Palipéridone

About paliperidone

Paliperidone belongs to a group of medicines called antipsychotics. These medicines work on the balance of chemical substances in the brain.

You will have been prescribed paliperidone to relieve the symptoms of la schizophrénie, or a similar mental health problem which affects your thoughts, feelings or behaviours. Symptoms of schizophrenia include hearing, seeing, or sensing things that are not real, having mistaken beliefs, and feeling unusually suspicious. Paliperidone will help to ease these symptoms.

Maintenance doses of paliperidone can also be given by depot injection to people with schizophrenia. There is a separate medicine leaflet providing more information about this, called Injection à action prolongée de palipéridone.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking paliperidone it is important that your doctor knows:

• Si vous êtes enceinte ou si vous allaitez.

• Si vous avez une maladie cardiaque ou une maladie des vaisseaux sanguins.

• Si vous avez des problèmes de foie, de reins ou de prostate.

• Si vous avez des problèmes de respiration.

• Si vous souffrez de l'une des conditions suivantes : épilepsie, dépression, maladie de Parkinson, pression élevée dans l'œil (glaucome) ou une affection provoquant une faiblesse musculaire, appelée myasthénie grave.

• If you have ever had yellowing of your skin or the whites of your eyes (jaundice) or a blood disorder.

• If you have any difficulties swallowing, or if you have a disorder which could cause a blockage in your intestines.

• If you are scheduled to have cataract eye surgery.

• Si vous avez une tumeur sur votre glande surrénale (une condition appelée phéochromocytome), ou si on vous a dit que vous avez 'une tumeur dépendante de la prolactine'.

• Si vous avez eu une réaction allergique à un médicament.

• Si vous prenez ou utilisez d'autres médicaments. Cela inclut tous les médicaments que vous prenez et qui sont disponibles à l'achat sans ordonnance, ainsi que les médicaments à base de plantes et complémentaires.

• Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about paliperidone and it will also provide you with a full list of the side-effects which you may experience from taking it.

• The recommended starting dose for adults is 6 mg once daily, with breakfast. Your dose, however, may be adjusted to suit your condition, so take paliperidone exactly as your doctor tells you to. The directions for taking your doses will be printed on the label of the pack to remind you about what the doctor said to you.

• Try to get into the habit of taking your dose at the same time of day each day, as this will help you to remember to take it. If you do not eat breakfast, you should still take paliperidone first thing each morning. It is important that you take each of your doses in the same way each day - do not change between taking the tablets with breakfast one day, and without breakfast another.

• If you forget to take a dose, you must remember to take your next dose when it is due on the following day. Do not take two doses at the same time to make up for the missed dose.

• Swallow the tablet whole with a drink of water. Do not chew, crush or break the tablets because they are made so that they release the medicine they contain slowly during the day. Also, do not worry if you notice something that looks like a tablet in your stools when you go to the toilet - this is just the coating of the tablet being passed out of your system.

• Your treatment will require careful monitoring to make sure that you get the best possible benefit from paliperidone. Keep your regular doctor's appointments so that your progress can be checked. You will need to have some tests from time to time.

• Paliperidone tablets come in different strengths and colours. If your dose is changed, your tablets may look different. If you are unsure about your tablets at any time, please ask your pharmacist for advice.

• Treatment with paliperidone is usually long-term unless you experience an adverse effect. Keep taking the tablets unless your doctor tells you otherwise. Stopping paliperidone suddenly can cause problems so your doctor may want you to reduce your dose gradually if this becomes necessary.

• If you drink alcohol, ask your doctor for advice. Alcohol increases the risk of side-effects from paliperidone so it is best avoided.

• If you have diabetes you may need to check your blood glucose more frequently, as paliperidone may affect the levels of sugar in your blood. Your doctor will advise you about this.

• Some medicines similar to paliperidone can cause the skin to become more sensitive to sunlight than normal. It may be advisable to use a sunscreen in bright sunlight until you know how your skin reacts.

• If you are due to have any medical or dental treatment, tell the person carrying out the treatment which medicines you are taking. This is important because paliperidone may interfere with any anaesthetic you receive. If you are having cataract surgery, it is particularly important that you tell your surgeon that you are on paliperidone. This is because an eye problem known as 'floppy iris syndrome' has developed in some people and your doctor will want to advise you about the risks of this.

• If you buy or take any 'over-the-counter' medicines or herbal remedies, please check with a pharmacist that they are suitable for you to take with paliperidone.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with paliperidone. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Si vous ressentez d'autres symptômes que vous pensez être dus aux comprimés, veuillez consulter votre médecin ou votre pharmacien pour obtenir des conseils supplémentaires.

• Gardez tous les médicaments hors de la portée et de la vue des enfants.

• Conserver dans un endroit frais et sec, à l'abri de la chaleur et de la lumière directes.