Relapse and frequency of injection of monthly paliperidone palmitate—A retrospective case–control study

AbstractBackgroundOutcomes with long-acting injections (LAIs) are generally better than with oral antipsychotic therapy. However, the use of LAIs does not assure compliance with treatment and in clinical practice patients often miss injections or receive their injections later than intended.MethodWe...

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Bibliographic Details
Main Authors: Emily Laing, David Taylor
Format: Article
Language:English
Published: Cambridge University Press 2021-01-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821000043/type/journal_article
Description
Summary:AbstractBackgroundOutcomes with long-acting injections (LAIs) are generally better than with oral antipsychotic therapy. However, the use of LAIs does not assure compliance with treatment and in clinical practice patients often miss injections or receive their injections later than intended.MethodWe conducted a case–control study to identify demographic and treatment associations with relapse (cases) on paliperidone 1-monthly injection (PP1M) compared with age-, gender-, and ethnicity-matched controls.ResultsWe identified 16 cases and matched 43 controls. Baseline variables did not differ except that cases had received significantly more antipsychotic drugs before initiation with PP1M (3.94 vs. 2.12; p < 0.001). Cases had fewer PP1M injections administered compared with the control group (9.69 vs. 11.37; p < 0.001) and this group had a longer interval between injections than the control group (37 vs. 33 days; p < 0.001).ConclusionsRelapse on PP1M is associated with reduced frequency of injection and a longer interval between doses.
ISSN:0924-9338
1778-3585