4.2.2 Antipsychotic depot injections

4.2.2 Antipsychotic depot injections

Can be used for maintenance when compliance is a problem.

AMBER Flupentixol decanoate

injection 20mg/ml, 1mL, 2mL

concentrate injection 100mg/ml, 0.5mL, 1mL

AMBER Fluphenazine decanoate

injection 25mg/ml, 0.5ml amp,

AMBER Haloperidol decanoate injection 100mg/mL

AMBER Pipotiazine palmitate injection 50mg/ml

AMBER Zuclopenthixol decanoate injection 200mg/ml, 500mg/ml

Risperdal Consta®

Risperdal Consta® restricted use – request from doctor must be sent to chief pharmacist and medical director of Lancashire Care

Trust before authorised to prescribe

RED Risperidone (Risperdal Consta®) injection

25mg, 37.5mg. 50mg

Abilify Maintena®, Xeplion®

Aripiprazole prolonged-release (PR) suspension for injection and Paliperidone palmitate (PR) suspension for injection are

recommended as treatment options in the maintenance treatment of schizophrenia in adult patients stabilised with oral

aripiprazole where both of the following criteria are met;

> where treatment is in line with the recommendations within NICE CG178 for the use of depot or long-acting injectable

antipsychotic medication and

> where treatment is in line with the Lancashire Care Guidance for Prescribing Second Generation Long Acting

Antipsychotic Injections

RED Aripiprazole (Abilify Maintena®) prolonged release suspension for injection, 400mg powder and solvent

RED *Paliperidone (Xeplion®) prolonged release suspension for injection, 50mg, 75mg,100mg,150mg

Paliperidone palmitate prolonged release suspension for injection (six monthly)

Paliperidone palmitate 6-monthly injection is recommended as a treatment option for the maintenance treatment of

schizophrenia in adult patients who are clinically stable on 1-monthly or 3-monthly paliperidone palmitate injectable

products:

> where treatment is in line with the recommendations within NICE CG178 for the use of depot or long-acting injectable

antipsychotic medications, and

> where treatment is in line with the Lancashire Care Guidance for Prescribing Second Generation Long Acting Antipsychotic

injections

RED Paliperidone palmitate prolonged release suspension for injection (six monthly) (Byannli)

*MHRA Drug Safety Alert - Risperidone and paliperidone: risk of intraoperative floppy iris syndrome in patients undergoing cataract surgery

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Email: info.elmmb@nhs.net