Post by isabellelawless on Mar 5, 2015 1:33:36 GMT
Risperidone - Injection aka “Depot”
Risperdal Consta
Risperidone is an atypical antipsychotic, meaning it’s a second generation medication which blocks dopamine as well as affecting serotonin levels. It is used for the maintenance treatment of schizophrenia and bipolar affective disorder (type 1).
It comes in doses of 12.5mg, 25mg, 37.5mg and 50mg. It is an IM in the deltoid or gluteal.This is a long-acting medication which is given every 2 weeks to support the maintenance of as persons mental illness. The main release of RC occurs from 3 weeks post injection. It maintains the concentration from 4-6weeks and then begins to subside from 7weeks onwards. It is recommended that oral supplementation or titration of antipsychotic medications occurs in the first 3 weeks post injection.
Common side effects of this medication
Treatment of schizophrenia include:
headache
akathisia
parkinsonism
tremors
dizziness
restlessness
fatigue
constipation
indigestion
weight gain
pain in extremity
dry mouth
Treatment of BPAD include:
weight gain
tremors (when used with lithium or valproate)
Rare serious side effects:
Neuroleptic malignant syndrome (NMS) - if experiencing high fever, muscle stiffness/pain/ weakness, shaking, confusion, sweating, changes in pulse or BP.
Tardive dyskinesia (TD) - uncontrollable movements face/tongue/other body parts.
EPSE - movement/muscle disturbances, restlessness, muscle stiffness, tremors.
Contraindications:
If there is a known hypersensitivity to RC.
In the elderly person who is experiencing dementia-related psychosis, it has been shown to increase the risk of death.
In pregnant women
Increased sensitivity in people with Parkinson’s disease or people with dementia with Lewy bodies.
Should be used cautiously in:
seizure disorder
breastfeeding
renal impairment
hepatic impairment
metabolic or haemodynamic diseases/conditions
Special monitoring/nursing care requirements:
Monitor BGL’s - RC has been associated with metabolic changes. People who have diabetes or who have risk factors, including a family history or being overweight should have they're BGL’s taken regularly throughout their treatment.
Monitor for orthostatic hypotension - RC can cause this in some people. Taking sitting standing BP’s and monitoring for signs and symptoms including faintness when sitting or standing too quickly.
Monitoring WBC’s - low WBC’s have been reported for people on RC. Monitoring WBC’s from blood tests.
Education for patients and families:
If experiencing any change in body function or feeling ill or increase in temperature, seek medical advice immediately.
RC can cause people to become for sensitive to heat, and dehydration can occur -ensure that fluid intake in adequate and regular to avoid potential life threatening situation.
RC can cause or influence already existing diabetes and therefore a healthy diet should be maintained - low in carbohydrates, fats and cholesterol.
RC can affect driving due to potential drowsiness and impaired judgement. Talk to GP before operating machinery.
Avoid alcohol when on RC due to increased sensitivity of affects of alcohol.
Risperdal Consta
Risperidone is an atypical antipsychotic, meaning it’s a second generation medication which blocks dopamine as well as affecting serotonin levels. It is used for the maintenance treatment of schizophrenia and bipolar affective disorder (type 1).
It comes in doses of 12.5mg, 25mg, 37.5mg and 50mg. It is an IM in the deltoid or gluteal.This is a long-acting medication which is given every 2 weeks to support the maintenance of as persons mental illness. The main release of RC occurs from 3 weeks post injection. It maintains the concentration from 4-6weeks and then begins to subside from 7weeks onwards. It is recommended that oral supplementation or titration of antipsychotic medications occurs in the first 3 weeks post injection.
Common side effects of this medication
Treatment of schizophrenia include:
headache
akathisia
parkinsonism
tremors
dizziness
restlessness
fatigue
constipation
indigestion
weight gain
pain in extremity
dry mouth
Treatment of BPAD include:
weight gain
tremors (when used with lithium or valproate)
Rare serious side effects:
Neuroleptic malignant syndrome (NMS) - if experiencing high fever, muscle stiffness/pain/ weakness, shaking, confusion, sweating, changes in pulse or BP.
Tardive dyskinesia (TD) - uncontrollable movements face/tongue/other body parts.
EPSE - movement/muscle disturbances, restlessness, muscle stiffness, tremors.
Contraindications:
If there is a known hypersensitivity to RC.
In the elderly person who is experiencing dementia-related psychosis, it has been shown to increase the risk of death.
In pregnant women
Increased sensitivity in people with Parkinson’s disease or people with dementia with Lewy bodies.
Should be used cautiously in:
seizure disorder
breastfeeding
renal impairment
hepatic impairment
metabolic or haemodynamic diseases/conditions
Special monitoring/nursing care requirements:
Monitor BGL’s - RC has been associated with metabolic changes. People who have diabetes or who have risk factors, including a family history or being overweight should have they're BGL’s taken regularly throughout their treatment.
Monitor for orthostatic hypotension - RC can cause this in some people. Taking sitting standing BP’s and monitoring for signs and symptoms including faintness when sitting or standing too quickly.
Monitoring WBC’s - low WBC’s have been reported for people on RC. Monitoring WBC’s from blood tests.
Education for patients and families:
RC can cause people to become for sensitive to heat, and dehydration can occur -ensure that fluid intake in adequate and regular to avoid potential life threatening situation.
RC can cause or influence already existing diabetes and therefore a healthy diet should be maintained - low in carbohydrates, fats and cholesterol.
RC can affect driving due to potential drowsiness and impaired judgement. Talk to GP before operating machinery.
Avoid alcohol when on RC due to increased sensitivity of affects of alcohol.