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Injection, risperidone (risperdal consta), 0.5 mg

HCPCS code

Name of the Procedure:

Injection of risperidone (commonly known as Risperdal Consta)

Summary

This procedure involves an injection of risperidone, an antipsychotic medication, to help manage symptoms associated with certain mental health disorders. The medication is delivered as an extended-release intramuscular injection, ensuring a steady release over time.

Purpose

Risperidone injections are used to treat conditions like schizophrenia, bipolar disorder, and sometimes irritability associated with autism. The goal is to stabilize mood, reduce symptoms of psychosis such as hallucinations and delusions, and improve overall quality of life.

Indications

  • Schizophrenia
  • Bipolar disorder
  • Irritability associated with autism Patients typically receive this treatment when oral medications are ineffective or if there's a need for long-term management without daily dosing.

Preparation

  • Patients may need to fast for a certain period before the procedure, as per their healthcare provider's instructions.
  • Current medications should be reviewed and adjusted if necessary.
  • Blood tests or other diagnostic evaluations may be performed to ensure suitability for the treatment.

Procedure Description

  1. The healthcare provider will prepare the injection site, typically in the arm or buttock.
  2. The risperidone is injected intramuscularly using a syringe.
  3. The injection area is then cleaned and may be covered with a small bandage.
  4. Patients may be monitored briefly for immediate adverse reactions.

Duration

The injection process itself takes only a few minutes, though the entire appointment may last around 20-30 minutes to allow for preparation and post-injection observation.

Setting

This procedure is typically performed in an outpatient clinic, a hospital setting, or a mental health facility.

Personnel

  • Primary care physician or psychiatrist
  • Registered nurse or medical assistant

Risks and Complications

  • Common: pain at the injection site, drowsiness, dizziness, weight gain
  • Rare: allergic reactions, blood sugar changes, movement disorders Management includes monitoring and, if necessary, administering medications to alleviate symptoms.

Benefits

  • Stabilization of mood
  • Reduction in psychotic symptoms
  • Convenience of less frequent dosing (every two weeks) Most patients experience symptom relief within several days to weeks.

Recovery

  • Patients can often resume their normal activities immediately after the injection.
  • Follow-up appointments are necessary to monitor effectiveness and perform subsequent injections.
  • Patients should avoid vigorous exercise for a short period after the injection.

Alternatives

  • Oral antipsychotic medications
  • Other injectable medications, like aripiprazole
  • Psychotherapy Alternatives may vary in terms of dosing frequency, side effects, and efficacy.

Patient Experience

Patients might feel a brief sting or discomfort during the injection. Post-procedure, mild soreness or redness might occur at the injection site. Pain management typically involves over-the-counter analgesics and applying a warm compress if discomfort persists.

Medical Policies and Guidelines for Injection, risperidone (risperdal consta), 0.5 mg

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