What to Tell Your Doctor Before Starting INVEGA SUSTENNA® (paliperidone palmitate)

Only your doctor can decide if INVEGA SUSTENNA® is right for you. Before you receive INVEGA SUSTENNA®, tell your healthcare provider about all your medical conditions, including if you:

  • have had Neuroleptic Malignant Syndrome (NMS)
  • have or have had heart problems, including a heart attack, heart failure, abnormal heart rhythm, or long QT syndrome
  • have or have had low levels of potassium or magnesium in your blood
  • have or have had uncontrolled movements of your tongue, face, mouth, or jaw (tardive dyskinesia)
  • have or have had kidney or liver problems
  • have diabetes or have a family history of diabetes
  • have had a low white blood cell count
  • have had problems with dizziness or fainting or are being treated for high blood pressure
  • have or have had seizures or epilepsy
  • have any other medical conditions
  • it is not known if INVEGA SUSTENNA® will harm your unborn baby
    • If you become pregnant while taking INVEGA SUSTENNA®, talk to your healthcare professional about registering with the National Pregnancy Registry for Atypical Antipsychotics. You can register by calling 1-866-961-2388 or visit https://womensmentalhealth.org/clinical-and-research-programs/pregnancyregistry/.
    • Infants born to women who are treated with INVEGA SUSTENNA® may experience symptoms such as tremors, irritability, excessive sleepiness, eye twitching, muscle spasms, decreased appetite, difficulty breathing, or abnormal movement of arms and legs. Let your healthcare professional know if these symptoms occur.
  • INVEGA SUSTENNA® can pass into your breast milk and may harm your baby.

You and your healthcare provider should decide if you will receive INVEGA SUSTENNA® or breastfeed. You should not do both.

It’s important that your doctor knows everything about your current health conditions so that he or she can make important decisions about your treatment. Be open with all members of your Treatment Team when discussing your health.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Please visit the Prescribing Information for more details.