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Risperdal Consta
Risperidone
$834.00
25 · 6 × 1 · 3 months supply
BrandBranded medicine· By Alkermes
$278.00 per month
Strength
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Annual cost
$3614a year at this pack size
Prescription required
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25
37.5
50
FDA boxed warningIncreased mortality in elderly patients with dementia-related psychosis
Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. RISPERDAL CONSTA is not approved for the treatment of patients with dementia-related psychosis.
Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. RISPERDAL CONSTA is not approved for use in patients with dementia-related psychosis.
About Risperdal Consta
Overview
Risperdal Consta contains risperidone, an atypical antipsychotic given as a long-acting injection. It is used to treat schizophrenia and for maintenance treatment of bipolar I disorder, either on its own or with lithium or valproate. Its exact action in schizophrenia is unclear, but it may work by blocking receptors for dopamine and serotonin, two chemical messengers in the brain.
What it treats
- Schizophrenia. - Bipolar I disorder, for maintenance treatment either alone or alongside lithium or valproate.
Safety information
Side effects
Common side effects of Risperdal Consta include headache, dizziness, restlessness or difficulty keeping still, tiredness, sleepiness, constipation, indigestion, dry mouth, weight gain, and pain in the arms or legs. Tremor and Parkinson-like movement problems, such as stiffness or slowed movement, are also common. The most commonly reported effects differed between schizophrenia and bipolar disorder trials. Contact a doctor promptly about uncontrolled movements, fainting, seizures, difficulty swallowing, or a prolonged erection. Serious risks include neuroleptic malignant syndrome, tardive dyskinesia (involuntary movements), low white blood cell counts, and a drop in blood pressure when standing. Swallowing problems can allow food or fluid to enter the lungs. Severe prolonged erections may require surgery. Risperdal Consta can cause high blood sugar or diabetes, changes in blood fats, and significant weight gain. Tell your doctor if you develop increased thirst, frequent urination, increased hunger, or weakness. Blood sugar and weight monitoring may be needed. Increased prolactin levels can contribute to reduced bone density when prolonged and associated with reduced sex hormone levels. There is an increased risk of death and stroke in older adults with dementia-related psychosis. Risperdal Consta is not approved for this use. It may also impair thinking, judgment, and movement, so use caution when driving or operating machinery. Falls and problems regulating body temperature are also listed risks.
FDA boxed warning
Increased mortality in elderly patients with dementia-related psychosis
Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. RISPERDAL CONSTA is not approved for the treatment of patients with dementia-related psychosis.
Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. RISPERDAL CONSTA is not approved for use in patients with dementia-related psychosis.
A boxed warning is the strongest warning the US Food and Drug Administration requires on a medicine label. Text is taken from the official label, with internal section references removed.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Do not use Risperdal Consta if you have a known allergy to risperidone, paliperidone or any of its ingredients. Severe allergic reactions, including anaphylaxis and angioedema (swelling), have been reported. Risperdal Consta is not approved for patients with dementia-related psychosis. Stroke and other events affecting blood flow to the brain have been reported in elderly patients with this condition. Tell your prescriber if you have diabetes or risk factors for diabetes; heart or blood vessel disease; a history of stroke, seizures or low white blood cell counts; kidney or liver problems; or difficulty swallowing or a risk of aspiration pneumonia. Blood sugar, weight and, in certain patients, white blood cell counts need monitoring. Treatment can also affect blood fats and raise prolactin levels, which may reduce bone density when prolonged and associated with low sex hormone levels. A fall in blood pressure on standing, dizziness and fainting can occur. Elderly patients may be more susceptible. Risperdal Consta can impair judgment, thinking and movement, so use caution when driving or operating machinery. Serious risks include neuroleptic malignant syndrome, potentially persistent involuntary movements (tardive dyskinesia), and a prolonged erection (priapism), which may require surgery. Tell your prescriber if you are pregnant. Exposure during the third trimester may cause movement-related or withdrawal symptoms in the newborn. Safety and effectiveness have not been established in people under 18 years of age.
Interactions
Avoid alcohol while using Risperdal Consta. Tell your doctor about all medicines you take, especially: • Medicines that act on the brain or central nervous system, as caution is needed when used together. • Medicines that lower blood pressure, as their blood-pressure-lowering effects may be increased. • Levodopa and dopamine agonists, as Risperdal Consta may reduce their effects. • Cimetidine, ranitidine, fluoxetine and paroxetine, which can increase risperidone levels or availability in the body. • Clozapine, which may slow the removal of risperidone from the body. • Carbamazepine and other enzyme-inducing medicines, which can lower risperidone levels. Interactions with Risperdal Consta have not been systematically evaluated.
Using Risperdal Consta
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store in the original carton below 25°C, protected from light, unless the pack states refrigeration. Do not freeze. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label RISPERDAL CONSTA (RISPERIDONE) KIT [JANSSEN PHARMACEUTICALS, INC.] (DailyMed, retrieved 19 September 2026).
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