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risperidone (oral) (rih SPER ih done)
Risperdal, Risperdal Consta, Risperdal M-Tab
What is the most important information I should know about Risperdal?
• Contact your doctor immediately if you experience fever, sweating, severe muscle stiffness (rigidity), confusion, fast or irregular heart beat. These could be symptoms of a potentially fatal side effect called Neuroleptic Malignant Syndrome (NMS).
• Use caution when driving, operating machinery, or performing other hazardous activities. Risperdal may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
• Dizziness may be more likely to occur when rising from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
• Avoid alcohol or use it with caution. Alcohol may increase drowsiness and dizziness while taking Risperdal.
• Avoid becoming overheated in hot weather and during exercise. Risperdal may increase the risk of heat stroke.
• Do not mix the liquid form of Risperdal with cola or tea.
What is Risperdal?
• Risperdal is an antipsychotic medication. It works by changing the effects of chemicals in the brain.
• Risperdal is used for the treatment of schizophrenia and mania associated with bipolar disorder.
• Risperdal may also be used for purposes other than those listed in this medication guide.
• Before taking this medication, tell your doctor if you have
· had a heart attack, low blood pressure, an irregular heart-beat, or any other type of heart disease;
· epilepsy or another seizure disorder (or a history of this);
· diabetes;
· ever been diagnosed with breast cancer;
· liver disease; or
· kidney disease.
• You may not be able to take Risperdal, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• Hyperglycemia (increased blood sugar) has been reported in patients treated with atypical antipsychotics including Risperdal. Talk to your doctor if you experience any signs of hyperglycemia including excessive thirst, frequent urination, excessive hunger or weakness.
• The Risperdal orally-disintegrating tablets contain phenylalanine. The 0.5 mg tablets contain 0.14 mg phenylalanine, the 1 mg tablets contain 0.28 mg phenylalanine, and the 2 mg tablets contain 0.5 mg phenylalanine. Individuals with phenylketonuria may need to monitor their intake of this additive.
• Risperdal is in the FDA pregnancy category C. This means that it is not known whether Risperdal will be harmful to an unborn baby. Do not take Risperdal without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• It is not known whether Risperdal passes into breast milk. Do not take Risperdal without first talking to your doctor if you are breast-feeding a baby.
• If you are over the age of 65, you may be more likely to experience side effects from Risperdal. An increased risk of stroke and transient ischemic attack (TIA, "mini-stroke") has been associated with the use of Risperdal in elderly patients with dementia-related psychosis. Your doctor may prescribe a lower dose of the medication or special monitoring during treatment.
How should I take Risperdal?
• Take Risperdal exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• The injectable form of Risperdal (Risperdal Consta) will be administered by a healthcare professional. If you are administering injectable Risperdal at home, your healthcare provider will give you detailed instructions regarding preparation, administration, and storage of the medication.
• Take the regular oral tablets with a full glass of water.
• The Risperdal orally-disintegrating tablets (Risperdal M-Tabs) can be taken without water. Using dry hands, peel back the foil on blister. Do not push tablet through the foil as this may damage the tablet. Immediately upon opening the blister, remove the tablet and place it on the tongue. The tablet must be taken immediately after opening the blister and not saved for later use. The tablet will disintegrate rapidly in the mouth and can be easily swallowed with or without liquid. Do not chew or split the tablets.
• Measure the liquid form of Risperdal carefully and mix it with water, coffee, orange juice, or low-fat milk and drink it immediately.
• Do not mix the liquid form of Risperdal with cola or tea.
• Risperdal can be taken with or without food or milk.
• It is important to take Risperdal regularly to get the most benefit.
• Do not stop taking Risperdal without first talking to your doctor. It may be several weeks before you begin to feel better, and you may require continuous treatment for quite some time. Talk to your doctor before you stop taking this medication.
• Your doctor may want you to have blood tests or other medical evaluations during treatment with Risperdal to monitor progress and side effects.
• Store Risperdal at room temperature away from moisture, light, and heat. Do not allow the liquid form of Risperdal to freeze.
What happens if I miss a dose?
• Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication.
What happens if I overdose?
• Seek emergency medical treatment if an overdose is suspected.
• Symptoms of a Risperdal overdose include dizziness; drowsiness; increased heart rate; fainting; fever; sweating; muscle spasms; and uncontrollable movements of the arms, hands, tongue, face, or other body parts.
What should I avoid while taking Risperdal?
• Use caution when driving, operating machinery, or performing other hazardous activities. Risperdal may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
• Dizziness may be more likely to occur when rising from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
• Avoid alcohol or use it with caution. Alcohol may increase drowsiness and dizziness while taking Risperdal.
• Avoid becoming overheated in hot weather and during exercise. Risperdal may increase the risk of heat stroke.
Where can I get more information?
• Your pharmacist has additional information about Risperdal written for health professionals that you may read.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
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