For people with hyperprolactinemia high prolactin levels: This drug may increase your prolactin levels. This can make your condition worse. Your doctor should monitor your blood prolactin levels before starting and during treatment with this drug. For people with heart problems: This drug may decrease your blood pressure. If you have heart problems, ask your doctor whether this drug is safe for you.
These include a history of heart attack, angina chest pain , coronary artery disease, heart failure, or heart rhythm problems. Risperidone may make these conditions worse. For people with kidney problems: If you have moderate to severe kidney disease, you may not be able to clear this drug from your body well. This may cause risperidone to build up in your body.
This can lead to more side effects. Your doctor may reduce your dose if you have kidney disease. For people with liver problems: If you have liver problems, you may not be able to process this drug well. Your doctor may reduce your dose if you have liver disease.
You may experience more side effects from this drug. These include confusion, lethargy, frequent falls, trouble moving, restlessness and urge to move, uncontrollable muscle contractions, high fever, heavy sweating, stiff muscles, and changes in your breathing, heart rhythm, and blood pressure. For people with phenylketonuria PKU: Risperidone orally disintegrating tablet contains phenylalanine.
Warnings for other groups For pregnant women: Risperidone is a category C pregnancy drug. That means two things: If you have phenylketonuria, it's important to realize that orally disintegrating risperidone tablets contain phenylalanine. Risperidone could cause certain side effects and can interfere with many medications. If you have certain medical conditions, take risperidone with caution.
Always tell your doctor if you have allergies to any medications and discuss the risks and benefits of risperidone. Tell your doctor if you use or have ever used illegal or "street" drugs, or if you are a heavy drinker. Also let your doctor know if you have ever abused prescription drugs. Because it may be more difficult for your body to warm up or cool down while taking risperidone, let your doctor know if you plan to engage in vigorous exercise or if you will be in a place where temperatures are very hot or very cold.
Your doctor should also know if you ever developed severe side effects from a medication to treat mental illness. Tell your doctor if you are pregnant, particularly if you are in your third trimester. Do not drive, use machinery, or do anything that needs alertness until you can do it safely.
Talk to your doctor if you are using marijuana. This medication may make you sweat less, making you more likely to get heat stroke. Avoid doing things that may cause you to overheat, such as hard work or exercise in hot weather, or using hot tubs.
When the weather is hot, drink a lot of fluids and dress lightly. If you overheat, quickly look for a place to cool down and rest. Clinically significant hypotension has been observed post-marketing with concomitant use of risperidone and antihypertensive treatment.
A dose reduction should be considered if hypotension occurs. Patients with clinically significant neutropenia should be carefully monitored for fever or other symptoms or signs of infection and treated promptly if such symptoms or signs occur. The onset of extrapyramidal symptoms is a risk factor for tardive dyskinesia. If signs and symptoms of tardive dyskinesia appear, the discontinuation of all antipsychotics should be considered.
Neuroleptic malignant syndrome NMS Neuroleptic Malignant Syndrome, characterised by hyperthermia, muscle rigidity, autonomic instability, altered consciousness and elevated serum creatine phosphokinase levels has been reported to occur with antipsychotics. Additional signs may include myoglobinuria rhabdomyolysis and acute renal failure. Parkinson's Disease may worsen with risperidone. Both groups may be at increased risk of Neuroleptic Malignant Syndrome as well as having an increased sensitivity to antipsychotic medicinal products; these patients were excluded from clinical trials.
Manifestation of this increased sensitivity can include confusion, obtundation, postural instability with frequent falls, in addition to extrapyramidal symptoms. In some cases, a prior increase in body weight has been reported which may be a predisposing factor. Association with ketoacidosis has been reported very rarely and rarely with diabetic coma.
Appropriate clinical monitoring is advisable in accordance with utilised antipsychotic guidelines. Patients treated with any atypical antipsychotic, including RISPERDAL, should be monitored for symptoms of hyperglycaemia such as polydipsia, polyuria, polyphagia and weakness and patients with diabetes mellitus should be monitored regularly for worsening of glucose control.
Weight should be monitored regularly. Evaluation of the prolactin plasma level is recommended in patients with evidence of possible prolactin-related side effects e. Tissue culture studies suggest that cell growth in human breast tumours may be stimulated by prolactin. Although no clear association with the administration of antipsychotics has so far been demonstrated in clinical and epidemiological studies, caution is recommended in patients with relevant medical history.
QT prolongation QT prolongation has very rarely been reported post-marketing. As with other antipsychotics, caution should be exercised when risperidone is prescribed in patients with known cardiovascular disease, family history of QT prolongation, bradycardia, or electrolyte disturbances hypokalaemia, hypomagnesaemia , as it may increase the risk of arrhythmogenic effects, and in concomitant use with medicines known to prolong the QT interval.
Body temperature regulation Disruption of the body's ability to reduce core body temperature has been attributed to antipsychotic medicines. Appropriate care is advised when prescribing RISPERDAL to patients who will be experiencing conditions which may contribute to an elevation in core body temperature, e. Antiemetic effect An antiemetic effect was observed in preclinical studies with risperidone. This effect, if it occurs in humans, may mask the signs and symptoms of overdosage with certain medicines or of conditions such as intestinal obstruction, Reye's syndrome, and brain tumour.
Renal and hepatic impairment Patients with renal impairment have less ability to eliminate the active antipsychotic fraction than adults with normal renal function. Patients with impaired hepatic function have increases in plasma concentration of the free fraction of risperidone see section 4. Venous thromboembolism Cases of venous thromboembolism VTE have been reported with antipsychotic drugs. IFIS may increase the risk of eye complications during and after the operation. Current or past use of medicines with alpha1a-adrenergic antagonist effect should be made known to the ophthalmic surgeon in advance of surgery.
The potential benefit of stopping alpha1-blocking therapy prior to cataract surgery has not been established and must be weighed against the risk of stopping the antipsychotic therapy.
Paediatric population Before risperidone is prescribed to a child or adolescent with conduct disorder they should be fully assessed for physical and social causes of the aggressive behaviour such as pain or inappropriate environmental demands. The sedative effect of risperidone should be closely monitored in this population because of possible consequences on learning ability. A change in the time of administration of risperidone could improve the impact of the sedation on attention faculties of children and adolescents.
Risperidone was associated with mean increases in body weight and body mass index BMI. Baseline weight measurement prior to treatment and regular weight monitoring are recommended.
Changes in height in the long-term open-label extension studies were within expected age-appropriate norms.
Tags: kamagra 100 milligrams preise doxycycline for dog heartworm treatment can i take codeine with wellbutrin generic drug for wellbutrin sr sleeping pill with benadryl
© Copyright 2017 3 mg of risperdal / 45.64.132.41.