دواعي استعمال ريسكيور 2مجم 20 قرص
معلومات من نشرات دوائية ومراجع موثقة، مع مصدر كل معلومة. السعر الحالي: 73ج.م.
عن الدواء
Risperidone 2 mg film-coated tablets, pack of 20, marketed in Egypt by Global Napi Pharmaceuticals.
دواعي الاستعمال
- Treatment of schizophrenia (adults and adolescents 13-17 years).الفئة: Adults and adolescentsDailyMed (U.S. National Library of Medicine)
- Acute manic or mixed episodes of Bipolar I disorder, as monotherapy (adults, children 10-17 years) or adjunct to lithium or valproate (adults).الفئة: Adults and children 10-17 yearsDailyMed (U.S. National Library of Medicine)
- Irritability associated with autistic disorder (children and adolescents 5-17 years).الفئة: Children and adolescents 5-17 yearsDailyMed (U.S. National Library of Medicine)
الآثار الجانبية
- Most common (>5% and twice placebo): parkinsonism, akathisia, dystonia, tremor, sedation, dizziness, anxiety, blurred vision, nausea, vomiting, abdominal pain, dyspepsia, diarrhoea, salivary hypersecretion, constipation, dry mouth, increased appetite and weight, fatigue, rash, nasal congestion, upper respiratory infections.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
موانع الاستعمال
- Known hypersensitivity to risperidone, paliperidone or any excipient (anaphylaxis and angioedema reported).نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
تحذيرات واحتياطات
- Boxed warning: increased mortality in elderly patients with dementia-related psychosis; not approved for this use; cerebrovascular events including stroke reported.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Neuroleptic malignant syndrome and tardive dyskinesia.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Metabolic changes: hyperglycaemia/diabetes, dyslipidaemia and weight gain.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Hyperprolactinaemia (higher than other antipsychotics): galactorrhoea, amenorrhoea, gynaecomastia, impotence; possible reduced bone density.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Orthostatic hypotension, falls, leukopenia/neutropenia/agranulocytosis, cognitive and motor impairment, seizures, dysphagia, priapism, body temperature disruption.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
التداخلات الدوائية
- Enzyme inducers (carbamazepine, phenytoin, rifampin, phenobarbital)Increase risperidone dose up to double; reduce when the inducer is stopped.DailyMed (U.S. National Library of Medicine)
- Fluoxetine, paroxetine (CYP2D6 inhibitors)Reduce risperidone dose; do not exceed 8 mg/day in adults.DailyMed (U.S. National Library of Medicine)
الحمل والرضاعة
- Epidemiologic data have not established a drug-associated risk of major birth defects, miscarriage or adverse maternal/fetal outcomes; a pregnancy exposure registry exists.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Risperidone and 9-hydroxyrisperidone are present in milk (relative infant dose 2.3-4.7%); monitor breastfed infants for sedation, failure to thrive, jitteriness and extrapyramidal symptoms.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
المتابعة أثناء العلاج
- Monitor glucose regularly in patients with or at risk of diabetes; monitor weight and lipids; check blood counts in patients with low WBC history.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
كيف يعمل الدواء
- Mechanism unclear; therapeutic activity may be mediated through combined dopamine D2 and serotonin 5-HT2 receptor antagonism.
المصادر
- السعر: قوائم أسعار الأدوية المنشورة في مصر.
- DailyMed (U.S. National Library of Medicine)