"Product Information. Weight gain is a common side effect of antipsychotics such as Invega. This information can help you decide whether Invega is a good treatment option for you. The following side effects have been reported in infants exposed to risperidone through breastmilk. Theyll check your heart function and blood pressure often while youre taking this drug. Its approved by the Food and Drug Administration (FDA) to treat the following mental health conditions: Invega may be prescribed as a long-term treatment. Last updated on May 14, 2023. These conditions can increase your risk of side effects of Invega. Although not all of these side effects may occur, if they do occur they may need medical attention. During treatment, your doctor may order blood tests regularly to check your blood sugar and cholesterol levels. They should last only a few days or weeks. Your doctor will need to check your progress on a regular basis. uncontrolled muscle movements, trouble with walking, balance, or speech; This is not a complete list of side effects and others may occur. Why is Invega approved? It may not be safe to breastfeed while using this medicine. Stopping treatment with the drug should reverse its effects on your fertility. Cerner Multum, Inc. "UK Summary of Product Characteristics." Rexulti, which treats depression and schizophrenia, can cause side effects like weight gain and headache. Avoid getting too hot, or becoming overheated or dehydrated. Combining alcohol with Invega Sustenna can increase side effects like dizziness, drowsiness, and trouble concentrating. Get emergency medical help if you have signs of an allergic reaction to Invega: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Long QT syndrome. Tardive dyskinesia is a movement disorder that may occur in people taking antipsychotic medications such as Invega. Listen, but dont judge, argue, threaten, or yell. It is easier to become dangerously overheated and dehydrated while you are taking this medicine. For more information about the risk of tardive dyskinesia from taking Invega, talk with your doctor or pharmacist. In a QT study evaluating the effect of immediate-release oral paliperidone 8 mg (n=50), a mean placebo-subtracted increase from baseline on day 8 at 1.5 hours postdose was 12.3 milliseconds (ms). Thereafter, monthly injections of 39mg to 234mg IM are given, depending on the condition being treated, individual dosage requirements, and how well the person tolerates Invega Sustenna. While youre taking Invega, your doctor will monitor your weight. Invega may cause several side effects. Keep in mind that weight gain with Invega could happen because of changes in your metabolism. Continue reading for a comprehensive list of adverse effects. However, if the side effects last longer than that, bother you, or become severe, be sure to talk with your doctor or pharmacist. Invega; Canadian Brand Name. You may have mild side effects with Invega. Here are some frequently asked questions about the drugs side effects and their answers. They may recommend that you switch to another antipsychotic drug. Invega is an antipsychotic medicine. MNT is the registered trade mark of Healthline Media. For more information about Invega, see this in-depth article. For example, brain or spinal cord side effects occurred more frequently at doses of 6 milligrams (mg) and higher. These side effects can include: To learn more about your childs risk of side effects with Invega, talk with their doctor. Invega may cause changes in your metabolism, which can also affect your weight. Below are some factors to consider. A boxed warning is the most serious warning from the Food and Drug Administration (FDA). For most men who have trouble keeping an erection firm enough for sex (erectile dysfunction), these medications work well and cause few side effects. This is because, in rare cases, Invega tablets may obstruct (block) digestion in people with these conditions. If youre breastfeeding or planning to breastfeed while taking Invega, talk with your doctor. Paliperidone is similar to risperidone, another antipsychotic drug thats available under the brand name Risperdal. Note: After the Food and Drug Administration (FDA) approves a drug, it tracks side effects of the medication. According to the phase 3 safety database which included double-blind and open-label extension studies (n=2054), 2 patients experienced QTc interval prolongation greater than 500 ms. Invega Sustenna lasts for 1 month, Invega Trinza lasts for 3 months, and Invega Hayfera lasts for 6 months and only needs to be given twice a year. Not all possible interactions are listed here. The length of time side effects will last with Invega can vary from person to person. Antipsychotic drugs such as Invega may increase the risk of death in people ages 65 years and older who have dementia-related psychosis. Be careful going up and down stairs. Before transitioning to Invega Hayfera, patients must be adequately treated with Invega Sustenna for at least 4 months, or Invega Trinza for at least one 3-month injection cycle. Dizziness, sleepiness, and feeling less stable may happen with Invega Sustenna. How to transition to Invega Hayfera from Invega Trinza or Invega Sustenna? Studies of Invega have not shown an increased risk of death in older adults with dementia-related psychosis. While you are taking Invega, you may be more sensitive to heat. Invega Sustenna (paliperidone)." As a result, the side effects of a drug and its generic counterpart may differ. This side effect wasnt reported in clinical trials of Invega. While rare, Viagra can cause an erection that lasts longer than 4 hours (priapism). To learn more, see the Side effect specifics section below. They may prescribe a different treatment option for your condition. The mean steady-state peak plasma concentration achieved with immediate-release paliperidone was determined to be more than twice the exposure expected with the recommended 12 mg dose. But if you have any symptoms that are ongoing or bother you, talk with your doctor or pharmacist. But dont stop taking Invega without speaking to your doctor. High doses or long-term use of paliperidone can cause a serious movement disorder that may not be reversible. In most males,* Viagra works within 1 hour after it's taken. How do you give an Invega Sustenna injection? Invega can cause long QT syndrome. This article focuses on Invega tablets only. This is the most serious warning from the Food and Drug Administration (FDA). The drug can pass into breast milk, which could cause side effects in a child who is breastfed. Avoid driving or hazardous activity until you know how this medicine will affect you. NMS is a rare, possibly life threatening reaction to antipsychotic drugs. It is not known if Saphris is safe and effective in children younger than 10 years of age. They can help answer any questions you have about side effects of taking the drug. Invega is also known to cause long QT syndrome. Many of Invegas side effects in children are expected to be the same as those in adults. It works by changing the effects of chemicals in the brain. Both children and adults can experience some of these side effects, but some may be more common in one group than the other. The drug increases prolactin levels, which can make it more difficult for you to become pregnant. This may have serious negative consequences such as putting people off taking their medication or stopping taking drugs at an early stage. How is Invega used? Invega (paliperidone)." In studies, withdrawal symptoms werent reported in people who stopped taking Invega. cough. Long-term effects of high prolactin levels include bone loss. Talk with your doctor about consuming alcohol while taking Invega. (These are side effects that may happen after you stop taking a drug your body has become dependent on.). Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. In certain situations, some people may continue taking Invega despite having tardive dyskinesia. This is the most serious warning from the Food and Drug Administration (FDA). Examples of these withdrawal side effects can include: If youre pregnant or planning to become pregnant, talk with your doctor before taking Invega. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. For example, there have been reports of neuroleptic malignant syndrome (NMS) after the use of antipsychotic drugs such as Invega. Follow all directions on your prescription label and read all medication guides or instruction sheets. If youve had an allergic reaction to Invega or any of its ingredients, your doctor will likely not prescribe Invega. [Ref], Very common (10% or more): Injection site reactions (up to 10%), Rare (0.01% to 0.1%): Injection site abscess, injection site cellulitis, injection site cyst, injection site hematoma/bruising, Frequency not reported: Injection site extravasation, injection site induration, injection site irritation/pruritus/erythema/discomfort, injection site joint pain, injection site mass, injection site necrosis, injection site nodule, injection site pain, injection site swelling/edema/inflammation, injection site ulcer, Common (1% to 10%): Injection site induration, injection site pain, injection site reaction, Rare (0.01% to 0.1%): Injection site abscess, injection site cellulitis, injection site cyst, injection site hematoma, Frequency not reported: Injection site erythema, injection site extravasation, injection site inflammation, injection site necrosis, injection site nodule/mass, injection site ulcer[Ref], Common (1% to 10%): Arthralgia, back pain, extremity pain, musculoskeletal pain, musculoskeletal stiffness, myalgia, Uncommon (0.1% to 1%): Increased blood creatine phosphokinase, joint stiffness/swelling, muscle spasms, muscular weakness, neck pain, Rare (0.01% to 0.1%): Abnormal posture, rhabdomyolysis, Frequency not reported: Involuntary muscle contractions, muscle contracture, muscle rigidity/tightness/twitching, neck muscle spasm, nuchal rigidity, torticollis, trismus, Common (1% to 10%): Arthralgia, back pain, musculoskeletal pain, Uncommon (0.1% to 1%): Increased blood creatine phosphokinase, joint stiffness, muscle rigidity/tightness, muscle spasms/twitching, muscular weakness, neck pain, Rare (0.01% to 0.1%): Abnormal posture, joint swelling, nuchal rigidity, rhabdomyolysis, Frequency not reported: Involuntary muscle contractions, muscle contracture, musculoskeletal stiffness, neck muscle spasm, torticollis, trismus, Uncommon (0.1% to 1%): Increased blood creatine phosphokinase, joint stiffness, muscle spasms/twitching, muscular weakness, neck pain, Frequency not reported: Abnormal posture, cervical spasm, extremity pain, muscle contracture, muscle rigidity, muscle tightness, musculoskeletal stiffness, myalgia, neck muscle spasm, nuchal rigidity, rhabdomyolysis, torticollis, trismus[Ref], Common (1% to 10%): Bronchitis, cough, epistaxis, nasal congestion, nasopharyngitis, pharyngolaryngeal pain, rhinitis, sinusitis, upper respiratory tract infection, Uncommon (0.1% to 1%): Dyspnea, pneumonia, respiratory tract infection, tonsillitis, wheezing, Rare (0.01% to 0.1%): Aspiration pneumonia, dysphonia, hyperventilation, pulmonary embolism, respiratory tract congestion, sleep apnea syndrome, Frequency not reported: Difficulty breathing, laryngospasm, nasal congestion, oropharyngeal spasm, pulmonary congestion, rales, throat tightness, Common (1% to 10%): Cough, dyspnea, nasal congestion, nasopharyngitis, oropharyngeal pain, upper respiratory tract infection, Uncommon (0.1% to 1%): Bronchitis, epistaxis, pharyngolaryngeal pain, pneumonia, respiratory tract congestion, respiratory tract infection, sinusitis, tonsillitis, wheezing, Rare (0.01% to 0.1%): Pulmonary congestion syndrome, rales, sleep apnea syndrome, Frequency not reported: Aspiration pneumonia, difficulty breathing, dysphonia, hyperventilation, laryngospasm, pulmonary embolism, rhinitis, rhinorrhea, throat tightness, tongue protrusion, Common (1% to 10%): Cough, nasal congestion, nasopharyngitis, upper respiratory tract infection, Uncommon (0.1% to 1%): Bronchitis, dyspnea, epistaxis, pharyngolaryngeal pain, pneumonia, respiratory tract infection, sinusitis, tonsillitis, Rare (0.01% to 0.1%): Pulmonary congestion, respiratory tract congestion, sleep apnea syndrome, wheezing, Frequency not reported: Aspiration pneumonia, difficulty breathing, dysphonia, hyperventilation, laryngospasm, pharyngitis, pulmonary embolism, rales, rhinitis, throat tightness[Ref], Galactorrhea, amenorrhea, and impotence have been reported in patients receiving prolactin-elevating compounds. 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