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Common known side effects

Along with its needed effects, risperidone can sometimes cause serious side effects. Tardive dyskinesia (a movement disorder) may occur and may not go away after you stop using the medicine. Signs of tardive dyskinesia include fine, worm-like movements of the tongue, or other uncontrolled movements of the mouth, tongue, cheeks, jaw, or arms and legs. Other serious but rare side effects may also occur. These include neuroleptic malignant syndrome (NMS), which may cause severe muscle stiffness, fever, severe tiredness or weakness, fast heartbeat, difficult breathing, increased sweating, loss of bladder control, or seizures. You and your doctor should discuss the good this medicine will do as well as the risks of taking it.

Stop taking this medicine and get emergency help immediately if any of the following effects occur:

Rare
- Convulsions (seizures)- difficult or fast breathing- fast heartbeat or irregular pulse- fever (high)- high or low blood pressure- increased sweating- loss of bladder control- muscle stiffness (severe)- unusual tiredness or weakness (severe)- unusually pale skin

Check with your doctor immediately if any of the following side effects occur:

More common
- Difficulty in speaking or swallowing- inability to move eyes- muscle spasms of face, neck, and back- twisting movements of body
Less common
- Speech or vision problems- sudden weakness or numbness in the face, arms or legs
Rare
- High body temperature (dizziness; fast, shallow breathing; fast, weak heartbeat; headache; muscle cramps; pale, clammy skin; increased thirst)- lip smacking or puckering- low body temperature (confusion, drowsiness, poor coordination, shivering)- prolonged, painful, inappropriate erection of the penis- puffing of cheeks- rapid or worm-like movements of tongue- uncontrolled chewing movements- uncontrolled movements of arms and legs

Check with your doctor as soon as possible if any of the following side effects occur:

More common
- Anxiety or nervousness- changes in vision, including blurred vision- decreased sexual desire or performance- loss of balance control- mask-like face- menstrual changes- mood or mental changes, including aggressive behavior, agitation, difficulty in concentration, and memory problems- problems in urination or increase in amount of urine- restlessness or need to keep moving (severe)- shuffling walk- skin rash or itching- stiffness or weakness of arms or legs- tic-like or twitching movements- trembling and shaking of fingers and hands- trouble in sleeping
Less common
- Back pain- chest pain- unusual secretion of milk
Rare
- Extreme thirst- increased blinking or spasms of eyelid- loss of appetite- talking, feeling, and acting with excitement and activity that cannot be controlled- uncontrolled twisting movements of neck, trunk, arms, or legs- unusual bleeding or bruising- unusual facial expressions or body positions

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common
- Constipation- coughing- diarrhea- drowsiness- dryness of mouth- headache- heartburn- increased dream activity- increased length of sleep- nausea- sleepiness or unusual drowsiness- sore throat- stuffy or runny nose- unusual tiredness or weakness- weight gain
Less common
- Back pain- body aches or pain- chills- dandruff- darkening of skin color- dry skin- ear congestion- fever- increase in body movements- increased sensitivity of the skin to sun- increased watering of mouth- joint pain- loss of voice- nasal congestion- oily skin- pain or tenderness around eyes and cheekbones- shortness of breath or troubled breathing- sneezing- stomach pain- tightness of chest or wheezing- toothache - vomiting- weight loss

Some side effects, such as uncontrolled movements of the mouth, tongue, and jaw, or uncontrolled movements of arms and legs, may occur after you have stopped taking this medicine. If you notice any of these effects, check with your doctor as soon as possible.

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


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