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This repository is under review for potential modification in compliance with Administration directives.

Details

Stereochemistry RACEMIC
Molecular Formula C23H27FN4O3
Molecular Weight 426.4839
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of PALIPERIDONE

SMILES

CC1=C(CCN2CCC(CC2)C3=NOC4=C3C=CC(F)=C4)C(=O)N5CCCC(O)C5=N1

InChI

InChIKey=PMXMIIMHBWHSKN-UHFFFAOYSA-N
InChI=1S/C23H27FN4O3/c1-14-17(23(30)28-9-2-3-19(29)22(28)25-14)8-12-27-10-6-15(7-11-27)21-18-5-4-16(24)13-20(18)31-26-21/h4-5,13,15,19,29H,2-3,6-12H2,1H3

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including http://dx.doi.org/10.4172/2161-1459.1000117

Paliperidone (9-OH-risperidone) is the primary active metabolite of the older antipsychotic risperidone. While its specific mechanism of action is unknown, it is believed that paliperidone and risperidone act via similar if not the same pathways. It has been proposed that the drug's therapeutic activity in schizophrenia is mediated through a combination of central dopamine Type 2 (D2) and serotonin Type 2 (5HT2A) receptor antagonism. Paliperidone is also active as an antagonist at alpha 1 and alpha 2 adrenergic receptors and H1 histaminergic receptors, which may explain some of the other effects of the drug. Paliperidone was approved by the FDA for treatment of schizophrenia on December 20, 2006. Very common adverse effects are: headache, tachycardia, somnolence and insomnia.

CNS Activity

Curator's Comment: Due to a hydroxyl group in position 9, paliperidone is less lipophilic than risperidone and crosses the blood-brain barrier less easily the parent drug. Experiments in knock-out mice have suggested that the brain entry of both risperidone and paliperidone may be limited by the presence in the blood-brain barrier of the P-glycoprotein, a multidrug efflux transporter, which has a slightly greater affinity for paliperidone than risperidone.

Approval Year

Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
7.5 ng/mL
3 mg single, oral
dose: 3 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PALIPERIDONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
10.1 ng/mL
75 mg × eq single, intramuscular
dose: 75 mg × eq
route of administration: Intramuscular
experiment type: SINGLE
co-administered:
PALIPERIDONE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
257.3 ng × h/mL
3 mg single, oral
dose: 3 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PALIPERIDONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
22.214 ng × h/mL
75 mg × eq single, intramuscular
dose: 75 mg × eq
route of administration: Intramuscular
experiment type: SINGLE
co-administered:
PALIPERIDONE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
410 ng × h/mL
6 mg 1 times / day steady-state, oral
dose: 6 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
PALIPERIDONE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
22.8 h
3 mg single, oral
dose: 3 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PALIPERIDONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
44.9 day
75 mg × eq single, intramuscular
dose: 75 mg × eq
route of administration: Intramuscular
experiment type: SINGLE
co-administered:
PALIPERIDONE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
23 h
single, oral
PALIPERIDONE plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
26%
single, oral
PALIPERIDONE plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
180 mg single, oral
Overdose
Dose: 180 mg
Route: oral
Route: single
Dose: 180 mg
Sources:
unhealthy, 12
Health Status: unhealthy
Age Group: 12
Sex: M
Sources:
Disc. AE: Lethargy, Tachycardia...
AEs leading to
discontinuation/dose reduction:
Lethargy
Tachycardia
Hypokalemia
Dyskinesia
Dystonia
Sources:
252 mg single, oral
Overdose
Dose: 252 mg
Route: oral
Route: single
Dose: 252 mg
Sources:
unhealthy, 16
Health Status: unhealthy
Age Group: 16
Sex: M
Sources:
Disc. AE: Loss of consciousness...
AEs leading to
discontinuation/dose reduction:
Loss of consciousness
Sources:
15 mg 1 times / day multiple, oral
Studied dose
Dose: 15 mg, 1 times / day
Route: oral
Route: multiple
Dose: 15 mg, 1 times / day
Sources:
unhealthy, 30
Health Status: unhealthy
Age Group: 30
Sex: M
Sources:
DLT: Motor tic...
Dose limiting toxicities:
Motor tic
Sources:
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Disc. AE: Depressive symptom, Psychotic disorder...
AEs leading to
discontinuation/dose reduction:
Depressive symptom (0.9%)
Psychotic disorder (0.9%)
Anxiety (0.4%)
Insomnia (0.4%)
Agitation (0.4%)
Abnormal dreams (0.4%)
Libido decreased (0.4%)
Substance abuse (0.4%)
Suicidal ideation (0.4%)
Paranoid schizophrenia (0.4%)
Akathisia (0.9%)
Headache (0.9%)
Dystonia (0.4%)
Dizziness (0.4%)
Tardive dyskinesia (0.4%)
Dyskinesia (0.4%)
Oromandibular dystonia (0.4%)
Extrapyramidal disorder (0.4%)
Erectile dysfunction (0.9%)
Amenorrhea (0.4%)
Ejaculation failure (0.4%)
Galactorrhea (0.4%)
Gynecomastia (0.4%)
Injection site pain (0.9%)
Chest discomfort (0.4%)
Weight increased (0.9%)
Semen volume decreased (0.4%)
Sources:
9 mg 1 times / day multiple, oral
Recommended
Dose: 9 mg, 1 times / day
Route: oral
Route: multiple
Dose: 9 mg, 1 times / day
Sources:
unhealthy, 38
Health Status: unhealthy
Age Group: 38
Sex: M
Sources:
Disc. AE: Dyskinesia, Dystonia...
AEs leading to
discontinuation/dose reduction:
Dyskinesia
Dystonia
Tremor
Diaphoresis
Tachycardia
Sources:
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Disc. AE: Cerebrovascular disorder (NOS), Stroke...
AEs leading to
discontinuation/dose reduction:
Cerebrovascular disorder (NOS)
Stroke
Transient ischemic attack (grade 3-5)
Neuroleptic malignant syndrome
QT interval prolonged
Tardive dyskinesia
Hyperglycemia
Dyslipidemia
Weight gain
Hyperprolactinemia
Intestinal stricture NOS
Orthostatic hypotension
Syncope
Leukopenia
Neutropenia
Agranulocytosis
Cognitive impairment
Motor dysfunction NOS
Seizures
Sources:
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Disc. AE: Cerebrovascular disorder (NOS), Stroke...
AEs leading to
discontinuation/dose reduction:
Cerebrovascular disorder (NOS)
Stroke
Transient ischemic attack
Neuroleptic malignant syndrome
QT interval prolonged
Tardive dyskinesia
Hyperglycemia
Dyslipidemia
Weight gain
Hyperprolactinemia
Seizures
Orthostatic hypotension
Syncope
Leukopenia
Neutropenia
Agranulocytosis
Cognitive impairment
Motor dysfunction NOS
Sources:
AEs

AEs

AESignificanceDosePopulation
Dyskinesia Disc. AE
180 mg single, oral
Overdose
Dose: 180 mg
Route: oral
Route: single
Dose: 180 mg
Sources:
unhealthy, 12
Health Status: unhealthy
Age Group: 12
Sex: M
Sources:
Dystonia Disc. AE
180 mg single, oral
Overdose
Dose: 180 mg
Route: oral
Route: single
Dose: 180 mg
Sources:
unhealthy, 12
Health Status: unhealthy
Age Group: 12
Sex: M
Sources:
Hypokalemia Disc. AE
180 mg single, oral
Overdose
Dose: 180 mg
Route: oral
Route: single
Dose: 180 mg
Sources:
unhealthy, 12
Health Status: unhealthy
Age Group: 12
Sex: M
Sources:
Lethargy Disc. AE
180 mg single, oral
Overdose
Dose: 180 mg
Route: oral
Route: single
Dose: 180 mg
Sources:
unhealthy, 12
Health Status: unhealthy
Age Group: 12
Sex: M
Sources:
Tachycardia Disc. AE
180 mg single, oral
Overdose
Dose: 180 mg
Route: oral
Route: single
Dose: 180 mg
Sources:
unhealthy, 12
Health Status: unhealthy
Age Group: 12
Sex: M
Sources:
Loss of consciousness Disc. AE
252 mg single, oral
Overdose
Dose: 252 mg
Route: oral
Route: single
Dose: 252 mg
Sources:
unhealthy, 16
Health Status: unhealthy
Age Group: 16
Sex: M
Sources:
Motor tic DLT
15 mg 1 times / day multiple, oral
Studied dose
Dose: 15 mg, 1 times / day
Route: oral
Route: multiple
Dose: 15 mg, 1 times / day
Sources:
unhealthy, 30
Health Status: unhealthy
Age Group: 30
Sex: M
Sources:
Abnormal dreams 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Agitation 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Amenorrhea 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Anxiety 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Chest discomfort 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Dizziness 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Dyskinesia 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Dystonia 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Ejaculation failure 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Extrapyramidal disorder 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Galactorrhea 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Gynecomastia 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Insomnia 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Libido decreased 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Oromandibular dystonia 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Paranoid schizophrenia 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Semen volume decreased 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Substance abuse 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Suicidal ideation 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Tardive dyskinesia 0.4%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Akathisia 0.9%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Depressive symptom 0.9%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Erectile dysfunction 0.9%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Headache 0.9%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Injection site pain 0.9%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Psychotic disorder 0.9%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Weight increased 0.9%
Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy, 37.7
Health Status: unhealthy
Age Group: 37.7
Sex: M+F
Sources:
Diaphoresis Disc. AE
9 mg 1 times / day multiple, oral
Recommended
Dose: 9 mg, 1 times / day
Route: oral
Route: multiple
Dose: 9 mg, 1 times / day
Sources:
unhealthy, 38
Health Status: unhealthy
Age Group: 38
Sex: M
Sources:
Dyskinesia Disc. AE
9 mg 1 times / day multiple, oral
Recommended
Dose: 9 mg, 1 times / day
Route: oral
Route: multiple
Dose: 9 mg, 1 times / day
Sources:
unhealthy, 38
Health Status: unhealthy
Age Group: 38
Sex: M
Sources:
Dystonia Disc. AE
9 mg 1 times / day multiple, oral
Recommended
Dose: 9 mg, 1 times / day
Route: oral
Route: multiple
Dose: 9 mg, 1 times / day
Sources:
unhealthy, 38
Health Status: unhealthy
Age Group: 38
Sex: M
Sources:
Tachycardia Disc. AE
9 mg 1 times / day multiple, oral
Recommended
Dose: 9 mg, 1 times / day
Route: oral
Route: multiple
Dose: 9 mg, 1 times / day
Sources:
unhealthy, 38
Health Status: unhealthy
Age Group: 38
Sex: M
Sources:
Tremor Disc. AE
9 mg 1 times / day multiple, oral
Recommended
Dose: 9 mg, 1 times / day
Route: oral
Route: multiple
Dose: 9 mg, 1 times / day
Sources:
unhealthy, 38
Health Status: unhealthy
Age Group: 38
Sex: M
Sources:
Agranulocytosis Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Cerebrovascular disorder (NOS) Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Cognitive impairment Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Dyslipidemia Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Hyperglycemia Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Hyperprolactinemia Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Intestinal stricture NOS Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Leukopenia Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Motor dysfunction NOS Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Neuroleptic malignant syndrome Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Neutropenia Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Orthostatic hypotension Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
QT interval prolonged Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Seizures Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Stroke Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Syncope Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Tardive dyskinesia Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Weight gain Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Transient ischemic attack grade 3-5
Disc. AE
12 mg 1 times / day multiple, oral
Recommended
Dose: 12 mg, 1 times / day
Route: oral
Route: multiple
Dose: 12 mg, 1 times / day
Sources:
unhealthy
Agranulocytosis Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Cerebrovascular disorder (NOS) Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Cognitive impairment Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Dyslipidemia Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Hyperglycemia Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Hyperprolactinemia Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Leukopenia Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Motor dysfunction NOS Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Neuroleptic malignant syndrome Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Neutropenia Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Orthostatic hypotension Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
QT interval prolonged Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Seizures Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Stroke Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Syncope Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Tardive dyskinesia Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Transient ischemic attack Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Weight gain Disc. AE
234 mg 2 times / month multiple, intramuscular
Recommended
Dose: 234 mg, 2 times / month
Route: intramuscular
Route: multiple
Dose: 234 mg, 2 times / month
Sources:
unhealthy
Overview

OverviewOther

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no [IC50 61.9 uM]
no (co-administration study)
Comment: examination of inhibition by paliperidone using CYP isozyme probe detromethorphan
Page: 41, 81
no [Inhibition >30 uM]
no (co-administration study)
Comment: examination of inhibition by paliperidone using CYP isozyme probe coumarin
Page: 41, 81
no [Inhibition >30 uM]
no (co-administration study)
Comment: examination of inhibition by paliperidone using CYP isozyme probe chlorzoxazone
Page: 41, 81
no [Inhibition >30 uM]
no (co-administration study)
Comment: examination of inhibition by paliperidone using CYP isozyme probe lauric acid
Page: 41, 81
no [Inhibition >60 uM]
no (co-administration study)
Comment: examination of inhibition by paliperidone using CYP isozyme probe Caffeine
Page: 41, 81
no [Inhibition >60 uM]
no (co-administration study)
Comment: examination of inhibition by paliperidone using CYP isozyme probe phenytoin
Page: 41, 81
no [Inhibition >60 uM]
no (co-administration study)
Comment: examination of inhibition by paliperidone using CYP isozyme probe phenytoin
Page: 41, 81
no [Inhibition >60 uM]
no (co-administration study)
Comment: examination of inhibition by paliperidone using CYP isozyme probe testosterone
Page: 41, 81
weak [IC50 63.26 uM]
Drug as victimTox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Relationship between plasma risperidone and 9-hydroxyrisperidone concentrations and clinical response in patients with schizophrenia.
2001 Jan 1
Relationship between risperidone and 9-hydroxy-risperidone plasma concentrations and CYP2D6 enzyme activity in psychiatric patients.
2002 Nov
Sequential changes in the plasma concentration of risperidone following intentional overdose.
2002 Nov-Dec
In vitro effects of risperidone and 9-hydroxy-risperidone on human platelet function, plasma coagulation, and fibrinolysis.
2004 Aug
Risperidone plasma levels, clinical response and side-effects.
2005 Aug
Dose-dependent interaction of paroxetine with risperidone in schizophrenic patients.
2005 Dec
Serum concentrations of risperidone and 9-hydroxyrisperidone after administration of the long-acting injectable form of risperidone: evidence from a routine therapeutic drug monitoring service.
2005 Feb
Pharmacokinetic profile of long-acting injectable risperidone at steady-state: comparison with oral administration.
2005 Sep-Oct
Serum concentrations of risperidone and 9-OH risperidone following intramuscular injection of long-acting risperidone compared with oral risperidone medication.
2006 Jul
[Trazodone for the treatment of behavioral and psychological symptoms of dementia (BPSD) in Alzheimer's disease: a retrospective study focused on the aggression and negativism in caregiving situations].
2006 Jun
Forty years of antipsychotic Drug research--from haloperidol to paliperidone--with Dr. Paul Janssen.
2007
Paliperidone extended release.
2007
Extended-release paliperidone: efficacy, safety and tolerability profile of a new atypical antipsychotic.
2007 Apr
Enantioselective analysis of the antipsychotic 9-hydroxyrisperidone, main metabolite of risperidone, by chiral capillary EKC using dual CDs.
2007 Aug
Efficacy and safety of paliperidone extended-release tablets: results of a 6-week, randomized, placebo-controlled study.
2007 Dec 15
Possible neuroleptic malignant syndrome associated with paliperidone.
2007 Fall
Rapidly disintegrating risperidone in subjects with schizophrenia or schizoaffective disorder: a summary of ten phase I clinical trials assessing taste, tablet disintegration time, bioequivalence, and tolerability.
2007 Feb
FDA approves new antipsychotic.
2007 Feb 1
Efficacy, safety and early response of paliperidone extended-release tablets (paliperidone ER): results of a 6-week, randomized, placebo-controlled study.
2007 Jul
Molecule of the month. Paliperidone.
2007 Jun
Pharmacokinetics study for hyperprolactinemia among schizophrenics switched from risperidone to risperidone long-acting injection.
2007 Jun
Treatment with risperidone for 4 weeks increased plasma 3-methoxy-4-hydroxypnenylglycol (MHPG) levels, but did not alter plasma brain-derived neurotrophic factor (BDNF) levels in schizophrenic patients.
2007 Jun 30
Paliperidone (Invega) for schizophrenia.
2007 Mar 12
New drug for schizophrenia.
2007 Mar-Apr
New drugs: paliperidone, dasatinib, and decitabine.
2007 Mar-Apr
Effect of topiramate on plasma concentrations of clozapine, olanzapine, risperidone, and quetiapine in patients with psychotic disorders.
2007 Mar-Apr
A study of genetic (CYP2D6 and ABCB1) and environmental (drug inhibitors and inducers) variables that may influence plasma risperidone levels.
2007 May
Paliperidone extended-release tablets: a new atypical antipsychotic.
2007 May
The pharmacology and safety of paliperidone extended-release in the treatment of schizophrenia.
2007 Nov
Paliperidone: a new extended-release oral atypical antipsychotic.
2007 Oct
Sensitive liquid chromatography/tandem mass spectrometry method for the simultaneous determination of olanzapine, risperidone, 9-hydroxyrisperidone, clozapine, haloperidol and ziprasidone in rat brain tissue.
2007 Oct 15
A double-blind, placebo-controlled, randomized study evaluating the effect of paliperidone extended-release tablets on sleep architecture in patients with schizophrenia.
2007 Sep
Analytical and semipreparative enantioseparation of 9-hydroxyrisperidone, the main metabolite of risperidone, using high-performance liquid chromatography and capillary electrophoresis. Validation and determination of enantiomeric purity.
2007 Sep 7
New drug update: 2007.
2008 Apr
Absorption, metabolism, and excretion of paliperidone, a new monoaminergic antagonist, in humans.
2008 Apr
Dose-finding study of paliperidone ER based on striatal and extrastriatal dopamine D2 receptor occupancy in patients with schizophrenia.
2008 Apr
Paliperidone extended-release tablets for the acute and maintenance treatment of schizophrenia.
2008 Feb
Paliperidone-ER: first atypical antipsychotic with oral extended release formulation.
2008 Feb
Safety and tolerability of oral paliperidone extended-release tablets in elderly patients with schizophrenia: a double-blind, placebo-controlled study with six-month open-label extension.
2008 Jan
Effect of rifampin, an inducer of CYP3A and P-glycoprotein, on the pharmacokinetics of risperidone.
2008 Jan
Hospitalization rates before and after initiation of paliperidone ER in patients with schizophrenia: results from open-label extensions of the US double-blind trials.
2008 Jun
Efficacy and tolerability of oral paliperidone extended-release tablets in the treatment of acute schizophrenia: pooled data from three 6-week, placebo-controlled studies.
2008 May
Paliperidone for treatment of schizophrenia.
2008 May
Apparent seizure and atrial fibrillation associated with paliperidone.
2008 Nov 15
ABCB1 polymorphisms influence steady-state plasma levels of 9-hydroxyrisperidone and risperidone active moiety.
2008 Oct
Choreatic symptoms during and after treatment with paliperidone and escitalopram.
2008 Sep
Effects of quetiapine, risperidone, 9-hydroxyrisperidone and ziprasidone on the survival of human neuronal and immune cells in vitro.
2010 Mar
Patents

Patents

Sample Use Guides

In adults is 6 mg administered once daily In adolescents 12-17 years of age is 3 mg administered once daily
Route of Administration: Oral
Paliperidone has dual hyperprolactinemic actions in lactotrophs i) by preserving the coupling of spontaneous electrical activity and prolactin secretion in the presence of dopamine and ii) by inhibiting intrinsic dopamine receptor activity in the absence of dopamine, leading to enhanced calcium signaling and secretion.
Name Type Language
PALIPERIDONE
EMA EPAR   INN   JAN   MART.   MI   ORANGE BOOK   USAN   USP-RS   VANDF   WHO-DD  
INN   USAN  
Official Name English
INVEGA
Preferred Name English
PALIPERIDONE [USAN]
Common Name English
4H-PYRIDO(1,2-A)PYRIMIDIN-4-ONE, 3-(2-(4-(6-FLUORO-1,2-BENZISOXAZOL-3-YL)-1-PIPERIDINYL)ETHYL)-6,7,8,9-TETRAHYDRO-9-HYDROXY-2-METHYL-
Systematic Name English
3-(2-(4-(6-FLUORO-1,2-BENZISOXAZOL-3-YL)-1-PIPERIDINYL)ETHYL)-6,7,8,9-TETRAHYDRO-9-HYDROXY-2-METHYL-4H-PYRIDO(1,2-A)PYRIMIDIN-4-ONE
Systematic Name English
PALIPERIDONE [USP MONOGRAPH]
Common Name English
PALIPERIDONE [MART.]
Common Name English
PALIPERIDONE [EMA EPAR]
Common Name English
RISPERIDONE IMPURITY C [EP IMPURITY]
Common Name English
9-HYDROXYRISPERIDONE
Common Name English
RO76477
Code English
paliperidone [INN]
Common Name English
PALIPERIDONE [VANDF]
Common Name English
(9RS)-3-[2-[4-(6-Fluoro-1,2-benzisoxazol-3-yl)piperidin-1-yl]]ethyl]-9-hydroxy-2-methyl-6,7,8,9-tetrahydro-4H-pyrido[1,2-a]pyrimidin-4-one
Common Name English
NSC-759623
Code English
PALIPERIDONE [ORANGE BOOK]
Common Name English
RISPERIDONE IMPURITY, 9-HYDROXYRISPERIDONE- [USP IMPURITY]
Common Name English
PALIPERIDONE [USP-RS]
Common Name English
PALIPERIDONE [MI]
Common Name English
Paliperidone [WHO-DD]
Common Name English
R-76477
Code English
RO-76477
Code English
PALIPERIDONE [JAN]
Common Name English
Classification Tree Code System Code
WHO-ATC N05AX13
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
WHO-VATC QN05AX13
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
LIVERTOX NBK548506
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
NDF-RT N0000175430
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
EMA ASSESSMENT REPORTS INVEGA (AUTHORIZED: PSYCHOTIC DISORDERS)
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
EMA ASSESSMENT REPORTS INVEGA (AUTHORIZED: SCHIZOPHRENIA)
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
NCI_THESAURUS C66883
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
Code System Code Type Description
DRUG CENTRAL
4137
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
LACTMED
Paliperidone
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
ChEMBL
CHEMBL1621
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
EPA CompTox
DTXSID7049059
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
RS_ITEM_NUM
1491809
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
WIKIPEDIA
PALIPERIDONE
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
DRUG BANK
DB01267
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
USAN
QQ-13
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
INN
7977
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
DAILYMED
838F01T721
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
CAS
144598-75-4
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
SMS_ID
100000092109
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
IUPHAR
7258
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
PUBCHEM
115237
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
RXCUI
679314
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY RxNorm
NCI_THESAURUS
C66293
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
FDA UNII
838F01T721
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
EVMPD
SUB23268
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
MERCK INDEX
m8357
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY Merck Index
CHEBI
82978
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
NSC
759623
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY
HSDB
8148
Created by admin on Mon Mar 31 18:24:10 GMT 2025 , Edited by admin on Mon Mar 31 18:24:10 GMT 2025
PRIMARY