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About Risperdal (Risperidone)

Uses and Benefits of Risperdal (Risperidone)

Risperdal (risperidone) is indicated for the treatment of schizophrenia, bipolar mania, and irritability associated with autism.

It treats schizophrenia in adults and adolescents (ages 13-17). Its effectiveness has been demonstrated in multiple short- and long-term studies.

It manages acute manic or mixed episodes in Bipolar I Disorder. It is effective as a single treatment in adults and children (ages 10-17) and as an add-on therapy with lithium or valproate in adults.

It reduces irritability in autism, including aggression, self-injury, temper tantrums, and mood swings. Studies confirmed its benefits in children and adolescents (ages 5-17).

Ingredients in Risperdal (Risperidone)

The active ingredient in Risperdal is risperidone. Tablets are available in 0.25 mg (dark yellow), 0.5 mg (red-brown), 1 mg (white), 2 mg (orange), 3 mg (yellow), and 4 mg (green) strengths. Inactive ingredients include colloidal silicon dioxide, hypromellose, lactose, magnesium stearate, microcrystalline cellulose, propylene glycol, sodium lauryl sulfate, and corn starch. The 0.25 mg, 0.5 mg, 2 mg, 3 mg, and 4 mg tablets also contain talc and titanium dioxide.

Coloring agents vary by strength. The 0.25 mg tablets contain yellow iron oxide. The 0.5 mg tablets contain red iron oxide. The 2 mg tablets contain FD&C Yellow No. 6 Aluminum Lake. The 3 mg and 4 mg tablets contain D&C Yellow No. 10. The 4 mg tablets also contain FD&C Blue No. 2 Aluminum Lake.

How to Take Risperdal (Risperidone)?

Follow your doctor’s prescription exactly.

Take Risperdal (risperidone) by mouth once or twice daily. Your dose depends on your condition, age, and response to treatment.

Schizophrenia

Adults:

  • Start with 2 mg per day.
  • Increase by 1-2 mg per day if tolerated.
  • Recommended dose: 4-8 mg per day.
  • Doses above 6 mg per day may cause more side effects.
  • Maximum studied dose: 16 mg per day.

Adolescents (13-17 years):

  • Start with 0.5 mg once daily.
  • Increase by 0.5-1 mg per day if tolerated.
  • Recommended dose: 3 mg per day.
  • Maximum studied dose: 6 mg per day.
  • If drowsy, take in divided doses.

Bipolar Mania

Adults:

  • Start with 2-3 mg per day.
  • Increase by 1 mg per day if tolerated.
  • Effective dose range: 1-6 mg per day.
  • Maximum studied dose: 6 mg per day.

Children and Adolescents (10-17 years):

  • Start with 0.5 mg once daily.
  • Increase by 0.5-1 mg per day if tolerated.
  • Target dose: 1-2.5 mg per day.
  • Maximum studied dose: 6 mg per day.
  • If drowsy, take in divided doses.

Irritability in Autism (Children and Adolescents)

  • <20 kg: Start with 0.25 mg per day, increase to 0.5 mg per day after 4 days.
  • ≥20 kg: Start with 0.5 mg per day, increase to 1 mg per day after 4 days.
  • Maintain this dose for 14 days before further increases.
  • Maximum dose: 3 mg per day.
  • If drowsy, take at bedtime or split into twice daily.

Special Populations

Patients with Kidney or Liver Disease:

  • Start with 0.5 mg twice daily.
  • Increase by 0.5 mg or less twice daily.
  • If taking more than 1.5 mg twice daily, increase at weekly intervals.

Dose Adjustments for Drug Interactions

  • With enzyme inducers (e.g., carbamazepine, phenytoin, rifampin): Your dose may need to be doubled. Reduce dose if the inducer is stopped.
  • With enzyme inhibitors (e.g., fluoxetine, paroxetine): Your dose may need to decrease. Do not exceed 8 mg per day in adults.

Missed Dose

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not take two doses at once.

Overdose

If you take too much Risperdal, contact a doctor, hospital, or Poison Control Center immediately, even if you have no symptoms.

Who Should Not Take Risperdal (Risperidone)?

Do not take Risperdal (risperidone) if you are allergic to risperidone, paliperidone, or any ingredients in this medication.

Hypersensitivity reactions, including anaphylaxis and angioedema, have been reported with risperidone and paliperidone. Paliperidone is a metabolite of risperidone. If you experience signs of an allergic reaction, such as swelling, rash, or difficulty breathing, seek medical help immediately.

Side Effects of Risperdal (Risperidone)

Common Side Effects:

  • Tremors or muscle spasms
  • Dizziness or drowsiness
  • Nausea or vomiting
  • Dry mouth
  • Weight gain or increased appetite

Serious Side Effects:

  • Neuroleptic malignant syndrome
  • Tardive dyskinesia (uncontrolled movements)
  • High blood sugar or diabetes
  • Seizures
  • Stroke or increased death risk in older adults with dementia-related psychosis

This is not a complete list of possible side effects. For a complete list, ask your doctor or pharmacist.

Safety Precautions for Risperdal (Risperidone)

Before you take Risperdal (risperidone), tell your healthcare provider if you have dementia-related psychosis. Risperdal is not approved for this condition. Also, inform your doctor if you have a history of stroke or other cerebrovascular events.

Tell your doctor if you have experienced Neuroleptic Malignant Syndrome (NMS) in the past. Risperdal may also cause or worsen tardive dyskinesia, so let your healthcare provider know if you have uncontrolled movements.

If you have diabetes or risk factors for diabetes, Risperdal may cause high blood sugar. It may also worsen cholesterol or triglyceride levels. Significant weight gain has been reported with this medication, so discuss any concerns with your doctor.

Risperdal can increase prolactin levels, which may affect hormone-related conditions. If you have low blood pressure or feel dizzy when standing up, tell your doctor, as Risperdal can cause orthostatic hypotension.

If you have a history of low white blood cell count (WBC) or blood disorders, your doctor may need to monitor your blood levels. Let your healthcare provider know if you have a history of seizures or conditions that lower the seizure threshold.

Risperdal may impair thinking or movement, so use caution when operating machinery. Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements.

Storage Guidelines for Risperdal (Risperidone)

Store Risperdal (risperidone) at room temperature between 15°C and 25°C (59°F to 77°F). Keep the tablets in a dry place, away from moisture and direct light.

Ensure the medication is stored in its original container and kept out of the reach of children. Do not use Risperdal if it is expired. Consult your pharmacist for proper disposal of any unused or expired tablets.

FAQs

How much can I save when purchasing Risperdal from a Canadian pharmacy versus U.S. prices?

Purchasing Risperdal from a Canadian pharmacy can lead to major savings. At Medications Canada, the 4 mg is priced at $236.00 for 60 tablets, compared to about $1,235.00 in the U.S. You save up to 81%.

How long does it take to receive Risperdal when ordering online?

It takes approximately 2 to 4 weeks for shipping Risperdal after it leaves the pharmacy.

Is a prescription required to buy Risperdal online?

Yes, a valid prescription is required to buy Risperdal online.

What payment options are available for purchasing Risperdal online?

We take payments by personal check, certified check, international money order, and e-check.

What is the refund or return policy for Risperdal bought online?

Pharmaceutical laws and safety rules prevent us from accepting returns or issuing refunds for Risperdal bought online. Always consult your doctor before ordering. Read more.

Is Risperdal available over-the-counter?

Risperdal is not available over the counter because it needs to be used under a doctor’s supervision. Due to the risk of serious side effects, like tardive dyskinesia, a valid prescription is required to ensure safe Use.

Reference

  • FDA. Risperdal (Risperidone) Prescribing Information. https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/020272s056,020588s044,021346s033,021444s03lbl.pdf
  • NIMH. Schizophrenia Statistics. https://www.nimh.nih.gov/health/statistics/schizophrenia
  • FDA. Risperdal (Risperidone) Prescribing Information. https://www.accessdata.fda.gov/drugsatfda_docs/label/2025/020272s088,020588s074,021444s060lbl.pdf
  • GoodRx. Risperdal Prices, Coupons & Savings Tips. https://www.goodrx.com/risperdal?label_override=risperdal&form=tablet&dosage=0.5mg&quantity=100&drugId=5386

Additional information

Scientific Name:

Risperidone

Formulation:

Tablet

Strength(s):

0.5mg, 0.25mg, 1mg, 2mg, 3mg, 4mg

Quantities Available:

60, 90, 100, 120

MedicationsCanada.com receives the above information for Risperdal (Risperidone) from third parties. We provide this information for general informational purposes only, and it is not intended to replace the advice of a physician. Any medical concerns should always be discussed with your doctor or a qualified health care professional.