Risperidone: Difference between revisions

(Created page with "==Administration== *Type: Atypical antipsychotic *Dosage Forms: *Routes of Administration: Oral, IM *Common Trade Names: Risperdal ==Adult Dosing== *2-6mg PO daily *25-50mg I...")
 
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*25-50mg IM
*25-50mg IM
==Pediatric Dosing==
==Pediatric Dosing==
*Pediatric procedural sedation: 0.01mg/kg/dose IM (typically 0.25-4mg/dose)


==Special Populations==
==Special Populations==

Revision as of 16:47, 8 September 2016

Administration

  • Type: Atypical antipsychotic
  • Dosage Forms:
  • Routes of Administration: Oral, IM
  • Common Trade Names: Risperdal

Adult Dosing

  • 2-6mg PO daily
  • 25-50mg IM

Pediatric Dosing

  • Pediatric procedural sedation: 0.01mg/kg/dose IM (typically 0.25-4mg/dose)

Special Populations

  • Pregnancy Rating: C
  • Lactation risk: Infant risk cannot be ruled out
  • Renal: severe impairment, 0.5mg twice daily, titrate slowly
  • Hepatic: lower initial dose

Contraindications

  • Allergy to class/drug

Adverse Reactions

Serious

  • Prolonged QT, sudden cardiac death, syncope
  • DKA
  • Pancreatitis
  • Cytopenias, TTP
  • Stroke, seizure, tardive dyskinesia, priapism
  • Neuroleptic malignant syndrome

Common

  • Akasthisia, dystonia, parkinsonism
  • Sedation/fatigue, dizziness, blurred vision, anxiety
  • Rash
  • Hyperprolactinemia, weight gain, increased appetite
  • Constipation, diarrea, nausea/vomiting
  • Cough, URI

Pharmacology

  • Half-life:
  • Metabolism: Hepatic, CYP2D6
  • Excretion:

Mechanism of Action

  • Unknown
  • 5HT-2 inhibitor, weaker D2 inhibitor

Comments

See Also

Antipsychotics

References