WARNING

Risperdal Consta is an extended-release injectable form of the antipsychotic medication risperidone. Like any medication, it comes with potential risks and side effects. It’s important to note that individual responses to medications can vary, and only a healthcare professional can provide personalized advice based on your specific health condition. Here are some general risks associated with Risperdal Consta:

• Common Side Effects:
  • Weight gain
  • Drowsiness
  • Dizziness
  • Headache
  • Increased appetite
• Metabolic Effects:
  • Increased blood sugar levels
  • Elevated cholesterol levels
  • Risk of diabetes
• Extrapyramidal Symptoms (EPS): These can include tremors, stiffness, and involuntary movements.
• Neuroleptic Malignant Syndrome (NMS): A potentially life-threatening condition characterized by hyperthermia, muscle rigidity, altered mental status, and autonomic dysfunction.
• Tardive Dyskinesia: A potentially irreversible movement disorder characterized by involuntary repetitive movements, usually of the face.
• Hyperprolactinemia: Risperdal Consta may increase levels of the hormone prolactin, potentially leading to sexual and reproductive side effects.
• Cardiovascular Effects:
  • Orthostatic hypotension (drop in blood pressure upon standing)
  • Increased risk of heart-related issues in elderly patients with dementia-related psychosis
• Allergic Reactions:
  • Rarely, severe allergic reactions may occur.

It’s crucial to discuss any concerns or potential side effects with your healthcare provider before starting or adjusting the dosage of Risperdal Consta. They can provide a more detailed assessment of your individual health situation and help weigh the potential benefits against the risks associated with the medication. Regular monitoring and open communication with your healthcare team are key components of managing the risks associated with any medication.

Why is this medication prescribed?

Risperdal Consta is a prescription medication that belongs to a class of drugs known as atypical antipsychotics. It is primarily prescribed to treat certain mental/mood disorders. Here are some common reasons why Risperdal Consta might be prescribed:

• Schizophrenia: Risperdal Consta is often used in the treatment of schizophrenia, a mental disorder characterized by disturbances in thinking, emotional responsiveness, and behavior.
• Bipolar Disorder: It may be prescribed for the treatment of bipolar disorder (manic-depressive illness) in adults and children over the age of 10.
• Maintenance Treatment: Risperdal Consta is sometimes used for long-term maintenance treatment to prevent the recurrence of symptoms in individuals who have responded well to the medication.
• Behavioral Disorders in Autism: In some cases, it may be used to manage irritability associated with autistic disorder in children and adolescents aged 5 to 16 years.

Risperdal Consta is administered through an intramuscular injection and is formulated to provide a sustained release of the medication over an extended period. The injection is typically given every two weeks, and the dosage may vary depending on the individual’s condition and response to treatment.

How should this medicine be used?

The medication is administered as an injection into the muscle (intramuscular) by a healthcare professional. The frequency of injections varies depending on the individual’s response and the treating physician’s recommendations. It’s important to follow the prescribed dosage and schedule as directed by your healthcare provider.

Here are general guidelines for using Risperdal Consta:

• Dosage: The dosage and frequency of administration will be determined by your healthcare provider based on your condition and response to treatment.
• Administration: Risperdal Consta is typically injected into the deltoid muscle of the upper arm or the gluteal muscle in the buttocks. The injections are given at regular intervals, such as every two weeks.
• Medical Supervision: The injections should be administered by a healthcare professional, usually in a clinic or doctor’s office. Do not attempt to self-administer unless instructed to do so by your healthcare provider.
• Consistency: It’s important to receive injections consistently and not miss any scheduled doses to ensure the effectiveness of the medication.
• Patient Education: Make sure you understand the proper administration technique, potential side effects, and any other relevant information. If you have any concerns or questions, discuss them with your healthcare provider.

As with any medication, it’s crucial to follow your healthcare provider’s instructions and attend regular check-ups to monitor your progress and adjust the treatment plan if necessary. If you have specific questions about your prescription or how to use Risperdal Consta, consult with your healthcare provider or pharmacist for personalized advice.

Other uses for this medicine

In addition to the primary uses mentioned earlier, Risperdal Consta may be prescribed for other off-label uses, which means uses not specifically approved by regulatory agencies but based on the healthcare provider’s judgment and the available evidence. Some off-label uses may include:

• Treatment-Resistant Depression: In certain cases, Risperdal Consta may be used as an adjunctive treatment for individuals with treatment-resistant depression.
• Agitation in Dementia: It might be prescribed for the management of severe agitation in individuals with dementia, although the use of antipsychotics in elderly patients with dementia-related psychosis is associated with an increased risk of mortality.
• Obsessive-Compulsive Disorder (OCD): There is some evidence suggesting that Risperdal Consta may be used in the treatment of obsessive-compulsive disorder, particularly when other treatments have not been effective.

What special precautions should I follow?

Special Precautions:

• Medical History and Allergies: Before starting Risperdal Consta, inform your healthcare provider about your complete medical history, especially if you have allergies, liver or kidney problems, cardiovascular diseases, seizures, or a history of low white blood cell count.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of Risperdal Consta with your healthcare provider. It’s important to weigh the potential benefits of the medication against potential risks to the unborn or nursing child.
• Blood Pressure: Risperdal Consta may cause orthostatic hypotension (a drop in blood pressure upon standing). Caution is advised, especially in the elderly.
• Elderly Patients with Dementia: Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Risperdal Consta is not approved for this indication.
• Neuroleptic Malignant Syndrome (NMS): This is a rare but potentially life-threatening side effect of antipsychotic medications. Seek immediate medical attention if you experience symptoms such as high fever, muscle stiffness, confusion, or changes in breathing.
• Tardive Dyskinesia: Long-term use of antipsychotic medications like Risperdal Consta may be associated with tardive dyskinesia. Inform your healthcare provider if you experience any involuntary movements.

Always follow your healthcare provider’s instructions and attend regular check-ups to monitor for any potential side effects or changes in your health. Do not adjust the dosage or stop the medication without consulting your healthcare professional.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Risperdal Consta. However, it’s essential to maintain a healthy and balanced diet as part of overall well-being. If you have concerns about weight gain or metabolic effects associated with the medication, discuss them with your healthcare provider. They can provide guidance on diet and lifestyle modifications.

What should I do if I forget a dose?

If you miss a dose of Risperdal Consta, contact your healthcare provider as soon as possible to discuss the next steps. It’s crucial not to double the dose to make up for a missed injection. Your healthcare provider may adjust the dosing schedule or provide guidance on the best course of action based on your specific situation.

What side effects can this medication cause?

Risperdal Consta, like any medication, can cause side effects. It’s important to note that not everyone will experience these side effects, and their severity can vary. Some common and less severe side effects include:

• Weight Gain: Risperdal Consta is associated with an increased risk of weight gain.
• Drowsiness: Some individuals may experience drowsiness or sedation, especially when starting the medication or when the dosage is increased.
• Dizziness: Feeling lightheaded or dizzy may occur, particularly when standing up quickly.
• Increased Appetite: Some people may experience an increase in appetite.
• Constipation: This can be a side effect of Risperdal Consta.
• Dry Mouth: Reduced saliva production leading to a dry sensation in the mouth.
• Tremor: Shaking or trembling of the hands or other parts of the body.
• Stiffness: Some individuals may experience muscle stiffness.
• Pain at the Injection Site: As Risperdal Consta is administered via injection, pain or discomfort at the injection site can occur.
• Extrapyramidal Symptoms (EPS): These can include symptoms such as tremors, stiffness, and involuntary movements.
• Increased Prolactin Levels: Risperdal Consta may lead to elevated levels of the hormone prolactin, potentially causing sexual and reproductive side effects.
• Metabolic Effects: There may be an increased risk of elevated blood sugar levels, diabetes, and elevated cholesterol levels.
• Neuroleptic Malignant Syndrome (NMS): Though rare, NMS is a potentially life-threatening condition characterized by hyperthermia, muscle rigidity, altered mental status, and autonomic dysfunction.
• Tardive Dyskinesia: Long-term use of antipsychotics may be associated with tardive dyskinesia, characterized by involuntary repetitive movements.

It’s important to report any unusual or severe side effects to your healthcare provider promptly. Additionally, individuals taking Risperdal Consta should undergo regular check-ups and monitoring to assess their response to the medication and detect any potential side effects early on.

This list is not exhaustive, and other side effects may occur. Always consult with your healthcare provider for personalized information based on your medical history and current health status. If you experience severe or life-threatening side effects, seek immediate medical attention.

What should I know about storage and disposal of this medication?

Storage and Disposal of Risperdal Consta:

• Storage:
  • Store Risperdal Consta in the refrigerator between 36°F to 46°F (2°C to 8°C).
  • Protect the vials from light.
  • Do not freeze.
  • If necessary, vials can be kept at room temperature (up to 77°F or 25°C) for a maximum single period of up to seven days.
• Disposal:
  • Dispose of used needles and syringes in a puncture-resistant container.
  • Follow local regulations for the disposal of medication and injection-related waste.
  • Do not flush medications down the toilet or drain unless instructed to do so.

In case of emergency/overdose

In case of an emergency or suspected overdose, seek immediate medical attention or contact your local poison control center. Symptoms of overdose may include:

• Severe drowsiness
• Fainting
• Increased heart rate
• Uncontrolled movements or seizures

What other information should I know?

• Regular Monitoring: Attend regular check-ups with your healthcare provider to monitor your response to Risperdal Consta and assess for any potential side effects.
• Informing Healthcare Providers: Inform all healthcare providers involved in your care, including dentists and surgeons, that you are taking Risperdal Consta. This information is important in case other medications are prescribed or procedures are performed.
• Avoid Alcohol: Limit or avoid alcohol consumption while taking Risperdal Consta, as alcohol can enhance the sedative effects of the medication.
• Driving and Operating Machinery: Risperdal Consta may cause drowsiness or dizziness. Avoid activities that require alertness until you know how the medication affects you.
• Medication Changes: Do not change the dose or stop taking Risperdal Consta without consulting your healthcare provider.
• Informing About Other Medications: Inform your healthcare provider about all the medications, supplements, and herbal products you are taking to avoid potential interactions.
• Allergic Reactions: Seek medical attention if you experience symptoms of an allergic reaction, such as rash, itching, swelling, severe dizziness, or difficulty breathing.

Always follow your healthcare provider’s instructions and guidance. This information is not exhaustive, and individual circumstances may require additional considerations. If you have specific questions or concerns, consult with your healthcare provider for personalized advice based on your medical history and current health status.