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Risperidone

Common Brand Names: Risperdal

Drug Information

Medically reviewed by Jessica Swirble, PharmD
Last updated on April 18, 2025

Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

Quick facts:

  • Brand Name: Risperdal
  • Generic Name: Risperidone
  • Uses: Treatment for schizophrenia, bipolar disorder, and irritability associated with autistic disorder
  • Drug Class: Atypical antipsychotic
  • Availability: Prescription only
  • Generic Status: Yes
  • Controlled Substance: No

What is risperidone?

Risperidone is a prescription medication used to treat symptoms of schizophrenia in adults and children over 13. It is also used to manage symptoms of bipolar disorder in adults and children over 10. Additionally, risperidone is prescribed to manage irritability symptoms in children between 5-16 years of age who have autism.

What is risperidone used to treat?

Risperidone is used to manage symptoms of:

  1. Schizophrenia: Risperidone is prescribed to manage schizophrenia in adults and children over 13.

  2. Bipolar disorder: Risperidone is prescribed to treat mania symptoms (abnormally excited or irritated moods) in adults and children over 10. Autism: Risperidone is prescribed to children between 5-16 with autism to manage irritability (characterized by aggression and mood changes)

Risperidone is prescribed along with other forms of therapy to help manage these conditions.

How does risperidone work?

Risperidone belongs to a class of drugs known as atypical antipsychotics. It is a dopamine and serotonin antagonist. Dopamine and serotonin are naturally occurring chemicals in your brain (known as neurotransmitters) that are known to regulate your mood. It’s thought that people who suffer from schizophrenia, bipolar disorder, and autism have an imbalance of certain neurotransmitters. Risperidone may help to improve this imbalance by blocking dopamine and serotonin receptors.

How do I take risperidone?

Risperidone is available in the following forms:

  • Oral tablets
  • Orally disintegrating tablets (ODTs)
  • Oral solution (liquid)

The dosage and frequency of use depend on the condition being treated, its severity, and how you respond to the medication.

Follow your healthcare provider's instructions regarding dosage and schedule. Do not exceed the prescribed dose or frequency of use without consulting your provider.

How long until I feel better?

The time it takes to feel better can vary depending on the condition being treated and individual response to the medication. Some people may start noticing improvements within a few days, while for others, it might take several weeks.

Continue using risperidone as prescribed, even if you start feeling better. Regular use according to your prescription is crucial for managing your symptoms effectively.

Are there any other uses for risperidone?

While risperidone is primarily used for treating schizophrenia, bipolar disorder, and irritability associated with autism, healthcare providers may prescribe it off-label for other conditions such as anxiety or behavioral disorders.

Discuss any alternative uses of risperidone with your healthcare provider.

Dosage forms of risperidone

Risperidone is available in the following dosage forms:

  • Oral tablets
  • Orally disintegrating tablets (ODTs)
  • Oral solution

Risperidone is a prescription medication. You will need a valid prescription from a licensed healthcare provider to obtain this medication.

Side Effects and Precautions for Risperidone


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What are the side effects of risperidone?

The use of risperidone can lead to various side effects in some individuals.

Common mild side effects of risperidone use include:

  • Headache
  • Dizziness
  • Drowsiness
  • Agitation
  • Anxiety
  • Tremors
  • Difficulty falling or staying asleep (insomnia)
  • Dry mouth
  • Upset stomach
  • Stomach pain
  • Diarrhea
  • Constipation
  • Nausea
  • Vomiting
  • Excess saliva
  • Weight gain

More severe side effects of risperidone use can include:

  • Fever symptoms
  • Cough or chills
  • Muscle stiffness
  • Confusion
  • Tremors
  • Uncontrolled muscle movements
  • Feeling faint
  • Fast or irregular heartbeat
  • Breast swelling or tenderness (in men and women)
  • Decreased sexual ability
  • Unusual bleeding or bruising
  • Increased thirst
  • Increased urination
  • Skin rash, itching, swelling, or difficulty breathing

If you experience any severe or concerning side effects while taking risperidone, contact your healthcare provider right away.

What should I tell my healthcare provider before using risperidone?

Inform your healthcare provider about any existing medical conditions, allergies, or other medications you are taking before starting treatment with risperidone. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with risperidone.

Tell your provider if you are taking these medications or supplements:

  • Medication used to treat blood pressure
  • Carbamazepine
  • Clozapine
  • Fluoxetine
  • Paroxetine
  • Levodopa
  • Metoclopramide
  • Amiodarone
  • Antibiotics
  • Opioid pain medications
  • Medications for sleep
  • Other medications to treat mood disorders

You should also mention medical conditions such as:

  • High blood pressure
  • High cholesterol
  • Heart conditions or heart disease
  • Diabetes
  • Dementia
  • Low white blood cell count
  • Seizures
  • Osteoporosis
  • Breast cancer
  • Obesity
  • Difficulty swallowing
  • Parkinson’s disease
  • Liver or kidney disease

If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of using risperidone with your healthcare provider.

Are there any other special instructions I should follow?

Take risperidone exactly as prescribed by your healthcare provider. Do not exceed the recommended dose or length of treatment.

Do not drive a car or operate machinery until you know how risperidone affects you.

Do not drink alcohol while using risperidone.

This medication can make you more sensitive to extreme temperatures. Talk to your provider if you plan to be in very hot or very cold temperatures. Drink plenty of water and other fluids while taking risperidone.

Risperidone can be taken with or without food. Taking it with food may help reduce stomach upset. It's important to follow your healthcare provider's instructions and complete the full course of treatment to effectively manage your condition.

What should I do in case of an overdose?

In case of a risperidone overdose, seek medical attention immediately. Symptoms of overdose may include severe drowsiness, rapid or unusual movements, dizziness, or fainting. If you suspect an overdose, contact the poison control helpline at 1-800-222-1222 or call emergency services.

Proper Use & Dosage Information for Risperidone


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What is the typical starting dose for risperidone?

Risperidone is available in the following forms:

  • Oral tablets
  • Orally disintegrating tablets (ODTs)
  • Oral solution

The typical starting dose of risperidone varies depending on the condition being treated, the severity of symptoms, and the patient. It is crucial to follow your healthcare provider's instructions regarding dosage and administration.

For schizophrenia:

  • Adults: 2 mg per day, which may be increased gradually based on the response and tolerance.
  • Children (13-17 years): 0.5 mg per day, which the doctor may adjust.

For bipolar disorder:

  • Adults: 2-3 mg per day, which may be adjusted.
  • Children (10-17 years): 0.5 mg per day, which the doctor may adjust.

For irritability associated with autistic disorder:

  • Children (5-16 years): 0.25-0.5 mg per day, which may be adjusted.

The dosage may be adjusted based on the response and tolerance to the medication. Your healthcare provider will determine the most appropriate dose based on your medical history and your response to the medication.

Risperidone should be taken as prescribed by your healthcare provider. Do not exceed the recommended dose or duration of treatment without consulting your provider.

If you have any questions about your dosage or need adjustments, contact your healthcare provider for guidance. If you want to talk to a provider right away, consider scheduling an online doctor appointment through a telehealth platform like Sesame.

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

If you miss a dose of risperidone, take it as soon as you remember unless it is close to the time for your next scheduled dose. In that case, skip the missed dose and continue your regular dosing schedule. Do not double the dose to make up for a missed one.

Take risperidone around the same time every day to maintain an even level of medication in your body.

What should I do if I'm feeling better while taking risperidone?

Continue taking risperidone as prescribed by your healthcare provider, even if you start feeling better. It's important to keep taking the medication as directed to manage your condition effectively.

If you have any concerns or questions about your medication, discuss them with your healthcare provider for medical advice and recommendations.

How should I store risperidone?

Store risperidone according to the instructions provided by your healthcare provider or pharmacist. Keep it at room temperature, away from light and moisture. Ensure the container is tightly closed and out of reach of children.

Do not use expired medication or medications that appear damaged or discolored. If you have any questions about storage, consult your healthcare provider or pharmacist for guidance.

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