Zisper Md 1MG 10S

Tablet

Treatment of schizophrenia and other psychotic disorders; management of acute mania and maintenance treatment in bipolar disorder; irritability associated with autism (as prescribed).

Risperidone is an atypical antipsychotic that works mainly by blocking dopamine (D2) and serotonin (5‑HT2A) receptors in the brain. This helps reduce hallucinations, delusions, agitation and stabilizes mood.

Mouth dissolving tablet: place on tongue and allow to dissolve; swallow with saliva (water not necessary). Take exactly as prescribed, at the same time each day, with or without food. Do not stop abruptly without medical advice.

Drowsiness, dizziness, weight gain, increased appetite, headache, dry mouth, constipation, nausea, tremor, restlessness (akathisia), increased prolactin (breast tenderness/discharge, menstrual changes), orthostatic hypotension

Prescription-only antipsychotic. May cause drowsiness—avoid driving/operating machinery until effects are known. Risk of weight gain, diabetes and lipid changes—monitor weight, blood sugar and lipids. Can cause extrapyramidal symptoms/tardive dyskinesia; seek help for abnormal movements. Rare but serious: neuroleptic malignant syndrome (fever, rigidity, confusion), seizures, severe allergic reaction. May increase risk of stroke and death in elderly patients with dementia-related psychosis (not approved for this use). Use caution in heart disease/arrhythmias, low blood pressure, Parkinson’s disease, epilepsy, liver/kidney impairment; dose adjustment may be needed.

Alcohol and other CNS depressants (increased sedation), antihypertensives (additive low BP), levodopa/dopamine agonists (reduced effect), QT-prolonging drugs (e.g., amiodarone, sotalol, quinolones, macrolides) (arrhythmia risk), carbamazepine/phenytoin (may reduce risperidone levels), fluoxetine/paroxetine (may increase risperidone levels), other antipsychotics/antiemetics causing EPS (additive effects).

Store below 25°C in a dry place, protected from moisture and light. Keep in original blister until use. Keep out of reach of children.

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