Antipsychotic / Neuroleptic (atypical antipsychotic) 

• Dosing is individualized; for schizophrenia and related conditions, a typical target might be in the 4 mg range (sometimes given in divided doses). 
•  May be started at lower doses and titrated upward based on response and tolerability.
•  Tablets must not be chewed or crushed (should be swallowed whole).
•  Use under supervision; evaluate periodically for efficacy and side effects.
•  When switching formulations or doses, do so under medical supervision.

• Extrapyramidal symptoms (e.g. tremor, rigidity)

• Drowsiness, sedation

• Weight gain

• Metabolic changes (e.g. increased glucose, lipids)

• Increased prolactin levels (leading to galactorrhea, gynecomastia, menstrual changes)

• Orthostatic hypotension (dizziness on standing)

• Headache

• Anxiety, insomnia

• Constipation

• Dry mouth

• Increased appetite

• Rare but serious: Neuroleptic malignant syndrome, tardive dyskinesia, QT prolongation, risk of stroke in elderly with dementia  

(See prescribing information) 

•  Keep in original packaging
• Keep out of reach of children

Safety Advice/Precautions:

Contraindicated in known hypersensitivity to risperidone or any component of the tablet.

•  Use with caution in patients with cardiovascular disease, cerebrovascular disease, seizure disorders, hepatic or renal impairment, or risk factors for stroke.
•  Monitor metabolic parameters (glucose, lipids) because of risk of metabolic syndrome.
•  Monitor for signs of extrapyramidal symptoms or tardive dyskinesia.
•  Avoid abrupt discontinuation; tapering may be needed.
•  Use caution when combining with other CNS depressants or drugs that prolong QT interval.
•  In elderly patients with dementia-related psychosis, increased mortality has been observed; risperidone is not approved for this use. 
•  Avoid use in pregnancy / lactation unless benefit justifies risk — monitor closely.
•  Regular follow-up with clinician is essential.

For a generic “Risperidone 4 mg film-coated” product, the manufacturer depends on local generics (e.g. Aurobindo, Sandoz, etc.). 

The original risperidone brand (Janssen) is produced by Janssen in various sites (e.g. Ireland for tablets)

but the specific country of origin of your local 4 mg generic film-coated tablet will depend on the local manufacturer.