What is Risnia?
Risnia (risperidone) is a prescription antipsychotic medicine used for treating patients with manic depression symptoms and schizophrenia. It can treat such symptoms of manic depression as inappropriate elation, increased sexual desire, insomnia, thoughts of death or suicide, fatigue, restlessness, feelings of guilt and worthlessness, irritability, decreased appetite, poor judgment, racing thoughts, as well as deal with symptoms of schizophrenia: loss of motivation, delusions, trouble sleeping, thought disorder, irritability, hallucinations, disorganized behavior and social withdrawal. These days, you can easily buy Risnia online in the amount required. You will always need to make sure you talk to your doctor before you use this drug. That way, not only will you be able to find out which dose you need to buy, you will also know for sure this is the kind of treatment you will benefit from. Many people choose to buy medication online these days, because it’s affordable, takes less time and gives you many other benefits later.
Dosage and administration
Orally, regardless of food.
- Adults: The drug may be administered once or twice a day. The initial dose is 2 mg per day. Next day the dose should be increased to 4 mg per day. Then the dose can either be maintained at the same level or individually adjusted if necessary. The optimal dose for most patients is 4-6 mg per day. In some cases, a slower dose increase and lower initial and maintenance doses may be justified. Due to the fact that the safety of doses above 16 mg per day has not been studied, doses above this level cannot be used. Benzodiazepines can be added to risperidone therapy if additional sedation is required. Information on the use for the treatment of schizophrenia in children under 18 years of age is not available;
- Elderly patients: The recommended initial dose is 0.5 mg twice a day. The dose can be individually increased by 0.5 mg twice a day to 1-2 mg twice a day.
Manic episodes associated with bipolar disorder (moderate and severe):
- Adults: The recommended initial dose is 2 mg once a day. If necessary, this dose can be increased. For most patients, the optimal dose is 1-6 mg per day. Doses of more than 6 mg per day have not been studied in patients with this pathology. Regular use of the drug requires regular monitoring and justification;
- Elderly patients: The recommended initial dose is 0.5 mg twice a day. The dosage can be individually increased by 0.5 mg twice a day to 1-2 mg twice a day. Since the experience of use in elderly patients is limited, the drug should be used with caution;
- Children: Use in children with bipolar disorder before the age of 18 is not recommended due to insufficient data on efficacy and safety.
- Individual hypersensitivity to risperidone or other components of Risnia,
- Renal or hepatic insufficiency (for given dosages);
- Lactose intolerance, lactase deficiency or glucose-galactose malabsorption;
- Breastfeeding period;
- Age up to 18 years (efficiency and safety are not established).
Symptoms of an overdose are drowsiness, excessive sedation, tachycardia, extrapyramidal disorders, blood pressure instability. Therapeutic measures: gastric lavage, use of sorbents, support of the respiratory and cardiovascular systems, control of electrolyte balance, regulation of the acid-base state.
- Neurological disorders: hyperthermia central origin, drowsiness, headache, fainting, confusion, akathisia, extrapyramidal disorder (hypokinesia, akinesia, tremor, muscle stiffness), sleep disorders, insomnia, depression, seizures, neuroleptic malignant syndrome (shortness of breath, tachypnea, convulsions, tachycardia, arrhythmia, unstable blood pressure, hyperthermia, increased sweating, severe muscle rigidity, involuntary urination, skin pallor covers, fatigue, weakness), tardive dyskinesia;
- Dermatological disorders: hyperpigmentation, xerodermia, photosensitivity;
- Endocrine disorders: hyperglycemia, hyperprolactinemia, galactorrhea, dysmenorrhea, gynecomastia, amenorrhea;
- Urogenital disorders: priapism, anorgasmia, erectile disorders, ejaculation, dysuria, urinary incontinence, polyuria;
- Cardiovascular disorders: decrease/increase in blood pressure (including orthostatic hypotension), reflex tachycardia, hypertension, stroke;
- Digestive disorders: constipation, abdominal pain, vomiting, dysphagia, nausea;
- Hematological disorders: neutro-, thrombocytopenia, thrombocytopenic purpura, anemia;
- Ophthalmic disorders: accommodation disturbance, xerophthalmia, reduced visual acuity.
- Others: peripheral edema, weight gain, rhinitis, allergy manifestations, incl. angioedema, rash on the skin, pain in the joints/bones/muscles.
You are not supposed to use this drug if you have a psychotic condition related to dementia, because this can be dangerous. Before you buy this antidepressant, it will be important to let your doctor know if you have any medical conditions likely to require an adjustment of your dose, such as liver disease, high cholesterol or triglycerides, trouble swallowing, high blood pressure, heart disease, a history of heart attack or stroke, Parkinson’s disease, seizures, heart rhythm problems, a history of breast cancer, diabetes, a history of suicidal thoughts or kidney disease. You will also need to discuss with your doctor the use of this drug in case of being pregnant or breastfeeding. You may not be able to take these tablets if you are in the third trimester of your pregnancy, because this can cause tremors, stiff muscles, breathing problems, fussiness and feeding problems in the newborn baby. However, if you are already taking Risnia and find out you are pregnant, you may need to keep taking the medicine, because withdrawal symptoms that may occur otherwise are more dangerous for you and the baby. All that is crucial to discuss with your health care provider before you use this medicine.
Make sure you know how to use Risnia. You should not take more or less of it than prescribed based solely on your perception of the efficiency of the treatment. You need to be aware of the possibility of your drowsiness getting worse if you combine risperidone with cold or allergy medicine, anxiety medicine, medicine for seizures, sedatives, sleeping pills, muscle relaxers, narcotic pain medicine and some other drugs known to have this side effect. Other drugs that you should not be using risperidone together with include ropinirole, levodopa, ranitidine, paroxetine, phenobarbital, rifampin, pramipexole, fluoxetine, cimetidine, carbamazepine, valproic acid, clozapine, phenytoin, bromocriptine and pergolide. Keeping all those aspects in mind will help you get the most out of your treatment.