• রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন।
RISCORD 4 MG Tablet is indicated for the treatment of:
Acute and chronic psychoses
Mania
Schizophrenia
Pharmacology:
Risperidone is a selective monoaminergic antagonist with high affinity for serotoninergic 5-HT₂ and dopaminergic D₂ receptors. It also binds to alpha₁ adrenergic receptors and, with lower affinity, to H₁ histamine and alpha₂ adrenergic receptors. Risperidone has no affinity for cholinergic receptors. As a potent D₂ antagonist, it improves the positive symptoms of schizophrenia but causes less depression of motor activity. Balanced central serotonin and dopamine antagonism may reduce extrapyramidal side effects and extend therapeutic activity to the negative and affective symptoms of schizophrenia.
Dosage:
Psychoses:
2 mg in 1-2 divided doses on the 1st day, then 4 mg in 1-2 divided doses on the second day (slower titration appropriate in some patients);
Usual dose range 4-6 mg daily; doses above 10 mg daily only if benefit considered to outweigh risk (max. 16 mg daily).
Elderly (or in hepatic or renal impairment): Initially 1 mg daily in two divided doses increased in steps of 1-2 mg twice daily.
Not recommended for children under 15 years.
Mania:
Initially, 2 mg once daily increased if necessary in steps of 1 mg daily; usual dose range 1-6 mg daily.
Elderly (or in hepatic or renal impairment): Initially 1 mg daily in two divided doses increased in steps of 1-2 mg twice daily.
Schizophrenia:
RISCORD 4 MG should be generally administered at 1 mg BID initially, with increases in increments of 1 mg BID on the second and third day, as tolerated, to a target dose of 3 mg BID by the third day.
Further dosage adjustments, if indicated, should generally occur at intervals of not less than 1 week. When dosage adjustments are necessary, small dose increments or decrements of 1-2 mg are recommended.
Administration:
Take RISCORD 4 MG Tablet orally, with or without food. Swallow the tablet whole; do not chew or crush. It is recommended to take the medication at the same time each day to help remember.
Interaction:
RISCORD 4 MG may antagonize the effects of levodopa and dopamine agonists. Chronic administration with carbamazepine reduces plasma clearance of RISCORD 4 MG. Chronic administration with clozapine may decrease the clearance of RISCORD 4 MG. RISCORD 4 MG may enhance the effects of certain antihypertensives.
Contraindications:
RISCORD 4 MG is contraindicated in patients with a known hypersensitivity to the product.
Side Effects:
Common side effects include:
Insomnia
Agitation
Anxiety
Headache
Drowsiness
Impaired concentration
Fatigue
Blurred vision
Constipation
Nausea and vomiting
Dyspepsia
Abdominal pain
Hyperprolactinaemia
Urine incontinence
Tachycardia
Hypertension
Edema
Rash
Rhinitis
Cerebrovascular accident
Neutropenia and thrombocytopenia
Pregnancy & Lactation:
Pregnancy: Category C. Use only if the potential benefit justifies the potential risk to the fetus.
Lactation: Fluvoxamine is excreted in breast milk. Use with caution and consult a doctor before breastfeeding.
Therapeutic Class:
Atypical neuroleptic drugs
Storage Conditions:
Store in a cool and dry place, protected from light.