DRUG STUDY

Medical Diagnosis: Paranoid Schizophernia

Category: I

Indication/ Mechanism of Action Side Effects/ Adverse Nursing

Contraindication Effects Considerations
Indication: acute and Benzisoxazole atypical • Tachycardia, • Monitor patient
Generic Name: maintenance treatment antipsychotic which is a • headache, for signs of
Paliperidone Palmitate of schizophrenia. main active metabolite • somnolence, tardive
of risperidone. It is • orthostatic dyskinesia and
Brand Name: reported to be an hypotension, other signs of
Invega Sustenna antagonist at dopamine • AV block, bundle extra pyramidal
D2, serotonin (5-HT2), branch block, symptoms
Classification: Contraindication: adrenergic (a1 and a2), • Avoid activities
• akathisia,
Atypical Antipsychotic Hypersensitivity to and histamine (H1) that requires
paliperidone or receptors.. • parkinsonism,
alertness and
Dosage: risperidone. • dizziness,
psychomotor
100mg/amp • wt gain, coordination.
• hyperkinesia, • Advise patient to
Frequency: • dose-dependent avoid alchol
Once daily dyskinesia, drinking while
• tremor, taking
Route: • weakness, medication
Intramuscular • abdominal pain, • Tell the patient
Date Ordered: • dry mouth, to chew
January 18, 2011 • hypersalivation, sugarless gum or
Recommended dose: • vomiting. suck hard candy
Initially 6 mg once to help relieve
daily dry mouth