Search for drugs:

RISPERIDONE


DIR Classification


Classification:Most-DIQT concern
Severity Score:4.0

Description in Drug Labeling: View Full Labeling: SPL in DailyMed | PDF

  • OVERDOSAGE
  • Human Experience
  • Premarketing experience included eight reports of acute risperidone tablets overdosage with estimated doses ranging from 20 to 300 mg and no fatalities. In general, reported signs and symptoms were those resulting from an exaggeration of the drug's known pharmacological effects, i.e., drowsiness and sedation, tachycardia and hypotension, and extrapyramidal symptoms. One case, involving an estimated overdose of 240 mg, was associated with hyponatremia, hypokalemia, prolonged QT, and widened QRS. Another case, involving an estimated overdose of 36 mg, was associated with a seizure.
  • Postmarketing experience includes reports of acute risperidone tablets overdosage, with estimated doses of up to 360 mg. In general, the most frequently reported signs and symptoms are those resulting from an exaggeration of the drug's known pharmacological effects, i.e., drowsiness, sedation, tachycardia, hypotension, and extrapyramidal symptoms. Other adverse reactions reported since market introduction related to risperidone tablets overdose include prolonged QT interval and convulsions. Torsade de pointes has been reported in association with combined overdose of risperidone tablets and paroxetine.
  • ADVERSE REACTIONS
  • Clinical Trials Experience
  • Changes in ECG Parameters
  • Between-group comparisons for pooled placebo-controlled trials in adults revealed no statistically significant differences between risperidone and placebo in mean changes from baseline in ECG parameters, including QT, QTc, and PR intervals, and heart rate. When all risperidone tablets doses were pooled from randomized controlled trials in several indications, there was a mean increase in heart rate of 1 beat per minute compared to no change for placebo patients. In short-term schizophrenia trials, higher doses of risperidone (8-16 mg/day) were associated with a higher mean increase in heart rate compared to placebo (4-6 beats per minute). In pooled placebo-controlled acute mania trials in adults, there were small decreases in mean heart rate, similar among all treatment groups.
  • In the two placebo-controlled trials in children and adolescents with autistic disorder (aged 5 – 16 years) mean changes in heart rate were an increase of 8.4 beats per minute in the risperidone tablets groups and 6.5 beats per minute in the placebo group. There were no other notable ECG changes.
  • In a placebo-controlled acute mania trial in children and adolescents (aged 10 – 17 years), there were no significant changes in ECG parameters, other than the effect of risperidone tablets to transiently increase pulse rate (< 6 beats per minute). In two controlled schizophrenia trials in adolescents (aged 13 – 17 years), there were no clinically meaningful changes in ECG parameters including corrected QT intervals between treatment groups or within treatment groups over time.
  • [Postmarketing Experience]
  • The following adverse reactions have been identified during postapproval use of risperidone. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency establish a causal relationship to drug exposure. These adverse reactions include: alopecia, anaphylactic reaction, angioedema, atrial fibrillation, cardiopulmonary arrest, diabetic ketoacidosis in patients with impaired glucose metabolism, dysgeusia, hypoglycemia, hypothermia, ileus, inappropriate antidiuretic hormone secretion, intestinal obstruction, jaundice, mania, pancreatitis, pituitary adenoma, precocious puberty, pulmonary embolism, QT prolongation, sleep apnea syndrome, somnambulism, Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN), sudden death, thrombocytopenia, thrombotic thrombocytopenic purpura, urinary retention and water intoxication.

Postmarketing Surveillance

Contingency Table:

Current Drug
Other Drugs
QT Prolongation
361
23731
Other ADRs
168803
38212784

Odds Ratio = 3.444

Drug Property Information



ATC Code(s):
  • N05AX08 - risperidone
    • N05AX0 -
    • N05AX - Other antipsychotics
    • N05A - ANTIPSYCHOTICS
    • N05 - PSYCHOLEPTICS
    • N - NERVOUS SYSTEM
Active Ingredient:RISPERIDONE
Active Ingredient UNII:L6UH7ZF8HC
Drugbank ID:DB00734
PubChem Compound:5073
CTD ID:D018967
PharmGKB:PA451257
CAS Number:106266-06-2
Dosage Form(s):tablet
Route(s) Of Administrator:oral
Daily Dose:
  • 5.0 mg/day N05AX08
Chemical Structure:
SMILE Code:
CC1=C(CCN2CCC(CC2)C2=NOC3=C2C=CC(F)=C3)C(=O)N2CCCCC2=N1

Reference

1: Incidence of Corrected QT Prolongation With Concomitant Methadone and Atypical Antipsychotics in Critically Ill Children.

[Hughes Kaitlin M,Thorndyke Anne,Tillman Emma M]
J Pediatr Pharmacol Ther,2021;26(3):271-276. PMID: 33833629

2: Antipsychotics in routine treatment are minor contributors to QT prolongation compared to genetics and age.

[Hommers Leif,Scherf-Clavel Maike,Stempel Roberta,Roth Julian,Falter Matthias,Deckert Jürgen,Mattheisen Manuel,Unterecker Stefan,Gawlik Micha]
J Psychopharmacol,2021 Mar 28;2698811211003477. PMID: 33779379

3: Pharmacodynamic Drug-Drug interactions of QT-prolonging drugs in hospitalized psychiatric patients.

[Hefner Gudrun,Hahn Martina,Hiemke Christoph,Toto Sermin,Wolff Jan,Roll Sibylle C,Klimke Ansgar]
J Neural Transm (Vienna),2021 Feb;128(2):243-252. PMID: 33417009

4: Drug-drug interactions between COVID-19 treatments and antipsychotics drugs: integrated evidence from 4 databases and a systematic review.

[Plasencia-García Beatriz Oda,Rodríguez-Menéndez Gonzalo,Rico-Rangel María Isabel,Rubio-García Ana,Torelló-Iserte Jaime,Crespo-Facorro Benedicto]
Psychopharmacology (Berl),2021 Feb;238(2):329-340. PMID: 33410987

5: Risperidone alone did not induce torsade de pointes: Experimental evidence from the chronic atrioventricular block model dogs.

[Nunoi Yoshio,Chiba Koki,Hagiwara-Nagasawa Mihoko,Goto Ai,Kambayashi Ryuichi,Izumi-Nakaseko Hiroko,Takei Yoshinori,Matsumoto Akio,Watanabe Yoshinori,Sugiyama Atsushi]
J Pharmacol Sci,2020 Aug;143(4):330-332. PMID: 32499094

6: Improving prediction of torsadogenic risk in the CiPA in silico model by appropriately accounting for clinical exposure.

[Leishman Derek J]
J Pharmacol Toxicol Methods,Jan-Feb 2020;101:106654. PMID: 31730936

7: Coprescription of QT interval-prolonging antipsychotics with potentially interacting medications in Thailand.

[Waleekhachonloet Onanong,Limwattananon Chulaporn,Rattanachotphanit Thananan]
Ther Adv Drug Saf,2019 Jun 13;10:2042098619854886. PMID: 31223470

8: Maximizing response to first-line antipsychotics in schizophrenia: a review focused on finding from meta-analysis.

[Smith Robert C,Leucht Stefan,Davis John M]
Psychopharmacology (Berl),2019 Feb;236(2):545-559. PMID: 30506237

9: Late presentation of Torsades de Pointes related to fluoxetine following a multiple drug overdose.

[Groot Jan Albert Nicolaas,Ten Bokum Leonore,van den Oever Hubertus Laurentius Antonius]
J Intensive Care,2018 Sep 10;6:59. PMID: 30214811

10: Antipsychotics for treatment of delirium in hospitalised non-ICU patients.

[Burry Lisa,Mehta Sangeeta,Perreault Marc M,Luxenberg Jay S,Siddiqi Najma,Hutton Brian,Fergusson Dean A,Bell Chaim,Rose Louise]
Cochrane Database Syst Rev,2018 Jun 18;6(6):CD005594. PMID: 29920656

11: Effects of atypical antipsychotic drugs on QT interval in patients with mental disorders.

[Aronow Wilbert S,Shamliyan Tatyana A]
Ann Transl Med,2018 Apr;6(8):147. PMID: 29862236

12: QTc prolongation in short-term treatment of schizophrenia patients: effects of different antipsychotics and genetic factors.

[Spellmann Ilja,Reinhard Matthias A,Veverka Diana,Zill Peter,Obermeier Michael,Dehning Sandra,Schennach Rebecca,Müller Norbert,Möller Hans-Jürgen,Riedel Michael,Musil Richard]
Eur Arch Psychiatry Clin Neurosci,2018 Jun;268(4):383-390. PMID: 29429138

13: {'sub': 'max', '#text': 'Validation and Clinical Utility of the hERG IC50:C Ratio to Determine the Risk of Drug-Induced Torsades de Pointes: A Meta-Analysis.'}

[Lehmann David F,Eggleston William D,Wang Dongliang]
Pharmacotherapy,2018 Mar;38(3):341-348. PMID: 29380488

14: Two cases of life-threatening arrhythmia induced by risperidone: evaluation of risperidone and 9-hydroxy-risperidone concentrations.

[Ito Asami,Enokiya Tomoyuki,Kawamoto Eiji,Iwashita Yoshiaki,Takeda Taichi,Ikemura Kenji,Okuda Masahiro,Imai Hiroshi]
Acute Med Surg,2017 Apr 24;4(3):341-343. PMID: 29123887

15: Prevalence of QT interval prolonging drug-drug interactions (QT-DDIs) in psychiatry wards of tertiary care hospitals in Pakistan: a multicenter cross-sectional study.

[Khan Qasim,Ismail Mohammad,Haider Iqbal,Khan Fahadullah]
Int J Clin Pharm,2017 Dec;39(6):1256-1264. PMID: 28895028

16: Influence of different second generation antipsychotics on the QTc interval: A pragmatic study.

[Olsen Roy E,Kroken Rune A,Bjørhovde Sigmund,Aanesen Kristina,Jørgensen Hugo A,Løberg Else-Marie,Johnsen Erik]
World J Psychiatry,2016 Dec 22;6(4):442-448. PMID: 28078208

17: Psychosis After Switch in Opioid Maintenance Agonist and Risperidone-Induced Pisa Syndrome: Two Critical Incidents in Dual Diagnosis Treatment.

[Sutter Manuel,Walter Marc,Dürsteler Kenneth M,Strasser Johannes,Vogel Marc]
J Dual Diagn,Apr-Jun 2017;13(2):157-165. PMID: 27935442

18: Severe proarrhythmic potential of risperidone compared to quetiapine in an experimental whole-heart model of proarrhythmia.

[Frommeyer Gerrit,von der Ahe Henning,Brücher Benedict,Dechering Dirk G,Lange Philipp S,Reinke Florian,Wasmer Kristina,Köbe Julia,Pott Christian,Mönnig Gerold,Eckardt Lars]
Naunyn Schmiedebergs Arch Pharmacol,2016 Oct;389(10):1073-80. PMID: 27405774

19: In vivo analysis of torsadogenic potential of an antipsychotic drug paliperidone using the acute atrioventricular block rabbit as a proarrhythmia model.

[Hagiwara Mihoko,Kambayashi Ryuichi,Aimoto Megumi,Nagasawa Yoshinobu,Takahara Akira]
J Pharmacol Sci,2016 Sep;132(1):48-54. PMID: 27262905

20: Lurasidone: an antipsychotic with antidepressant effects in bipolar depression?

[Keks Nicholas A,Hope Judy,Castle David]
Australas Psychiatry,2016 Jun;24(3):289-91. PMID: 27036122

21: Diagnosis and Management of Delirium in Critically Ill Infants: Case Report and Review.

[Brahmbhatt Khyati,Whitgob Emily]
Pediatrics,2016 Mar;137(3):e20151940. PMID: 26908691

22: Absence of Change in Corrected QT Interval in Children and Adolescents Receiving Antipsychotic Treatment: A 12 Month Study.

[Alda José A,Muñoz-Samons Daniel,Tor Jordina,Merchán-Naranjo Jessica,Tapia-Casellas Cecilia,Baeza Inmaculada,Calvo-Escalona Rosa,Castro-Fornieles Josefina,Martínez-Cantarero Carmen,Andrés-Nestares Patricia,Fernández-Avilés Francisco,Arango Celso]
J Child Adolesc Psychopharmacol,2016 Jun;26(5):449-57. PMID: 26779966

23: The Contribution of National Spontaneous Reporting Systems to Detect Signals of Torsadogenicity: Issues Emerging from the ARITMO Project.

[Raschi Emanuel,Poluzzi Elisabetta,Salvo Francesco,Koci Ariola,Suling Marc,Antoniazzi Stefania,Perina Luisella,Hazell Lorna,Moretti Ugo,Sturkenboom Miriam,Garbe Edeltraut,Pariente Antoine,De Ponti Fabrizio]
Drug Saf,2016 Jan;39(1):59-68. PMID: 26446144

24: Antipsychotic Polypharmacy and Corrected QT Interval: A Systematic Review.

[Takeuchi Hiroyoshi,Suzuki Takefumi,Remington Gary,Uchida Hiroyuki]
Can J Psychiatry,2015 May;60(5):215-22. PMID: 26174525

25: Implications of atypical antipsychotic prescribing in the intensive care unit.

[Kram Bridgette L,Kram Shawn J,Brooks Kelli R]
J Crit Care,2015 Aug;30(4):814-8. PMID: 25887805

26: Prolonged QT Risk Assessment in Antipsychotic Overdose Using the QT Nomogram.

[Berling Ingrid,Isbister Geoffrey K]
Ann Emerg Med,2015 Aug;66(2):154-64. PMID: 25639523

27: Antipsychotics-associated serious adverse events in children: an analysis of the FAERS database.

[Kimura Goji,Kadoyama Kaori,Brown J B,Nakamura Tsutomu,Miki Ikuya,Nisiguchi Kohshi,Sakaeda Toshiyuki,Okuno Yasushi]
Int J Med Sci,2015 Jan 5;12(2):135-40. PMID: 25589889

28: Corrected QT changes during antipsychotic treatment of children and adolescents: a systematic review and meta-analysis of clinical trials.

[Jensen Karsten Gjessing,Juul Klaus,Fink-Jensen Anders,Correll Christoph U,Pagsberg Anne Katrine]
J Am Acad Child Adolesc Psychiatry,2015 Jan;54(1):25-36. PMID: 25524787

29: Blonanserin ameliorated the tendency toward QTc prolongation associated with risperidone in a patient with schizophrenia.

[Mizuki Yutaka,Takaki Manabu]
J Clin Psychopharmacol,2015 Feb;35(1):101-2. PMID: 25502488

30: Olanzapine induced Q-Tc shortening.

[Shoja Shafti Saeed,Fallah Jahromi Parisa]
Ther Adv Psychopharmacol,2014 Dec;4(6):240-6. PMID: 25489475

31: A Comparative Study between Olanzapine and Risperidone Regarding Drug-Induced Electrocardiographic Changes.

[Shoja Shafti Saeed,Fallah Jahromi Parisa]
Cardiovasc Psychiatry Neurol,2014;2014:637016. PMID: 25276418

32: Management of psychosis and agitation in medical-surgical patients who have or are at risk for prolonged QT interval.

[Ries Rose,Sayadipour Amirali]
J Psychiatr Pract,2014 Sep;20(5):338-44. PMID: 25226194

33: Aging effects on QT interval: Implications for cardiac safety of antipsychotic drugs.

[Rabkin Simon W]
J Geriatr Cardiol,2014 Mar;11(1):20-5. PMID: 24748877

34: Cardiometabolic risks of blonanserin and perospirone in the management of schizophrenia: a systematic review and meta-analysis of randomized controlled trials.

[Kishi Taro,Matsuda Yuki,Iwata Nakao]
PLoS One,2014 Feb 4;9(2):e88049. PMID: 24505373

35: A case-based approach to evaluating azithromycin use and cardiovascular risks.

[Wong Elaine,Nguyen Timothy V]
Consult Pharm,2014 Jan;29(1):47-52. PMID: 24413014

36: Changes in PR and QTc intervals after switching from olanzapine to risperidone in patients with stable schizophrenia.

[Suzuki Yutaro,Sugai Takuro,Ono Shin,Sawamura Kazushi,Fukui Naoki,Watanabe Junzo,Tsuneyama Nobuto,Saito Mami,Someya Toshiyuki]
Psychiatry Clin Neurosci,2014 May;68(5):353-6. PMID: 24405493

37: Torsadogenic risk of antipsychotics: combining adverse event reports with drug utilization data across Europe.

[Raschi Emanuel,Poluzzi Elisabetta,Godman Brian,Koci Ariola,Moretti Ugo,Kalaba Marija,Bennie Marion,Barbui Corrado,Wettermark Bjorn,Sturkenboom Miriam,De Ponti Fabrizio]
PLoS One,2013 Nov 20;8(11):e81208. PMID: 24278396

38: Quetiapine versus other atypical antipsychotics for schizophrenia.

[Asmal Laila,Flegar Srnka J,Wang Jikun,Rummel-Kluge Christine,Komossa Katja,Leucht Stefan]
Cochrane Database Syst Rev,2013 Nov 18;(11):CD006625. PMID: 24249315

39: ECG parameters in children and adolescents treated with aripiprazole and risperidone.

[Germanò Eva,Italiano Domenico,Lamberti Marco,Guerriero Laura,Privitera Carmen,D'Amico Gessica,Siracusano Rosamaria,Ingrassia Massimo,Spina Edoardo,Calabrò Maria Pia,Gagliano Antonella]
Prog Neuropsychopharmacol Biol Psychiatry,2014 Jun 3;51:23-7. PMID: 24211841

40: Safety profile of iloperidone in the treatment of schizophrenia.

[Dargani Navin V,Malhotra Anil K]
Expert Opin Drug Saf,2014 Feb;13(2):241-6. PMID: 24206391

41: Antipsychotics and the Risks of Sudden Cardiac Death and All-Cause Death: Cohort Studies in Medicaid and Dually-Eligible Medicaid-Medicare Beneficiaries of Five States.

[Leonard Charles E,Freeman Cristin P,Newcomb Craig W,Bilker Warren B,Kimmel Stephen E,Strom Brian L,Hennessy Sean]
J Clin Exp Cardiolog,2013;Suppl 10(6):1-9. PMID: 24027655

42: Risperidone, QTc interval prolongation, and torsade de pointes: a systematic review of case reports.

[Vieweg W Victor R,Hasnain Mehrul,Hancox Jules C,Baranchuk Adrian,Digby Geneviève C,Kogut Christopher,Crouse Ericka L Breden,Koneru Jayanthi N,Deshmukh Anand,Pandurangi Ananda K]
Psychopharmacology (Berl),2013 Aug;228(4):515-24. PMID: 23812796

43: Comparative efficacy and tolerability of 15 antipsychotic drugs in schizophrenia: a multiple-treatments meta-analysis.

[Leucht Stefan,Cipriani Andrea,Spineli Loukia,Mavridis Dimitris,Orey Deniz,Richter Franziska,Samara Myrto,Barbui Corrado,Engel Rolf R,Geddes John R,Kissling Werner,Stapf Marko Paul,Lässig Bettina,Salanti Georgia,Davis John M]
Lancet,2013 Sep 14;382(9896):951-62. PMID: 23810019

44: Risk of cardiovascular morbidity with risperidone or paliperidone treatment: analysis of 64 randomized, double-blind trials.

[Gopal Srihari,Hough David,Karcher Keith,Nuamah Isaac,Palumbo Joseph,Berlin Jesse A,Baseman Alan,Xu Yimei,Kent Justine]
J Clin Psychopharmacol,2013 Apr;33(2):157-61. PMID: 23422378

45: Selective acquired long QT syndrome (saLQTS) upon risperidone treatment.

[Lazarczyk Maciej Jakub,Bhuiyan Zahir A,Perrin Nicolas,Giannakopoulos Panteleimon]
BMC Psychiatry,2012 Dec 5;12:220. PMID: 23216910

46: Changes in QT interval after switching to quetiapine in Japanese patients with schizophrenia.

[Suzuki Yutaro,Sugai Takuro,Fukui Naoki,Watanabe Junzo,Ono Shin,Tsuneyama Nobuto,Saito Mami,Someya Toshiyuki]
Hum Psychopharmacol,2013 Jan;28(1):94-6. PMID: 23161621

47: Risperidone and corrected QT-interval prolongation in surface electrocardiogram.

[Ranjbar F,Akbarzadeh F,Ahmadi N M,Abbasnejhad M]
Pak J Biol Sci,2012 May 15;15(10):496-500. PMID: 24187905

48: Transmural dispersion of repolarization as a preclinical marker of drug-induced proarrhythmia.

[Said Tamer H,Wilson Lance D,Jeyaraj Darwin,Fossa Anthony A,Rosenbaum David S]
J Cardiovasc Pharmacol,2012 Aug;60(2):165-71. PMID: 22561361

49: Increased risk of antipsychotic-related QT prolongation during nighttime: a 24-hour holter electrocardiogram recording study.

[Watanabe Junzo,Suzuki Yutaro,Fukui Naoki,Ono Shin,Sugai Takuro,Tsuneyama Nobuto,Someya Toshiyuki]
J Clin Psychopharmacol,2012 Feb;32(1):18-22. PMID: 22198445

50: Lurasidone: a new treatment option for schizophrenia.

[Owen R T]
Drugs Today (Barc),2011 Nov;47(11):807-16. PMID: 22146224

51: QT prolongation of the antipsychotic risperidone is predominantly related to its 9-hydroxy metabolite paliperidone.

[Suzuki Yutaro,Fukui Naoki,Watanabe Junzo,Ono Shin,Sugai Takuro,Tsuneyama Nobuto,Saito Mami,Inoue Yoshimasa,Someya Toshiyuki]
Hum Psychopharmacol,2012 Jan;27(1):39-42. PMID: 22144033

52: Sex difference in QTc prolongation in chronic institutionalized patients with schizophrenia on long-term treatment with typical and atypical antipsychotics.

[Yang Fu De,Wang Xiang Qun,Liu Xiu Ping,Zhao Ke Xin,Fu Wei Hong,Hao Xue Ru,Zhang Xing Li,Huang Guo Shu,Qu Sheng Cai,Bai Jing Shen,Huang Xu Feng,Kosten Thomas R,Zhang Xiang Yang]
Psychopharmacology (Berl),2011 Jul;216(1):9-16. PMID: 21301815

53: Aripiprazole as a viable alternative for treating delusions of parasitosis.

[Ladizinski Barry,Busse Kristine L,Bhutani Tina,Koo John Y M]
J Drugs Dermatol,2010 Dec;9(12):1531-2. PMID: 21120263

54: Iloperidone for the treatment of schizophrenia.

[Bishop J R,Bishop D L]
Drugs Today (Barc),2010 Aug;46(8):567-79. PMID: 20830317

55: Risperidone-induced QT prolongation following overdose correlates with serum drug concentration and resolves rapidly with no evidence of altered pharmacokinetics.

[Pollak P Timothy,Verjee Zulfikaral H,Lyon Andrew W]
J Clin Pharmacol,2011 Jul;51(7):1112-5. PMID: 20663990

56: QT alterations in psychopharmacology: proven candidates and suspects.

[Alvarez Paulino Antonio,Pahissa Jaime]
Curr Drug Saf,2010 Jan;5(1):97-104. PMID: 20210726

57: Quetiapine versus other atypical antipsychotics for schizophrenia.

[Komossa Katja,Rummel-Kluge Christine,Schmid Franziska,Hunger Heike,Schwarz Sandra,Srisurapanont Manit,Kissling Werner,Leucht Stefan]
Cochrane Database Syst Rev,2010 Jan 20;(1):CD006625. PMID: 20091600

58: QTc prolongation and antipsychotic medications in a sample of 1017 patients with schizophrenia.

[Ozeki Yuji,Fujii Kumiko,Kurimoto Naoki,Yamada Naoto,Okawa Masako,Aoki Takesuke,Takahashi Jun,Ishida Nobuya,Horie Minoru,Kunugi Hiroshi]
Prog Neuropsychopharmacol Biol Psychiatry,2010 Mar 17;34(2):401-5. PMID: 20079791

59: Aripiprazole versus other atypical antipsychotics for schizophrenia.

[Komossa Katja,Rummel-Kluge Christine,Schmid Franziska,Hunger Heike,Schwarz Sandra,El-Sayeh Hany George G,Kissling Werner,Leucht Stefan]
Cochrane Database Syst Rev,2009 Oct 7;(4):CD006569. PMID: 19821375

60: Update on neuropsychiatric symptoms of dementia: antipsychotic use.

[Kalapatapu Raj K,Schimming Corbett]
Geriatrics,2009 May;64(5):10-8. PMID: 19435390

61: Sertindole versus other atypical antipsychotics for schizophrenia.

[Komossa Katja,Rummel-Kluge Christine,Hunger Heike,Schwarz Sandra,Schmidt Franziska,Lewis Ruth,Kissling Werner,Leucht Stefan]
Cochrane Database Syst Rev,2009 Apr 15;(2):CD006752. PMID: 19370652

62: QTc prolongation associated with atypical antipsychotic use in the treatment of adolescent-onset anorexia nervosa.

[Ritchie Blair,Norris Mark L]
J Can Acad Child Adolesc Psychiatry,2009 Feb;18(1):60-3. PMID: 19270852

63: [Risperidone use in child and adolescent psychiatric patients].

[Chevreuil Claire,Reymann Jean-Michel,Frémaux Tanya,Polard Elisabeth,Séveno Tanguy,Bentué-Ferrer Danièle]
Therapie,Sep-Oct 2008;63(5):359-75. PMID: 19154706

64: The role of the New Zealand Intensive Medicines Monitoring Programme in identification of previously unrecognised signals of adverse drug reactions.

[Clark David W J,Harrison-Woolrych Mira]
Curr Drug Saf,2006 May;1(2):169-78. PMID: 18690928

65: Treatment of bipolar disorder: the evolving role of atypical antipsychotics.

[Perlis Roy H]
Am J Manag Care,2007 Nov;13(7 Suppl):S178-88. PMID: 18041879

66: Torsade de pointes during combined treatment with risperidone and citalopram.

[Blaschke D,Parwani A S,Huemer M,Rolf S,Boldt L-H,Dietz R,Haverkamp W]
Pharmacopsychiatry,2007 Nov;40(6):294-5. PMID: 18030657

67: QT interval and dispersion in very young children treated with antipsychotic drugs: a retrospective chart review.

[Nahshoni Eitan,Spitzer Sara,Berant Michael,Shoval Gal,Zalsman Gil,Weizman Abraham]
J Child Adolesc Psychopharmacol,2007 Apr;17(2):187-94. PMID: 17489713

68: Sertindole: new drug. Another "atypical" neuroleptic; QT prolongation.


Prescrire Int,2007 Apr;16(88):59-62. PMID: 17458045

69: Sertindole: efficacy and safety in schizophrenia.

[Lindström Eva,Levander Sten]
Expert Opin Pharmacother,2006 Sep;7(13):1825-34. PMID: 16925508

70: [Differences between men and women in side effects of second-generation antipsychotics].

[Aichhorn W,Whitworth A B,Weiss E M,Hinterhuber H,Marksteiner J]
Nervenarzt,2007 Jan;78(1):45-52. PMID: 16874502

71: Use of arterially perfused rabbit ventricular wedge in predicting arrhythmogenic potentials of drugs.

[Chen Xian,Cordes Jason S,Bradley Jenifer A,Sun Zhuoqian,Zhou Jun]
J Pharmacol Toxicol Methods,Nov-Dec 2006;54(3):261-72. PMID: 16564186

72: A double-blind, controlled study of sertindole versus risperidone in the treatment of moderate-to-severe schizophrenia.

[Azorin Jean-Michel,Strub Nathalie,Loft Henrik]
Int Clin Psychopharmacol,2006 Jan;21(1):49-56. PMID: 16317317

73: Aripiprazole: new drug. Just another neuroleptic.


Prescrire Int,2005 Oct;14(79):163-7. PMID: 16285069

74: Antipsychotic drugs and QT prolongation.

[Stöllberger Claudia,Huber Johannes O,Finsterer Josef]
Int Clin Psychopharmacol,2005 Sep;20(5):243-51. PMID: 16096514

75: QT interval prolongation related to psychoactive drug treatment: a comparison of monotherapy versus polytherapy.

[Sala Michela,Vicentini Alessandro,Brambilla Paolo,Montomoli Cristina,Jogia Jigar Rs,Caverzasi Eduardo,Bonzano Alberto,Piccinelli Marco,Barale Francesco,De Ferrari Gaetano M]
Ann Gen Psychiatry,2005 Jan 25;4(1):1. PMID: 15845138

76: Risperidone reduces K+ currents in human atrial myocytes and prolongs repolarization in human myocardium.

[Gluais Pascale,Bastide Michèle,Grandmougin Daniel,Fayad Georges,Adamantidis Monique]
Eur J Pharmacol,2004 Aug 23;497(2):215-22. PMID: 15306207

77: Determination of myocardium to plasma concentration ratios of five antipsychotic drugs: comparison with their ability to induce arrhythmia and sudden death in clinical practice.

[Titier Karine,Canal Mireille,Déridet Evelyne,Abouelfath Abdelilah,Gromb Sophie,Molimard Mathieu,Moore Nicholas]
Toxicol Appl Pharmacol,2004 Aug 15;199(1):52-60. PMID: 15289090

78: Using antipsychotic agents in older patients.

[Alexopoulos George S,Streim Joel,Carpenter Daniel,Docherty John P,Expert Consensus Panel for Using Antipsychotic Drugs in Older Patients]
J Clin Psychiatry,2004;65 Suppl 2:5-99; discussion 100-102; quiz 103-4. PMID: 14994733

79: Differential effect of HERG blocking agents on cardiac electrical alternans in the guinea pig.

[Fossa Anthony A,Wisialowski Todd,Wolfgang Eric,Wang Ellen,Avery Michael,Raunig David L,Fermini Bernard]
Eur J Pharmacol,2004 Feb 20;486(2):209-21. PMID: 14975710

80: A randomized evaluation of the effects of six antipsychotic agents on QTc, in the absence and presence of metabolic inhibition.

[Harrigan Edmund P,Miceli Jeffrey J,Anziano Richard,Watsky Eric,Reeves Karen R,Cutler Neal R,Sramek John,Shiovitz Thomas,Middle Michelle]
J Clin Psychopharmacol,2004 Feb;24(1):62-9. PMID: 14709949

81: QTc prolongation: possible association with risperidone and/or haloperidol.

[Nandagopal Jayasree J,Craig Jeffrey M,Lippmann Steven]
Psychosomatics,Nov-Dec 2003;44(6):521. PMID: 14597690

82: Risperidone prolongs cardiac repolarization by blocking the rapid component of the delayed rectifier potassium current.

[Drolet Benoit,Yang Tao,Daleau Pascal,Roden Dan M,Turgeon Jacques]
J Cardiovasc Pharmacol,2003 Jun;41(6):934-7. PMID: 12775973

83: Ziprasidone in the management of schizophrenia : the QT interval issue in context.

[Taylor David]
CNS Drugs,2003;17(6):423-30. PMID: 12697001

84: Investigation of the potential of clozapine to cause torsade de pointes.

[Warner Barbara,Hoffmann Peter]
Adverse Drug React Toxicol Rev,2002;21(4):189-203. PMID: 12503253

85: Aripiprazole.

[McGavin Jane K,Goa Karen L]
CNS Drugs,2002;16(11):779-86; discussion 787-8. PMID: 12383035

86: Electrophysiological effects of risperidone in mammalian cardiac cells.

[Magyar János,Bányász Tamás,Bagi Zsolt,Pacher Pál,Szentandrássy Norbert,Fülöp László,Kecskeméti Valéria,Nánási Péter P]
Naunyn Schmiedebergs Arch Pharmacol,2002 Oct;366(4):350-6. PMID: 12237749

87: A comparison of the receptor binding and HERG channel affinities for a series of antipsychotic drugs.

[Kongsamut Sathapana,Kang Jiesheng,Chen Xiao-Liang,Roehr Joachim,Rampe David]
Eur J Pharmacol,2002 Aug 16;450(1):37-41. PMID: 12176106

88: Risperidone prolongs cardiac action potential through reduction of K+ currents in rabbit myocytes.

[Gluais Pascale,Bastide Michèle,Caron Jacques,Adamantidis Monique]
Eur J Pharmacol,2002 May 31;444(3):123-32. PMID: 12063072

89: In vivo and in vitro myocardial binding of risperidone and 9-hydroxyrisperidone.

[Titier Karine,Déridet Evelyne,Moore Nicholas]
Toxicol Appl Pharmacol,2002 Apr 15;180(2):145-9. PMID: 11969382

90: Ziprasidone: profile on safety.

[Goodnick P J]
Expert Opin Pharmacother,2001 Oct;2(10):1655-62. PMID: 11825308

91: Tolerability profile of atypical antipsychotics in children and adolescents.

[Stigler K A,Potenza M N,McDougle C J]
Paediatr Drugs,2001;3(12):927-42. PMID: 11772153

92: Antipsychotic drugs: prolonged QTc interval, torsade de pointes, and sudden death.

[Glassman A H,Bigger J T]
Am J Psychiatry,2001 Nov;158(11):1774-82. PMID: 11691681

93: Olanzapine: new preparation. Keep an eye on this neuroleptic.


Prescrire Int,1999 Oct;8(43):135-8. PMID: 11503836

94: Sudden cardiac death with clozapine and sertraline combination.

[Hoehns J D,Fouts M M,Kelly M W,Tu K B]
Ann Pharmacother,Jul-Aug 2001;35(7-8):862-6. PMID: 11485134

95: Asymptomatic QTc prolongation associated with quetiapine fumarate overdose in a patient being treated with risperidone.

[Beelen A P,Yeo K T,Lewis L D]
Hum Exp Toxicol,2001 Apr;20(4):215-9. PMID: 11393275

96: Analysis of the QTc interval during olanzapine treatment of patients with schizophrenia and related psychosis.

[Czekalla J,Beasley C M,Dellva M A,Berg P H,Grundy S]
J Clin Psychiatry,2001 Mar;62(3):191-8. PMID: 11305706

97: Olanzapine. Keep an eye on this neuroleptic.


Can Fam Physician,2000 Feb;46:322-6, 330-6. PMID: 10690489

98: The metabolism of atypical antipsychotic drugs: an update.

[Shen W W]
Ann Clin Psychiatry,1999 Sep;11(3):145-58. PMID: 10482125

99: The use of atypical antipsychotics in the management of schizophrenia.

[Campbell M,Young P I,Bateman D N,Smith J M,Thomas S H]
Br J Clin Pharmacol,1999 Jan;47(1):13-22. PMID: 10073734

100: The pre-clinical assessment of QT interval prolongation: a comparison of in vitro and in vivo methods.

[Davis A S]
Hum Exp Toxicol,1998 Dec;17(12):677-80. PMID: 9988372

101: Prolongation of QT interval in isolated feline hearts by antipsychotic drugs.

[Drici M D,Wang W X,Liu X K,Woosley R L,Flockhart D A]
J Clin Psychopharmacol,1998 Dec;18(6):477-81. PMID: 9864081

102: [Acute poisoning by new psychotropic drugs].

[Harry P]
Rev Prat,1997 Apr 1;47(7):731-5. PMID: 9183949

Disclaimer:

The content of this database of QT prolongation is intended for educational and scientific research purposes only. It is not intended as a substitute for professional medical advice, diagnosis or treatment.

Any mention of commercial products is for clarification and not intended as endorsement.