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FDA Approves Perseris (risperidone) for Treatment of Schizophrenia in Adults

FDA Approves Perseris (risperidone) for Treatment of Schizophrenia in Adults
Photo by Alexey Demidov / Unsplash
Key Takeaway
Consider Perseris for adults with schizophrenia who require monthly long-acting injectable risperidone after oral tolerability is established.

The FDA has approved Perseris (risperidone) for the treatment of schizophrenia in adults, as announced on July 27, 2018. Perseris is a long-acting injectable formulation of risperidone, an atypical antipsychotic, designed for once-monthly subcutaneous administration by a healthcare provider. This new formulation offers an alternative to daily oral risperidone for patients who may benefit from less frequent dosing. The approval provides clinicians with another option for maintenance treatment in adults with schizophrenia, potentially improving adherence. The label emphasizes that tolerability with oral risperidone must be established before starting Perseris, and that supplementation with oral risperidone is not recommended.

Clinical Details (Mechanism · Dosing · Trial Data · Warnings)
Mechanism of Action

Not reported in label.

Indication & Patient Population

Perseris is indicated for the treatment of schizophrenia in adults. It is an atypical antipsychotic.

Dosing & Administration

Establish tolerability with oral risperidone prior to initiating Perseris. Administer monthly by subcutaneous injection in the abdomen or back of the upper arm by a healthcare provider. Do not administer by any other route. Perseris may be initiated at a dose of 90 mg or 120 mg once monthly. Do not administer more than one dose per month. Supplementation with oral risperidone is not recommended. For patients switching from oral risperidone: 3 mg oral daily to 90 mg Perseris; 4 mg oral daily to 120 mg Perseris. Patients on stable oral doses lower than 3 mg or higher than 4 mg daily may not be candidates. For renal or hepatic impairment, titrate with oral risperidone to at least 3 mg daily, then 90 mg Perseris monthly. For concomitant strong CYP2D6 inhibitors, switch to 90 mg Perseris. For strong CYP3A4 inducers, increase Perseris to 120 mg and consider additional oral risperidone.

Key Clinical Trial Data

Trial data not available in label.

Warnings & Contraindications

Not reported in label.

Place in Therapy

Perseris is a long-acting injectable atypical antipsychotic for maintenance treatment of schizophrenia in adults, offering monthly dosing as an alternative to daily oral risperidone. It requires prior tolerability to oral risperidone and is not recommended for patients on stable oral doses outside the 3-4 mg daily range.

Study Details

Study typeFda approval
PublishedJul 2018
View Original Abstract ↓
1 INDICATIONS AND USAGE PERSERIS is indicated for the treatment of schizophrenia in adults [see Clinical Studies ( 14 )] . PERSERIS is an atypical antipsychotic indicated for the treatment of schizophrenia in adults. ( 1 )
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