Name of the Procedure:

Injection, perphenazine, up to 5 mg

• Common Name: Perphenazine Shot
• Technical/Medical Term: Perphenazine Injection (HCPCS Code J3310)

Summary

A perphenazine injection is a medical procedure where a small dose of perphenazine (up to 5 mg) is administered into the body using a syringe. This medication is typically used to manage symptoms of certain psychiatric disorders.

Purpose

Perphenazine injections are used to treat conditions such as schizophrenia and to control severe nausea and vomiting. The primary goal is to stabilize mood, reduce hallucinations, and control persistent vomiting.

Indications

• Schizophrenia and other psychotic disorders
• Severe nausea and vomiting that do not respond to other treatments
• Patients who need a fast-acting alternative to oral medications

Preparation

• Follow your doctor’s instructions regarding eating and drinking before the injection.
• Inform your healthcare provider about any medications you are currently taking.
• Diagnostic assessments may include a review of medical history and a physical examination.

Procedure Description

1. The healthcare provider will clean the injection site, commonly the arm or buttock.
2. A syringe with up to 5 mg of perphenazine will be prepared.
3. The provider will inject the medication slowly into the muscle.
4. The site will be checked for any immediate reactions.
5. The patient will be monitored for a short period before being allowed to leave.

Duration

The injection process itself takes about 5-10 minutes, though the total appointment time may be around 30 minutes for monitoring.

Setting

• Outpatient clinic
• Hospital
• Primary care physician’s office

Personnel

• Registered Nurse (RN)
• Licensed Practical Nurse (LPN)
• Physician (MD or DO)

Risks and Complications

Common Risks:

• Mild pain or discomfort at the injection site
• Drowsiness or dizziness
• Dry mouth and constipation

Rare Risks:

• Severe allergic reactions
• Prolonged muscle spasms or stiffness (extrapyramidal symptoms)
• Neuroleptic malignant syndrome (a life-threatening condition)

Complications will be managed according to medical protocols, with immediate attention to any severe reactions.

Benefits

• Rapid relief from acute psychiatric symptoms or severe nausea
• Prevents the need for hospitalization in some cases
• Can stabilize acute symptoms allowing for further outpatient management

Recovery

• Post-injection, you may experience some soreness at the injection site.
• Avoid strenuous activity for a few hours.
• Drink plenty of fluids and follow any specific instructions provided by the healthcare provider.
• Follow-up appointments may be necessary to monitor the condition and any side effects.

Alternatives

• Oral perphenazine tablets
• Other antipsychotic medications (e.g., risperidone, haloperidol)
• Non-drug treatments for nausea (e.g., behavioral therapy, alternative medications)

Pros:

• Non-invasive alternatives are available (e.g., tablets)
• Some alternatives may have fewer side effects

Cons:

• Oral medications may take longer to act
• Severe nausea or vomiting may make oral medications impractical

Patient Experience

• During the injection, you might feel a slight pinch or sting.
• Post-injection, you could experience mild soreness at the injection site.
• Pain is generally minimal and can often be managed with over-the-counter pain relievers.
• Inform your provider of any discomfort or unusual symptoms after the injection.