RISPOLEPT 4 mg. 20 tablets
RISPOLEPT can be applied in both acute and chronic. In addition, once symptoms improve, RISPOLEPT is used to keep the disease under control and prevent exacerbations.
Another condition which can be taken RISPOLEPT is mania, which is characterized by symptoms such as elevated, expansive mood and irritability, increased self-esteem, decreased need for sleep, tense speech, racing thoughts, kidnapped or scarce estimates destructive or aggressive behavior. RISPOLEPT may be used alone or together with another type of medicine, referring to the group of mood stabilizers.
WHEN SHOULD NOT BE USED RISPOLEPT?
You should not take RISPOLEPT if you know that you are hypersensitive to it. Hypersensitivity can be recognized by skin rash, itching, shortness of breath and sweating in the face. If you get any of these symptoms, contact your doctor promptly.
Studies in elderly patients with dementia have shown that taking RISPOLEPT, alone or with furosemide observed a higher incidence of mortality. Tell your doctor if you are taking furosemide. Furosemide is a drug that is sometimes used for the treatment of high blood pressure, for the treatment of edema of various parts of the body resulting from the collection of too much fluid.
In elderly patients with dementia was observed sudden onset of weakness and numbness of the face, arms or legs, especially on one or slurred speech. If you observe any of these conditions for even a short time, contact your doctor immediately.
In prolonged administration RISPOLEPT can cause uncontrolled twitching of facial muscles. If this happens, consult your doctor
Very rarely can occur states of confusion, conscious level, high temperature or stiffness of muscles. If they occur, consult a doctor promptly and inform him that you are taking RISPOLEPT.
In very rare cases of elevated blood sugar levels. Contact your doctor if you experience symptoms such as excessive thirst or urination.
What precautions should I take?
Eat moderate as RISPOLEPT may cause weight gain.
Cardiovascular diseases, renal and liver function, Parkinson's disease, Lewy-Body dementia or epilepsy
If you suffer from any of these diseases, report it to your physician. You may need to be kept under medical supervision or dosage to be adjusted.
Elderly should take RISPOLEPT in lower doses than recommended for other adults (see. "How to take RISPOLEPT and in what dosage").
If you are pregnant or plan to become pregnant, you should report it to your doctor who will decide whether you can take RISPOLEPT or not. In newborns of mothers taking RISPOLEPT in the last trimester of pregnancy were observed tremor, stiffness and difficulty in feeding, these symptoms were reversible.
If you are taking RISPOLEPT should not breastfeed. In this case we advise you to contact your doctor.
Ability to drive and use machines
RISPOLEPT is possible to influence attention and your ability to drive. You are advised not to drive or operate machinery until your doctor to assess your individual sensitivity to RISPOLEPT.
Interactions with other drugs and alcohol
If you are taking other medicines, tell your doctor about it. He will tell you what medicines you can take simultaneously with RISPOLEPT.
RISPOLEPT enhances the effect of alcohol and drugs, delaying responses (tranquilizers, narcotic analgesics, some antihistamines, some antidepressants). You are advised not to drink alcohol and to consume such drugs only on prescription.
Some drugs for the treatment of Parkinson's disease (dopamine agonists, e. Levodopa) can exhibit an effect opposite that of RISPOLEPT.
The effect of RISPOLEPT could change and karbamazep applicable mainly for epilepsy and neuralgia of the trigeminal nerve (acute pain in the face). Therefore, you should tell your doctor if the start or stop treatment with carbamazepine.
Fluoxetine and paroxetine - drugs that are primarily used for the treatment of depression - may lead to increased levels of RISPOLEPT in your blood. Therefore, tell your doctor if you start and / or stop taking fluoxetine or paroxetine.
Cimetidine and ranitidine - two drugs that are used to reduce stomach acid - may slightly increase the level of RISPOLEPT in your blood, but they usually do not change the effect of RISPOLEPT.
Erythromycin, an antibiotic, has no effect on the level of blood RISPOLEPT.
Topiramate, a drug used to treat epilepsy and migraine, no significant effect on the level of RISPOLEPT in your blood.
Galantamine and donepezil - medicines used for the treatment of dementia - no effect on RISPOLEPT.
RISPOLEPT showed no effect on lithium or valproate - two drugs used to treat mania; no effect on digoxin - a heart medicine.
Co-administration of RISPOLEPT furosemide - a drug which is used for conditions such as heart failure and high blood pressure - may be associated with adverse effects. Tell your doctor if you are taking furosemide (see "Warning").
HOW TO BE USED RISPOLEPT AND WHAT DOSAGE?
RISPOLEPT is available in tablets and solution for oral administration.
You can take RISPOLEPT as during meals and between meals. Tablets may be made with a certain amount of liquid. The solution can be mixed with the soft drink, except tea.
It is very important to take the exact dose RISPOLEPT, but it is different for different people. For this reason, your doctor will adjust the dosage until the desired effect is obtained. Strictly follow the instructions of your doctor and do not change or stop your prescribed dose without talking to your doctor with him.
In adults and adolescents 15 years of psychosis treatment gradually.
For example, the first day was given 2 mg, second day - 4 mg. Hereinafter, the dose can not be changed, or if necessary, be further adjusted.
For long-term treatment are sufficient 4 to 6 mg per day. It may be sufficient, and at a lower dose.
The total amount per day can be taken in one or two doses - in the morning and evening. Your doctor should advise you what is best for you.
Your doctor will tell you how many tablets or how much solution is necessary in your case.
Generally in elderly patients with psychosis is best to take half the dose recommended for adults, divided into two doses. With prolonged treatment the total dose for the day can also be taken once daily. Your doctor will tell you how many tablets or how much solution is most suitable for you.
For the treatment of manic disorders recommended starting dose of 2 mg once daily. This dose may be increased gradually in steps of 1 mg, but no more frequently than every other day. Most people feel better with doses between 1 and 6 mg per day. Your doctor will tell you how many tablets or oral solution are suitable for your particular case. Rispopent may be administered alone or in combination with another type of medicine known as a mood stabilizer.
In patients with impaired hepatic or renal function, your doctor will tell you how many tablets or oral solution you should take in your case.
What should you do if you forget to take RISPOLEPT?
During the initial treatment period:
Take the missed dose as soon as possible, instead of the next dose. Then continue to take the remaining doses in the above order.
Do not take the missed dose and take a dose, which should continue as usual and the course of treatment.
IMPORTANT! Never take more than 16 mg a day. tablets
There are four types of tablets, which differ in the amount of risperidone in them. Can distinguish tablets RISPOLEPT in color and form (see. "What RISPOLEPT").
The solution comes with a pipette which you can download the exact amount of the vial. Instructions for opening the container, and use of pipette:
Fig.1: The vial is available with a child-resistant cap and opens in the following manner:
♦ pressure plastic cap down and by turning counterclockwise.
♦ opens the cap.
The pipette is inserted into the vial. By adhering the lower ring upper ring is pulled up to the mark corresponding to the number of milliliters or milligrams necessary.
By adhering the lower ring filled pipette is removed from the vial. The content of the pipette is poured into a non-alcoholic drink, except tea by sliding the upper ring down. The vial was closed, and the pipette was washed with water.
RISPOLEPT usually well tolerated by the body and is often difficult to distinguish adverse effects from symptoms of the disease. In some cases, they may experience the following side effects: drowsiness, nervousness, anxiety, headache. Very rarely can occur: lethargy, fatigue, concentration problems, blurred vision, dizziness, indigestion, nausea, vomiting, abdominal pain, constipation, impaired potency, dropping a small need, nasal congestion. Sedation, generally mild and transient, may occur more often in children than in adults. Although these symptoms are usually harmless if they bother you too much, contact your doctor.
♦ Sometimes a slight drop in blood pressure at the beginning of treatment, accompanied by some dizziness. Most often, this condition resolves spontaneously. In the later stages of treatment can be observed elevated blood pressure, but it happens very rarely.
♦ During treatment, your weight could be increased slightly (see. "Precautions") and may be some violations of motility, such as shaking, slight muscle stiffness, twitching legs. These symptoms are usually not dangerous and disappear after the doctor cut the dose of RISPOLEPT or prescribe the adoption of additional medicine.
♦ Although rare, can occur swelling of the ankles, but they are completely harmless.
♦ In elderly patients with dementia was observed sudden onset of weakness and numbness of the face, arms or legs, especially unilaterally, or slurred speech. If you observe any of the above symptoms, contact your doctor.
♦ Hypersensitivity to Rispolspt is rare. It can be expressed as skin rash, itching, feeling of suffocation or swelling of the face, lips or tongue. The occurrence of these symptoms, call a doctor as quickly as possible.
♦ Very rarely can appear confused state, disturbances of consciousness, fever or severe muscle cramping.
♦ In very rare cases to increase blood sugar levels. Talk to your doctor if you experience symptoms such as strengthening the feeling of thirst or frequent urination.
♦ In extremely rare cases, most often under the influence of some factors such as high or low temperatures may have been significant changes in body temperature. If this happens, call the doctor.
♦ In the long-term treatment could occur twitching tongue, face, mouth or jaw. In case you observe similar effects should contact their physician.
♦ After prolonged treatment in some patients can be established breast enlargement, separation of milky discharge from the breast or menstrual disorders. It should be noted, however, that most patients will not show any of these complications. However, without hesitation, tell your doctor or pharmacist in the occurrence of any adverse events.
Can be observed following symptoms: disturbances in consciousness, lethargy, drowsiness, severe shaking or stiff muscles In such cases, contact your doctor. Meanwhile, the removal of these complaints can take activated charcoal, which absorbs the drug present in your stomach.
Information for doctor in case of overdose
- If unconscious, restore and maintain airway of the patient.
- If the blood pressure is low, inject suitable sympathomimetic.
- It is ECG monitoring. Consider the need for admission to hospital.
HOW TO STORE RISPOLEPT?
Keep RISPOLEPT at temperatures up to 30 ° C (i.e. at normal room temperature). Keep the solution from freezing.
The designation "Exp." on the packaging means that the drug can be stored only for a limited period of time. You should not use RISPOLEPT after the expiry date (date - month and year) printed after "Exp." even if it has been stored properly. We advise you to return all the old drugs to their pharmacist.
Rfspofept 1,2,3 and 4 mg tablets: 3 years Rispolept drinking solution:
♦ 30 ml vial: 3 years for all climates if protected from frost
RISPOLEPT is the group of so-called. antipsychotic agents.
Active substance therein is risperidone. tablets
There are four types of tablets, which differ in the concentration of risperidone in them:
- White, oblong tablets with dividing containing 1 mg risperidone (on them is indicated RIS1);
- Orange, oblong tablets with dividing containing 2 mg risperidone (on them is indicated RIS 2);
- Yellow oblong tablets with dividing containing 3 mg risperidone (on them is marked RIS 3);
- Green oblong tablets with dividing containing 4 mg risperidone (on them is marked RIS 4).
In the tablet formulation also includes lactose, corn starch, cellulose, hypromellose, magnesium stearate, silicon dioxide, sodium lauryl sulfate and propylene glycol.
2 mg tablets also contain titanium dioxide, talc and yellow orange S.
The tablets of 3 mg comprise talc, quinolone yellow and titanium dioxide.
The tablets of 4 mg also contain talc, quinolone yellow, titanium dioxides indigotine.
Drinking solution of 30 ml with a pipette. A full pipette accompanying vial of 30 ml
contains 3 ml of solution corresponding to 3 mg of risperidone (1 milliliter contains 1 mg). The smallest amount which can pick up was 0.25 mL, which comprises 0.25 mg of risperidone. The solution also contains tartaric acid, benzoic acid, sodium hydroxide and purified water.