This combination is generally safe and commonly prescribed. It includes risperidone (to manage hyperactivity and behavioral symptoms) alongside supportive nutritional supplements: vitamin B12 with zinc, vitamin B6, and omega-3 fatty acids. There are no known harmful interactions between these supplements and risperidone. Because your child is in nursery school, close and regular monitoring by your pediatrician or child psychiatrist is essential. This ensures the treatment remains highly effective, allows for monitoring of any mild side effects like drowsiness, and helps adjust doses as your child grows. Please continue the regimen as prescribed and consult your doctor before making any changes.