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Risperidone information


Risperidone
Clinical data
Trade namesRisperdal, Okedi, others[1]
AHFS/Drugs.comMonograph
MedlinePlusa694015
License data
  • US DailyMed: Risperidone
Pregnancy
category
  • AU: C
Routes of
administration
By mouth, intramuscular, subcutaneous
Drug classAtypical antipsychotic[2]
ATC code
  • N05AX08 (WHO)
Legal status
Legal status
  • AU: S4 (Prescription only)
  • BR: Class C1 (Other controlled substances)[4]
  • CA: ℞-only[5]
  • UK: POM (Prescription only)[6]
  • US: WARNING[3]Rx-only[7]
  • EU: Rx-only[8]
Pharmacokinetic data
Bioavailability70% (by mouth)[2]
MetabolismLiver (CYP2D6 mediated to 9-hydroxyrisperidone)[2]
Elimination half-life20 hours (by mouth), 3–6 days (IM)[2]
ExcretionUrinary (70%) feces (14%)[2]
Identifiers
IUPAC name
  • 3-[2-[4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl]ethyl]-2-methyl-6,7,8,9-tetrahydropyrido[1,2-a]pyrimidin-4-one
CAS Number
  • 106266-06-2 checkY
PubChem CID
  • 5073
PubChem SID
  • 475100
IUPHAR/BPS
  • 96
DrugBank
  • DB00734 checkY
ChemSpider
  • 4895 checkY
UNII
  • L6UH7ZF8HC
KEGG
  • D00426 checkY
ChEBI
  • CHEBI:8871 checkY
ChEMBL
  • ChEMBL85 checkY
PDB ligand
  • 8NU (PDBe, RCSB PDB)
CompTox Dashboard (EPA)
  • DTXSID8045193 Edit this at Wikidata
ECHA InfoCard100.114.705 Edit this at Wikidata
Chemical and physical data
FormulaC23H27FN4O2
Molar mass410.493 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • Cc1c(c(=O)n2c(n1)CCCC2)CCN3CCC(CC3)c4c5ccc(cc5on4)F
InChI
  • InChI=1S/C23H27FN4O2/c1-15-18(23(29)28-10-3-2-4-21(28)25-15)9-13-27-11-7-16(8-12-27)22-19-6-5-17(24)14-20(19)30-26-22/h5-6,14,16H,2-4,7-13H2,1H3 checkY
  • Key:RAPZEAPATHNIPO-UHFFFAOYSA-N checkY
  (verify)
A box of Rispolept (Risperidone) tablets

Risperidone, sold under the brand name Risperdal among others, is an atypical antipsychotic[2] used to treat schizophrenia and bipolar disorder.[2] It is taken either by mouth or by injection (subcutaneous or intramuscular).[2] The injectable versions are long-acting and last for 2–4 weeks.[9]

Common side effects include severe depression, movement problems, sleepiness, dizziness, trouble seeing, constipation, and increased weight.[2][10] Serious side effects may include the potentially permanent movement disorder tardive dyskinesia, as well as neuroleptic malignant syndrome, an increased risk of suicide, and high blood sugar levels.[2][9] In older people with psychosis as a result of dementia, it may increase the risk of death.[2] It is unknown if it is safe for use in pregnancy.[2] Its mechanism of action is not entirely clear, but is believed to be related to its action as a dopamine and serotonin antagonist.[2]

Study of risperidone began in the late 1980s and it was approved for sale in the United States in 1993.[2][11][7] It is on the World Health Organization's List of Essential Medicines.[12] It is available as a generic medication.[9] In 2021, it was the 138th most commonly prescribed medication in the United States, with more than 4 million prescriptions.[13][14]

  1. ^ Cite error: The named reference generics was invoked but never defined (see the help page).
  2. ^ a b c d e f g h i j k l m n "Risperidone". The American Society of Health-System Pharmacists. Archived from the original on 2 December 2015. Retrieved 1 December 2015.
  3. ^ "FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)". nctr-crs.fda.gov. FDA. Retrieved 22 October 2023.
  4. ^ Anvisa (31 March 2023). "RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial" [Collegiate Board Resolution No. 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control] (in Brazilian Portuguese). Diário Oficial da União (published 4 April 2023). Archived from the original on 3 August 2023. Retrieved 16 August 2023.
  5. ^ "Risperdal Product information". Health Canada. 28 March 2019. Archived from the original on 2 April 2024. Retrieved 2 April 2024.
  6. ^ "Risperdal Consta 25 mg powder and solvent for prolonged-release suspension for injection - Summary of Product Characteristics (SmPC)". (emc). 6 December 2018. Archived from the original on 30 January 2022. Retrieved 29 January 2022.
  7. ^ a b "Risperdal- risperidone tablet Risperdal M-Tab- risperidone tablet, orally disintegrating Risperdal- risperidone solution". DailyMed. Archived from the original on 30 April 2017. Retrieved 31 December 2019.
  8. ^ "Okedi EPAR". European Medicines Agency (EMA). 15 December 2021. Archived from the original on 3 March 2022. Retrieved 2 March 2022.
  9. ^ a b c Hamilton R (2015). Tarascon Pocket Pharmacopoeia 2015 Deluxe Lab-Coat Edition. Jones & Bartlett Learning. pp. 434–435. ISBN 9781284057560.
  10. ^ Hasnain M, Vieweg WV, Hollett B (July 2012). "Weight gain and glucose dysregulation with second-generation antipsychotics and antidepressants: a review for primary care physicians". Postgraduate Medicine. 124 (4): 154–67. doi:10.3810/pgm.2012.07.2577. PMID 22913904. S2CID 39697130.
  11. ^ Schatzberg AF, Nemeroff CB (2009). The American Psychiatric Publishing textbook of psychopharmacology (4th ed.). Washington, D.C.: American Psychiatric Pub. p. 627. ISBN 9781585623099.
  12. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  13. ^ "The Top 300 of 2021". ClinCalc. Archived from the original on 15 January 2024. Retrieved 14 January 2024.
  14. ^ "Risperidone - Drug Usage Statistics". ClinCalc. Archived from the original on 29 April 2017. Retrieved 14 January 2024.

and 29 Related for: Risperidone information

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Risperidone

Last Update:

Risperidone, sold under the brand name Risperdal among others, is an atypical antipsychotic used to treat schizophrenia and bipolar disorder. It is taken...

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List of adverse effects of risperidone

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This is a list of adverse effects of risperidone. Risperidone, sold under the brand name Risperdal among others, is an antipsychotic. It is used to treat...

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Paliperidone

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Hyperprolactinaemia (seems to cause comparable prolactin elevation to its parent drug, risperidone) Sexual Dysfunction Common (1–10% incidence) Cough Extrapyramidal side...

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Pimavanserin

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the efficacy, tolerability and safety of adjunctive pimavanserin to risperidone and haloperidol were published in November 2012, and the results showed...

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Galactorrhea

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dopamine receptors responsible for control of prolactin release. Of these, risperidone is the most notorious for causing this complication. Case reports suggest...

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Atypical antipsychotic

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longer-terms the risks of adverse effects complicate the choice. In turn, risperidone, olanzapine, and aripiprazole have been recommended for the treatment...

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Olanzapine

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first-line treatments are aripiprazole, haloperidol, quetiapine, and risperidone. It is recommended in combination with fluoxetine as a first-line therapy...

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Hallucinogen persisting perception disorder

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treatment with risperidone. There was a case study in 2013 where oral risperidone was also successful for treating HPPD. In other cases risperidone has shown...

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Antipsychotic

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introduction of clozapine in the early 1970s followed by others (e.g., risperidone). Both generations of medication block receptors in the brain for dopamine...

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Palinopsia

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nefazodone, mirtazapine, topiramate, clomiphene, oral contraceptives, and risperidone have been reported to cause illusory palinopsia. A patient frequently...

Word Count : 1331

Quetiapine

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than olanzapine and risperidone; produce fewer movement related side effects than paliperidone, aripiprazole, ziprasidone, risperidone and olanzapine; and...

Word Count : 6534

Perphenazine

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to other medium-potency antipsychotics and the atypical antipsychotic risperidone. When used for its strong antiemetic or antivertignosic effects in cases...

Word Count : 2019

Hyperprolactinaemia

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elevate prolactin levels, however, medications in this class such as risperidone and paliperidone carry the highest potential to induce hyperprolactinemia...

Word Count : 3560

MDMA

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Xaliproden Yohimbine Antagonists: Atypical antipsychotics (e.g., iloperidone, risperidone, sertindole) AV965 Beta blockers (e.g., alprenolol, carteolol, cyanopindolol...

Word Count : 15730

Autism spectrum

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Pharmacological treatments may also be useful; the atypical antipsychotics risperidone and aripiprazole are empirically validated for alleviating co-morbid...

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Hypersalivation

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include: aripiprazole clozapine pilocarpine ketamine potassium chlorate risperidone pyridostigmine Substances that can cause hypersalivation include: mercury...

Word Count : 505

Gynecomastia

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$8 billion in punitive damages to plaintiffs tied to the use of risperidone. Risperidone is an atypical antipsychotic that was originally approved to treat...

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Ketamine

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Norclozapine Norquetiapine Olanzapine (+fluoxetine) Paliperidone Quetiapine Risperidone Tefludazine Zicronapine Ziprasidone Zotepine Others: Berupipam Ecopipam...

Word Count : 11363

LSD

Last Update:

antipsychotics (e.g., brexpiprazole, clozapine, olanzapine, quetiapine, risperidone) Benoxathian Beta blockers (e.g., adimolol, amosulalol, arotinolol, carvedilol...

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Janssen Pharmaceuticals

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(antipsychotic, against mental illness such as schizophrenia. Active substance: risperidone) Eight original Janssen drugs have been included on the WHO Model List...

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Rilmenidine

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antipsychotics (e.g., brexpiprazole, clozapine, olanzapine, quetiapine, risperidone) Benoxathian Beta blockers (e.g., adimolol, amosulalol, arotinolol, carvedilol...

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Schizophrenia

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mainstay of treatment is antipsychotic medication, including olanzapine and risperidone, along with counseling, job training and social rehabilitation. Up to...

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Dopamine receptor D2

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drugs. The structure of DRD2 in complex with the atypical antipsychotic risperidone has been determined. D2 receptors are coupled to Gi subtype of G protein...

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Miosis

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naphazoline, oxymetazoline and tetrahydrozoline Antipsychotics, including risperidone, haloperidol, chlorpromazine, olanzapine, quetiapine Cholinergic agents...

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Psychiatry

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Iloperidone Lurasidone Paliperidone Paliperidone palmitate Perospirone Risperidone# Ziprasidone Butyrophenones: Lumateperone Phenylpiperazines/quinolinones:...

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Rabbit syndrome

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thioridazine, clozapine, olanzapine, aripiprazole, and low doses of risperidone. Rabbit syndrome can be treated with anticholinergic drugs. It generally...

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Somnolence

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(Latuda), thioridazine, quetiapine (Seroquel), olanzapine (Zyprexa), risperidone and ziprasidone (Geodon) but not haloperidol Dopamine agonists used in...

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List of psychiatric medications

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Prochlorperazine, Promethazine, Prothipendyl, Protriptyline Quetiapine Reboxetine, Risperidone, Rozerem, Rubidium chloride Scopolamine, Selegiline, Sertraline, Sodium...

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Asenapine

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mania and mixed episodes than most other antipsychotic drugs such as risperidone and olanzapine (with the exception of ziprasidone). Drop-out rates (in...

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