Reported Reactions

Drugs › Atypical antipsychotic

Brand name · Paliperidone palmitate

Invega Trinza: adverse event reports filed with FDA

4,345 reports list it as a suspect or interacting product, 2015–2026. Class: Atypical antipsychotic.

4,345
reports as suspect product
0% of all reports · about 381 a year
205
reports, 12 months to June 2026
299 in the 12 months before
37.4%
marked serious by the reporter
70.7% across the class
2.5%
record death among outcomes, as reported
108 reports · not verified by FDA

4,345 adverse event reports received by FDA list the brand name Invega Trinza (paliperidone palmitate) as a suspect or interacting product, from February 2015 to June 2026. A further 82 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 205 reports listed it, down 31% from 299 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 381 reports a year and 0% of the 20,646,523 reports in the database, and 0.6% of the reports for the atypical antipsychotic class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are off label use (11.1%), drug ineffective (9.9%) and therapeutic response decreased (6.4%). A report can list several reactions, so shares add to more than 100%; 336 different terms appear across these reports. Off label use is recorded in 11.1% of these reports, a larger share than in the median atypical antipsychotic drug (6.9%).

37.4% of the reports are marked serious by the reporter (70.7% across the class); 2.5% record death among the outcomes and 18% record hospitalisation, as reported. 45.2% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (18.6%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

04283Jul 2021: 41Aug 2021: 38Sep 2021: 28Oct 2021: 22Nov 2021: 37Dec 2021: 352022Jan 2022: 37Feb 2022: 39Mar 2022: 83Apr 2022: 32May 2022: 29Jun 2022: 23Jul 2022: 32Aug 2022: 34Sep 2022: 45Oct 2022: 41Nov 2022: 34Dec 2022: 252023Jan 2023: 25Feb 2023: 44Mar 2023: 37Apr 2023: 36May 2023: 24Jun 2023: 35Jul 2023: 37Aug 2023: 32Sep 2023: 29Oct 2023: 20Nov 2023: 37Dec 2023: 142024Jan 2024: 27Feb 2024: 28Mar 2024: 28Apr 2024: 34May 2024: 40Jun 2024: 26Jul 2024: 17Aug 2024: 36Sep 2024: 28Oct 2024: 29Nov 2024: 24Dec 2024: 112025Jan 2025: 21Feb 2025: 34Mar 2025: 32Apr 2025: 18May 2025: 19Jun 2025: 30Jul 2025: 28Aug 2025: 21Sep 2025: 19Oct 2025: 14Nov 2025: 19Dec 2025: 152026Jan 2026: 12Feb 2026: 20Mar 2026: 13Apr 2026: 10May 2026: 14Jun 2026: 20

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

03466912015: 9320152016: 3982017: 69120172018: 4852019: 42620192020: 3602021: 38120212022: 4542023: 37020232024: 3282025: 27020252026: 89

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Invega Trinza reports recording the termmedian drug in atypical antipsychotic

  1. Off label useused for a purpose or in a way not on the label11.1%482
  2. Drug ineffectivethe medicine did not work as expected9.9%429
  3. Therapeutic response decreasedthe medicine worked less well6.4%278
  4. Product dose omission issuea dose was missed6.2%269
  5. Condition aggravatedthe condition being treated got worse5.7%246
  6. Schizophreniaschizophrenia5.4%235
  7. Hospitalisationadmission to hospital4.4%192
  8. Psychotic disordera loss of contact with reality3.9%171
  9. Product use in unapproved indicationused for a purpose not on the label3.7%160
  10. Inappropriate schedule of product administrationthe product was taken at the wrong times3.3%142
  11. Weight increasedweight gain3.1%135
  12. Underdoseless than the intended dose3%130
  13. Drug effect decreasedthe medicine had less effect2.9%125
  14. Blood prolactin increased2.4%103
  15. Incorrect dose administeredthe wrong dose was given2.2%95
  16. Paranoiaparanoia2.2%95
  17. Wrong technique in product usage processthe product was used in the wrong way2.2%95
  18. Treatment noncompliancethe treatment was not taken as directed2%85
  19. Drug dose omissiona dose was missed1.9%84
  20. Psychotic symptom1.7%75
  21. Malaisegeneral feeling of being unwell1.7%72
  22. Hallucinationseeing or hearing things that are not there1.6%71
  23. Adverse eventan unwanted medical event, type not specified1.6%69
  24. Needle issuea problem with the needle1.6%69
  25. Aggressionaggressive behaviour1.6%68
  26. Anxietyanxiety1.5%67
  27. Inappropriate schedule of drug administrationthe medicine was taken at the wrong times1.5%65

Top 30 of 336 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 37 drugs in the atypical antipsychotic class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death2.5%108
Life-threatening0.8%36
Hospitalisation (initial or prolonged)18%783
Disability0.9%39
Congenital anomaly0%1
Other serious19.5%847
Not serious62.6%2,718

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 683,680 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%1
2 to 110%1
12 to 170.2%10
18 to 4418.6%806
45 to 6410%433
65 to 741.4%61
75 and over0.4%16
Age not given69.4%3,017

Patient sex

Female23%999
Male42.3%1,838
Not given34.7%1,508

Who reported

Physician27.5%1,195
Pharmacist11.4%495
Other health professional45.2%1,965
Lawyer0.1%5
Consumer or non-health professional15.6%679
Not given0.1%6

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 87.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Schizophrenia96822.3%
Schizoaffective disorder1673.8%
Bipolar disorder691.6%
Schizoaffective disorder bipolar type441%
Psychotic disorder290.7%
Bipolar i disorder130.3%

The indication field is filled in by the reporter and is often blank; shares are of all 4,345 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Invega Trinza reports
Invega Sustenna50711.7%
Invega1242.9%
Depakote621.4%
Risperdal501.2%
Risperidone471.1%
Trazodone471.1%
Olanzapine461.1%
Lithium380.9%
Abilify370.9%
Benztropine340.8%

Other products listed in reports where Invega Trinza is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureInvega TrinzaAtypical antipsychoticAll reports
Reports as suspect product4,345683,68020,646,523
Share of that pool—0.6%0%
Reports, latest 12 months205—1,332,454
Marked serious37.4%70.7%57.4%
Death recorded among outcomes, per 1,000 reports2512191
Hospitalisation recorded, per 1,000 reports180304213
Consumer-filed share15.6%34%45.8%
Top term, share of reportsOff label use 11.1%median 6.9%4.1%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the atypical antipsychotic class

DrugName typeReportsLatest 12 monthsMarked serious
Clozapinegeneric73,0233,25293.4%
Abilifybrand54,64562558%
Risperdalgeneric54,45488248.4%
Nuplazidbrand53,7539,60250.6%
Quetiapinegeneric52,3884,19097.6%
Seroquelbrand52,27226562.9%
Clozarilbrand47,9143,08898.4%
Olanzapinegeneric46,8374,08795.3%
Risperidonegeneric44,9622,51176.9%
Aripiprazolegeneric30,1453,10287.8%
Zyprexabrand26,46912178.4%
Invega Sustennabrand23,6481,51335.8%
Quetiapine fumarategeneric19,5681,69790.7%
Invegabrand16,67223835.5%
Latudabrand16,08518340.7%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Invega Trinza reports

How many adverse event reports has FDA received for Invega Trinza?

4,345 reports list Invega Trinza as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 205 of them arrived in the latest 12 months. Another 82 list it only as a concomitant medication.

What reactions are recorded in Invega Trinza reports?

off label use (11.1%), drug ineffective (9.9%), therapeutic response decreased (6.4%), product dose omission issue (6.2%) and condition aggravated (5.7%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Invega Trinza was responsible.

How serious are the reports?

37.4% are marked serious by the reporter. Among the outcomes recorded, 2.5% of reports include death and 18% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (45.2%), physician (27.5%) and consumer or non-health professional (15.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Invega Trinza rising?

205 reports in the 12 months to June 2026, down 31% from 299 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Invega Trinza was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Invega Trinza?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Invega Trinza as a suspect or interacting product; reports listing it only as a concomitant medication (82) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.