Description
RISCALM 4 mg Tablets
Active ingredient: Risperidone 4 mg
Dosage form: Tablet
Pack shown: 10 tablets
Drug class: Atypical (second-generation) antipsychotic
1. Indications
Risperidone may be prescribed for:
- Schizophrenia
- Bipolar I disorder — manic or mixed episodes
- Irritability associated with autistic disorder in certain approved age groups
- Certain severe behavioral symptoms when specifically prescribed by a doctor
2. Benefits / Action
Risperidone may help:
- Reduce hallucinations and delusions
- Improve disorganized thinking
- Reduce severe agitation
- Control mania and mood-related symptoms
- Reduce certain severe behavioral symptoms
It mainly works by affecting dopamine D2 and serotonin 5-HT2A receptors.
3. Usage / Dosage
The appropriate dose depends on the diagnosis, age, response and other medicines.
For adult schizophrenia, treatment is generally initiated at a lower dose and gradually adjusted. A 4 mg tablet may be used as part of an established treatment regimen.
How to take:
- Take exactly as prescribed.
- May be taken with or without food.
- Take at approximately the same time each day.
- Do not increase or reduce the dose without medical advice.
- Do not stop suddenly without consulting the prescriber.
4. Contraindications / Cautions
Do not use in patients with known hypersensitivity to risperidone or its ingredients.
Use particular caution in patients with:
- Cardiovascular disease
- Previous stroke/TIA
- Diabetes
- Epilepsy
- Parkinson’s disease
- Kidney or liver impairment
- History of low blood pressure
5. Side Effects
Common:
- Drowsiness or sedation
- Dizziness
- Headache
- Increased appetite
- Weight gain
- Constipation
- Dry mouth
- Restlessness
Other important effects:
- Tremor or muscle stiffness
- Abnormal involuntary movements
- Increased prolactin
- Increased blood glucose and lipid levels
- Postural/orthostatic hypotension
Seek urgent medical attention for severe muscle rigidity with fever/confusion, seizures, severe allergic reaction, uncontrolled movements, or sudden weakness/speech difficulty.
6. Warnings & Precautions
- Antipsychotics including risperidone are associated with increased mortality in elderly patients with dementia-related psychosis and are not approved for this use.
- Monitor weight, blood glucose and lipid levels when clinically appropriate.
- Use caution in patients with cardiovascular or cerebrovascular risk.
- Risperidone can cause drowsiness and may impair driving.
- Avoid or limit alcohol because it may increase sedation.
7. Important Drug Interactions
Risperidone can interact with:
- Alcohol and other sedating medicines
- Blood-pressure-lowering medicines
- Fluoxetine and paroxetine, which can increase risperidone exposure
- Carbamazepine and certain enzyme-inducing medicines, which can reduce risperidone exposure
- Other medicines that can affect cardiac rhythm
8. Pregnancy & Breastfeeding
Use during pregnancy or breastfeeding should be discussed with a doctor. Risperidone and its active metabolite can pass into breast milk.
9. Storage
Store in a cool, dry place, protected from excessive heat and moisture. Keep out of reach of children.
10. Packing
RISCALM 4 mg — 10 tablets, as shown in the supplied image.





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