Cited by 19Schizophrenia research and treatmentPharmaceutical studies and practicesPharmacogenetics and Drug Metabolism

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Maintenance dose conversion between oral risperidone and paliperidone palmitate 1 month: Practical guidance based on pharmacokinetic simulations

Open access
Russu, Alberto, Kern Sliwa, Jennifer, Ravenstijn, Paulien, Singh, Arun, Mathews, Maju, Kim, Edward, Gopal, Srihari·2018·International Journal of Clinical Practice

Abstract

AIM: We assessed the dosage strengths of paliperidone palmitate 1-month (PP1M) long-acting injectable resulting in similar steady-state (SS) exposures to the dosage strengths of oral risperidone using pharmacokinetic (PK) simulations. METHODS: Population PK simulations of SS PK were performed using the PK models of oral risperidone and PP1M. The concentrations of active moiety (risperidone + paliperidone) from risperidone were compared to paliperidone concentrations resulting from PP1M administration. Similarity was assessed via graphical evaluation of median and 90% prediction intervals of SS PK profiles over 28 days. RESULTS: Oral risperidone doses of 1, 2, 3, 4, and 6 mg/d are expected to result in similar SS PK as PP1M doses of 25, 50, 75, 100, and 150 mg eq. (which correspond to 39, 78, 117, 156, and 234 mg of paliperidone palmitate) respectively (ie 25-fold dose conversion factor from oral risperidone to PP1M). CONCLUSIONS: This study provides clinicians with a practical guidance to establish suitable maintenance dose levels of PP1M and oral risperidone when transitioning patients from one formulation to another.

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Registry

Crossref · 10.1111/ijcp.13089

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  • Paliperidone palmitate is the long-acting esterified formulation of paliperidone that is available in formulations for administration once monthly (PP1M) and once every 3 months (PP3M).

    “Paliperidone palmitate is the long-acting esterified formulation of paliperidone that is available in formulations for administration once monthly (PP1M) and once every 3 months (PP3M) [74, 75].”

    From Pharmacokinetic Characteristics of Long-Acting Injectable Antipsychotics for Schizophrenia: An Overview (2021) · cites this paper as [74]

    The Introduction identifies paliperidone palmitate as a long-acting injectable formulation available in 1-month (PP1M) and 3-month (PP3M) formulations. Our copy does not explicitly describe it as esterified, so that chemical detail is not verified by this source. (LLM, conf=0.82)

    Experimental — accuracy not yet measured

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Metadata

Authors
Russu, A., Kern Sliwa, J., Ravenstijn, P., Singh, A., Mathews, M., Kim, E., & Gopal, S.
Affiliations
  • Janssen (Belgium) (BE)
  • Janssen Scientific Affairs, LLC; Titusville NJ USA
  • Janssen Research & Development; Titusville NJ USA
  • Janssen Scientific Affairs (United States) (US)
Corresponding author
Russu, Alberto
Venue
International Journal of Clinical Practice
Publisher
Wiley
Published
2018-04-30
Volume
72
Issue
6
Pages
e13089
ISSN
1368-5031 (ISSN-L)
OpenAlex
W2801802344
Cited by
19
References
11
Citations by year
2025: 5 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 5 · 2020: 1 · 2019: 1 · 2018: 1
FWCI
1.57
Type
journal article
Language
en
Open access
Locations
  • International Journal of Clinical Practice (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
Janssen Research and Development
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmaceutical studies and practices
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
Keywords
paliperidone palmitate, risperidone, long-acting injectable antipsychotics, dose conversion, maintenance dose, steady-state pharmacokinetics, pharmacokinetic simulation, dose equivalence
MeSH terms
Paliperidone Palmitate, Administration, Oral, Delayed-Action Preparations, Humans, Schizophrenia, Antipsychotic Agents, Practice Guidelines as Topic, Risperidone

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