RISPERIDONE 1. Name & class of drug – generic and trade name.

GENERIC NAME: Risperidone BRAND NAME: Risperdal CLASSIFICATION: CNS agent, antipsychotic, atypical 2. Dose range and routes for adult & geriatric client. PREPARATIONS: PO – (0.25, 0.5, 1, 2, 3, 4) mg tablets; 1mg/ml sol’n 3. Purpose prescribed. Underline reason your client is prescribed drug. THERAPEUTIC EFFECTS: Effective in controlling symptoms of schizophrenia as well as other psychotic symptoms USES: reduction or elimination of psychotic symptoms in schizophrenia and related psychoses. Seems to improve negative symptoms such as apathy, blunted effect, and emotional withdrawal. • Bipolar disorder, management of pts with dementia-related psychotic symptoms. Adjunctive tx of behavioral disturbances in pts with mental retardation 4. Major side effects & drug interactions. DRUG INTERACTIONS: may enhance the effects of certain antihypertensive agents. • May antagonize the antiparkinson effects of bromocriptine, cabergoline, levodopa, pergolide, pramipexole, ropinirole. • Carbamazepine may decrease risperidone levels. • Clozapine may increase respiridone levels. • Cisapride may cause dysrhythmia SIDE EFFECTS: drowsiness, headache, insomnia, agitation, extrapyramidal symptoms, orthostatic hypotension

5. Nursing Implications & teaching. • • • • • Do not engage in hazardous activity until response to drug is known Be aware of the risk of orthostatic hypotension Learn adverse effects and report those that are bothersome to Dr Wear sunscreen and protective clothing to avoid photosensitivity Notify Dr if you intend to become pregnant