Prescription onlyLower-cost generic available

Risperdal

(Risperidone)

Prescription onlyLower-cost generic available
  • Pill
  • Dissolving tablet
  • Liquid
  • Injection
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Helps control your thoughts and mood.

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Our bottom line

Risperdal (Risperidone) is good for treating psychosis, mania, and irritability. Among newer antipsychotic medicines, more likely to cause side effects, especially weight gain and hormone problems.

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Upsides

  • Effective at relieving psychotic symptoms, manic episodes, irritability, and aggressive behavior.
  • Lowers relapse rates in people with schizophrenia and people with irritability associated with autism.
  • Antipsychotic medicines are all about equally effective.
  • Less likely to cause heart problems than some antipsychotics.
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Downsides

  • Mild to moderate risk of Extrapyramidal Symptoms (EPS): Movement disorders that include stiffness, tremor, restlessness, and slow, repetitive, or involuntary movements.
  • Moderate risk of weight gain and problems with cholesterol or blood sugar compared to other antipsychotics.
  • Compared to other antipsychotics, higher risk of hormone problems that 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.
  • All antipsychotics come with side effects that make them difficult to take. You might need to try a few different medicines until you find one that works for you and that you can tolerate.

What to expect when you take Risperdal (Risperidone) for Schizophrenia

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Side effect rates for Risperdal (Risperidone)

222 From clinical trials of Risperdal / Autistic disorder (0.5-4 mg per day)
  • Relaxation or sleepiness
  • Increased appetite
  • Fatigue
  • Vomiting
  • Common cold
  • Constipation
  • Cough
  • Fever
  • Enuresis
  • Drooling

Risks and Warnings for Risperdal (Risperidone)

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    • Higher risk if:
    • Elderly patients with dementia

    Older patients with dementia-related psychosis have a higher risk of death when treated with antipsychotic medications. Risperdal (Risperidone) is not approved to treat dementia-related psychosis.

    This is a black box warning. The FDA requires this warning when there is a significant risk of serious or life-threatening effects that anyone taking the drug should consider.

Means that some groups have a high risk of experiencing this side effect

Common concerns from people taking Risperdal (Risperidone)

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Pregnancy
Food
  • Risperdal (Risperidone) can increase your blood sugar and cholesterol. Exercise and eat healthy food to lower your risk.
  • Risperdal (Risperidone) can cause you to gain weight. Exercise and eat healthy food to lower your risk.
  • I take it only twice a week .5 at a time for prevention of break through symptoms. I experience only about 1-2# weight gain that I can work off the rest of the week. When I am in a serious state of mania, I take 1-3mg day. This ALWAYS works
Pain
  • It made me incredibly agitated and restless...like it hurt my hips to sit still. (Akathisia, I think it is called.) I had to take Benadryl to take the edge off of not being able to sit still. Then I started lactating...and I haven't nursed in over 2 years. Not worth it for me
  • My daughter took it for a few weeks. It gave her extreme muscular pain, rapid and loud breathing, and increased agitation.
Sleep
  • Can cause dizziness and drowsiness.
  • Drowsiness
Weight
  • Moderate risk of weight gain and problems with cholesterol or blood sugar compared to other antipsychotics.
  • May cause weight gain and worsen cholesterol or blood sugar.
  • Risperdal (Risperidone) can cause you to gain weight. Exercise and eat healthy food to lower your risk.
  • severe weight gain and tiredness
  • It made me practically double my weight within 8 months of use.
  • it causes constant weight gain, it doesn't stop at a certain amount of weight, you're constantly gaining 2-3 pounds every month. but, in theory, it does work for bipolar disorder and definitely controls mood swings.