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Paliperidone: quo vadis?

L Citrome1

  • 1Department of Psychiatry, New York University School of Medicine, and the Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY 10962, USA. citrome@nki.rfmh.org

International Journal of Clinical Practice
|March 9, 2007
PubMed
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Paliperidone, an extended-release medication, effectively treats schizophrenia by demonstrating superior efficacy compared to placebo. However, potential side effects and cost concerns may impact its widespread clinical adoption.

Area of Science:

  • Pharmacology
  • Psychiatry
  • Clinical Medicine

Background:

  • Paliperidone is the active metabolite of risperidone and was approved for schizophrenia treatment in 2006.
  • It is also under investigation for bipolar mania.
  • Paliperidone is an extended-release oral formulation.

Purpose of the Study:

  • To evaluate the efficacy and tolerability of paliperidone in treating schizophrenia.
  • To assess its effectiveness in relapse prevention.
  • To review safety data in elderly schizophrenia patients.

Main Methods:

  • Conducted three 6-week pivotal clinical trials of paliperidone extended-release (3-15 mg daily).
  • Performed an online literature search of PubMed and ClinicalTrials.gov for paliperidone and 9-hydroxy-risperidone.

Related Experiment Videos

  • Examined poster presentations from scientific meetings in 2006.
  • Main Results:

    • Paliperidone demonstrated superior efficacy over placebo in acute schizophrenia treatment.
    • Favorable tolerability was observed, with exceptions including prolactin elevation and dose-related extrapyramidal effects.
    • A relapse prevention study confirmed paliperidone's superiority over placebo in maintaining response.

    Conclusions:

    • Paliperidone is an effective treatment for acute schizophrenia and relapse prevention.
    • Potential side effects and the cost relative to generic risperidone may limit its use.
    • Further comparative studies with other second-generation antipsychotics are needed.