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compositionComposition:RISPERIDONE-4MG
prescription
Prescription Medicine
info
RISWEL 4MG TABLET
Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

RISPERIDONE-4MG

Manufacturer/Marketer :

Sigmund Promedica

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

NPPA :

Regulated

About RISWEL 4MG TABLET

RISWEL 4MG TABLET is an oral medication primarily used to treat mental health conditions such as schizophrenia, bipolar mania, and irritability associated with autistic disorder. It works by balancing certain chemical messengers in the brain to help improve thoughts, feelings, and behaviours. This medicine is prescribed by doctors to help patients regain emotional and mental stability.

It is important to take RISWEL 4MG TABLET regularly and consistently at the same times every day as directed by your doctor. You can take this medicine with or without food. Combining your treatment with healthy habits, such as regular gentle exercise and eating a balanced diet, can help manage potential side effects like weight gain.

Some people taking RISWEL 4MG TABLET may experience mild side effects like drowsiness, weight gain, or a dry mouth. However, you should contact your doctor immediately if you experience serious side effects, such as extreme muscle stiffness, a high fever, or uncontrolled twitching movements.

Talk to your doctor before starting RISWEL 4MG TABLET if you have ever had liver damage, kidney disease, heart problems, seizures, or diabetes. Do not take this medicine if you have had a severe allergic reaction to it or any of its ingredients in the past.

Avoid drinking alcohol while taking this medicine, as it can make you feel extremely drowsy and dizzy. If you are pregnant, planning a pregnancy, breastfeeding, or if you are caring for an elderly patient with dementia, consult your doctor first to discuss the risks and benefits.

Uses of RISWEL 4MG TABLET

A doctor may prescribe RISWEL 4MG TABLET for several conditions affecting mood, thinking, and behaviour:

  • Schizophrenia: Helps reduce symptoms like hearing or seeing things that are not there, feeling unusually suspicious of others, and experiencing social withdrawal.
  • Bipolar Mania: Helps stabilise mood and calm extreme emotional highs, severe irritability, and overactivity.
  • Irritability associated with Autistic Disorder: Helps manage behaviours such as aggressive outbursts, self-harming tendencies, and severe temper tantrums in children and teenagers.
     

Key Benefits

RISWEL 4MG TABLET helps manage symptoms of certain mental health conditions by supporting more balanced brain activity and improving emotional and behavioural stability. With regular use as prescribed, this medicine offers several key benefits:

  • Supports Emotional and Mood Stability: RISWEL 4MG TABLET helps reduce mood fluctuations and emotional disturbances, making it easier to maintain greater control over thoughts, feelings, and daily interactions.
  • Helps Improve Daily Functioning: By reducing symptoms that can interfere with concentration, judgement, and social engagement, this medicine can support participation in work, school, family life, and other routine activities.
  • Promotes Calmer Behaviour and Better Relationships: RISWEL 4MG TABLET may help reduce irritability, aggression, and behavioural outbursts, contributing to a calmer daily environment and improving interactions with family members, caregivers, and others.
     
Side effects of Riswel 4mg Tablet
  • Avoid driving or operating machinery or activities that require high focus until you know how the medication affects you.
  • Maintain a fixed sleeping schedule, create a relaxing bedtime routine and ensure your sleeping space is comfortable to maximize your sleep quality.
  • Limit alcohol and caffeine as these may worsen drowsiness and disturb sleep patterns.
  • Drink plenty of water as it helps with alertness and keeps you hydrated and for overall well-being.
  • Moderate physical activity can improve energy levels, but avoid intense workouts right before bedtime.
Here are the 7 step-by-step strategies to manage the side effect of "inability to sleep" caused by medication usage:
  • Prepare for a restful night's sleep: Develop a calming pre-sleep routine, like reading or meditation, to help your body relax and prepare for sleep.
  • Create a sleep-conducive Environment: Make bedroom a sleep haven by ensuring it is quiet, dark and calm.
  • Follow a Sleep Schedule: Go to bed and get up at the same time every day to help regulate your body's internal clock and increase sleep quality.
  • Try relaxing techniques like deep breathing, mindfulness meditation and any others.
  • Limit stimulating activities before bedtime: Avoid stimulating activities before bedtime to improve sleep quality.
  • Monitor Progress: Keep track of your sleep patterns to identify areas for improvement.
  • Consult a doctor if needed: If these steps don't improve your sleep, consult a doctor for further guidance and therapy.
  • Manage stress by practising deep breathing, yoga or meditation.
  • Participating in activities you enjoy, or exercising may also help manage agitation.
  • Get enough sleep. Maintain a regular sleep cycle.
  • Exercise regularly. Try physical activities like walking, running, or dancing.
Managing Medication-Triggered Anxiety: A Comprehensive Approach:
  • Inform your doctor about your anxiety symptoms so that you doctor may explore potential drug interactions and alter your treatment plan.
  • Work with your doctor to adjust your medication regimen or dosage to minimize anxiety symptoms.
  • Reduce anxiety symptoms by practicing relaxation techniques like meditation, deep breathing, or yoga.
  • Regular self-care activities, such as exercise, healthy food, and adequate sleep, can assist control anxiety.
  • Surround yourself with a supportive network of friends, family, or a support group to help manage anxiety and stay motivated.
  • Regularly track anxiety symptoms and report any changes to your doctor to ensure your treatment plan is effective and adjusted as needed.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Managing Medication-Triggered Rhinitis (Stuffy Nose): A Step-by-Step Guide
  • Consult your doctor if you experience nasal congestion, runny nose, or sinus pressure after taking medication.
  • Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your rhinitis symptoms.
  • If advised by your doctor, use nasal decongestants or saline nasal sprays to help relieve nasal congestion.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of water and other fluids to help thin out mucus and soothe your nasal passages.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.

Directions for Use

Take this medicine exactly as your doctor has prescribed. If you are taking tablets, swallow them whole with a full glass of water. If you are taking the liquid form, measure the dose carefully using the provided syringe or measuring cup.

You can take RISWEL 4MG TABLET with or without food. It is best to take your doses at the same time each day to maintain a steady level of the medicine in your body. Never change your dose or stop taking this medicine without speaking to your doctor first.
 

How RISWEL 4MG TABLET Works

RISWEL 4MG TABLET belongs to a group of medicines known as atypical antipsychotics. It works by modifying the activity of certain natural chemicals in the brain, primarily dopamine and serotonin. These chemicals are responsible for sending signals that control mood, thinking, and perception. In people with conditions like schizophrenia or bipolar disorder, these chemical signals can become unbalanced. RISWEL 4MG TABLET helps restore balance by gently blocking overactive chemical pathways, which helps clear up thoughts and stabilises emotional highs and lows.
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Alcohol

Unsafe

Avoid consumption of alcohol while taking RISWEL 4MG TABLET as it may cause increased dizziness. RISWEL 4MG TABLET may also increase the effects of alcohol.

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Pregnancy

Consult your doctor

Please consult your doctor if you have any concerns regarding this; your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Unsafe

RISWEL 4MG TABLET may pass into the breastmilk, so it is not safe to breastfeed while taking RISWEL 4MG TABLET. Consult your doctor if you have any concerns.

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Driving

Unsafe

RISWEL 4MG TABLET may cause tiredness, dizziness and sleepiness. Do not drive or operate machinery if you experience these symptoms.

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Liver

Caution

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Caution

RISWEL 4MG TABLET should be given to children only if prescribed by the doctor. The safety and effectiveness of RISWEL 4MG TABLET in children below 13 years with schizophrenia, below 10 years with bipolar disorder, and below 5 years with autistic disorder have not been established.

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Heart

Caution

Exercise caution before using RISWEL 4MG TABLET in case of heart problems. Please consult your doctor if you have any concerns.

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Geriatrics

Safe if prescribed

RISWEL 4MG TABLET can be safely used in elderly patients with proper monitoring and individualised care. It is mostly used in geriatric patients with behavioural and psychological symptoms in dementia (BPSD).

What if I have taken an overdose of RISWEL 4MG TABLET

Do not take more than the prescribed dose of RISWEL 4MG TABLET as it may cause an overdose. The symptoms of overdose include muscle stiffness, seizures (fits), drowsiness, fast/pounding/irregular heartbeat and unusual movements of the face or body that cannot be controlled. If you suspect you have taken an overdose or notice signs of overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

  • Focus on eating a balanced diet rich in vegetables, fruits, and lean proteins, and monitor your weight regularly, as this medicine can cause weight gain and changes in blood sugar.
  • Drink plenty of water and stay cool, especially in hot weather or during exercise, as this medicine can make it harder for your body to sweat and regulate its temperature.
  • Stand up slowly from a sitting or lying position to prevent dizziness and protect yourself from falling.
  • Limit caffeine intake in the evening, as it can interfere with your sleep patterns while your body adjusts to the medication.
     

Have a query?

How Soon It Starts Working

  • The time required for RISWEL 4MG TABLET to start to work: RISWEL 4MG TABLET ideally shows its action within 30 minutes after administration.
  • The time for which the effects of RISWEL 4MG TABLET last: The effect of RISWEL 4MG TABLET lasts for 3 hours.

What if you forget to take RISWEL 4MG TABLET

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue your regular schedule. Avoid taking two doses at once.

Storage

•Store RISWEL 4MG TABLET at room temperature between 15°C and 25°C (59°F and 77°F) •Keep the medication in its original container, tightly closed, to protect it from light and moisture. Avoid storing it in areas with high humidity, such as the bathroom.

Drug Warnings

  • Always inspect the oral liquid solution before taking it; it should be clear and colourless. Do not use it if you see particles or if it changes colour.
  • Use the official measuring syringe provided with the liquid form, not a household spoon, to ensure you take the exact prescribed amount.
  • Do not drive, use tools, or operate machinery until you know how this medicine affects you, as it may cause sleepiness.
  • Be cautious when exercising or spending time in hot weather, as you may overheat more easily.
  • Never stop taking this medicine suddenly, even if you feel completely better, as doing so can cause your symptoms to return.
     

Drug-Drug Interactions

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Drug-Drug Interactions:

Inform your doctor if you are taking any of the following medicines, as they may interact with RISWEL 4MG TABLET.

  • Other Medicines That Cause Drowsiness: Sleeping tablets, anti-anxiety medicines, opioid painkillers, sedating antihistamines, and certain antidepressants may increase the drowsiness, dizziness, and impaired concentration caused by RISWEL 4MG TABLET.
  • Medicines for Parkinson’s Disease: Drugs such as levodopa and dopamine agonists may become less effective when taken with RISWEL 4MG TABLET, as they have opposing effects on dopamine activity in the brain.
  • Blood Pressure Medicines: Taking these with RISWEL 4MG TABLET may increase the risk of low blood pressure, dizziness, or fainting, particularly when starting treatment or increasing the dose.
  • Medicines That Affect Heart Rhythm: Certain antiarrhythmics, antibiotics, antidepressants, and other medicines that prolong the QT interval may increase the risk of abnormal heart rhythms when used together with RISWEL 4MG TABLET.
  • Carbamazepine: This medicine may reduce the levels and effectiveness of RISWEL 4MG TABLET, requiring your doctor to adjust your dose.
  • Fluoxetine and Paroxetine: These antidepressants may increase the levels of RISWEL 4MG TABLET in the body, potentially increasing the risk of side effects.

Drug-Food Interactions

  • Alcohol: Alcohol can increase the drowsiness, dizziness, and impaired judgement caused by RISWEL 4MG TABLET. Drinking alcohol while taking this medicine may also affect your ability to drive, operate machinery, or perform tasks that require alertness. It is generally recommended to avoid or limit alcohol consumption during treatment.

Drug-Disease Interactions:

Inform your doctor if you have a history of the following conditions before taking RISWEL 4MG TABLET, as it may worsen your condition or require closer monitoring.

  • Heart Disease or Heart Rhythm Disorders: RISWEL 4MG TABLET may affect heart rhythm in some individuals. Patients with pre-existing heart conditions may require additional monitoring.
  • Diabetes or Risk Factors for Diabetes: This medicine may contribute to elevated blood sugar levels and weight gain in some patients. Regular monitoring of blood glucose may be recommended.
  • Seizure Disorders: RISWEL 4MG TABLET may lower the seizure threshold in susceptible individuals, increasing the risk of seizures.
  • Kidney or Liver Impairment: Reduced kidney or liver function may affect how the medicine is processed and cleared from the body, requiring dose adjustments or closer monitoring.
  • History of Stroke or Cerebrovascular Disease: Older adults, particularly those with dementia-related psychosis, may have an increased risk of stroke or other serious cardiovascular events while taking this medicine.
  • Parkinson’s Disease or Lewy Body Dementia: RISWEL 4MG TABLET may worsen movement-related symptoms and should be used with caution in these conditions.
     
RisperidoneCisapride
Critical
RisperidoneZiprasidone
Critical

Drug-Drug Interactions

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RisperidoneCisapride
Critical
How does the drug interact with Riswel 4mg Tablet:
When Riswel 4mg Tablet is taken with Cisapride, it can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking cisapride together with Riswel 4mg Tablet is not recommended as it can possibly result in an interaction, it can be taken if your doctor has advised it. If you notice any of these symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not stop using any medications without a doctor's advice.
RisperidoneZiprasidone
Critical
How does the drug interact with Riswel 4mg Tablet:
Co-administration of Riswel 4mg Tablet with Ziprasidone can increase the risk of irregular heart rhythm.

How to manage the interaction:
Taking Riswel 4mg Tablet with Ziprasidone together can possibly result in an interaction, but it can be taken if a doctor has advised it. However, consult a doctor immediately if you experience any symptoms such as sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not discontinue any medications without consulting a doctor.
RisperidoneSparfloxacin
Critical
How does the drug interact with Riswel 4mg Tablet:
Coadministration of Riswel 4mg Tablet with sparfloxacin can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Taking Sparfloxacin with Riswel 4mg Tablet together can result in an interaction, it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or irregular heartbeat, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
RisperidonePramipexole
Critical
How does the drug interact with Riswel 4mg Tablet:
Taking Riswel 4mg Tablet with Pramipexole may reduce the effectiveness of Pramipexole.

How to manage the interaction:
Taking Riswel 4mg Tablet with Pramipexole is not recommended as it can result in an interaction, it can be taken if a doctor has advised it. However, if you experience drowsiness, dizziness, and lightheadedness contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
RisperidoneMetoclopramide
Critical
How does the drug interact with Riswel 4mg Tablet:
Co-administration of Metoclopramide with Riswel 4mg Tablet can increase the risk of side effects like uncontrolled movement disorder.

How to manage the interaction:
Taking Riswel 4mg Tablet with Metoclopramide is not recommended as it can possibly result in an interaction, it can be taken if your doctor has advised it. If you notice any of these symptoms like muscle spasms or movements that you can't stop or control, such as lip smacking, chewing, puckering, frowning or scowling, tongue thrusting, teeth clenching, jaw twitching, blinking, eye-rolling, shaking or jerking of arms and legs, shaking, jitteriness, restlessness, pacing, and foot tapping contact a doctor immediately. Do not stop using any medications without a doctor’s advice.
RisperidoneAmisulpride
Severe
How does the drug interact with Riswel 4mg Tablet:
Taking amisulpride with Riswel 4mg Tablet can increase the chance of abnormal heart rhythm.

How to manage the interaction:
Although taking amisulpride along with Riswel 4mg Tablet can result in an interaction, it can be taken if a doctor has advised it. However, if you experience abrupt dizziness, lightheadedness, fainting, shortness of breath, or rapid heartbeat, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.
RisperidoneBedaquiline
Severe
How does the drug interact with Riswel 4mg Tablet:
Taking Riswel 4mg Tablet together with Bedaquiline can increase the risk of an irregular heart rhythm and other side effects.

How to manage the interaction:
Although taking Riswel 4mg Tablet and Bedaquiline together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience symptoms such as dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not stop using any medications without consulting doctor.
RisperidoneClozapine
Severe
How does the drug interact with Riswel 4mg Tablet:
Taking Riswel 4mg Tablet with clozapine can increase the risk of low blood pressure.

How to manage the interaction:
Co-administration of Riswel 4mg Tablet with Clozapine can possibly result in an interaction, but it can be taken if your doctor has advised it. However, consult a doctor if you experience dizziness, drowsiness, blurred vision, confusion, dry mouth, abdominal cramping, constipation, difficulty urinating. Do not discontinue any medications without consulting a doctor.
RisperidoneGatifloxacin
Severe
How does the drug interact with Riswel 4mg Tablet:
Taking Gatifloxacin and Riswel 4mg Tablet can increase the risk or severity of irregular heart rhythm.

How to manage the interaction:
aking Gatifloxacin and Riswel 4mg Tablet together can result in an interaction, it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
RisperidoneSotalol
Severe
How does the drug interact with Riswel 4mg Tablet:
Using sotalol together with Riswel 4mg Tablet can increase the risk of irregular heart rhythm.

How to manage the interaction:
Although there is a possible interaction between Sotalol and Riswel 4mg Tablet, you can take these medicines together if prescribed by a doctor. However, consult a doctor if you experience dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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RISPERIDONE-4MGCaffeine containing foods/drinks
Moderate

Drug-Food Interactions

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RISPERIDONE-4MGCaffeine containing foods/drinks
Moderate
Common Foods to Avoid:
Tea

How to manage the interaction:
Consumption of tea while on the treatment with Riswel 4mg Tablet can lead to increase in side effects. Limit or avoid the consumption of tea during Riswel 4mg Tablet treatment.

All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[PSYCHOTHERAPEUTICS]

FAQs

RISWEL 4MG TABLET is used to treat schizophrenia. It is also used alone or in combination with other medicines to treat mania or mixed episodes (mania and depression) in adults and children above 10 years with bipolar disorder. Additionally, it is used to treat behavioural problems in children aged 5 to 16 years with autism.

RISWEL 4MG TABLET works by balancing the chemical messengers called neurotransmitters and blocking the effect of dopamine and serotonin in the brain, thereby helping improve mood, behaviour, and thoughts.

RISWEL 4MG TABLET may cause an increase in blood glucose (sugar) levels. So, regular monitoring of blood sugar levels is advised while taking RISWEL 4MG TABLET. Diabetes patients should consult a doctor before taking RISWEL 4MG TABLET.

Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum/candy might help in stimulating saliva and thereby prevent drying of the mouth.

Orthostatic hypotension could be a side-effect of RISWEL 4MG TABLET. Orthostatic hypotension is a sudden lowering of blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking; instead, lie down and get up slowly only when you feel better.

Taking RISWEL 4MG TABLET along with blood pressure-lowering medicines may cause low blood pressure. Therefore, consult your doctor if you are taking anti-hypertensives (drugs used to treat high blood pressure).

Yes, weight gain is a common side effect of RISWEL 4MG TABLET. Maintaining a balanced diet, controlling portion sizes, and staying physically active may help manage weight changes. Consult your doctor if you experience significant or rapid weight gain.

No, RISWEL 4MG TABLET is not a habit-forming drug.

Elderly patients are more likely to have age-related liver, kidney, or heart problems, and patients receiving risperidone may require caution and dosage adjustments.

It can be used, but it should be used only if prescribed the doctor.

No, you should avoid alcohol while taking RISWEL 4MG TABLET. Alcohol can increase the sleepiness and dizziness caused by this medicine, which could make activities like driving dangerous. Talk to your doctor if you have concerns about avoiding alcohol.

Some improvements in symptoms may occur within the first week or two, but it can take several weeks to experience the full benefits of this medicine. Talk to your doctor if you do not feel any improvement after a few weeks.

No, you should not stop taking RISWEL 4MG TABLET suddenly, even if your symptoms have completely resolved. Stopping abruptly can cause your symptoms to return or worsen. Talk to your doctor about how to safely stop or adjust your medication.

Yes, feeling sleepy or drowsy is a common side effect, especially when you first start taking the medicine. Avoid driving or operating machinery until you know how this medicine affects you, and talk to your doctor if the sleepiness does not go away.

Taking this medicine during the late stages of pregnancy may cause side effects in the newborn baby. If you are pregnant or planning to become pregnant, talk to your doctor to weigh the risks and benefits of your treatment.

Yes, you can take RISWEL 4MG TABLET with or without food. Taking it at the same time each day will help you remember your dose. Talk to your doctor or pharmacist if you have trouble taking your medication.

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed one and continue with your normal schedule. Do not take a double dose to make up for a missed one, and talk to your doctor or pharmacist if you have questions.

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While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

INDIA

Manufacturer/Marketer address

30-22-118, First Floor, Eluru Road,Seetharampuram,Vijayawada 520 002,Andhra Pradesh
Other Info - RIS0053

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