Compare Abilify vs. Risperdal

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Abilify (aripiprazole)

Prescription only

Risperdal (risperidone)

Prescription only
Helps control your thoughts and mood.

Abilify (aripiprazole) is good for treating psychosis and mania, and can help with depression. It's less likely to cause side effects than other antipsychotics.

3.2/ 5 average rating with 252 reviewsforAbilify
Helps control your thoughts and mood.

Risperdal (risperidone) is an effective medication in treating schizophrenia, mania, and irritability associated with autism; however, amongst other newer medications in its class, it's more likely to cause side effects, such weight gain and hormone problems.

3.4/ 5 average rating with 45 reviewsforRisperdal
Upsides
  • Effective at relieving psychotic symptoms and manic episodes.
  • More energizing than other antipsychotics.
  • Fewer side effects than other antipsychotics.
  • Studies show that it can also be helpful for depression, especially in women, if your symptoms don't go away with an antidepressant alone.
  • Available as a generic, which is cheaper.
  • Risperdal (risperidone) is effective at relieving psychotic symptoms, manic episodes, irritability, and aggressive behavior. It also lowers relapse rates in people with schizophrenia and people with irritability associated with autism.
  • Less likely to cause heart problems compared to other antipsychotics.
  • Compared to other antipsychotics, Risperdal (risperidone) causes less sedation and weight gain.
  • A generic version available for pill, dissolving tablet, and liquid formulations.
Downsides
  • Mild risk of extrapyramidal symptoms (EPS), a movement disorder that includes stiffness, tremor, restlessness, and slow, repetitive, or involuntary movements.
  • You might need routine blood tests to check how the medicine is affecting your body.
  • All antipsychotics come with side effects that make them difficult to take. You might need to try a few different medicines until you find the one that works for you and that you can tolerate.
  • Mild to moderate risk of Extrapyramidal Symptoms (EPS) - movement disorders that cause stiffness, tremor, restlessness, and slow, repetitive, or involuntary movements.
  • People taking Risperdal (risperidone) might have weight gain and problems with cholesterol or blood sugar.
  • Compared to other antipsychotics, this medication has a higher risk of hormone problems that can cause nipples to leak and male breasts to grow abnormally large.
  • You might need routine blood tests to check how the medicine is affecting your body.
  • Risperdal (risperidone) takes 4 to 6 weeks for its full effects on thoughts and mood.
Used for
Dosage forms
  • Pill
  • Dissolving tablet
  • Liquid
  • Injection
  • Pill
  • Dissolving tablet
  • Liquid
  • Injection
Price
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Reviews
252 reviews so far
44%
saidit'sworth it
40%
saiditworked well
34%
saidit'sa big hassle

Have you used Abilify (aripiprazole)?

Leave a review
45 reviews so far
42%
saidit'sworth it
47%
saiditworked well
49%
saidit'sa big hassle

Have you used Risperdal (risperidone)?

Leave a review
Side effects
The Abilify (aripiprazole) FDA package insert doesn’t have numbers about how common side effects are.
23possible side effects
  • Sedation
    63%
  • Increased appetite
    44%
  • Fatigue
    31%
  • Vomiting
    20%
  • Common cold
    19%
  • Constipation
    17%
  • Cough
    17%
  • Fever
    16%
  • Involuntary urination
    16%
  • Drooling
    12%
  • Headache
    12%
  • Hay fever
    12%
  • Dry mouth
    10%
  • Nasal congestion
    10%
  • Nausea
    8%
  • Upper respiratory tract infection
    8%
  • Weight gain
    8%
  • Tremor
    8%
  • Dizziness
    8%
  • Movement disorder
    8%
  • Rash
    8%
  • Increased saliva
    7%
  • Thirst
    7%
See more detailed side effects
Risks and risk factors
  • Increased risk of death
    • Elderly patients with dementia
  • Suicidal thoughts or behavior
    • Age 24 years or younger
    • Use of antidepressant medications
  • Shaking and restlessness
  • Increased blood sugar and cholesterol, and weight gain
    • People with diabetes
    • People with high cholesterol
  • Driving impairment
    • Alcohol
    • Taking other medicines that make you less alert
  • Low blood pressure
See more detailed risks and warnings
  • Increased risk of death
    • Elderly patients with dementia
  • Neuroleptic malignant syndrome
  • Heart problems
    • History of heart problems
    • Drug interactions
  • Shaking and restlessness
    • High doses of Risperdal (risperidone)
  • Higher blood sugar and cholesterol and weight gain
    • People with diabetes
    • People with high cholesterol
  • Driving impairment
    • Alcohol
    • Taking other medicines that make you less alert
See more detailed risks and warnings