Post by vivianho94 on Sept 3, 2015 12:17:26 GMT
a) Risperidone (oral/depot): atypical antipsychotic
b) Brand Names:
- Ozisdal
- Resdone
- Rispa
- Risperdal
- Risperdal Consta
- Rixadone
c) Normal dose range:
Depot -
The recommended dose for the treatment of Schizophrenia is 25mg IM every 2 weeks. Some patients not responding to 25mg may benefit from a higher dose (37.5 or 50mg). The maximum dose must not exceed 50mg.
Oral tablets -
The usual starting dose of Risperidone Sandoz is 1mg twice a day. This will be gradually increased the doctor to suit the patient's needs. From then on, the dose can be taken once a day or twice a day according to the doctor's instructions. For long-term treatment, 4 to 6 milligrams per day is usually sufficient, but a dose will be determined by the doctor.
d) Common side effects:
Difficulty thinking or working because of:
- sleeplessness
- headache
- trembling
- drowsiness/tiredness
Behavioural changes such as:
- agitation
- anxiety
Joint or movement changes such as:
- tardive dyskenia
- muscle stiffness
- restlessness in the legs.
Other changes such as:
- extrapyramidal (movement disorders, slurred speech, tremors)
- weight gain
- indigestion, nausea, abdominal pain, constipation
- excessive thirst
- frequent urination
- blockage in the bowel
- unusual secretion of breast milk
- breast swelling
- missed or irregular menstrual periods
- involuntary movements of the tongue, face, mouth, jaws, arms, legs or trunk.
Heart or blood pressure problems such as:
- fall in blood pressure, particularly on standing.
- faster heart rate, slowed heart rate, heart beat irregularities.
e) Nursing considerations:
- Monitor for tardive dyskenia, which may occur after prolonged use
- Obtain baseline blood pressure measures and monitor regularly. Watch for orthostatic hypotention, especially during the initial stages of treatment
- Response from medication usually occur within 1 to 2 weeks, allow 2 to 3 months for full trial
- Watch for neuroleptic malignant syndrome and extrapyramidal side effects
g) Patient/family/carer education:
- Warn patient to avoid activities that require alertness until the CNS effects of the medication is known
- Caution patient to rise slowly and avoid hot showers and use extra caution during the first few days of therapy to avoid fainting
- Instruct patient to avoid alcohol as it interfers with the medication and increases the effects of alcohol
- Suggest a healthy and moderate diet because the medication can cause weight gain.
- Inform the doctor immediately if you notice any worm-like movements of the tongue, or other uncontrolled movements of the tongue, mouth, cheeks or jaw which may progress to the arms and legs which are symptoms of tardive dyskinesia. If detected early, these symptoms are usually reversible.
b) Brand Names:
- Ozisdal
- Resdone
- Rispa
- Risperdal
- Risperdal Consta
- Rixadone
c) Normal dose range:
Depot -
The recommended dose for the treatment of Schizophrenia is 25mg IM every 2 weeks. Some patients not responding to 25mg may benefit from a higher dose (37.5 or 50mg). The maximum dose must not exceed 50mg.
Oral tablets -
The usual starting dose of Risperidone Sandoz is 1mg twice a day. This will be gradually increased the doctor to suit the patient's needs. From then on, the dose can be taken once a day or twice a day according to the doctor's instructions. For long-term treatment, 4 to 6 milligrams per day is usually sufficient, but a dose will be determined by the doctor.
d) Common side effects:
Difficulty thinking or working because of:
- sleeplessness
- headache
- trembling
- drowsiness/tiredness
Behavioural changes such as:
- agitation
- anxiety
Joint or movement changes such as:
- tardive dyskenia
- muscle stiffness
- restlessness in the legs.
Other changes such as:
- extrapyramidal (movement disorders, slurred speech, tremors)
- weight gain
- indigestion, nausea, abdominal pain, constipation
- excessive thirst
- frequent urination
- blockage in the bowel
- unusual secretion of breast milk
- breast swelling
- missed or irregular menstrual periods
- involuntary movements of the tongue, face, mouth, jaws, arms, legs or trunk.
Heart or blood pressure problems such as:
- fall in blood pressure, particularly on standing.
- faster heart rate, slowed heart rate, heart beat irregularities.
e) Nursing considerations:
- Monitor for tardive dyskenia, which may occur after prolonged use
- Obtain baseline blood pressure measures and monitor regularly. Watch for orthostatic hypotention, especially during the initial stages of treatment
- Response from medication usually occur within 1 to 2 weeks, allow 2 to 3 months for full trial
- Watch for neuroleptic malignant syndrome and extrapyramidal side effects
g) Patient/family/carer education:
- Warn patient to avoid activities that require alertness until the CNS effects of the medication is known
- Caution patient to rise slowly and avoid hot showers and use extra caution during the first few days of therapy to avoid fainting
- Instruct patient to avoid alcohol as it interfers with the medication and increases the effects of alcohol
- Suggest a healthy and moderate diet because the medication can cause weight gain.
- Inform the doctor immediately if you notice any worm-like movements of the tongue, or other uncontrolled movements of the tongue, mouth, cheeks or jaw which may progress to the arms and legs which are symptoms of tardive dyskinesia. If detected early, these symptoms are usually reversible.