Name of the Procedure:

Injection, fluphenazine decanoate, up to 25 mg (J2680)

Common name(s): Fluphenazine Injection
Technical/medical term: Fluphenazine Decanoate Injection

Summary

An injection of fluphenazine decanoate is a procedure in which a long-acting form of the antipsychotic medication fluphenazine is administered. This medication is used to treat symptoms of certain mental health conditions by helping to restore the balance of natural substances in the brain.

Purpose

Fluphenazine decanoate is used to manage symptoms of schizophrenia and other long-term psychotic disorders. The primary goal is to reduce symptoms like hallucinations, delusions, and disorganized thinking.

Indications

• Schizophrenia
• Other chronic psychotic disorders
• Patients requiring maintenance treatment who experience difficulty adhering to oral medications

Preparation

• Patients may be advised to avoid alcohol and certain medications before the injection.
• A brief health assessment is usually conducted to ensure there are no contraindications.
• Blood tests or other diagnostic assessments may be performed as needed.

Procedure Description

1. The patient is asked to sit or lie down in a comfortable position.
2. The injection site (usually the upper buttock) is cleaned with antiseptic.
3. An appropriate dose (up to 25 mg) of fluphenazine decanoate is drawn into a syringe.
4. The needle is inserted into the muscle, and the medication is slowly injected.
5. The needle is withdrawn and the injection site is covered with a small bandage.

No anesthesia or sedation is typically required, though it may be offered in cases of severe anxiety.

Duration

The procedure itself usually takes about 5-10 minutes.

Setting

The injection is typically administered in an outpatient clinic, hospital, or doctor's office.

Personnel

• Administered by a nurse, physician, or a trained healthcare professional.

Risks and Complications

Common risks:

• Pain or swelling at the injection site
• Drowsiness
• Dizziness
• Weight gain

Rare risks:

• Severe allergic reaction
• Neuroleptic malignant syndrome (a rare, life-threatening reaction)
• Tardive dyskinesia (involuntary muscle movements)

Benefits

• Improved symptom control in schizophrenia or other psychotic disorders.
• Reduced need for daily medication compliance.
• Stabilization of mood and behavior, leading to improved daily functioning.

Recovery

• Patients may experience mild discomfort at the injection site.
• Normal activities can typically be resumed immediately.
• Follow-up appointments are usually scheduled every 2-4 weeks, depending on individual requirements.

Alternatives

• Oral antipsychotic medications
  • Pros: Easier to adjust dosage.
  • Cons: Requires daily adherence.
• Other injectable antipsychotic medications
  • Pros: Different side effect profiles.
  • Cons: May require shorter or longer intervals between doses.

Patient Experience

During the procedure, patients might feel a slight pinch or discomfort from the needle. After the injection, there could be mild soreness at the injection site. Pain management includes over-the-counter pain relievers if needed and applying a warm compress to relieve discomfort. Overall, the experience is typically straightforward and well-tolerated by most patients.