Bipolar Beat

With this post, we continue our biweekly series on medications used to treat bipolar disorder and related symptoms. Last week, we started our coverage of the atypical antipsychotics with one of the more popular and controversial medications in the group – Zyprexa (Onanzapine). Because that post contains a great deal of information that applies to the atypical antipsychotics as a group, we encourage you to read it first.

20 Comments to
Bipolar Disorder Medication Spotlight: Risperdal (Risperidone)

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  • I take risperdal and find that it is very effective in managing my symptoms. I take 2mg at nite, in addition to 500mg of depakote and 20 mg of buspar daily. I am finding now that I will probably need to up my dosages as stress and day light savings time are negatively affecting my moods. Risperdal does work great for me as a maintenance med. I gained 15lbs, experience mild sedation in the morning, and have had a slight increase in appetite. Overall it works for me

  • I was given risperdal for a manic episodes, and i hated it. I had terrible akathisia….the feeling of wanting to jump out of my skin was unbearable. it also dried out my nose and mouth, making breathing really uncomfortable oddly enough, to the point that i had real night terrors for the first time in my life, which i eventually figured out was caused by lack of air in my sleep.
    do you know how hard it is to convince doctors of anything while your manic? as good and as well thought out an idea might be, the delivery is a mile a minute with twitching limbs…so when i asked to get off of risperdal, they just said “you’re clearly still manic” and i said “you’re invalidating my education.” BAM so I took an increase in lithium in exchange for no risperdal. i don’t deny that it helped me be less manic…although i would have preferred a slow decent rather than a jarring pull down into a hideous mixed episode.

  • My Mother has Alzheimer’s. She just started risperidone (.5mg)this week. She has had 4 strokes and resides in a wheelchair. One website stated Do Not Take this drug if you have dementia or are prone to strokes. Has anyone had any experience with risperidone and an Alzheimer’s patient?

  • i am not a geriatric psychiatrist so I can’t give you too much guidance. I would recommend a thorough discussion with your Mom’s doctor about the choice of Risperidone in her case. Risperidone and medications like it can cause severe problems in individuals with dementia so you want to know what the doctor’s risk/benefit analysis is that she chose this particular drug.

  • Hi there, I have been on Risperidone since Aug 07 and have had really no issues. Just this past week it was increased to 1mg at bedtime and .5mg in the morning. Now I am starting to see why people gain weight on it since my increase. I see a difference in my mania but honestly the stopping of caffiene has done wonders. Just an FYI if anyone’s interested.

  • I’m on Lamictal and risperidone. I have a hx of being non compliant. Was just told by my psyciatrist that if I didn’t stay on the treatment plan I would have to get a new provider. I struggle with giving up the mania and am trying to be just a little bi polar. I need to mkake peace with this illness. Especially if my dr. is going to give up on me

  • My 16 yr old daughter was on 1,000 mg of depakote ER per day, 5 mg Risperdal, 75 mg Trazodone. She was hospitalized less than a month ago with suicidal ideation. The psychiatrist reduced her Risperdal to 2 mg per day over a period of 1 week, then 2 weeks later down to 1 mg per day. 1 week ago she had suicidal ideation and was again hospitalized. The psychiatrist increased her Risperdal to 4mg per day over the course of 1 week. The hospital is wanting to discharge her today and the psychiatrist is again reducing her Risperdal today.

    I don’t see how putting her on this rollercoaster of Risperdal dosages is going to possibly help her. Obviously, Risperdal, like Xyprexa and Geodon before it has stopped working for her. I am very frustrated and fear that if she is discharged today without being stable, she will have thoughts of suicide again and may choose a more injurious method and could possible commit suicide. I am at a loss about what to do to get this hospital and psychiatrist to understand that releasing her after playing with her medications like this is not safe and not in her best interest.

    Your thoughts?

  • i have been on seroquel and lemictal and xanax for a really long time, but lost my insurance coverage so i now can not afford the seroquel, so now i will be on the resperdal. does it make it gain weight. and what are the other side effects. it seems i get all the side effects with all mecications.

  • I am bipolar and have been on Lamictal and it has worked great for me. My son is 6 years old and has bad anger issues. I fear he is bipolar as well. His doctor has him on Risperdal 1mg in the morning and 1mg at night and the stuff doesnt seem to be working. He has been on it a year and the results are very minimal. We have adjusted the doseage and still no change. I heard if a parent is Bipolar that your child has an 80% chance of being so as well…I really think he is and can’t take his medication not working anymore. He is just too hard to handle. I heard Triliptal could work from a friend…Should I suggest this to my son’s psychitrist?

  • I am taking the generic form of Lamictal and Risperdal. I am also Bipolar.
    When I was taking 200 mg of Lamictal, I noticed that I had manic symptoms. I was irritated and easily angered. I was also very anxious and nervous.
    Yet Risperdal helps me with the racing thoughts. I was taking 2 mg and had problems with my menstrual cycle. I would take Risperdal every other day and doing this didn’t help. I was supposed to take it every night. I was also sedated in the morning.
    So, I now I take 150 mg of Lamictal in the morning and 1 mg of Risperdal and if I need another 1 mg I can take it for racing thoughts also, at night. And my menstrual cycle is back to normal.
    I seem to be doing just fine, actually a lot better than before. The side effects are minimal. I don’t have as many as I did before. I’m functioning just fine and feel less anxious, nervous and irritated, etc. And not only because of the medications, there are other things you can do to have a better life and be happier as a bipolar. I have a good diet, go to bed early and most of the time at the same time- being overtired can trigger mania, try to maintain organized and the same schedule and routine, exercise, have support and help- with housework, daughter, etc., continue to see my therapist, assist group, and see my nurse practioner who prescribes my medications, and relax- anxiety can trigger mood episodes, etc. Also, caffeine sould be avoided. Take care.

  • I am manic depressive and was started on Risperdal when I was first diagnosed. 1.5mg however, gave me pretty bad tremors, and the Artane which was supposed to counter the tremors made my vision blurry. I was still going manic so my pdoc switched me to Seroquel, which was extremely sedating but worked without much problems. I find Risperdal much cheaper a drug though, and it worked well at first before my mania got out of hand. Too bad about the side effects though.

  • Were you on the Seroquel XR? I have heard the people are able to tolerate that pretty well. My doc might switch me so I’m just curious.

  • Hi,
    I am curious about what may be a side effect, as I have mentioned it to my psychiatrist. I have “tremendously irregular breathing.” I find myself all of a sudden “over breathing.” I am curious if Risperidone has had any influence on this. Could it be related to tardive diskenisia? I am also taking Lamotragine.
    Thanks,
    Nate

  • I have a refractory bipolar depression, and I am on the following compinations of drugs for about two weeks:
    1- Prozac 60mg
    2- Amitriptyline 50mg
    3- Risperdal 2mg
    4- Depakine Chrono 500mg

    I am feeling better comparing to two weeks treatment but the question is : is it a good combination for refractory Bipolar depression and are the doses I am taking are fine, and by the way I have this desease since 18 years and tried alot of medecines in the last period with no use is it true that bipolar disorder have no cure?

    Thanks & regards
    Samer

  • Please I need your advice and help

  • im upset my dr.stopped my meds with no explanation.said go home nothing here for u,u got a personality disorder,go home and get t know ur self.refused t speak t me,on way out said good luck

  • i am bipolar ii and have borderline personality disorder. i am on celexa 20mg in AM, lamictal 200mg in AM and 150mg in PM and risperdal 2mg in PM. risperdal is my miracle drug. it caused clear and better / more rational thinking within 5 days. the downside is that i’ve always been overweight and since being on/off risperdal since 2000, i have gained more. tried geodon, abilify and seroquel — none worked so i went back to risperdal. since being on risperdal, i have developed metabolic syndrome (diabetes, high cholesterol, high blood pressure, high tryglycerides and am on meds for each problem). being overweight (apple-shaped too) already didn’t help, but being on risperdal pushed me right over into having these additional health issues in my 30′s. i was on 2.5mg while hypomanic. i’m on 2mg now. my psychiatrist tried to decrease it to 1.5mg and i did terribly with raging, mood swings, depression and my friends said my logic and reasoning was “off”. am going to the gym and trying to eat better (hard because i have binge eating disorder) and have lost 15 lbs so far this year (2010). it’s hard — have to weigh the pros and the cons. risperdal works for me, so i’m trying my best to manage the dangerous side effects.

  • I was on risperdone and Well my doc said it was the best medication on the market for sucidal idealations (I have aspergers) I been on many other drugs as well and taken off of them recently and as soon as I was put on risperdone I was Attempting suicide and the doc said If I got off of the drug that I would start to attempt suicide so far off the drug I still have suicide idealations but no attempts

  • I’m caring for my 88 year old mother who just lost her husband of 62 years last month. Her coping mechinism for unexpressed grief was to go into a state of mind where she repeats sentences over and over for hours while in a daze. Risperdal (.25 mg 2X daily) has brought her back to reality, but she has severe tiredness as a side effect. She wants to sleep constantly which makes her quality of life unacceptable. I’m hoping her geriatric psych evaluation results in finding a medication to offset the tiredness.

  • Chemical lobotomies never helped anyone, and that’s precisely how this drug works. You or your loved one will have a shorter life span due to these drugs.

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