Prescription onlyLower-cost generic availableClass: Mental health

Risperdal

(Risperidone)

Prescription onlyLower-cost generic availableClass: Mental health
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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.
How it works

Risperdal (Risperidone) is an atypical antipsychotic. Researchers don't know exactly how it works. It seems to change dopamine and serotonin activity in your brain, which affects thoughts and mood.

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
  • Enuresis
  • Fever
  • 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
Sleep
  • Can cause dizziness and 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.
  • Serious weight gain
  • Weight gain is awful. About 40 lbs in 6 months but it keeps my mania and irritability under wraps so I guess I have to pick an evil.
  • This is a great medication to help auditory hullucinations but you gain a lot of weight get high prolactin levels and stops a woman's period