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When taking this medication, it's important to be aware of certain risks and precautions, especially for specific groups of people. Here are some key points to consider:

• Older adults with dementia may experience a slightly increased risk of severe, potentially life-threatening side effects, such as strokes, heart failure, irregular or rapid heartbeats, and pneumonia. This medication is not approved for managing behavioral issues related to dementia.
• It is crucial to discuss with your healthcare provider the potential risks and benefits of using this medication, as well as explore other effective and potentially safer treatment options for dementia-related behavioral issues.
• If risperidone is being used in combination with other medications for treating depression, make sure to thoroughly review the information provided for the other medication as well.

Always follow your healthcare provider’s guidance and consult them for any questions or concerns regarding your treatment plan.

You may experience mild side effects such as drowsiness, dizziness, lightheadedness, drooling, nausea, weight gain, or tiredness. These effects are usually not a cause for concern, but if they persist or worsen, consult your healthcare provider. To prevent falls due to dizziness or lightheadedness, it's advisable to rise slowly from sitting or lying positions.

Occasionally, more serious side effects can occur. Contact your healthcare professional if you encounter difficulty swallowing, muscle spasms, tremors, or changes in mood or mental state, such as anxiety or restlessness. This medication can infrequently raise blood sugar levels, potentially affecting diabetes. If you notice increased thirst or urination, inform your doctor immediately. Regular blood sugar monitoring is advised for those with diabetes, as adjustments to treatment may be necessary.

There is also a potential for significant weight gain and increased cholesterol or triglyceride levels, which could elevate the risk of heart disease. Rarely, Risperidone may lead to tardive dyskinesia, a condition with unusual movements, especially of the face and limbs. Report any such symptoms to your doctor promptly.

In rare cases, this medication may increase prolactin levels, affecting reproductive health, such as unexpected breast milk production or menstrual changes in females and decreased sexual ability or breast enlargement in males. Seek medical advice if these occur. Immediate medical attention is required for severe side effects like intense dizziness, fainting, or seizures, as well as a rare condition called neuroleptic malignant syndrome, characterized by fever, muscle stiffness, severe tiredness, confusion, or heart irregularities.

Males should be aware of the rare risk of a prolonged, painful erection lasting over four hours, which requires urgent medical intervention to prevent permanent damage. Although allergic reactions are very rare, seek emergency help if you experience symptoms like fever, swollen lymph nodes, rash, or difficulty breathing. Notify your healthcare provider if you notice any other side effects.