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What injection is used for schizophrenia?

Published in Antipsychotic Injections 3 mins read

Paliperidone palmitate injections are used for the long-term treatment of schizophrenia.


Understanding Antipsychotic Injections for Schizophrenia

Antipsychotic medications are a cornerstone of schizophrenia treatment. While many are available in oral form, long-acting injectable (LAI) antipsychotics offer a convenient and effective alternative, especially for individuals who struggle with medication adherence. These injections help maintain a steady level of medication in the body, reducing the risk of relapse and hospitalization.


Paliperidone Palmitate: A Common LAI

One commonly used long-acting injection for schizophrenia is paliperidone palmitate. It is administered intramuscularly and comes in two forms:


  • PP1M (Invega Sustenna): This is a monthly injection, meaning it's administered once every month.
  • PP3M (Invega Trinza): This is a 3-month injection, providing a longer interval between doses—once every three months.


How Paliperidone Palmitate Works

Paliperidone is an active metabolite of risperidone, another common antipsychotic. It works by affecting the levels of certain chemicals in the brain, such as dopamine and serotonin, which are thought to be involved in the symptoms of schizophrenia.


Benefits of LAI Antipsychotics

  • Improved Medication Adherence: LAIs reduce the need for daily medication, which can be a challenge for some patients.
  • Stable Medication Levels: Injections provide a steady release of the medication, preventing fluctuations in blood levels.
  • Reduced Risk of Relapse: Consistent medication levels can help to better manage symptoms and decrease the risk of relapses.
  • Reduced Hospitalization Rates: By improving symptom management, LAIs may reduce the need for hospitalization.


Administration and Considerations

  • Intramuscular Injection: Both PP1M and PP3M are administered as an injection into the muscle, usually in the upper arm or buttocks by a healthcare professional.
  • Dosage and Frequency: The dosage and frequency of these injections are determined by a healthcare provider based on each individual's needs and response to the medication.


Injection Type Frequency Description
PP1M (Invega Sustenna) Monthly Paliperidone palmitate administered monthly
PP3M (Invega Trinza) Every 3 Months Paliperidone palmitate administered every three months


In summary, paliperidone palmitate, available as PP1M (Invega Sustenna) for monthly injections and PP3M (Invega Trinza) for 3-month injections, are effective long-acting options for treating schizophrenia by ensuring sustained medication levels. These options can help to reduce relapses and improve overall management for individuals affected by the condition.


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