--- title: "Patient Education: Paliperidone (Invega)" description: Learn about Paliperidone (Invega), its uses, dosing, potential side effects, and when to seek medical attention for your child or adolescent's mental health treatment. image: https://blog.mindweal.com/hubfs/20.png --- [![mw-logo-svg-1](https://blog.mindweal.com/hubfs/mw-logo-svg-1.svg "mw-logo-svg-1")](http://mindweal.com) - Our Care - Who we are - Our team - Our partners - Locations - Resources - Contact us - Login Sign up now [![mw-logo-mobile-svg](https://blog.mindweal.com/hubfs/mw-logo-mobile-svg.svg "mw-logo-mobile-svg")](http://mindweal.com) Sign up now [![mw-logo-svg-1](https://blog.mindweal.com/hubfs/mw-logo-svg-1.svg "mw-logo-svg-1")](http://mindweal.com) - Our Care - Who we are - Our team - Our partners - Locations - Resources - Contact us - Login Sign up now [![mw-logo-mobile-svg](https://blog.mindweal.com/hubfs/mw-logo-mobile-svg.svg "mw-logo-mobile-svg")](http://mindweal.com) Sign up now - Our Care - [Clinical Services](https://www.mindweal.com/clinical-services/) - [Advanced Testing](https://www.mindweal.com/advanced-testing/) - [How it Works?](https://www.mindweal.com/how-it-works/) - [Pricing](https://www.mindweal.com/pricing/) - [FAQs](https://www.mindweal.com/faq/) - Who we are - [About us](https://www.mindweal.com/about-us/) - [Our approach](https://www.mindweal.com/our-approach/) - [Our story](https://www.mindweal.com/our-story/) - Our team - [Meet our experts](https://www.mindweal.com/meet-our-experts/) - [Work with us](https://www.mindweal.com/work-with-us/) - [Refer to us](https://www.mindweal.com/refer-to-us/) - Our partners - [Physicians](https://www.mindweal.com/partners-physicians/) - [Counselors](https://www.mindweal.com/partners-counselors/) - [Health plans](https://www.mindweal.com/partners-health-plans/) - [Hospitals](https://www.mindweal.com/partners-hospitals/) - Locations - [Maryville](https://www.mindweal.com/maryville/) - [Hinsdale](https://www.mindweal.com/hinsdale/) - [Naperville](https://www.mindweal.com/naperville/) - [Marion](https://www.mindweal.com/marion/) - Resources - [Blog](https://blog.mindweal.com/blog) - [Events](https://www.mindweal.com/coming-soon/) - [Contact us](https://www.mindweal.com/contact-us/) Login #### Our care ![our-care-megamenu-2](https://blog.mindweal.com/hs-fs/hubfs/our-care-megamenu-2.png?width=179&height=153&name=our-care-megamenu-2.png)   - ###### [Clinical Services](https://www.mindweal.com/clinical-services/) Discover our scientifically-supported clinical services that our members rely on and trust  [![megamenu-arrow](https://blog.mindweal.com/hs-fs/hubfs/megamenu-arrow.png?width=10&height=8&name=megamenu-arrow.png)](https://www.mindweal.com/clinical-services/) - ###### [Advanced Testing](https://www.mindweal.com/clinical-services/) Explore our suite of tests enhancing our clinical services for better diagnosis and more targeted treatment plans [![megamenu-arrow](https://blog.mindweal.com/hs-fs/hubfs/megamenu-arrow.png?width=10&height=8&name=megamenu-arrow.png)](https://www.mindweal.com/advanced-testing/)   - ###### [How it Works?](https://www.mindweal.com/pricing/) Navigate the journey: Our dedicated mental health care for members  [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/advanced-testing/) - ###### [Pricing](https://www.mindweal.com/pricing/) Explore our cost-effective plans tailored to your needs. [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/pricing/) - ###### [FAQs](https://www.mindweal.com/faq/) Questions in mind? Dive into answers with MindWeal support [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/faq/) ###### Conditions we support - [ADHD](https://www.mindweal.com/adhd-conditions/) - [Autism](https://www.mindweal.com/autism-conditions/) - [Depression](https://www.mindweal.com/depression-conditions/) - [Anxiety](https://www.mindweal.com/anxiety-conditions/) - [Learning disorders](https://www.mindweal.com/learning-disorder-conditions/) - [PTSD](https://www.mindweal.com/ptsd-conditions/) - [OCD](https://www.mindweal.com/coming-soon/) - [Mood disorders](https://www.mindweal.com/coming-soon/) - [Eating Disorders](https://www.mindweal.com/coming-soon/) - [Psychosis](https://www.mindweal.com/coming-soon/) - [Tics](https://www.mindweal.com/coming-soon/) - [Attachment disorders](https://www.mindweal.com/coming-soon/) - [Gender dysphoria](https://www.mindweal.com/coming-soon/) #### Who we are ![Group-9415-1](https://blog.mindweal.com/hs-fs/hubfs/Group-9415-1.png?width=160&height=157&name=Group-9415-1.png)   - ###### [About us](https://www.mindweal.com/about-us/) Discover our mission and our values by which we are driven [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/about-us/) - ###### [Our approach](https://www.mindweal.com/our-approach/) Discover our effective and innovative approaches to today’s mental health issues [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/our-approach/) - ###### [Our story](https://www.mindweal.com/our-story/) It all started with a dream: A dream to eliminate every barrier to mental healthcare. [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/our-story/) #### Our team ![Group-9415-1-1](https://blog.mindweal.com/hs-fs/hubfs/Group-9415-1-1.png?width=160&height=159&name=Group-9415-1-1.png)   - ###### [Meet our experts](https://www.mindweal.com/meet-our-experts/) Meet our exceptional clinical team, led by our outstanding CEO, all deeply committed to pediatric mental health care  [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/meet-our-experts/) - ###### [Work with us](https://www.mindweal.com/work-with-us/) Ready to join our team and empower children’s mental well-being?  [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/work-with-us/) - ###### [Refer to us](https://www.mindweal.com/refer-to-us/) Confidently refer your patients; our skilled team is proficient in handling a vast range of conditions, ensuring optimal outcomes [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/refer-to-us/) #### Our partners ![Group-9415-2](https://blog.mindweal.com/hs-fs/hubfs/Group-9415-2.png?width=160&height=143&name=Group-9415-2.png)   - ###### [Physicians](https://www.mindweal.com/partners-physicians/) Partner with us to elevate your patient’s well-being through swift and exceptional mental health care  [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/partners-physicians/) - ###### [Counselors](https://www.mindweal.com/partners-counselors/) Join forces with us to provide comprehensive mental health care for the next generation  [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/partners-counselors/) - ###### [Health plans](https://www.mindweal.com/partners-health-plans/) Boost member well-being through prompt, superior mental health care that also curtails overall expenses [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/partners-health-plans/) - ###### [Hospitals](https://www.mindweal.com/partners-hospitals/) Together, we possess the strength to reduce risks, improve outcomes, and save lives [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/partners-hospitals/) #### Locations ![Group-9415-3](https://blog.mindweal.com/hs-fs/hubfs/Group-9415-3.png?width=160&height=147&name=Group-9415-3.png)   ###### Illinois - [Maryville](https://www.mindweal.com/maryville/) - [Hinsdale](https://www.mindweal.com/hinsdale/) - [Naperville](https://www.mindweal.com/naperville/) - [Marion](https://www.mindweal.com/marion/) ###### Missouri - [St. Louis](https://www.mindweal.com/st-louis/) #### Resources ![Group-9415-3](https://blog.mindweal.com/hs-fs/hubfs/Group-9415-3.png?width=160&height=147&name=Group-9415-3.png)   - ###### [Blog](https://blog.mindweal.com/blog) Explore our Blog: Insights into child and adolescent psychiatry – from behavioral hurdles to healing solutions  [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://blog.mindweal.com/blog) - ###### [Events](https://www.mindweal.com/coming-soon/) Keep an eye out: Upcoming events and programs in pediatric mental healthcare await!  [![megamenu-arrow](https://www.mindweal.com/wp-content/uploads/2023/07/megamenu-arrow.png)](https://www.mindweal.com/coming-soon/) ![featured_image](https://blog.mindweal.com/hubfs/20.png) # Patient Education: Paliperidone (Invega) --- [Paliperidone](https://blog.mindweal.com/blog/tag/paliperidone) [Invega](https://blog.mindweal.com/blog/tag/invega) [MD10001335354](https://blog.mindweal.com/blog/tag/md10001335354) Share on :   Paliperidone is prescribed by your healthcare provider based on current guidelines to address specific mental health conditions. While effective, all medications have potential side effects. It's crucial to be informed about these risks and benefits. It's also important to understand strategies to reduce their occurrence or manage them effectively. It's vital to know when to contact your healthcare provider or seek immediate medical attention. This guide aims to empower you with this knowledge, ensuring a well-informed approach to your child's treatment. If you are still unsure, always reach out to your healthcare provider for further guidance.   ![Group-9747](https://blog.mindweal.com/hs-fs/hubfs/Group-9747.png?width=56&height=50&name=Group-9747.png) ## What is Paliperidone? ![divider](https://blog.mindweal.com/hs-fs/hubfs/divider.png?width=120&height=5&name=divider.png) Paliperidone belongs to a group of medicines known as Second Generation or Atypical Antipsychotics. It is the active metabolite of risperidone, meaning it is a derivative of risperidone.   ### **![IMAGE-36-553x1024-1](https://blog.mindweal.com/hs-fs/hubfs/IMAGE-36-553x1024-1.png?width=309&height=572&name=IMAGE-36-553x1024-1.png)** ### **When is Paliperidone prescribed to Children & Adolescents? ** Your doctor may prescribe Paliperidone for:  - Behavioral disturbances or Disruptive Mood Dysregulation Disorder (also known as DMDD) - Bipolar disorder - Autism-related irritability - Psychosis - Tics or Tourette’s Syndrome           ### **What is the Dose of Paliperidone?** - **Oral Tablets**: The typical dose ranges from 3 to 9 mg per day. - **Monthly Depot Injection (Invega Sustenna)**: The dose ranges from 39 mg to 234 mg per month. - **3-Month Depot Injection (Invega Trinza)**: The dose ranges from 273 mg to 819 mg every 3 months. Paliperidone is usually started at a low dose, gradually increasing to reach an effective level. ## ![afterHourCRisis (1)](https://blog.mindweal.com/hs-fs/hubfs/afterHourCRisis%20(1).png?width=70&height=71&name=afterHourCRisis%20(1).png) ## **What can be the possible** ## **side-effects from the medication?** Common Side-Effects Less Common Side-Effects Uncommon Side-Effects - **Tiredness, dizziness:** - - Might occur initially but usually improves. - Started at a low dose to minimize effects. - Consult with your provider if persistent. - **Increased appetite and weight gain:** - - More likely at higher doses. - Can lead to risks like high blood pressure, increased total and bad cholesterol, and diabetes. - Regular monitoring of weight, waist size, blood pressure, blood sugar, and cholesterol is important. - Monitor your child’s diet and inform your doctor of significant weight gain. - **Increase Prolactin levels (Hyperprolactinemia)** - - Watch for breast development in boys, menstrual changes in girls and nipple discharge in both the genders - Your provider will order labs every 6 months to check prolactin levels, to monitor for this side-effect closely. - Prolactin levels should be checked every 6-12 months. - Stopping medication typically normalizes levels. ***Note: breast development in boys may not be reversible.*** - **Drooling:** - Due to excessive saliva production. - Consult with your provider if persistent. Adjustment in medication may be necessary.   - **Dystonia: ** - - Symptoms include involuntary muscle contractions leading to unusual postures, such as neck twisting, back arching.  - Seek emergency care if these occur. Medications (Benadryl or Benztropine) may be used for relief. - **Akathisia: ** - - Intense inner restlessness, possibly manifesting as excessive physical activity or anxiety. - Management may involve adjusting dosage or medication, or adding another medication (beta-blocker) - **Heart Rhythm Disturbances: ** - - QTc prolongation, a condition that lengthens the heart's electrical cycle, may lead to irregular heartbeats. - If you notice an irregular heartbeat, inform your healthcare provider. - Stopping or changing the medication might be required. - **Tardive Dyskinesia (TD):**  - Characterized by involuntary, repetitive body movements. - Regular monitoring with the Abnormal Involuntary Movement Scale (AIMS) is essential. ### ![Group-10151](https://blog.mindweal.com/hs-fs/hubfs/Group-10151.png?width=84&height=79&name=Group-10151.png) ## Serious but Rare Side-Effects   **![IMAGE-37-553x1024](https://blog.mindweal.com/hs-fs/hubfs/IMAGE-37-553x1024.png?width=311&height=576&name=IMAGE-37-553x1024.png)**       - **Neuroleptic malignant syndrome**       To learn more about this medication, please visit MedlinePlus, an official US government website, part of the National Library of Medicine and managed by National Institute of Health. Click [**HERE**](https://medlineplus.gov/druginfo/meds/a607005.html)for information on oral Paliperidone and [**HERE**](https://medlineplus.gov/druginfo/meds/a615032.html) for information on Paliperidone injection.   ## Similar posts Quetiapine ##### [Patient Education: Quetiapine (Seroquel)](https://blog.mindweal.com/blog/patient-education-quetiapine) Paliperidone is prescribed by your healthcare provider based on current guidelines to address specific mental health ... Dr. Rahul Bansal Dec 23, 2024 Asenapine ##### [Patient Education: Asenapine (Saphris)](https://blog.mindweal.com/blog/patient-education-asenapine) Paliperidone is prescribed by your healthcare provider based on current guidelines to address specific mental health ... Dr. Rahul Bansal Oct 28, 2024 Risperidone ##### [Patient Education: Risperidone (Risperdal)](https://blog.mindweal.com/blog/patient-education-risperidone) Paliperidone is prescribed by your healthcare provider based on current guidelines to address specific mental health ... Dr. Rahul Bansal Oct 21, 2024 [![mw-logo-black-footer](https://blog.mindweal.com/hubfs/mw-logo-black-footer.svg "mw-logo-black-footer")](http://mindweal.com) ###### Our care - [Clinical services](https://www.mindweal.com/clinical-services/) - [Advanced testing](https://www.mindweal.com/advanced-testing/) - [Conditions we support](https://www.mindweal.com/adhd-conditions/) - [How it works](https://www.mindweal.com/how-it-works/) - [Pricing](https://www.mindweal.com/pricing/) - [FAQ](https://www.mindweal.com/faq/) ###### Who we are - [About us](https://www.mindweal.com/about-us/) - [Our approach](https://www.mindweal.com/our-approach/) - [Our story](https://www.mindweal.com/our-story/) ###### Our team - [Meet our experts](https://www.mindweal.com/meet-our-experts/) - [Work with us](https://www.mindweal.com/work-with-us/) - [Refer to us](https://www.mindweal.com/refer-to-us/) ###### Our partners - [Physicians](https://www.mindweal.com/partners-physicians/) - [Counsellors](https://www.mindweal.com/partners-counselors/) - [Hospitals](https://www.mindweal.com/partners-hospitals/) - [Health Plans](https://www.mindweal.com/partners-health-plans/) ###### Resources - [Blog](https://blog.mindweal.com/blog) - [Events](https://www.mindweal.com/coming-soon/) ###### Stay in touch Subscribe for news and tips about psychiatry, mental health and more. © 2023 Mindweal Services, PLLC. All Rights Reserved. - [Disclaimer](https://www.mindweal.com/disclaimer/) - [Terms of Use](https://www.mindweal.com/terms-of-use/) - [Privacy Policy](https://www.mindweal.com/privacy-policy/) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Dr. Rahul Bansal", "url" : "https://blog.mindweal.com/blog/author/dr-rahul-bansal" }, "dateModified" : "2025-01-06T02:44:04.218Z", "datePublished" : "2024-10-28T11:05:23.000Z", "headline" : "Patient Education: Paliperidone (Invega)", "image" : [ "https://blog.mindweal.com/hubfs/20.png" ], "mainEntityOfPage" : { "@id" : "https://blog.mindweal.com/blog/patient-education-paliperidone", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://blog.mindweal.com/hubfs/MindWeal%20Logo%20with%20Name%20&%20Slogan-1.png" } } } ```