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