PALIPERIDONE PALMITATE

72/100 · Elevated

Manufactured by Janssen Pharmaceuticals, Inc.

Paliperidone Palmitate Adverse Events: Weight Increase and Psychiatric Symptoms Predominate

48,953 FDA adverse event reports analyzed

Last updated: 2026-05-12

About PALIPERIDONE PALMITATE

PALIPERIDONE PALMITATE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Janssen Pharmaceuticals, Inc.. Based on analysis of 48,953 FDA adverse event reports, PALIPERIDONE PALMITATE has a safety score of 72 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for PALIPERIDONE PALMITATE include OFF LABEL USE, DRUG INEFFECTIVE, HOSPITALISATION, WEIGHT INCREASED, DRUG DOSE OMISSION. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for PALIPERIDONE PALMITATE.

AI Safety Analysis

Paliperidone Palmitate has a safety concern score of 72 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 48,953 adverse event reports for this medication, which is primarily manufactured by Janssen Pharmaceuticals, Inc..

The most commonly reported adverse events include Off Label Use, Drug Ineffective, Hospitalisation. Of classified reports, 42.7% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Weight increase is a common adverse event, with 1599 reports.

Psychiatric symptoms such as hallucinations and depression are frequently reported, with 660 and 575 reports respectively. Serious adverse events account for 42.7% of all reports, indicating a notable proportion of severe incidents.

Patients taking Paliperidone Palmitate should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Paliperidone Palmitate can cause weight gain and psychiatric symptoms, and should be used with caution in patients with a history of these conditions. Drug interactions are not specifically warned against, but patients should inform their healthcare This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 72/100

Paliperidone Palmitate received a safety concern score of 72/100 (elevated concern). This is based on a 42.7% serious event ratio across 30,702 classified reports. The score accounts for 48,953 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

OFF LABEL USE2,954 reports
DRUG INEFFECTIVE2,164 reports
HOSPITALISATION1,743 reports
WEIGHT INCREASED1,599 reports
DRUG DOSE OMISSION1,417 reports
PRODUCT DOSE OMISSION ISSUE1,307 reports
GYNAECOMASTIA1,081 reports
SCHIZOPHRENIA1,076 reports
CONDITION AGGRAVATED966 reports
TREATMENT NONCOMPLIANCE923 reports
BLOOD PROLACTIN INCREASED922 reports
PSYCHOTIC DISORDER884 reports
INCORRECT DOSE ADMINISTERED862 reports
INAPPROPRIATE SCHEDULE OF DRUG ADMINISTRATION785 reports
THERAPEUTIC RESPONSE DECREASED747 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION698 reports
GALACTORRHOEA690 reports
INJECTION SITE PAIN664 reports
HALLUCINATION, AUDITORY660 reports
PRODUCT USE IN UNAPPROVED INDICATION643 reports
DEATH604 reports
INSOMNIA604 reports
DEPRESSION575 reports
ANXIETY573 reports
ADVERSE EVENT522 reports
AKATHISIA515 reports
INJECTION SITE NODULE515 reports
TREMOR504 reports
FATIGUE494 reports
SEDATION489 reports
FEELING ABNORMAL478 reports
SUICIDAL IDEATION456 reports
EXTRAPYRAMIDAL DISORDER454 reports
PRODUCT USE ISSUE454 reports
DYSKINESIA451 reports
MALAISE448 reports
AGGRESSION446 reports
SOMNOLENCE442 reports
UNDERDOSE428 reports
DIZZINESS407 reports
HALLUCINATION407 reports
ABNORMAL BEHAVIOUR406 reports
DYSTONIA405 reports
ADVERSE DRUG REACTION401 reports
PARANOIA401 reports
AMENORRHOEA393 reports
PRODUCT DOSE OMISSION381 reports
DELUSION378 reports
SEXUAL DYSFUNCTION372 reports
DRUG EFFECT DECREASED368 reports
INJECTION SITE MASS367 reports
AGITATION359 reports
SYRINGE ISSUE354 reports
SUICIDE ATTEMPT351 reports
HYPERPROLACTINAEMIA346 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS342 reports
REFUSAL OF TREATMENT BY PATIENT338 reports
ABNORMAL WEIGHT GAIN331 reports
TARDIVE DYSKINESIA327 reports
HEADACHE321 reports
BLOOD GLUCOSE INCREASED298 reports
RESTLESSNESS290 reports
ERECTILE DYSFUNCTION288 reports
BLOOD PROLACTIN ABNORMAL286 reports
PAIN266 reports
DYSPNOEA264 reports
MUSCULOSKELETAL STIFFNESS262 reports
THERAPEUTIC PRODUCT EFFECT DECREASED257 reports
DISTURBANCE IN SOCIAL BEHAVIOUR253 reports
INJECTION SITE REACTION253 reports
PRODUCT QUALITY ISSUE253 reports
NEEDLE ISSUE251 reports
EMOTIONAL DISORDER250 reports
WEIGHT DECREASED242 reports
GAIT DISTURBANCE234 reports
METABOLIC DISORDER228 reports
ASTHENIA223 reports
NEUROLEPTIC MALIGNANT SYNDROME223 reports
ACCIDENTAL EXPOSURE TO PRODUCT221 reports
OVERDOSE218 reports
CONFUSIONAL STATE210 reports
DROOLING210 reports
PSYCHOTIC SYMPTOM210 reports
ANOSOGNOSIA209 reports
PERSONALITY CHANGE208 reports
MANIA207 reports
NAUSEA207 reports
SEIZURE201 reports
VOMITING201 reports
DRUG ABUSE199 reports
VISION BLURRED195 reports
COMPLETED SUICIDE192 reports
IRRITABILITY190 reports
CONSTIPATION188 reports
DEVICE LEAKAGE186 reports
FALL179 reports
OBESITY178 reports
RASH178 reports
INJECTION SITE SWELLING177 reports
MENTAL DISORDER176 reports

Key Safety Signals

  • Weight increase is a significant safety signal, with a high number of reports.
  • Psychotic symptoms and depression are also key safety signals, with multiple reports of hallucinations and depression.
  • Serious adverse events, including death and suicide attempts, are reported at a concerning rate.

Patient Demographics

Adverse event reports by sex: Male: 14,065, Female: 9,170, Unknown: 395. The most frequently reported age groups are age 23 (388 reports), age 32 (360 reports), age 3 (358 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 30,702 classified reports for PALIPERIDONE PALMITATE:

  • Serious: 13,099 reports (42.7%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 17,603 reports (57.3%)
Serious 42.7%Non-Serious 57.3%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male14,065 (59.5%)
Female9,170 (38.8%)
Unknown395 (1.7%)

Reports by Age

Age 23388 reports
Age 32360 reports
Age 3358 reports
Age 30351 reports
Age 26304 reports
Age 27304 reports
Age 40299 reports
Age 25298 reports
Age 4297 reports
Age 24291 reports
Age 35287 reports
Age 22279 reports
Age 34274 reports
Age 21268 reports
Age 28259 reports
Age 20257 reports
Age 29249 reports
Age 33240 reports
Age 38235 reports
Age 50235 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Paliperidone Palmitate can cause weight gain and psychiatric symptoms, and should be used with caution in patients with a history of these conditions. Drug interactions are not specifically warned against, but patients should inform their healthcare

What You Should Know

If you are taking Paliperidone Palmitate, here are important things to know. The most commonly reported side effects include off label use, drug ineffective, hospitalisation, weight increased, drug dose omission. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor patients for signs of weight gain and psychiatric symptoms, and adjust treatment as necessary. Inform patients about the potential for serious adverse events, including death and suicide attempts, and encourage them to report any concerning symptoms. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor Paliperidone Palmitate for safety, and healthcare providers should report any adverse events to the FDA's MedWatch program. Patients should adhere to prescribed dosages and schedules, and report any side effects to their

Frequently Asked Questions

How many adverse event reports has the FDA received for Paliperidone Palmitate?

The FDA has received approximately 48,953 adverse event reports associated with Paliperidone Palmitate. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Paliperidone Palmitate?

The most frequently reported adverse events for Paliperidone Palmitate include Off Label Use, Drug Ineffective, Hospitalisation, Weight Increased, Drug Dose Omission. By volume, the top reported reactions are: Off Label Use (2,954 reports), Drug Ineffective (2,164 reports), Hospitalisation (1,743 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Paliperidone Palmitate.

What percentage of Paliperidone Palmitate adverse event reports are serious?

Out of 30,702 classified reports, 13,099 (42.7%) were classified as serious and 17,603 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Paliperidone Palmitate (by sex)?

Adverse event reports for Paliperidone Palmitate break down by patient sex as follows: Male: 14,065, Female: 9,170, Unknown: 395. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Paliperidone Palmitate?

The most frequently reported age groups for Paliperidone Palmitate adverse events are: age 23: 388 reports, age 32: 360 reports, age 3: 358 reports, age 30: 351 reports, age 26: 304 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Paliperidone Palmitate?

The primary manufacturer associated with Paliperidone Palmitate adverse event reports is Janssen Pharmaceuticals, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Paliperidone Palmitate?

Beyond the most common reactions, other reported adverse events for Paliperidone Palmitate include: Product Dose Omission Issue, Gynaecomastia, Schizophrenia, Condition Aggravated, Treatment Noncompliance. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Paliperidone Palmitate?

You can report adverse events from Paliperidone Palmitate to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Paliperidone Palmitate's safety score and what does it mean?

Paliperidone Palmitate has a safety concern score of 72 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Weight increase is a common adverse event, with 1599 reports.

What are the key safety signals for Paliperidone Palmitate?

Key safety signals identified in Paliperidone Palmitate's adverse event data include: Weight increase is a significant safety signal, with a high number of reports.. Psychotic symptoms and depression are also key safety signals, with multiple reports of hallucinations and depression.. Serious adverse events, including death and suicide attempts, are reported at a concerning rate.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Paliperidone Palmitate interact with other drugs?

Paliperidone Palmitate can cause weight gain and psychiatric symptoms, and should be used with caution in patients with a history of these conditions. Drug interactions are not specifically warned against, but patients should inform their healthcare Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Paliperidone Palmitate.

What should patients know before taking Paliperidone Palmitate?

Monitor patients for signs of weight gain and psychiatric symptoms, and adjust treatment as necessary. Inform patients about the potential for serious adverse events, including death and suicide attempts, and encourage them to report any concerning symptoms.

Are Paliperidone Palmitate side effects well-documented?

Paliperidone Palmitate has 48,953 adverse event reports on file with the FDA. Psychiatric symptoms such as hallucinations and depression are frequently reported, with 660 and 575 reports respectively. The volume of reports for Paliperidone Palmitate reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Paliperidone Palmitate?

The FDA continues to monitor Paliperidone Palmitate for safety, and healthcare providers should report any adverse events to the FDA's MedWatch program. Patients should adhere to prescribed dosages and schedules, and report any side effects to their For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to PALIPERIDONE PALMITATE based on therapeutic use, drug class, or shared indications:

Paliperidone PalmitateMetforminLithiumValproic AcidAripiprazole
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.