HALF-LIFE: 20 hours
STARTING DOSE: 0.5mg-1mg PO BID
TARGET DOSING RANGE: 4mg-6mg per day
BEST TIME TO DOSE: Bedtime
HOW TO DOSE:
>> Children 33-44 lbs: 0.25mg PO daily for 4-7 days. Increase to
0.5mg per day for additional 2 weeks. Increase dose by 0.25mg/day
every 2-4 weeks
>> Children >44lbs: 0.5mg PO daily for 4-7 days. Increase to
1mg per day for additional 2 weeks. Increase dose by 0.5mg/day
every 2-4 weeks.
>>Adults: Initial 0.5mg-1mg PO BID. Increase by 0.5mg-1mg per day every 2-7 days until response (maximum dose 6mg/day)
PREGNANCY: Minimal data on safety
BREASTFEEDING: Minimal data on safety
1) Schizophrenia, 13yo and older
2) Bipolar disorder (manic/mixed), 10yo and older
3) Irritability symptoms of autism spectrum disorders, 5yo and older
Risperidone acts as an atypical antipsychotic at lower doses but becomes more typical at higher doses (>6mg/day)
High risk for EPS and prolactin elevation
Little additional benefit with doses >6mg/day
Long term depot (consta given every 2 weeks)
Oral disintegrating tablet (M-tab) and Liquid available
Moderate risk for weight gain and dyslipidemia
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