Approved in 1993, Risperdal is an anti-psychotic medication used to treat a
variety of psychotic disorders, including schizophrenia. It has also recently
been FDA approved for the treatment of manic and mixed episodes associated with
bipolar disorder, either used alone or in conjunction with mood stabilizers,
such as lithium.
People with bipolar disorder suffer from chemical imbalances of dopamine and
serotonin in the brain. These imbalances are thought to encourage the exaggerated
feelings associated with mania, including: unrealistic beliefs in one's ability;
exaggerated confidence; excessive energy, activity or restlessness; decreased
need for sleep; racing thoughts or rapid talking; and uncharacteristically poor
judgment, which may involve reckless driving, spending sprees and foolish business
ventures.
Risperdal treats these imbalances by interfering with the communication between
the nerves of the brain. The drug enters the brain and blocks the receptors
of dopamine and serotonin to intercept them from making changes in the brain
cells. By disallowing the chemicals from becoming imbalanced, Risperdal can
prevent the manic, depressed and mixed episodes of bipolar disorder.
In addition, serious Risperdal side effects can occur. Risperdal may also cause
a decrease in blood pressure and an increase in blood sugar, diabetes, the development
of tardive dyskinesia, stroke, suicide, and even death. On April 10, 2003, Johnson
& Johnson made an announcement that they would be sending out thousands
of letters to doctors warning of the possibly increased risk of suffering stroke
in elderly Risperdal patients.
The Risperdal announcement indicated that there was a more dangerous risk in
treating a wider range of patients with the powerful psychotic drug. Various
Risperdal clinical trials show that stroke or stroke-like events, including
blood clots or hemorrhages can occur with Risperdal use, which is troubling.
In October 2002, Risperdal makers issued a similar stroke warning to Canadian
physicians. Cited in the Risperdal warning was 37 reports of stroke or stroke-like
events, including 16 deaths. Risperdal makers say they will change Risperdal
package-insert labels to include more specific Risperdal risks.
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