RISPERIDONE

82/100 · Critical

Manufactured by Janssen Pharmaceuticals, Inc.

Risperidone Adverse Events: High Seriousness and Weight-Related Concerns

254,329 FDA adverse event reports analyzed

Last updated: 2026-05-12

About RISPERIDONE

RISPERIDONE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Janssen Pharmaceuticals, Inc.. Based on analysis of 254,329 FDA adverse event reports, RISPERIDONE has a safety score of 82 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for RISPERIDONE include GYNAECOMASTIA, OFF LABEL USE, ABNORMAL WEIGHT GAIN, WEIGHT INCREASED, DRUG INEFFECTIVE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for RISPERIDONE.

AI Safety Analysis

Risperidone has a safety concern score of 82 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 254,329 adverse event reports for this medication, which is primarily manufactured by Janssen Pharmaceuticals, Inc..

The most commonly reported adverse events include Gynaecomastia, Off Label Use, Abnormal Weight Gain. Of classified reports, 66.3% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. High incidence of serious adverse events (66.3%) and weight gain issues.

Gynaecomastia and obesity are among the most reported side effects. Psychiatric and neurological disorders are frequently reported, including suicidal ideation and extrapyramidal disorders.

Patients taking Risperidone should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Risperidone can cause drug interactions, particularly with other antipsychotics and sedatives, and should be used with caution. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 82/100

Risperidone received a safety concern score of 82/100 (high concern). This is based on a 66.3% serious event ratio across 129,886 classified reports. The score accounts for 254,329 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

GYNAECOMASTIA24,608 reports
OFF LABEL USE12,324 reports
ABNORMAL WEIGHT GAIN9,446 reports
WEIGHT INCREASED9,089 reports
DRUG INEFFECTIVE7,459 reports
EMOTIONAL DISORDER5,947 reports
PRODUCT USE IN UNAPPROVED INDICATION5,946 reports
INJURY4,624 reports
DRUG INTERACTION4,467 reports
HYPERPROLACTINAEMIA4,450 reports
SOMNOLENCE4,297 reports
GALACTORRHOEA3,762 reports
OBESITY3,686 reports
EMOTIONAL DISTRESS3,520 reports
EXTRAPYRAMIDAL DISORDER3,423 reports
ANXIETY3,219 reports
CONDITION AGGRAVATED3,049 reports
SUICIDE ATTEMPT3,016 reports
FATIGUE2,990 reports
DIABETES MELLITUS2,827 reports
PRODUCT USE ISSUE2,773 reports
AGGRESSION2,742 reports
FALL2,739 reports
INSOMNIA2,724 reports
TREATMENT NONCOMPLIANCE2,712 reports
PSYCHOTIC DISORDER2,710 reports
DEPRESSION2,644 reports
SUICIDAL IDEATION2,602 reports
TOXICITY TO VARIOUS AGENTS2,576 reports
TREMOR2,519 reports
SEDATION2,443 reports
CONFUSIONAL STATE2,428 reports
NAUSEA2,426 reports
AGITATION2,374 reports
DEATH2,335 reports
VOMITING2,317 reports
OVERDOSE2,212 reports
NEUROLEPTIC MALIGNANT SYNDROME2,191 reports
DIZZINESS2,158 reports
DRUG DOSE OMISSION2,111 reports
SCHIZOPHRENIA2,107 reports
HEADACHE2,047 reports
HYPOTENSION2,006 reports
DYSKINESIA1,971 reports
DYSPNOEA1,961 reports
PYREXIA1,872 reports
TYPE 2 DIABETES MELLITUS1,858 reports
INTENTIONAL OVERDOSE1,783 reports
TACHYCARDIA1,733 reports
TARDIVE DYSKINESIA1,700 reports
MALAISE1,699 reports
COMPLETED SUICIDE1,698 reports
DYSTONIA1,683 reports
HALLUCINATION, AUDITORY1,679 reports
HOSPITALISATION1,654 reports
ADVERSE EVENT1,648 reports
PNEUMONIA1,645 reports
DIARRHOEA1,636 reports
ASTHENIA1,603 reports
AKATHISIA1,601 reports
ABNORMAL BEHAVIOUR1,596 reports
PAIN1,566 reports
HALLUCINATION1,550 reports
CONSTIPATION1,549 reports
HYPERTENSION1,536 reports
BLOOD PROLACTIN INCREASED1,518 reports
WEIGHT DECREASED1,393 reports
FEELING ABNORMAL1,363 reports
GAIT DISTURBANCE1,325 reports
SEIZURE1,294 reports
HYPERGLYCAEMIA1,193 reports
RESTLESSNESS1,187 reports
DELIRIUM1,171 reports
LOSS OF CONSCIOUSNESS1,169 reports
DEPRESSED LEVEL OF CONSCIOUSNESS1,145 reports
ELECTROCARDIOGRAM QT PROLONGED1,144 reports
BLOOD GLUCOSE INCREASED1,141 reports
DELUSION1,135 reports
DYSPHAGIA1,131 reports
COMA1,116 reports
PRODUCT DOSE OMISSION ISSUE1,107 reports
RHABDOMYOLYSIS1,107 reports
DRUG ABUSE1,105 reports
PARKINSONISM1,105 reports
ACUTE KIDNEY INJURY1,087 reports
GENERAL PHYSICAL HEALTH DETERIORATION1,064 reports
NEUTROPENIA1,064 reports
INTENTIONAL SELF INJURY1,051 reports
IRRITABILITY1,045 reports
HYPONATRAEMIA1,041 reports
PARANOIA1,034 reports
DECREASED APPETITE1,014 reports
INCREASED APPETITE1,012 reports
HYPERHIDROSIS1,005 reports
CHEST PAIN1,004 reports
RASH1,000 reports
ABDOMINAL PAIN959 reports
BLOOD CREATINE PHOSPHOKINASE INCREASED949 reports
DISTURBANCE IN ATTENTION943 reports
DEVICE LEAKAGE942 reports

Key Safety Signals

  • Gynaecomastia and obesity are key safety signals, with high report counts.
  • Suicidal ideation and attempts are significant safety concerns.
  • Extrapyramidal disorders and weight gain are critical safety signals.

Patient Demographics

Adverse event reports by sex: Male: 74,270, Female: 41,455, Unknown: 541. The most frequently reported age groups are age 17 (1,304 reports), age 15 (1,258 reports), age 16 (1,220 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 129,886 classified reports for RISPERIDONE:

  • Serious: 86,063 reports (66.3%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 43,823 reports (33.7%)
Serious 66.3%Non-Serious 33.7%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male74,270 (63.9%)
Female41,455 (35.7%)
Unknown541 (0.5%)

Reports by Age

Age 171,304 reports
Age 151,258 reports
Age 161,220 reports
Age 521,207 reports
Age 141,165 reports
Age 231,148 reports
Age 301,125 reports
Age 131,122 reports
Age 401,118 reports
Age 321,111 reports
Age 121,103 reports
Age 241,080 reports
Age 441,076 reports
Age 351,075 reports
Age 251,073 reports
Age 541,039 reports
Age 211,019 reports
Age 551,016 reports
Age 501,011 reports
Age 45998 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Risperidone can cause drug interactions, particularly with other antipsychotics and sedatives, and should be used with caution.

What You Should Know

If you are taking Risperidone, here are important things to know. The most commonly reported side effects include gynaecomastia, off label use, abnormal weight gain, weight increased, drug ineffective. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor weight and blood glucose levels regularly, especially in patients with pre-existing conditions. Be aware of potential drug interactions and inform healthcare providers of all medications being taken. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

Regulatory oversight is ongoing, with regular updates on safety profiles and warnings issued.

Frequently Asked Questions

How many adverse event reports has the FDA received for Risperidone?

The FDA has received approximately 254,329 adverse event reports associated with Risperidone. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Risperidone?

The most frequently reported adverse events for Risperidone include Gynaecomastia, Off Label Use, Abnormal Weight Gain, Weight Increased, Drug Ineffective. By volume, the top reported reactions are: Gynaecomastia (24,608 reports), Off Label Use (12,324 reports), Abnormal Weight Gain (9,446 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Risperidone.

What percentage of Risperidone adverse event reports are serious?

Out of 129,886 classified reports, 86,063 (66.3%) were classified as serious and 43,823 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Risperidone (by sex)?

Adverse event reports for Risperidone break down by patient sex as follows: Male: 74,270, Female: 41,455, Unknown: 541. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Risperidone?

The most frequently reported age groups for Risperidone adverse events are: age 17: 1,304 reports, age 15: 1,258 reports, age 16: 1,220 reports, age 52: 1,207 reports, age 14: 1,165 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Risperidone?

The primary manufacturer associated with Risperidone adverse event reports is Janssen Pharmaceuticals, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Risperidone?

Beyond the most common reactions, other reported adverse events for Risperidone include: Emotional Disorder, Product Use In Unapproved Indication, Injury, Drug Interaction, Hyperprolactinaemia. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Risperidone?

You can report adverse events from Risperidone to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Risperidone's safety score and what does it mean?

Risperidone has a safety concern score of 82 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. High incidence of serious adverse events (66.3%) and weight gain issues.

What are the key safety signals for Risperidone?

Key safety signals identified in Risperidone's adverse event data include: Gynaecomastia and obesity are key safety signals, with high report counts.. Suicidal ideation and attempts are significant safety concerns.. Extrapyramidal disorders and weight gain are critical safety signals.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Risperidone interact with other drugs?

Risperidone can cause drug interactions, particularly with other antipsychotics and sedatives, and should be used with caution. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Risperidone.

What should patients know before taking Risperidone?

Monitor weight and blood glucose levels regularly, especially in patients with pre-existing conditions. Be aware of potential drug interactions and inform healthcare providers of all medications being taken.

Are Risperidone side effects well-documented?

Risperidone has 254,329 adverse event reports on file with the FDA. Gynaecomastia and obesity are among the most reported side effects. The volume of reports for Risperidone reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Risperidone?

Regulatory oversight is ongoing, with regular updates on safety profiles and warnings issued. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Drugs Also Linked to GYNAECOMASTIA

The following drugs share commonly reported adverse reactions with RISPERIDONE:

PALIPERIDONE (78/100)PALIPERIDONE PALMITATE (72/100)

View all drugs reporting GYNAECOMASTIA →

Related Drugs

Drugs related to RISPERIDONE based on therapeutic use, drug class, or shared indications:

HaloperidolOlanzapineAripiprazoleQuetiapineZiprasidone
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.