Table 3.
Management of Missed Doses for Common LAIs
| Medication name | Dosing window (from scheduled) | Time since last injection | Action to take |
|---|---|---|---|
| Aripiprazole Monohydrate (Abilify Maintena) | ±7 d | <5 wk (2nd or 3rd dose) | Administer missed dose ASAP |
| >5 wk (2nd or 3rd dose) | Administer missed dose ASAP + oral aripiprazole for 14 d | ||
| <6 wk (≥4 consecutive doses) | Administer injection ASAP | ||
| >6 wk (≥4 consecutive doses) | Administer next injection ASAP + oral aripiprazole for 14 d | ||
| Aripiprazole Monohydrate (Abilify Asimtufii) | ±14 d | 8 to 14 wk | Administer next dose ASAP |
| >14 wk | Restart initiation regimen | ||
| Olanzapine Pamoate (Zyprexa Relprevv) | ±28 d | ≤2 mo (at steady state) | Administer next injection ASAP |
| >2 mo (at steady state) | Restart loading dose regimen for 2 mo | ||
| Paliperidone Palmitate (Erzofri) | ±7 d | 4–6 wk | Resume regular monthly injections if stabilized on <234 mg. If stabilized on 234 mg, then: 1. 156 mg deltoid ASAP 2. 156 mg second deltoid 1 week later 3. Resume previous 234 mg regimen 1 month after second 156 mg deltoid |
| >6 mo | Restart initiation regimen | ||
| Paliperidone Palmitate (Invega Sustenna) | ±14 d | <6 wk (maintenance) | Administer next injection ASAP |
| 6 wk to 6 mo (maintenance) | 1. Administer next dose in deltoid ASAP; 2. repeat same dose 1 wk later in deltoid; and 3. resume monthly | ||
| >6 mo (maintenance) | Restart initiation regimen | ||
| Paliperidone Palmitate (Invega Trinza) | ±14 d | 3.5 to 4 mo | Administer next dose ASAP |
| 4 to 9 mo | Use special reinitiation regimen. See Table 4 | ||
| Risperidone LAI (Risperdal Consta) | ≤6 wk (at steady state) | Administer next injection ASAP | |
| >6 wk (at steady state) | Administer next injection ASAP + oral supplementation for 3 wk | ||
| Risperidone LAI (Risvan) | Administer missed dose ASAP | ||
| Risperidone LAI (Perseris) | Administer missed dose ASAP |