Additive effect w/ drugs known to lower seizure threshold (e.g. phenothiazines or butyrophenones, clozapine, tricyclics or SSRIs, tramadol, mefloquine). May reduce plasma levels w/ carbamazepine. Enhanced central effects w/ other CNS depressants. May increase plasma levels w/ valproate. May affect the absorption w/ metoclopramide.
Adverse Effects
Side effects of Paliperidone :
>10%
Akathisia,Somnolence,Insomnia,Parkinsonism,Tachycardia,Hyperprolactinemia,Others similar to placebo (eg, headache)
<10% (selected)
Cough,Dystonia,Extrapyramidal symptoms (EPS),Orthostatic hypotension,QT prolongation,Sialorrhea,Priapism,Weight gain,Constipation,Indigestion,Amenorrhea,Galactorrhea,Nausea,Dyspepsia,Salivation,Xerostomia,Myalgia,Extremity pain,Nasopharyngitis
Mechanism of Action
Major metabolite of risperidone; improves negative symptoms of psychoses and reduces incidence of EPS
Has high affinity for serotonin type 2 (5-HT2) receptors; binds to dopamine D2 receptors with 20 times lower affinity than that for 5-HT2 receptors; antagonizes alpha1-adrenergic, alpha2-adrenergic, and histaminergic receptors; has moderate affinity for serotonin type 1 (5-HT1C, 5-HT1D, 5-HT1A) receptors; has weak affinity for dopamine D1 receptors; has no affinity for muscarinic, beta1-adrenergic, and beta2-adrenergic receptors
Note
Paliris 1.5 1.5mg Tablet manufactured by Sun Pharmaceutical Industries Ltd.. Its generic name is Paliperidone. Paliris 1.5 is availble in Nepal.
Farmaco Nepal drug index information on Paliris 1.5 Tablet is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.