to syringe for identification Discard both vial and vial adapter appropriately Peel blister pouch open part way and attach needle to syringe with a firm clockwise twisting motion Just before administration, shake syringe vigorously for 20-30 seconds until no deposition of powder, as some settling will have occurred Hold syringe upright and tap gently to make any air bubbles rise to top; slowly and carefully press plunger rod upward to remove air Immediately use once prepared; do NOT store IM Administration Immediately inject entire contents of syringe Alternate injections between the two buttocks Rykindo: Administer IM upper-outer quadrant of gluteal muscle Risperdal Consta: Administer IM deltoid or gluteal muscle Do not IV administer Storage Tablets and oral disintegrating tablets Store at room temperature 15-25°C (59-77°F); protect from light and moisture Oral solution Store at controlled room temperature 15- 25°C (59-77°F); protect from light and freezing SC and IM kits Risperdal Consta, Rykindo Unopened: Refrigerate at 2-8°C (36-46°F); may store at room temperature in its original packaging at 20-25°C (68-77°F) for up to 7 days After removal from refrigerator, use within 7 days or discard Perseris Unopened: Refrigerate 2-8°C (36-46°F); may store at room temperature in its original packaging at 20-25°C (68-77°F) for up to 30 days After removal from refrigerator, use within 30 days or discard Uzedy Refrigerate at 2-8ºC (36-46ºF) in the original carton to protect from light May be stored in unopened original packaging at 20-25ºC (68-77ºF) for up to 90 days If unopened, may be returned to refrigerated storage within 90 days Once carton is opened, administer or discard BRAND FORM. UNIT PRICE PILL IMAGE risperidone oral- 2 mg tabletrisperidone oral- 4 mg tabletrisperidone oral- 3 mg tabletrisperidone oral- 1 mg tabletrisperidone oral- 3 mg tabletrisperidone oral- 3 mg tabletrisperidone oral- 0.5 mg tabletrisperidone oral- 3 mg tabletrisperidone oral- 2 mg tabletrisperidone oral- 1 mg tabletrisperidone oral- 0.25 mg tabletrisperidone oral- 2 mg tabletrisperidone oral- 4 mg tabletrisperidone oral- 0.25 mg tabletrisperidone oral- 0.25 mg tabletrisperidone oral- 1 mg/mL solutionrisperidone oral- 4 mg tabletrisperidone oral- 4 mg tabletrisperidone oral- 0.5 mg tabletrisperidone oral- 2 mg tabletrisperidone oral- 3 mg tabletrisperidone oral- 2 mg tabletrisperidone oral- 1 mg tabletrisperidone oral- 4 mg tabletrisperidone oral- 1 mg tabletrisperidone oral- 4 mg tabletrisperidone oral- 2 mg tabletrisperidone oral- 0.5 mg tabletrisperidone oral- 0.25 mg tabletrisperidone oral- 4 mg tabletrisperidone oral- 4 mg tabletrisperidone oral- 1 mg tabletrisperidone oral- 2 mg tabletrisperidone oral- 1 mg tabletrisperidone oral- 1 mg tabletrisperidone oral- 0.5 mg tabletrisperidone oral- 4 mg tabletrisperidone oral- 3 mg tabletrisperidone oral- 0.5 mg tabletrisperidone oral- 0.25 mg tabletrisperidone oral- 1 mg tabletrisperidone oral- 2 mg tabletrisperidone oral- 3 mg tabletrisperidone oral- 2 mg tabletrisperidone oral- 4 mg tabletrisperidone oral- 3 mg tabletrisperidone oral- 1 mg/mL solutionrisperidone oral- 3 mg tabletrisperidone oral- 0.25 mg tabletrisperidone oral- 1 mg tabletrisperidone oral- 0.5 mg tabletrisperidone oral- 1 mg/mL solutionrisperidone oral- 1 mg/mL solutionrisperidone oral- 0.5 mg tabletrisperidone oral- 2 mg tabletrisperidone oral- 1 mg/mL solutionrisperidone oral- 4 mg tabletrisperidone oral- 3 mg tabletrisperidone oral- 1 mg tabletrisperidone oral- 0.5 mg tabletrisperidone oral- 0.25 mg tabletrisperidone oral- 1 mg tabletUzedy subcutaneous- 250 mg/0.7 mL syringeUzedy subcutaneous- 200 mg/0.56 mL syringeUzedy subcutaneous- 150 mg/0.42 mL syringeUzedy subcutaneous- 125 mg/0.35 mL syringeUzedy subcutaneous- 100 mg/0.28 mL syringeUzedy subcutaneous- 75 mg/0.21 mL syringeUzedy subcutaneous- 50 mg/0.14 mL syringeRisperdal oral- 1 mg tabletRisperdal oral- 2 mg tabletRisperdal oral- 3 mg tabletRisperdal oral- 4 mg tabletRisperdal oral- 0.5 mg tabletRisperdal oral- 1 mg/mL solutionPerseris abdominal subcutaneous- 90 mg syringePerseris abdominal subcutaneous- 120 mg syringeCopyright © 2010 First DataBank, Inc.Print Patient Educationrisperidone oral RISPERIDONE - ORAL (riss-PAIR-ih-doan) COMMON BRAND NAME(S): Risperdal WARNING: There may be a slightly increased risk of serious, possibly fatal side effects (such as stroke, heart failure, fast/irregular heartbeat, pneumonia) when this medication is used by older adults with dementia. This medication is not approved for the treatment of dementia-related behavior problems. Discuss the risks and benefits of this medication, as well as other effective and possibly safer treatments for dementia-related behavior problems, with the doctor.If you are using risperidone in combination with other medication to treat depression, also carefully read the drug information for the other medication. USES: Risperidone is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, irritability associated with autistic disorder). This medication can help you to think clearly and take part in everyday life.Risperidone belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. HOW TO USE: Take this medication by mouth with or without food as directed by your doctor, usually once or twice daily.If you are using the liquid form of this medication, read the Instructions for Use if available from your pharmacist before you start using risperidone and each time you get a refill. Carefully measure the dose using the special measuring device that is provided. Do not use a household spoon because you may not get the correct dose. If directed, you may mix the measured dose with a small amount of liquid (3 to 4 ounces/about 100 milliliters) such as water, coffee, orange juice, or low-fat milk. Do not mix with cola or tea. Take all of the mixture right away. Do not prepare a supply in advance. Consult your pharmacist if you have any questions.The dosage is based on your age, medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor's instructions carefully.Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day. Keep taking this medication even if you feel well. Do not stop taking this medication without consulting your doctor.Tell your doctor if your condition lasts or gets worse. SIDE EFFECTS: Drowsiness, dizziness, lightheadedness, drooling, nausea, weight gain, or tiredness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.Dizziness and lightheadedness can increase the risk of falling. Get up slowly when rising from a sitting or lying position.Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor right away if you have any serious side effects, including: difficulty swallowing, muscle spasms, shaking (tremor), mental/mood changes (such as anxiety, restlessness), interrupted breathing during sleep.This medication may rarely make your blood sugar rise, which can cause or worsen diabetes. Tell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urination. If you already have diabetes, check your blood sugar regularly as directed and share the results with your doctor. Your doctor may need to adjust your diabetes medication, exercise program, or diet.This drug may also cause significant weight gain and a rise in your blood cholesterol (or triglyceride) levels. These effects, along with diabetes, may increase your risk for developing heart disease. Discuss the risks and benefits of treatment with your doctor. (See also Notes section.)Risperidone may rarely cause a condition known as tardive dyskinesia. In some cases, this condition may be permanent. Tell your doctor right away if you develop any unusual/uncontrolled movements (especially of the face, lips, mouth, tongue, arms or legs).This medication may increase a certain natural substance (prolactin) made by your body. For females, this increase in prolactin may result in unwanted breast milk, missed/stopped periods, or difficulty becoming pregnant. For males, it may result in decreased sexual ability, inability to produce sperm, or enlarged breasts. If you develop any of these symptoms, tell your doctor right away.Get medical help right away if you have any very serious side effects, including: severe dizziness, fainting, seizures.This medication may rarely cause a very serious condition called neuroleptic malignant syndrome (NMS). Get medical help right away if you have any of the following symptoms: fever, muscle stiffness/pain/tenderness/weakness, severe tiredness, severe confusion, sweating, fast/irregular heartbeat, dark urine, signs of kidney problems (such as change in the amount of urine).Rarely, males may have a painful or prolonged erection lasting 4 or more hours. If this occurs, stop using this drug and get medical help right away, or permanent problems could occur.A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: fever, swollen lymph nodes, rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. PRECAUTIONS: Before taking risperidone, tell your doctor or pharmacist if you are allergic to it; or to paliperidone; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, kidney disease, seizures, difficulty swallowing, low white blood cell count, Parkinson's disease, dementia, certain eye problems (cataracts, glaucoma), personal or family history of diabetes, heart disease, high cholesterol/triglyceride levels, breathing trouble during sleep (sleep apnea).Risperidone may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using risperidone, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using risperidone safely.This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).Before having surgery (including cataract/glaucoma eye surgery), tell your doctor or dentist if you are taking or have ever taken this medication, and about all the other products you use (including prescription drugs, nonprescription drugs, and herbal products).This medication may make you sweat less, making you more likely to get heat stroke. Avoid doing things that may cause you to overheat, such as hard work or exercise in hot weather, or using hot tubs. When the weather is hot, drink a lot of fluids and dress lightly. If you overheat, quickly look for a place to cool down and rest. Get medical help right away if you have a fever that does not go away, mental/mood changes, headache, or dizziness.Older adults may be more sensitive to the side effects of this drug, especially drowsiness, dizziness, lightheadedness, and QT prolongation (see above). Drowsiness, dizziness, and lightheadedness can increase the risk of falling.During pregnancy, this medication should be used only when clearly needed. Babies born to mothers who have used this drug during the last 3 months of pregnancy may rarely develop symptoms including muscle stiffness or shakiness, drowsiness, feeding/breathing difficulties, or constant crying. If you notice any of these symptoms in your newborn especially during their first month, tell the doctor right away.Since untreated mental/mood problems (such as schizophrenia, bipolar disorder, depression) can be a serious condition,