Difficulties transitioning to Invega Sustenna

I've had two patients that decompensated during transitions to Sustenna. The first was very, very carefully titrated to 9 mg of oral paliperidone with almost complete remittance of psychosis before starting Sustenna. They were admitted for NMS after stopping Trinza and being overloaded with various antipsychotics at another hospital, so I wanted to make sure it wouldn't recur before restarting a long-acting injectable. I followed the manufacturer recommendations exactly (234 mg on day 1 and... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Psychiatry Source Type: forums