Suggest Alternative Medication For Risperidone

Posted on Thu, 17 Dec 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 17 Dec 2015 Answered on

Thu, 7 Jan 2016 Last reviewed on

Question : for doctor XXXXXXX XXXXXXX further to our last conversation see attached results. no change in symptoms behavioural symptoms getting wo
rse. on risperidone one mg twice a day. Is there any other helpful medication.

Answered by Dr. Neeraj Kumar (2 hours later)

Brief Answer:
Add Quetiapine and get MRI brain done

Detailed Answer:
Hello,
Brain imaging (MRI ) is required to look for brain changes.
The other investigations are normal.
Quetiapine can be started for behavioural changes.
Review wit brain MRI. Consultation and visit to a psychiatrist/Neurologist will be helpful in monitoring response to drugs and need for dose increase.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Neeraj Kumar (4 hours later)

Is Quetiapine better than risperidone?

Answered by Dr. Neeraj Kumar (6 minutes later)

Brief Answer:
Either can be given

Detailed Answer:
Hello,
Both drugs can be given with similar effects.
Risperidone is more used for schizophrenia, psychosis.
Quetiapine is better in terms of agitation in dementia and can be increased safely with lesser side effects.
All these medications require supervision and should be started cautiously.
Further diagnosis is required for treatment plan.
Regards
Dr N Kumar
neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj