RISDONE LS TABLET

Manufacturer : INT-INTAS LABORATORIES LTD
Composition : RISPERIDONE-2MG+TRIHEXYPHENIDYL-2MG
Dose Form : TABLET
Description : RISDONE LS TAB
Route Of Administration : ORAL
Pack : 10
In stock
SKU
RIS0045
竄ケ54.50
Manufacturer : INT-INTAS LABORATORIES LTD
Composition : RISPERIDONE-2MG+TRIHEXYPHENIDYL-2MG
Dose Form : TABLET
Description : RISDONE LS TAB
Route Of Administration : ORAL
Pack : 10

Drug Ingredient Information

RISPERIDONE-2MG+TRIHEXYPHENIDYL-2MG

RISPERIDONE

Information for patients
Drug Information Risperidone belongs to a group of medicines called 窶杪nti-psychotics. Risperidone is used to treat the following: Schizophrenia, where you may see, hear or feel things that are not there, believe things that are not true or feel unusually suspicious, or confused Mania, where you may feel very excited, elated, agitated, enthusiastic or hyperactive. Mania occurs in an illness called 窶彙ipolar disorder窶 Short-term treatment (up to 6 weeks) of long-term aggression in people with Alzheimer?s dementia, who harm themselves or others. Alternative (non-drug) treatments should have been used previously Short-term treatment (up to 6 weeks) of long-term aggression in intellectually disabled children (at least 5 years of age) and adolescents with conduct disorder.
Drug Alert
Alert You are allergic (hypersensitive) to risperidone. If you are not sure if the above applies to you, talk to your doctor or pharmacist before using Risperidone.
Before Consuming the Medicine
Avoid Drug You are allergic (hypersensitive) to risperidone. If you are not sure if the above applies to you, talk to your doctor or pharmacist before using Risperidone.
Drug Special Care You have a heart problem. Examples include an irregular heart rhythm or if you are prone to low blood pressure or if you are using medicines for your blood pressure. Risperidone may cause low blood pressure. Your dose may need to be adjusted You know of any factors which would favour you having a stroke, such as high blood pressure, cardiovascular disorder or blood vessel problems in the brain You have ever experienced involuntary movements of the tongue, mouth and face You have ever had a condition whose symptoms include high temperature, muscle stiffness, sweating or a lowered level of consciousness (also known as Neuroleptic Malignant Syndrome) You have Parkinson?s disease or dementia You are diabetic You have epilepsy You are a man and you have ever had a prolonged or painful erection You have problems controlling your body temperature or overheating You have kidney problems You have liver problems You have an abnormally high level of the hormone prolactin in your blood or if you have a tumour,which is possibly dependent on prolactin You or someone else in your family has a history of blood clots, as antipsychotics have been associated with formation of blood clots. If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before using Risperidone. Risperidone may cause you to gain weight. Significant weight gain may adversely affect your health. Your doctor should regularly measure your body weight.As diabetes mellitus or worsening of pre-existing diabetes mellitus have been seen with patients taking Risperidone, your doctor should check for signs of high blood sugar. In patients with pre-existing diabetes mellitus blood glucose should be monitored regularly
Drug Drug Interactions Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription and herbal medicines. It is especially important to talk to your doctor or pharmacist if you are taking any of the following: Medicines that work on your brain such as to help you calm down (benzodiazepines) or some medicines for pain (opiates), medicines for allergy (some antihistamines), as risperidone may increase the sedative effect of all of these Medicines that may change the electrical activity of your heart such as medicines for malaria, heart rhythm problems, allergies (anti-histamines), some antidepressants or other medicines for mental problems Medicines that cause a slow heart beat Medicines that cause low blood potassium (such as certain diuretics) Medicines to treat raised blood pressure. Risperidone can lower blood pressure Medicines for Parkinson''''s disease (such as levodopa) Water (diuretics) used for heart problems or swelling of parts of your body due to a build up of too much fluid (such as furosemide or chlorothiazide). Risperidone taken by itself or with furosemide, may have an increased risk of stroke or death in elderly people with dementia. The following medicines may reduce the effect of risperidone Rifampicin (a medicine for treating some infections) Carbamazepine, phenytoin (medicines for epilepsy) Phenobarbital If you start or stop taking such medicines you may need a different dose of risperidone. The following medicines may increase the effect of risperidone Quinidine (used for certain types of heart disease) Antidepressants such as paroxetine, fluoxetine, tricyclic antidepressants Medicines known as beta blockers (used to treat high blood pressure) Phenothiazines (such as medicines used to treat psychosis or to calm down) Cimetidine, ranitidine (blockers of the acidity of stomach) If you start or stop taking such medicines you may need a different dose of risperidone. If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before using Risperidone.
Drug Pregnancy Interaction Talk to your doctor before using Risperidone if you are pregnant, trying to become pregnant or breast-feeding. Your doctor will decide if you can take it Shaking, muscle stiffness and problems feeding, all of which are reversible, have been seen in newborn babies when Risperidone was used during the last trimester of pregnancy.Ask your doctor or pharmacist for advice before taking any medicine
Drug Breast feeding Interaction Talk to your doctor before using Risperidone if you are pregnant, trying to become pregnant or breast-feeding. Your doctor will decide if you can take it Shaking, muscle stiffness and problems feeding, all of which are reversible, have been seen in newborn babies when Risperidone was used during the last trimester of pregnancy.Ask your doctor or pharmacist for advice before taking any medicine
Drug Machinery Interaction Dizziness, tiredness, and vision problems may occur during treatment with Risperidone. Do not drive or use any tools or machines without talking to your doctor first.
Drug More Information Elderly people with dementia In elderly patients with dementia, there is an increased risk of stroke . You should not take risperidone if you have dementia caused by stroke.During treatment with risperidone you should frequently see your doctor.Medical treatment should be sought straight away if you or your care-giver notice a sudden change in your mental state or sudden weakness or numbness of your face, arms or legs, especially on one side, or slurred speech, even for a short period of time. These may be signs of a stroke. Children and adolescents Before treatment is started for conduct disorder, other causes of aggressive behaviour should have been ruled out. If during treatment with risperidone tiredness occurs, a change in the time of administration might improve attention difficulties
How to take the Medicine
Consumption Info You can take this medicine with or without food. You should avoid drinking alcohol when taking Risperidone.
Drug quanitty For the treatment of schizophrenia Adults The usual starting dose is 2 mg per day, this may be increased to 4 mg per day on the second day Your dose may then be adjusted by your doctor depending on how you respond to the treatment Most people feel better with daily doses of 4 to 6 mg .This total daily dose can be divided into either one or two doses a day. Your doctor will tell you which is the best for you. Elderly people Your starting dose will normally be 0.5 mg twice a day Your dose may then be gradually increased by your doctor to 1 mg to 2 mg twice a day Your doctor will tell you which is the best for you. Children and adolescents Children and adolescents under 18 years old should not be treated with Risperidone for schizophrenia. For the treatment of mania Adults Your starting dose will usually be 2 mg once a day Your dose may then be gradually adjusted by your doctor depending on how you respond to the treatment Most people feel better with doses of 1 to 6 mg once a day. Elderly people Your starting dose will usually be 0.5 mg twice a day Your dose may then be gradually adjusted by your doctor to 1 mg to 2 mg twice a day depending on how much you respond to the treatment. Children and adolescents Children and adolescents under 18 years old should not be treated with Risperidone for mania. For the treatment of long-standing aggression in people with Alzheimer窶冱 dementia Adults (including elderly people) Your starting dose will normally be 0.25 mg twice a day Your dose may then be gradually adjusted by your doctor depending on how you respond to the treatment Most people feel better with 0.5 mg twice a day. Some patients may need 1 mg twice a day Treatment duration in patients with Alzheimer?s dementia should be not more than 6 weeks. For the treatment of conduct disorder in children and adolescents The dose will depend on your child?s weight: For children who weigh less than 50 kg The starting dose will normally be 0.25 mg once a day The dose may be increased every other day in steps of 0.25 mg per day. The usual maintenance dose is 0.25 mg to 0.75 mg once a day. For children who weigh 50 kg or more The starting dose will normally be 0.5 mg once a day The dose may be increased every other day in steps of 0.5 mg per day. The usual maintenance dose is 0.5 mg to 1.5 mg once a day. Treatment duration in patients with conduct disorder should be not more than 6 weeks. Children under 5 years old should not be treated with Risperidone for conduct disorder. People with kidney or liver problems Regardless of the disease to be treated, all starting doses and following doses of risperidone should be halved. Dose increases should be slower in these patients.Risperidone should be used with caution in this patient group.
Drug Dose Only remove a tablet from the blister when it is time to take your medicine. Peel open a blister to expose the tablet Do not push the tablet through the foil because it may break Remove the tablet from the blister with dry hands Place the tablet on your tongue straight away The tablet will begin disintegrating within seconds It can then be swallowed with or without water. Always take Risperidone exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.Your doctor will tell you how much medicine to take and for how long. This will depend on your condition and varies from person to person. The amount of medicine you should take is explained under the 窶曰ow much to take? sub-heading
Excess Drug Consumption See a doctor right away. Take the medicine pack with you In case of overdose you may feel sleepy or tired, or have abnormal body movements, problem in standing and walking, feel dizzy due to low blood pressure, or have abnormal heartbeats or fits
Forgot Drug Consumption If you forget to take a dose, take it as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose and continue as usual. If you miss two or more doses, contact your doctor Do not take a double dose (two doses at the same time) to make up for a forgotten dose
Stop Drug Consumption You should not stop taking this medicine unless told to do so by your doctor. Your symptoms may return. If your doctor decides to stop this medicine, your dose may be decreased gradually over a few days.If you have any further questions on the use of this product, ask your doctor or pharmacist
Possible Side Effects
General Information Experience blood clots in the veins, especially in the legs (symptoms include swelling, pain, and redness in the leg), which may travel through blood vessels to the lungs causing chest pain and difficulty breathing. If you notice any of these symptoms seek medical advice immediately.Have dementia and experience a sudden change in your mental state or sudden weakness or numbness of your face, arms or legs, especially on one side, or slurred speech, even for a short period of time.These may be signs of a stroke Experience fever, muscle stiffness, sweating or a lowered level of consciousness (a disorder called 窶廸euroleptic Malignant Syndrome窶). Immediate medical treatment may be needed Are a man and experience prolonged or painful erection. This is called priapism. Immediate medical treatment may be needed Experience involuntary rhythmic movements of the tongue, mouth and face. Withdrawal of risperidone may be needed The following side effects may happen
Common Drug Side Effects Parkinsonism. This is a medical term that includes many symptoms. Each individual symptom may occur less frequently than in 1 in 10 people. Parkinsonism includes: increase in saliva secretion or watery mouth, musculoskeletal stiffness, drooling, jerks when bending the limbs, slow, reduced or impaired body movements, no expression on the face, muscle tightness, stiff neck, muscle stiffness, small, shuffling, hurried steps and lack of normal arm movements when walking, persistent blinking in response to tapping of the forehead (an abnormal reflex). Headache, difficulty falling or staying asleep.Drowsiness, fatigue, restlessness, inability to sit still, irritability, anxiety, sleepiness, dizziness, poor attention, feeling exhausted, sleep disorder ,Vomiting, diarrhoea, constipation, nausea, increased appetite, abdominal pain or discomfort, sore throat, dry mouth, Weight increased, increase in body temperature, decreased appetite.Difficulty breathing, lung infection (pneumonia), flu, infection of the breathing passages, blurred vision, nose congestion, nose bleeding, cough ,Urinary tract infection, bed wetting .Muscle spasm, involuntary movements of face or arms and legs, joint pain, back pain, swelling of arms and legs, pain in arms and legs.Rash, skin redness.Fast beating heart, chest pain.Blood prolactin hormone level increased.
Rare Drug Side Effects Inability to reach orgasm, menstrual disorder Dandruff Drug allergy, coldness in arms and legs, lip swelling, lip inflammation Glaucoma, reduced visual clarity, eyelid margin crusting, eye rolling Lack of emotion Change in consciousness with increased body temperature and twitching of muscles, oedema all over the body, drug withdrawal syndrome, decreased body temperature Fast shallow breathing, trouble breathing during sleep, chronic otitis media Obstruction of intestine Reduced blood flow to the brain Decrease in white blood cells, inappropriate secretion of a hormone that controls urine volume Breakdown of muscle fibres and pain in muscles (rhabdomyolysis), movement disorder Coma due to uncontrolled diabetes Yellowing of the skin and the eyes (jaundice) Inflammation of the pancreas Low blood sugar. Excessive drinking of water, stool incontinence, thirsty, very hard faeces, hoarseness or voice disorder Diabetes mellitus, high blood sugar Lung infection caused by inhaling of food into the breathing passages, bladder infection, 窶柝ink eye窶,sinus infection, viral infection, ear infection, tonsil infection, infection under the skin, eye infection,stomach infection, eye discharge, yeast infection of nails Abnormal electrical conduction of the heart, drop in blood pressure after standing, low blood pressure,feeling dizzy after changing body position, abnormal electric activity tracing of the heart (ECG), abnormal heart rhythm, awareness of heart beating, heart rate increased or decreased Urinary incontinence, pain when passing urine, frequent passing of urine Confused, disturbance in attention, low level of consciousness, excessive sleep, nervousness, elated mood (mania), lack of energy and interest Liver enzymes increased, white blood cell count decreased, low haemoglobin or red blood cell count (anaemia), increase in eosinophils (special white blood cells ), blood creatinine phosphokinase increased, decrease in platelets (blood cells that help you stop bleeding) Muscle weakness, muscle pain, ear pain, neck pain, joint swelling, abnormal posture, joint stiffness,musculoskeletal chest pain, chest discomfort Skin lesion, skin disorder, dry skin, intense itching of skin, acne, hair loss, skin inflammation caused by mites, skin discolouration, thickening of skin, flushing, reduced skin sensitivity to pain or touch, inflammation of oily skin No menstruation, sexual dysfunction, erectile dysfunction, ejaculation disorder, breast discharge, enlargement of breast in men, decreased sexual drive, irregular menstruation, vaginal discharge Fainting, gait disturbance, sluggishness, decreased appetite resulting in malnutrition and low body weight, feeling 窶柞ut of sorts?, balance disorder, allergy, oedema, speech disorder, chills, abnormal coordination Painful oversensitivity to light, increased blood flow to the eye, eye swelling, dry eye, increase in tears Breathing passage disorder, lung congestion, crackly lung noise, congestion of breathing passages,trouble speaking, difficulty swallowing, cough with sputum, coarse/whistling sound during breathing,flu-like illness, sinus congestion Unresponsive to stimuli, loss of consciousness, sudden swelling of lips and eyes along with difficulty breathing, sudden weakness or numbness of the face, arms, or legs, especially on one side, or instances of slurred speech that last for less than 24 hours (these are called mini-strokes or strokes), involuntary movements of face, arms, or legs, ringing in ears, face oedema Inability to urinate or incomplete emptying of the bladder.
Very Rare Drug Side Effects Life threatening complications of uncontrolled diabetes.
Drug Side Effects Symptoms Abscess under the skin, tingling pricking or numbness of skin, inflammation of the skin Decrease in white blood cell counts that helps to protect you against bacterial infection Depression Convulsion Eye blinking Sensation of spinning or swaying Slow beating heart, high blood pressure Toothache, tongue spasm Buttock pain Weight decreased Severe allergic reaction resulting in difficulty in breathing and shock No granulocytes (a type of white blood cell to help you against infection) Prolonged and painful erection Dangerously excessive intake of water.
How to Store the Medicine
How to Store the Medicine Risperidone Do not store above 30ツーC. Keep out of the reach and sight of children. Do not use after the expiry date which is stated on the blister, foil, carton, or bottle. The expiry date refers to the last day of that month. Risperidone or Keep out of the reach and sight of children. Do not use after the expiry date which is stated on the blister, foil, carton, or bottle. The expiry date refers to the last day of that month. Do not store above 30ツーC. Store in the original package in order to protect from moisture. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment

TRIHEXYPHENIDYL

Information for patients
Drug Information Trihexyphenidyl Syrup belongs to a group of medicines called antimuscarinics. Trihexyphenidyl syrup is used to treat some of the symptoms of Parkinson's disease such as shakiness or stiffness of the muscles which can cause difficulty moving. Some medicines can cause side effects which are like the symptoms of Parkinson窶冱 disease and Trihexyphenidyl syrup is also used to reduce these side effects.
Drug Alert
Alert
Before Consuming the Medicine
Avoid Drug 窶「 if you are allergic to trihexyphenidyl hydrochloride or similar medicines such as orphenadrine hydrochloride or procycline hydrochloride, or if you are allergic to any of the other ingredients in Trihexyphenidyl . Do not give Trihexyphenidyl to children.
Drug Special Care 窶「 you have glaucoma (increased pressure in the eye) 窶「 you suffer from high blood pressure 窶「 you suffer from kidney, heart, liver, bowel or prostate problems 窶「 you suffer from digestive system or stomach problems 窶「 you suffer from bladder problems or have difficulty passing urine 窶「 you suffer from a condition called myasthenia gravis (a rare muscle weakness disorder) 窶「 you experience unusual movements of the face and tongue as this may be a sign of a serious condition know as tardive dyskinesia 窶「 you are elderly.
Drug Drug Interactions Tell your doctor or pharmacist if you are taking or have taken any of the following medicines as they may interfere with Trihexyphenidyl : 窶「 monoamine oxidase inhibitors (MAOIs) (used to treat depression), for example isocarboxazid or moclobemide 窶「 antihistamines (used to treat allergies) 窶「 disopyramide (used to treat irregular heart beat) 窶「 phenothiazines (used to treat psychoses), for example chlorpromazine or thioridazine 窶「 tricyclic antidepressants (used to treat depression), for example amitriptyline 窶「 antiviral agents such as amantadine (used to treat viral infections).
Drug Pregnancy Interaction Do not take Trihexyphenidyl if you are breast-feeding. Tell your doctor if you are pregnant, trying to become pregnant or are breast-feeding.
Drug Breast feeding Interaction Do not take Trihexyphenidyl if you are breast-feeding. Tell your doctor if you are pregnant, trying to become pregnant or are breast-feeding.
Drug Machinery Interaction Taking Trihexyphenidyl may make your vision blurred or make you feel less alert than usual. If you are affected you should not drive or use machines until the effect has worn off.
Drug More Information
How to take the Medicine
Consumption Info
Drug quanitty The usual dose starts with 2mg (2ml) per day. This may be increased by your doctor gradually to a maximum of 20mg (four 5ml spoonfuls) a day. Do not stop taking this medicine suddenly as your symptoms may get worse.
Drug Dose Always take Trihexyphenidyl exactly as your doctor has told you to. You should check with your doctor if you are not sure. If you want to stop taking Trihexyphenidyl ask your doctor who will tell you how to reduce the dose gradually.
Excess Drug Consumption If you accidentally take too much syrup, or someone else takes any of your medicine, you should tell your doctor at once or contact the nearest casualty department. Show any left-over medicines or the empty container to the doctor.
Forgot Drug Consumption Do not worry. If you forget to take a dose, take it as soon as possible, unless it is almost time to take the next dose (within 1-2 hours). DO NOT take a double dose. Then go on as before.
Stop Drug Consumption
Possible Side Effects
General Information
Common Drug Side Effects Like all medicines, Trihexyphenidyl can have side effects although not everyone gets them. Trihexyphenidyl sometimes causes the following side effects in some people: 窶「 dry mouth 窶「 constipation 窶「 blurred vision 窶「 agitation 窶「 confusion 窶「 hallucinations 窶「 feeling optimistic 窶「 inability to sleep or restlessness 窶「 forgetfulness. 窶「 paranoid delusions (being worried that something bad is happening without any reason).
Rare Drug Side Effects
Very Rare Drug Side Effects
Drug Side Effects Symptoms
How to Store the Medicine
How to Store the Medicine Keep Trihexyphenidyl out of the reach and sight of children. Do not use Trihexyphenidyl after the expiry date which is given on the carton and bottle label after EXP. The expiry date refers to the last day of that month. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist on how to dispose of medicines no longer required. These measures will help protect the environment.

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