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Most risperidone

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• This page will give you general information near risperidone. It is not medical advice.

  Always talk to your dr. nearly your situation and whether this medication is for you.

How risperidone works

In that location is a naturally occurring chemic messenger ('neurotransmitter') in the encephalon chosen dopamine.

Dopamine is a chemical messenger in the brain mainly involved with thinking, emotions, behaviour and perception.

In some illnesses there may be as well much dopamine, and this causes some of the symptoms of the disease.

Risperidone blocks the effects of dopamine in the brain, resulting in a reduction of the symptoms.

Risperidone also has effects on other neurotransmitters in the encephalon, such as serotonin, and its beneficial furnishings may exist related to this as well.

Read our guide to schizophrenia

Risperidone and everyday life

Oft asked questions

It can take four to six weeks for risperidone to have its full effect, just some people become skilful furnishings right from the first week.

You should stay in touch with your doctor to meet how information technology goes over the first few weeks. They might exercise some tests to check your symptoms.

If yous accept had no good furnishings after two to 3 weeks, your physician may increase the dose or modify the medicine.

Your doctor will start with a low dose, which they will increase slowly to a dose that is effective for you lot. This may take several days or weeks.

If you are starting on the long-acting injection, information technology takes iii weeks for the injection to start releasing the risperidone.

This means you will need some other antipsychotic cover. This could be risperidone tablets or your previous antipsychotic.

The injection provides a constant release of risperidone over ii weeks, so injections are given every two weeks. The three-calendar week delay in the injection starting to release risperidone only matters when you first start treatment. Think of the injection having a very long fuse wire.

If you were already on some other tablets, you will need to proceed with them for those commencement few weeks on the injection.

If you were non on other tablets, the medico will probably give you some risperidone tablets until the injection starts to work.

If you were on another depot or long-interim injection, you may have ane dose of each, very shut together.

Don't worry – as explained in a higher place you will not overdose while you take both types for those first few weeks.

Risperidone use has been linked to high claret sugar and diabetes in some young people. This could exist linked to putting on weight.

Scout out for any early signs of diabetes: wanting to beverage a lot, going for a wee a lot, feeling less hungry and feeling weak.

If yous already have diabetes, taking risperidone may bear upon your blood saccharide levels. Talk to your md and bank check your blood glucose levels regularly if this applies to you. You lot may accept to increase the medication you employ for your diabetes.

A side issue of risperidone may exist either weight loss or weight proceeds.

Weight gain is more common than weight loss.

It is very hard to know how it will affect each person who takes it. If you kickoff to have problems with your weight while taking risperidone, talk to your dr. or pharmacist nearly this.

Your doctor should measure your weight regularly when yous are taking risperidone.

Virtually of the weight gain is in the starting time 6 to 12 months, and then it levels out.

As you lot grow yous will gain weight naturally, but annihilation more than that should be watched.

Good practice for doctors suggests this routine for checking the weight of people who start taking antipsychotic medicines like risperidone:

• get your weight noted before you lot kickoff
• get your weight checked every calendar week for the first half dozen weeks and and then again after three months
• go your weight and waist measurement checked at least every 6 months

You could take these measurements yourself and keep a chart to bear witness your dr..

If y'all put on weight, there are other antipsychotic medicines y'all can endeavour which are less likely to brand you lot put on weight.

Expect at means to effort and lose extra unwanted weight.

You may desire to let your family and friends know you are taking risperidone so they can back up you and help you look out for side effects.

For guidance on this, check out our page on getting support with your medication.

You can feel sleepy in the start few days of taking risperidone. This should get better later the first calendar week or ii.

If you lot feel like a zombie, and you've been taking information technology for more than a month, you should go dorsum to the doctor and run across what else yous tin can do.

With risperidone, some people find it hard to get to sleep. If this happens, you can change the time that you take your risperidone each day (if you are taking tablets or liquid). Take it before in the day and run into if this makes it easier to become to sleep.

If you lot are on the long-acting injection, talk to your doctor if your sleep is disturbed.

Booze

Y'all can continue to drink booze in moderation while taking risperidone. You might find having the 2 together makes you very sleepy, and so during the first few days it might exist best to stop drinking alcohol until you run into how the medicine affects you.

If you lot want to potable booze, call back that you might be sleepy and brand certain you can get home safely.

Street drugs

Some street drugs tin can increase levels of dopamine in the brain (e.yard. cocaine and ecstasy). Equally antipsychotics block the effects of dopamine, the 'high' from street drugs may non exist equally 'loftier' as before. You may therefore be tempted to increment the dose of your street drug to make upward for it, simply this could exist dangerous.

Cannabis and other drugs may have their own side furnishings on your mental health, like anxiety or psychosis. For more data, have a look at our drugs and alcohol page.

Some street drugs can make you experience sleepy and this could be made worse with risperidone.

At that place are many other street drugs, just we don't know what result taking them with risperidone will have.

Risperidone can produce a false positive test for LSD on a urine drug screen.

Talk to your doctor well-nigh this if it is a problem for you.

Risperidone tin collaborate with another medicines and drugs

Check with your doctor or pharmacist whether risperidone is OK for you to take if y'all are on any other medicines.

If you have any farther questions about this, you should speak to your doctor or pharmacist.

E'er talk to the md if you are taking other medicines. Tell the pharmacist y'all are taking risperidone if y'all purchase medicines (including things you put on your peel) for common illnesses.

The ordinary tablets may not be suitable for you if you lot take bug eating some sugars or dairy (milk-based) foods, as they contain lactose. Some brands of the 2mg strength tablets may as well have a colour called 'Sunset Yellow' (as well known every bit E110) which causes an allergic reaction in some people.

The orodispersible ('cook in your mouth') tablets may contain aspartame, which can be a problem for people who have a status called phenylketonuria.

Let your chemist know if you have any food allergies or intolerances, and always bank check with them if yous're concerned about any of the ingredients in your medication.

Taking risperidone may make you feel tired or dizzy, and may touch your eyesight when you start taking information technology.

This could affect you if you bulldoze a machine, ride a bike, or exercise anything else that needs a lot of focus. It might be best to stop doing these things for the first few days, until you know how information technology affects y'all.

Don't worry - almost people drive equally normal while taking risperidone.

You must tell The DVLA (Driver and Vehicle Licensing Agency) if you lot accept bipolar disorder, schizophrenia, schizoaffective disorder or other mental health atmospheric condition that could affect your driving.

You can be fined up to £1,000 if you do non tell The DVLA about a medical status that affects your driving.

You may be prosecuted if y'all are involved in an accident every bit a upshot.

Pregnancy

When deciding whether to accept risperidone during pregnancy it is important to weigh up how necessary risperidone is to your health against the possible risks to yous or your babe, some of which will depend on how many weeks significant yous are.

Remaining well is particularly important during pregnancy and while caring for a babe. Treatment with risperidone in pregnancy may exist the best option for both female parent and infant.

Every bit with other antipsychotics, taking risperidone may crusade your folate levels to get low and a prescribed supplement dose of 5mg daily should be taken.

There is information on over 400 mums who took risperidone and there does not seem to be an increased risk of malformations, miscarriage or diabetes during pregnancy.

Post-natal

If you lot take taken risperidone close to commitment your baby may accept some side effects or such as being irritable, crying or bug feeding and sleeping. These are unremarkably mild and go away in a few days without treatment.

Breastfeeding

Risperidone is passed to the baby through chest milk in small amounts. This could assistance with any discontinuation symptoms.

You lot should discuss the risks and benefits of breastfeeding with your midwife or doc.

Call back that it is important for you to remain well while you are bonding with and looking afterward your babe. For this reason, information technology may be best to take medicine for your mental health when breastfeeding.

Brand sure that your md, nurse, or health visitor checks your babe for any side effects.

If your infant was premature or has wellness problems, then you will need to exist extra careful about taking medicines while breastfeeding. Information technology may be all-time not to breastfeed if this is the case, but you lot should discuss this with your doctor or midwife.

Sex

Risperidone tin have side effects that affect your sex life, including:

• painful erections, or problems getting an erection (getting hard) and ejaculating (coming)
• periods may get irregular or stop due to raised prolactin levels. Talk to your doctor and they will exist able to do a simple blood test to check if the risperidone is the crusade
• some bleeding from the vagina, and difficulty reaching orgasm the aforementioned way as before
• some breast growth and milk flow, regardless of gender
• decrease in libido (sex activity drive)

These furnishings should pass later on the first couple of weeks. If they do non, and this is a problem for you lot, go back to the dr. and see what else you could try.

Fertility

While taking risperidone information technology might exist more than difficult for you to autumn pregnant, simply this effect is not permanent.

Risperidone can increase the level of a natural hormone called prolactin in the trunk.

This hormone is produced in high levels to produce milk in breastfeeding mothers and provides some natural contraception.

Prolactin is produced at depression levels in men.

This means information technology may be more hard to go pregnant if your prolactin levels ascension. Do Not rely on this as an alternative to good contraception.

Talk to your doc well-nigh this if you want to get pregnant, and come across below for more information about taking risperidone during pregnancy.

Risperidone is not a banned substance in sport.

Taking risperidone may brand you experience tired and lightheaded, and affect your eyesight. This could be unsafe in some sports like cycling or driving. It might be all-time to stop such sports for the showtime few days, until you know how it affects you.

Don't worry - near people play sports as normal while taking risperidone.

Try non to take risperidone for the first fourth dimension but before your exams.

Taking risperidone may make you feel tired or brand it hard to fall asleep at night. It tin can likewise requite yous headaches or bear upon your eyesight.

You lot should talk to your physician well-nigh any future exams if you lot are starting risperidone.

You might decide together to delay starting it until y'all take washed them.

If they are more than a month abroad, however, y'all might find that it is ameliorate to start risperidone to better your motivation to report.

Don't worry - most people take exams as normal while taking risperidone.

Psychosis and schizophrenia themselves tin can also touch concentration.

Your doctor should know

• You lot need to talk to your medico or pharmacist earlier starting treatment with risperidone if any of the following apply to you:

  • y'all have any centre bug
  • you take epilepsy
  • yous have diabetes
  • you take had a blood clot, or anyone in your family has had one
  • you have ever had unusual movements of your tongue, mouth or face
  • you have kidney or liver problems
  • you or someone in your family has had a stroke or is at risk of a stroke
  • you have always had a condition known equally neuroleptic cancerous syndrome (NMS) whose symptoms include high temperature, muscle stiffness and sweating
  • you lot have a condition chosen porphyria (ask your dr. – if yous accept it, it should be on your records)
  • y'all have ever had an erection that lasted for more than a few hours and was very painful (priapism)

Uses, warnings, prophylactic and side effects of risperidone

Taking risperidone

How long will I demand to take risperidone for?

You and your doctor should talk about how long yous need to take risperidone.

If you lot have risperidone for bipolar disorder or schizophrenia, you should retrieve about taking it for a few years, otherwise your old symptoms can come back.

Young people taking risperidone for conduct disorders will usually only take it for six weeks.

Yous should but take risperidone as agreed with your doctor

You will get almost benefit from your risperidone if you take it regularly at the dose prescribed by your medico.

Make certain that you lot know your dose. If information technology is not written on the characterization, check with your chemist or physician.

Risperidone is usually taken one time or twice a day. Y'all will start with a low dose, which volition be increased slowly to a dose that is effective for you. This may take several days or weeks.

It doesn't thing what time you accept it each day - cull a time that you lot can always think and get into a routine. This could exist a mealtime, or when you brush your teeth.

Risperidone can be taken with or without food.

For the normal coated tablets, eat them whole with a drink of water - if you chew them, they gustatory modality bitter. You tin pause them into ii pieces at the line on the tablet if you have trouble swallowing them as ane piece.

For the orodispersible tablets (melts), put information technology on your natural language and let information technology deliquesce there and then swallow information technology (you can wash down with water if needed).

Y'all can dilute the oral solution with any other non-alcoholic drink if it makes it nicer to take, autonomously from a cup of tea or a glass of cola (the tannin chemical in tea and cola stops the risperidone from absorbing properly into your body).

If you agree to have the long-acting injection (LAI), a doctor or nurse will inject this into a musculus in your arm or bottom every 2 weeks. The skilful thing about this is that you don't accept to recall to take your medicine every day. It is slowly working in your body all the time between injections.

The injection should switch between the left side (arm or buttock) and the right side (arm or buttock) so that it's non given in the same identify all the fourth dimension.

What should I do if I miss a dose of risperidone?

If you remember later during the day, take information technology equally soon equally possible.

If you forget to take it by your adjacent dose, merely take the side by side dose at the correct time. Do not try to catch up on missed doses.

Do non have a double dose.

If yous miss your engagement for your injection, contact your doctor straight away to brand another engagement.

It is very important to have the injection every ii weeks.

What will happen if I forget to have my risperidone?

If you forget to have your tablets for a few days, or you miss an injection, y'all may start getting your onetime symptoms back. You should talk to your md about this.

Stopping the use of risperidone

Stopping the medication causes the balance of chemicals in the brain to alter.

When you beginning taking an antipsychotic, your brain adjusts to having lower levels of dopamine around.

If you stop taking the antipsychotic suddenly, the balance starts to change over again, and your encephalon can take a while to adapt to this change. You could get your former symptoms back. You could too get some symptoms from the change, which are called withdrawal symptoms, although these are mild and rare with risperidone.

You lot volition probably get your old symptoms back if you stop risperidone all of a sudden.

If you lot are thinking of stopping or want to stop, talk to your doctor and they can help.

They volition reduce and finish the risperidone slowly so that any issues (like your former symptoms coming back) can be picked up quickly.

It is ameliorate to agree stopping with a doctor who volition reduce your dose gradually. This will be done over a few weeks.

Warnings and rubber

Safety headlines

If you have taken more risperidone than the dosage recommended by the doctor who prescribed it to you, yous must get medical help immediately –even if you do non feel any different.

Risperidone can sometimes cause serious side effects. Tell your doc immediately if y'all experience unusual movements (mainly of the face or tongue).

Go to hospital immediately if yous recollect you lot may take developed a blood clot (symptoms are normally swelling, hurting and redness in the leg); a clot may travel through blood vessels to the lungs causing breast pain and difficulty animate.

Besides go to infirmary if you develop a combination of fever, faster breathing, sweating, muscle stiffness or drowsiness; and tell them that yous are taking risperidone.

Very rarely risperidone can crusade astringent allergic reactions. Become to hospital if you lot have difficulty breathing or swelling of your face up or throat.

In rare cases, risperidone can cause a long-lasting and painful erection (called priapism). If this happens, you will need to be treated in hospital.

Risperidone is not addictive, but stopping it suddenly can cause bug such as difficulty sleeping, feeling or being sick, sweating, and uncontrollable musculus movements. See you physician if you lot want to stop, or if you are having these furnishings.

You might feel sleepy in the first few days afterwards taking risperidone. Do non drive a automobile, ride a bike or operate machines until you see how this affects you.

If you are significant, or thinking of condign significant, please read the 'pregnancy, post-natal and breastfeeding' department under the 'Side Effects' tab, because risperidone may affect the developing babe.

When to go to the hospital

If you have taken more risperidone than the dosage recommended by the medico who prescribed it to you, y'all must get medical assistance immediately –even if yous do non feel whatsoever unlike.Become to A&E. Accept your medicine with you to show to the doctors. Tell them how much you have taken. Become a friend or family member to go with y'all, if you can, simply in case you feel sick on the way.

You might get any of the following signs:

• feeling sleepy or tired
• unusual body movements you can't control
• issues standing and walking
• feeling featherbrained (due to low blood pressure)
• uneven heartbeat
• seizures (fits)

Go to a medico or hospital straight away if you lot get any of the post-obit symptoms:

• swelling, pain, and redness in the leg, which may lead to chest pain and difficulty animate. This might be a blood clot
• a sudden modify in your mental country, or difficulty with your memory
• sudden weakness or numbness of your face, arms or legs, especially on one side, or slurred speech, even for a short menses of time. This may be a stroke
• fever, muscle stiffness, sweating or a loss of consciousness (a problem called neuroleptic malignant syndrome)
• if you go a painful erection that lasts more than than a couple of hours (priapism)
• movements of the tongue, mouth and face up that y'all cannot command – this could be a condition called tardive dyskinesia. You practise not demand to go to hospital but see your doc as soon every bit possible
• seizures/convulsions (fits)

Side effects of risperidone

Side effects of risperidone

Some side furnishings that appear should disappear or get better later on a few days. If they practise not, yous should go back to your dr..

Don't stop taking risperidone until you talk to your doctor or yous may go withdrawal symptoms as well.

Very mutual side effects of taking risperidone (affecting more than than one in ten people) include:

• headache - speak to your pharmacist well-nigh treatments to help
  
• dizziness or low blood pressure level - try non to stand up also quickly or sit or prevarication downwards if you're feeling giddy
• movement problems, sometimes chosen extra-pyramidal side effects (EPSEs). This is a medical term that includes many symptoms relating to motility. Symptoms include: muscle stiffness or tightness; jerks when bending your arms and legs; your movements might feel a bit robotic; shakiness in your hands and legs; and feeling restless all the fourth dimension and needing to movement around. If you develop EPSEs, your physician may decrease your dose or requite you other treatments to assistance

Common side furnishings of taking risperidone (affecting upwards to i in x people) include:

• feeling sleepy, tired, weak or exhausted - this can be worse at the offset of treatment and wear off afterward a few weeks. If y'all take your dose in one case daily, you could endeavor taking it just before you get to bed
• nausea (feeling sick) or vomiting (beingness sick) - endeavor taking your dose with nutrient
• diarrhoea (loose poo) - make sure yous drinkable lots of water and speak to your physician or pharmacist if it continues for more a few days
• constipation (finding it hard to poo) - make sure you drink enough fluids, consume enough fibre (like brown breads, fruit and veg) and do enough exercise. Speak to your pharmacist if this goes on for a few more days than is normal for you
• increased appetite, decreased appetite or eating less, weight gain or weight loss – try to eat lots of veg and fibre when you can. Speak to your pharmacist or md for advice on healthy foods
• heartburn, abdominal (gut) hurting or discomfort
• higher level of a hormone called prolactin. This tin can cause periods to terminate, or milk to leak from your breasts. It tin as well cause trouble getting an erection. Speak to y'all doctor if you get any of these symptoms and they can bank check your prolactin level with a elementary claret test. In the long term, raised prolactin can weaken your basic

Although this list of side furnishings can await scary, some people won't get whatsoever side effects at all. Speak to your pharmacist or doctor if you think you lot are having side effects from risperidone.

There are other side effects that you lot can get when taking this medicine – we have only included the most mutual ones here. Please wait at the leaflet within your medicine box, or ask a doc or pharmacist, if yous want to know whether you are getting a side upshot from your medicine.

If you do go a side effect, delight call up about reporting it via the Yellow Card Scheme.

Do non stop taking the tablets until you talk to your doctor, or you lot may get withdrawal symptoms equally well.

Young people and children anile v-17 are more likely than adults to get the following side effects:

• feeling tired, sleepy, or less focused
• headache
• increased appetite
• vomiting (being ill)
• getting cold symptoms like a blocked nose and cough
• abdominal (gut) pain
• fever
• dizziness and shaking
• diarrhoea (loose poo) and incontinence (less command over when you wee)

About this information

The data on this page was reviewed past the College of Mental Health Pharmacy in March 2020.

Visit the CMHP website

CMHP. College of Mental Wellness Pharmacy

More information and advice

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Source: https://www.youngminds.org.uk/young-person/medications/risperidone/

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