Most Commonly Prescribed Psychiatric Medications: Risperidone/Risperdal

[@Psychiatube]

love the inclusion of more user/patient directed info too!

[@talitakumi8679]

How long can a patient be on Risperidon? I know a person who has been taking it for 10 yrs. The efficacy is not perfect, but is ok. Put on weight ( almost 35 kilos) but after disciplined eating (2 normal meals a day) lost 30 kgs and is keeping it. Can Extra pyramidal symptoms disappear with time? Despite 3 mg per day OCD still present. Any general advice? Thank you!

[@benjamintausheck6368]

Thank you for this! I like your thorough and clear explanation. In your experience, how long does a patient wait before they start to see an improvement in symptoms and how long does it take for side effects to appear? Would it be contraindicated in someone if they already had a terrible metabolic syndrome?

[@ShrinksInSneakers]

Improvement in symptoms should start around week 2, if by week 4 there is no improvement you need to look at the dose. Side effect should appear early in treatment look out for EPS with this medication. It is not a complete contraindication if someone already has metabolic issues but it may require more active treatment like starting metformin early in the process. Hope this helps, appreciate the comment

[@Sebasinter954]

Hey, I took risperdal for a month and now I have side effects even after discontinuing the medicine. I’m super tired and lethargic always I gained 60 pounds and I’ve been off of it for 5 months. Is their any sort of rehabilitation or medicine to help people dealing with the side effects of anti psychotic

[@wendyfeist60]

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[@wendyfeist60]

Psychiatrist have no cure for schizophrenia only mace energy method works psychiatrist don't even have a baseline to test for chemical imbalances there is no testing it's all about medicine get off of it and do the mace energy method keep away from the psychiatrist look up Jerry marvinsky he can heal you Mace energy please find him on KZbin and watch for all of you who are hearing voices that are driving you crazy the psychiatric world doesn't want you to know this cuz then they can't make billions of dollars off of the money they have no cure this psychiatrist does please watch him and spread the word so these people can finally get help please o

[@yokosato6617]

I'm on Risperdal. I have a compulsive disorder, ocd, and weird thoughts. I've gained a lot of weight from this drug. I don't eat lot, never have. In fact, I was 125 pounds before I took this drug and now I'm 211 pounds. Losing weight is extremely difficult, because I have to exercise twice as much as others and eat very tiny portions to lose weight. Is it because my metabolism slowed down? I eat regular portions. If it slows down my metabolism, what drug can I take as a substitute instead of Risperdal?

[@ShrinksInSneakers]

As always talk to your doctor but in general I like ziprasidone or lurasidone as options if weight gain is an issue. I will also add metformin for my patients that I notice weight gain. It's best to start metformin before significant weight gain has occurred but it may still be beneficial. Hope this helps

[@yokosato6617]

@@ShrinksInSneakers Thank you, doctor! It did help.

[@matthewknapp9425]

im not at all dissing your info infact IM glad you state everything but let me tell you my experience so far on it I distaste the stuff! it made me have major mind fog and my drive for anything and all things is gone. IM having trouble even taking care of my self and I got head aches and hard time focusing on anything. its really frustrating. I used the washroom so much. its always super hard to go 2 now. and have to use #1 all the time now. I am gaining weight and losing weight at the same time for me. gaining fat but losing muscle. I hate going outside and talking on the phone now... I have a hard time talking to people too ever since being on this stuff. maybe some people really need it but its life altering.. thats only alittle over a year of taking 3mg of it every day.

[@ShrinksInSneakers]

I think it depends on what it's prescribed for, if we are not talking about Schizophrenia or other SMI the risks may outweigh the benefits. This is also a medication with a more significant side effect profile.

[@Sebasinter954]

The side effects are really debilitating I have been off it for 6 months after only using resperidone for 2 weeks in a months I went from 160 to 210 pounds. I still don’t feel full when I eat, hard to concentrate, depressed, sleep 12 to 13 hours a day, and constantly tired. Is it possible to recover from these side effects the resperidone caused?

[@ShrinksInSneakers]

coming off the medication and using things like metformin can help reduce weight. The sedation should resolve when the medication is stopped. Hope this helps

[@svalentina3075]

Could you please talk about why the conversion between Invega and Risperdal is so confusing - I would say for most people it's absolutely counterintuitive? Thanks!

[@ShrinksInSneakers]

It's the same medication. Invega is the active metabolite of risperidone. I will provide a more detailed explanation as well

[@svalentina3075]

@@ShrinksInSneakers thank you 😃

[@gabrielmaghanoy5519]

Is Risperidone good for depersonalization?

[@ShrinksInSneakers]

This is not medical advice, it’s for educational purposes only. Always talk to your doctor prior to making any changes. It's not indicated for that disorder. Normally depersonalization is a symptom of another disorder such as PTSD or trauma. Treatment of depersonalization should start with psychotherapy and identification of other comorbid disorders. If PTSD is the problem then risperidone is not a first line option and has far too many side effect risk for the treatment of depersonalization alone. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here. We also have daily content on instagram @Shrinks_In_sneakers

[@jatinsharma5024]

This drug is hellish for me , This gives me extreme tiredness and loss of will to do anything. Anything , I have eaten feels like 2- 4 times more. It's impossible to even watch KZbin video . That's all happens with me while I am taking this drug. However Olanzipine is fine with me. It just gives me sleep but I like that , Not extreme tiredness

[@ShrinksInSneakers]

I hear you, every patient is one of one and each person will respond in different ways to different medications. There is a little trial and error that goes into finding the right medication and it's different for every person. Stay positive things will come together

[@kimaniruth964]

Can one week of taking it affect me. I want to stop it

[@kimaniruth964]

Can one week of taking it affect me. I want to stop it

[@jatinsharma5024]

@@kimaniruth964 it depends upon person. Ask your psychiatrist

[@ShrinksInSneakers]

@@kimaniruth964 1 week is a short period of time, I would not expect lingering effects after discontinuation

[@nilimadhawale1755]

Taking this resperidone at night then in the morning I feel tired and numb I am in less social now ...I head pain at the left side of head .

[@mitchellsheppard2998]

Yo me to man. A slight headache like pain

[@MichaelAnthony757]

I’ve been on risperdal / risperidone for 22 years. I no longer desire to live. I feel numb. If I had a gun I’d shoot myself. No one can tell me what I do or do not feel unless you’ve been on it for a long time like I have. I wish we could give these pills to some of these doctors and then they would change their practice and help people. The side effects just aren’t worth it. Who’s normal these days anyway?

[@TwoBun]

I got damaged by psychiatry and Risperdal quite badly in late 2006. Recently Vitamin B supplements appear to be helping a lot, wow! Anti-crazy medications follow about the same time line as the synthetic opioid craze. Probably sympathetic to earlier Mind Control research. See WGBH Boston video archive, "The Case of the Frozen Addict". Anti-Crazy medications induce Parkinson's at a clinical measure, especially with lithium cofactor.

[@superxyzminer]

Guys im scared that my parents are going to force me to take this

[@ShrinksInSneakers]

I hope thats not the case, We don't force anyone to take medication, we offer an evidence based treatment for a specific diagnosis

[@paulzaker5395]

How does Risperidone affect serotonin levels?

[@ShrinksInSneakers]

It depends on what we are talking about. It does not directly block SERT or prevent reuptake of serotonin. It does act as an antagonist at several serotonin receptors meaning it will block those receptors specifically 5-HT2A and 5-HT1A and 5-HT7, the 2A receptors are involved in reducing psychotic symptoms while the HT7 receptors are thought to be involved in the antidepressant effects.

[@Muban269]

Yh

[@nenadcubric2663]

Olanzapine is better

[@ShrinksInSneakers]

Olanzapine has been shown to be more effective but does have a higher risk of metabolic side effects. I think of olanzapine as the second best option behind clozapine so I usually reserve it for people who failed at least one medication trial. Thanks for watching