1. Psychiatric assessment
Confirm diagnosis, treatment goals, prior response, oral tolerability, current symptoms, adverse effects, and whether another medicine remains active.
Consta is an intramuscular risperidone injection given every two weeks for schizophrenia and bipolar I maintenance. Its main release is delayed after the first dose. The label therefore requires three weeks of prescribed oral antipsychotic coverage at initiation. Oral tolerability is established first when unknown. This differs from some monthly subcutaneous risperidone formulations that do not recommend routine oral overlap. Ask which exact product and regimen you are receiving, and keep psychiatric reviews linked to administration visits.
Risperdal Consta is a long-acting risperidone injection given into the shoulder or buttock muscle every two weeks. It is used for schizophrenia and for maintenance treatment of bipolar I disorder, either alone or with lithium or valproate. Safety and effectiveness have not been established in patients younger than 18. Consta’s delayed medicine release makes the first weeks of treatment different from a routine maintenance visit.
Risperidone is held in extended-release microspheres that gradually release the medicine. Its clinical effect is thought to involve dopamine and serotonin receptor blocking. The main release begins after a delay, so oral coverage is needed at initiation. A subcutaneous risperidone injection can have a different release pattern even though the ingredient is related.
Oral risperidone tolerability should be established before the first Consta dose if the patient has never taken it. The clinician reviews diagnosis, oral dose, kidney or liver function, interactions and prior side effects. A first injection does not immediately replace all existing antipsychotic exposure.
Clarify the diagnosis and the role of any lithium, valproate or other medicine. Explain daily-pill difficulties and preferences without assuming an injection is right for everyone.
The label requires oral risperidone or another antipsychotic with the first injection, continued for three weeks before the planned discontinuation. The prescriber must identify the exact oral medicine and stop date. Do not stop it because the injection has been given.
Record the product, dose and actual injection date. Dose changes have delayed clinical effects and are not made at every visit by default. Keep psychiatric follow-up linked with administration records.
Bring the exact product name, prescribed strength, last injection date, oral medicine list and the responsible prescriber’s contact information. Include discharge notes, recent blood tests and any written start or restart plan. Tell the team about pregnancy, breastfeeding, allergies, seizures, fainting, substance use and new medicines or supplements. If a dose is delayed or records are unclear, contact the prescriber before travelling to an administration visit.
The boxed warning states that antipsychotics increase the risk of death in older adults with dementia-related psychosis. This medicine is not approved for that use. Consta can cause sedation, dizziness, movement symptoms, weight and metabolic changes, and raised prolactin. Tell the clinician about sexual or menstrual changes and breast symptoms. Avoid hazardous work or driving until you know the effect on you. A dose change or stopping future injections does not immediately remove medicine already given. Seek emergency care for severe trouble breathing, throat or tongue swelling, loss of consciousness, or high fever with severe muscle stiffness and confusion. Contact the treating team promptly for new involuntary movements, severe restlessness, worsening psychosis, marked dizziness or troublesome injection-site symptoms. Do not wait for the next routine injection to report a serious concern.
If treatment has been interrupted, contact the prescriber before resuming. The label recommends oral supplementation when restarting after an interval off treatment but does not provide a single patient-ready restart formula for every missed visit. The last injection date, established treatment duration and symptoms need review.
Before an injection appointment, ask which clinic can accept the prescription, how the medicine will be obtained, and which costs belong to the medicine, administration and psychiatry follow-up. A benefits check, prior authorization and medicine delivery are different steps. Ask for the proposed cost before each step. Manufacturer assistance has its own eligibility rules. Office-visit coverage does not establish medication coverage, and a listed clinic does not establish that the product is stocked or can be given there today.
Risperdal Consta is a long-acting risperidone injection given into the shoulder or buttock muscle every two weeks. It is used for schizophrenia and for maintenance treatment of bipolar I disorder, either alone or with lithium or valproate. Safety and effectiveness have not been established in patients younger than 18. Consta’s delayed medicine release makes the first weeks of treatment different from a routine maintenance visit.
Oral risperidone tolerability should be established before the first Consta dose if the patient has never taken it. The clinician reviews diagnosis, oral dose, kidney or liver function, interactions and prior side effects. A first injection does not immediately replace all existing antipsychotic exposure.
Clarify the diagnosis and the role of any lithium, valproate or other medicine. Explain daily-pill difficulties and preferences without assuming an injection is right for everyone.
The label requires oral risperidone or another antipsychotic with the first injection, continued for three weeks before the planned discontinuation. The prescriber must identify the exact oral medicine and stop date. Do not stop it because the injection has been given.
Record the product, dose and actual injection date. Dose changes have delayed clinical effects and are not made at every visit by default. Keep psychiatric follow-up linked with administration records.
Risperdal Consta is a long-acting risperidone injection given into the shoulder or buttock muscle every two weeks. It is used for schizophrenia and for maintenance treatment of bipolar I disorder, either alone or with lithium or valproate. Safety and effectiveness have not been established in patients younger than 18. Consta’s delayed medicine release makes the first weeks of treatment different from a routine maintenance visit.
Oral risperidone tolerability should be established before the first Consta dose if the patient has never taken it. The clinician reviews diagnosis, oral dose, kidney or liver function, interactions and prior side effects. A first injection does not immediately replace all existing antipsychotic exposure.
Do not assume another risperidone injection can be exchanged directly for Risperdal Consta. Products have different delivery, approved uses, initiation and oral-coverage instructions. Give the prescriber the exact prior product, dose and injection date and obtain a written transition plan before booking administration. Consta requires its own tolerability and first-dose plan for the oral medicine needed when starting treatment.
If treatment has been interrupted, contact the prescriber before resuming. The label recommends oral supplementation when restarting after an interval off treatment but does not provide a single patient-ready restart formula for every missed visit. The last injection date, established treatment duration and symptoms need review.
Oral risperidone tolerability should be established before the first Consta dose if the patient has never taken it. The clinician reviews diagnosis, oral dose, kidney or liver function, interactions and prior side effects. A first injection does not immediately replace all existing antipsychotic exposure.
Nao Medical can coordinate psychiatric injection care with your prescribing psychiatrist. Share the current order, exact medicine, last dose date and treatment history through the confirmed clinical intake process. The clinicians review product-specific initiation or restart requirements and arrange medication delivery, administration and follow-up. Keep your existing treatment plan until the next appointment is agreed.
Continuing antipsychotic care reviews symptoms, daily function, injection dates, movement symptoms, sedation, falls, weight, blood pressure and medicine-specific blood tests. Blood sugar/lipids, prolactin or heart-rhythm assessment may be relevant depending on the product and history. Ask the psychiatrist which tests are due and who reviews them. An administration-only visit does not replace that care. Report new involuntary movements, marked restlessness, fainting or troublesome injection-site changes promptly.
Risperidone can raise prolactin. Contact the treating team for a review of symptoms, testing and treatment options. Do not use a forum timeline to predict how quickly a symptom will resolve.
The labeled Consta schedule is every two weeks. Giving that product only once a month is not its standard maintenance regimen. Other long-acting risperidone products have different routes and intervals, and cannot be substituted by changing the appointment spacing. Ask the psychiatrist about a product-specific transition if the two-week schedule is difficult. Continue the prescribed plan until that change is agreed.
The complete Consta kit is stored refrigerated at 2°C to 8°C (36°F to 46°F) and protected from light. When refrigeration is unavailable, the label allows no more than seven days at temperatures not exceeding 25°C (77°F) before administration. Time outside refrigeration and the highest temperature both matter. Ask the pharmacy to assess any uncertain storage exposure before use; do not assume that putting it back in a refrigerator resets that limit.
Consta has delayed, prolonged medicine release. The label describes its elimination phase as complete approximately seven to eight weeks after the last injection. That is a population pharmacokinetic description, not a guaranteed end date for side effects or a safe time to stop follow-up. Tell the clinician the last dose and date, and discuss symptom recurrence and any switch. Stopping future injections does not immediately remove medicine already given.
Request an estimate for the medication and every-two-week administration, plus psychiatry visits, monitoring and any prescribed oral coverage at initiation. The label requires three weeks of oral antipsychotic coverage after the first injection; those tablets may be billed separately. Your actual share depends on the plan, benefit used, provider and pharmacy arrangements. Confirm approvals and expected charges before arranging a dose. A quoted visit fee alone does not describe the full treatment cost.
Confirm diagnosis, treatment goals, prior response, oral tolerability, current symptoms, adverse effects, and whether another medicine remains active.
Document the exact dose, first or last injection date, three-week oral coverage when starting, next due date, and responsible prescriber.
Review interactions, kidney or liver considerations, pregnancy, metabolic and movement monitoring, benefits, delivery, and medication arrival.
Use the correct product components and muscle site, document the dose, monitor as clinically required, and schedule psychiatric follow-up and the next injection.
Bronx
932 E 174th St, Bronx, NY 10460
If an outside psychiatrist manages treatment, send the order and records for Nao review. If not, Nao psychiatry can evaluate and manage the plan. Medication delivery, trained staff, and the administration site must be confirmed before travel.
Queens
37-15 23rd Ave, Astoria, NY 11105
If an outside psychiatrist manages treatment, send the order and records for Nao review. If not, Nao psychiatry can evaluate and manage the plan. Medication delivery, trained staff, and the administration site must be confirmed before travel.
Bronx
2063A Bartow Ave, Bronx, NY 10475
If an outside psychiatrist manages treatment, send the order and records for Nao review. If not, Nao psychiatry can evaluate and manage the plan. Medication delivery, trained staff, and the administration site must be confirmed before travel.
Brooklyn
341 Eastern Pkwy, Brooklyn, NY 11216
If an outside psychiatrist manages treatment, send the order and records for Nao review. If not, Nao psychiatry can evaluate and manage the plan. Medication delivery, trained staff, and the administration site must be confirmed before travel.
Long Island
232 W Old Country Rd, Hicksville, NY 11801
If an outside psychiatrist manages treatment, send the order and records for Nao review. If not, Nao psychiatry can evaluate and manage the plan. Medication delivery, trained staff, and the administration site must be confirmed before travel.
Queens
80-10 Northern Blvd, Jackson Heights, NY 11372
If an outside psychiatrist manages treatment, send the order and records for Nao review. If not, Nao psychiatry can evaluate and manage the plan. Medication delivery, trained staff, and the administration site must be confirmed before travel.
Queens
90-18 Sutphin Blvd, Jamaica, NY 11435
If an outside psychiatrist manages treatment, send the order and records for Nao review. If not, Nao psychiatry can evaluate and manage the plan. Medication delivery, trained staff, and the administration site must be confirmed before travel.
Queens
30-07 36th Ave, Astoria, NY 11106
If an outside psychiatrist manages treatment, send the order and records for Nao review. If not, Nao psychiatry can evaluate and manage the plan. Medication delivery, trained staff, and the administration site must be confirmed before travel.
Long Island
135 Mineola Blvd, Mineola, NY 11501
If an outside psychiatrist manages treatment, send the order and records for Nao review. If not, Nao psychiatry can evaluate and manage the plan. Medication delivery, trained staff, and the administration site must be confirmed before travel.
Manhattan
259 1st Ave, New York, NY 10003
If an outside psychiatrist manages treatment, send the order and records for Nao review. If not, Nao psychiatry can evaluate and manage the plan. Medication delivery, trained staff, and the administration site must be confirmed before travel.
Brooklyn
308 Graham Ave, Brooklyn, NY 11211
If an outside psychiatrist manages treatment, send the order and records for Nao review. If not, Nao psychiatry can evaluate and manage the plan. Medication delivery, trained staff, and the administration site must be confirmed before travel.
Review outside-order intake, delivery, site confirmation, monitoring, and dose recall.
Coordinate diagnosis, antipsychotic response, metabolic monitoring, and continuity.
Review maintenance treatment in the context of bipolar symptoms, other medicines, and follow-up.
Review the separate subcutaneous risperidone schedule and initiation rules; the products are not interchangeable.
NIH DailyMed / FDA-approved labeling
Approved uses, oral tolerability, three-week oral coverage, two-week dosing, and monitoring.
Open official sourceAmerican Psychiatric Association
Assessment, antipsychotic treatment, long-acting medicines, clozapine, and monitoring.
Open official sourceU.S. Food and Drug Administration
How patients and clinicians can report suspected medication problems.
Open official sourceContent was updated August 4, 2026 using the sources cited above. Medical guidance, prescribing information, medication availability, and insurance rules can change. A licensed clinician must confirm current information and determine each patient's eligibility, testing, treatment, administration setting, and follow-up. Call 911 for a medical emergency. Contact Nao Medical with a question or correction.