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Real members of MyAutismTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyAutismTeam Member asked a question 💭
Ft. Lauderdale, FL

My sons 22 autistic/epileptic and was hospitalized and after he was given risperdal and then given a 30day injection of invega sustenna he became catatonic lost his ability to walk/talk eat and has been in the hospital for more than 2 mos

July 18
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A MyAutismTeam Member

When an individual experiences catatonia and a profound loss of abilities after receiving Invega Sustenna (paliperidone palmitate), it is a serious medical emergency known as medication-induced catatonia. This condition requires immediate intervention by a healthcare professional, as severe reactions can lead to complications like Neuroleptic Malignant Syndrome (NMS).Potential CausesInvega Sustenna is an extended-release, long-acting injectable antipsychotic. Sudden catatonia or loss of function can be triggered by a few factors:Over-prescription: Incorrect dosing intervals or administering a higher dose than the stabilized amount can lead to the emergence of catatonic symptoms.Drug sensitivity: Some individuals are highly sensitive to the dopamine and serotonin rebalancing effects of the drug, leading to severe physical rigidity, mutism, and a "zombie-like" state.Neuroleptic Malignant Syndrome (NMS): This is a rare but life-threatening reaction to antipsychotics characterized by high fever, severe muscle rigidity, and confusion.Steps for Recovery and ManagementSeek Emergency Medical Care: Take the person to an emergency room or contact their psychiatrist immediately, especially if they have a fever, stiff muscles, or cannot communicate.Discontinuation and Supportive Care: In most cases of drug-induced catatonia, medical professionals will immediately stop the implicated medication and provide supportive care to restore hydration and nutrition.Treatments: Medications such as benzodiazepines or treatments like Electroconvulsive Therapy (ECT) are highly effective at rapidly resolving catatonia.Elimination Time: Because Invega Sustenna is a long-acting injection, it stays in the body for a significant amount of time (the half-life is roughly 25 to 49 days). A doctor can help determine the best way to manage this clearance period and transition to a safer treatment.Further ExplorationLearn about the clinical case reports on catatonia from the National Center for Biotechnology Information.Review the drug's mechanisms and warnings on National Alliance on Mental Illness.Understand how doctors safely manage side effects via the National Center for Biotechnology Information.

July 18
A MyAutismTeam Member

So sorry - allergic reaction or reaction to meds?

July 18
MyAutismTeam

What a heartbreaking situation — two months is a long time, and the worry you must be feeling is immense. You're clearly a devoted parent fighting hard for your son.

Risperidone is FDA-approved to help manage irritability and aggression in people with autism. However, like all medications, it carries risks, and reactions Show Full Answer

What a heartbreaking situation — two months is a long time, and the worry you must be feeling is immense. You're clearly a devoted parent fighting hard for your son.

Risperidone is FDA-approved to help manage irritability and aggression in people with autism. However, like all medications, it carries risks, and reactions can vary significantly from person to person.

The severe reaction your son experienced is deeply concerning and absolutely warrants urgent medical attention — which it sounds like he's already receiving. Some important things to be aware of:

- Antipsychotic medications can sometimes cause serious neurological side effects
- These reactions can be more complex when epilepsy is also present
- Long-acting injectable medications like Invega Sustenna stay in the body for an extended period, which can make managing side effects more difficult
- Always ensure the medical team is fully aware of all medications your son is taking

It's strongly recommended to ask his doctors directly about whether these medications could be causing his current state, and whether a medication review or change is appropriate.

Seeking a second opinion from a neurologist or psychiatrist who specializes in autism is also a very reasonable step to consider.

July 18

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