What Are Clinical Considerations for Giving LAIs During the COVID-19 Public Health Emergency?
Since LAI antipsychotics need to be administered in person, some planning can help assure continuity of treatment with LAIs even in situations where a person is unable or uncomfortable coming to clinic for their injection. In addition, patients who are older or who have pre-existing conditions should minimize their exposure to the community, including coming to a clinic. A particular area of concern are people in self-quarantine or isolation at their home, group home, or facility in which they live due to COVID-19.
Ideally, patients should be seen as infrequently as medically prudent during this public health emergency, to limit the possibility of exposure (both patients and healthcare staff). LAIs have pharmacokinetics that can be used to achieve this goal. Creative solutions may be needed to actually give the injection. All solutions are going to be local.