Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Risperidone
Drug ID BADD_D01951
Description Risperidone is a second-generation antipsychotic (SGA) medication used in the treatment of a number of mood and mental health conditions including schizophrenia and bipolar disorder.[L12885] It is one of the most widely used SGAs. [Paliperidone], another commonly used SGA, is the primary active metabolite of risperidone (i.e. 9-hydroxyrisperidone).[L12885] Schizophrenia and various mood disorders are thought to be caused by an excess of dopaminergic D2 and serotonergic 5-HT2A activity, resulting in overactivity of central mesolimbic pathways and mesocortical pathways, respectively.[L1212,L1213] Risperidone is thought to reduce this overactivity through inhibition of dopaminergic D2 receptors and serotonergic 5-HT2A receptors in the brain.[L1213,A1115] Risperidone binds with a very high affinity to 5-HT2A receptors, approximately 10-20 fold greater than the drug's binding affinity to D2 receptors,[L1212,L1213,A1115] and carries lesser activity at several off-targets which may responsible for some of its undesirable effects.[L12885]
Indications and Usage Risperidone belongs to the class of medications known as ​second generation atypical antipsychotics [A1114, A1115, L1213]. It is widely used in the treatment of schizophrenia and mood disorders, including bipolar disorder and depression with pyschosis [A1115, A1116, L1212, L1213].
Marketing Status Prescription; Discontinued
ATC Code N05AX08
DrugBank ID DB00734
KEGG ID D00426
MeSH ID D018967
PubChem ID 5073
TTD Drug ID D01AZG
NDC Product Code 68382-115; 52038-007; 70518-1575; 12578-303; 55111-204; 43547-339; 71205-520; 43063-254; 50090-3344; 43547-340; 70518-2969; 65841-640; 55700-082; 42291-908; 55111-471; 50458-301; 63187-264; 70518-1502; 68071-4618; 59746-050; 49884-315; 71610-246; 65757-725; 0904-6362; 0615-8288; 55111-201; 0904-6357; 50268-699; 65267-303; 43547-342; 55289-491; 65162-673; 65757-728; 50458-302; 42291-913; 64552-4011; 63304-950; 50268-697; 50090-2672; 68382-155; 55111-207; 70518-1574; 50458-315; 71335-0379; 69238-2113; 42291-911; 27808-002; 13668-039; 63629-2284; 71161-131; 64220-119; 42291-912; 50458-350; 27241-002; 49884-402; 50268-698; 55111-202; 68382-156; 42291-910; 55111-209; 50458-320; 27241-006; 59746-010; 50090-3341; 0904-6359; 55289-463; 59746-020; 68382-117; 0904-6358; 63629-2283; 63187-439; 65841-666; 40700-0031; 42291-909; 43353-412; 50458-325; 68382-112; 55111-205; 58118-0077; 63304-949; 71335-0130; 55700-897; 49884-212; 59746-040; 17856-0063; 70518-1763; 69238-2109; 50458-306; 50458-305; 63552-179; 50458-330; 49884-311; 63304-644; 0904-6360; 43353-720; 43063-908; 46602-0050; 43353-432; 65841-668; 71335-0740; 27241-004; 65372-1105; 12496-0090; 50458-309; 55111-208; 64567-0003; 68382-116; 69238-2111; 49884-403; 70518-0978; 63187-418; 65015-619; 71610-226; 0615-8198; 65841-641; 0054-0063; 63187-642; 70518-2130; 43547-343; 50458-335; 55111-203; 55111-869; 68084-271; 65841-665; 68071-2524; 70518-1568; 65267-895; 0904-6361; 13668-040; 53002-1596; 71610-264; 43547-344; 69238-2110; 63304-643; 50458-307; 27241-001; 53104-7555; 68084-270; 68382-113; 68382-154; 0615-8197; 13668-035; 49884-401; 68382-114; 68084-272; 0615-8265; 71610-145; 50268-696; 71610-259; 70518-3104; 50458-596; 70518-1771; 63552-180; 71161-132; 70518-0364; 0615-8196; 57451-1185; 69238-2112; 27241-003; 70518-3087; 13668-037; 12496-0120; 65757-727; 63415-0037; 55154-3361; 65862-167; 65841-670; 55154-5899; 43547-341; 50090-2780; 65841-642; 55111-470; 50458-308; 13668-036; 68084-274; 13668-038; 55289-519; 63304-951; 71610-045; 69238-2108; 68084-277; 65841-669; 54838-563; 55111-206; 50458-355; 70518-1613; 50268-695; 59746-030; 61919-572; 71335-0459; 65841-667; 71335-0626; 70518-1151; 50458-300; 55289-465; 27241-005; 65841-122; 50458-395; 68788-7211; 68084-273; 65862-365; 65757-726; 50090-3340
Synonyms Risperidone | Risperdal Consta | Consta, Risperdal | Risperidal | R-64,766 | R 64,766 | R64,766 | R-64766 | R 64766 | R64766
Chemical Information
Molecular Formula C23H27FN4O2
CAS Registry Number 106266-06-2
SMILES CC1=C(C(=O)N2CCCCC2=N1)CCN3CCC(CC3)C4=NOC5=C4C=CC(=C5)F
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Adverse drug reactionCytochrome P450 3A4P08684T3784811903482; 9435993; 8941495; 11952767
Tardive dyskinesiaD(2) dopamine receptorP14416T6716210821369; 10379516; 10893495; 9777180; 10889553
Tardive dyskinesiaD(3) dopamine receptorP35462T0255110821369; 10379516; 10893495; 9777180; 10889553
Tardive dyskinesiaD(4) dopamine receptorP21917T2498310821369; 10379516; 10893495; 9777180; 10889553
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal discomfort07.01.06.001--Not Available
Abdominal distension07.01.04.001--
Abdominal pain07.01.05.002--
Abdominal pain lower07.01.05.010--Not Available
Abdominal pain upper07.01.05.003--
Abdominal rigidity07.01.05.0110.000804%Not Available
Abnormal dreams19.02.03.001; 17.15.02.0010.002413%Not Available
Abnormal weight gain14.03.02.0100.013139%Not Available
Abortion18.01.01.0010.000536%Not Available
Abortion spontaneous18.01.04.001--Not Available
Abscess11.01.08.001--Not Available
Accommodation disorder06.02.04.0010.001073%Not Available
Acidosis14.01.03.0020.002413%
Acne23.02.01.001--Not Available
Acromegaly24.08.04.004; 15.03.01.018; 14.11.01.029; 05.03.01.0050.000804%Not Available
Acute hepatic failure09.01.03.0010.000350%Not Available
Acute myocardial infarction24.04.04.001; 02.02.02.001--Not Available
Acute psychosis19.03.01.0010.002145%Not Available
Acute respiratory distress syndrome22.01.03.001--
Acute respiratory failure22.02.06.001; 14.01.04.0040.000420%Not Available
Adenocarcinoma16.16.01.004--Not Available
Adenoma benign16.02.02.001--Not Available
Affective disorder19.04.04.0010.002413%Not Available
Aggression19.05.01.0010.027618%Not Available
Agitation19.06.02.001; 17.02.05.0120.027350%
Agranulocytosis01.02.03.001--Not Available
Akathisia19.06.02.006; 17.01.02.0020.024668%
Akinesia17.01.02.0030.001341%Not Available
Alanine aminotransferase increased13.03.01.0030.006167%
Albinism23.05.02.005; 14.14.04.006; 03.08.04.006--Not Available
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