Invega Does Not Come in 4 mg
No, Invega (paliperidone) extended-release tablets do not come in a 4 mg strength. According to the FDA prescribing information, Invega is available only in 1.5 mg (orange-brown), 3 mg (white), 6 mg (beige), and 9 mg (pink) strengths 1.
Available Strengths
The four available tablet strengths are:
- 1.5 mg - orange-brown capsule-shaped tablet marked "PAL 1.5"
- 3 mg - white capsule-shaped tablet marked "PAL 3"
- 6 mg - beige capsule-shaped tablet marked "PAL 6"
- 9 mg - pink capsule-shaped tablet marked "PAL 9"
All tablets use OROS® osmotic drug-release technology for once-daily extended-release dosing 1.
Clinical Implications
If you need a dose between 3 mg and 6 mg, you cannot achieve exactly 4 mg with Invega tablets. The tablets cannot be split, crushed, or chewed due to their extended-release delivery system design 1. The osmotic pump mechanism requires the tablet to remain intact to function properly.
For dosing, you must select from the available strengths (1.5,3,6, or 9 mg). The recommended therapeutic dose range is 3-12 mg once daily, with 6 mg being a common starting dose for many patients 2, 3.