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risperidone Side Effects

Also known as: Risperdal

Analysis of 129,958 adverse event reports submitted to the FDA from 2003 to 2025.

Total Reports

129,958

Death-Related

9,958

7.7% of reports

Hospitalizations

39,145

30.1% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

GYNAECOMASTIA
24,608
OFF LABEL USE
12,325
ABNORMAL WEIGHT GAIN
9,446
WEIGHT INCREASED
9,088
DRUG INEFFECTIVE
7,461
EMOTIONAL DISORDER
5,947
PRODUCT USE IN UNAPPROVED INDICATION
5,946
INJURY
4,623
DRUG INTERACTION
4,468
HYPERPROLACTINAEMIA
4,450
SOMNOLENCE
4,297
GALACTORRHOEA
3,762
OBESITY
3,686
EMOTIONAL DISTRESS
3,520
EXTRAPYRAMIDAL DISORDER
3,423
ANXIETY
3,221
CONDITION AGGRAVATED
3,048
SUICIDE ATTEMPT
3,014
FATIGUE
2,990
DIABETES MELLITUS
2,826

Who Reports Side Effects

Gender Distribution

Female 41,449 (36%)
Male 74,269 (64%)
Unknown 541

Age Distribution

0-17 14,871 (20%)
18-44 26,227 (36%)
45-64 17,690 (24%)
65-74 6,257 (9%)
75+ 8,377 (11%)

Reporting Trend by Year

2003 2025

Reactions in Death Reports

Top reactions reported in 9,958 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 2,327
COMPLETED SUICIDE 1,683
TOXICITY TO VARIOUS AGENTS 961
CARDIAC ARREST 490
CARDIO-RESPIRATORY ARREST 478
PNEUMONIA 451
OVERDOSE 404
DRUG INTERACTION 401
OFF LABEL USE 384
FALL 339
SUDDEN DEATH 320
NEUROLEPTIC MALIGNANT SYNDROME 281
HYPOTENSION 268
MYOCARDIAL INFARCTION 268
DYSPNOEA 264
GENERAL PHYSICAL HEALTH DETERIORATION 258
SOMNOLENCE 256
PULMONARY EMBOLISM 252
RENAL FAILURE 235
DRUG ABUSE 227

Reactions in Hospitalization Reports

Top reactions in 39,145 reports where hospitalization was an outcome.

Reaction Reports
DRUG INEFFECTIVE 2,673
DRUG INTERACTION 2,528
OFF LABEL USE 2,384
SOMNOLENCE 1,892
FALL 1,800
PSYCHOTIC DISORDER 1,797
HOSPITALISATION 1,630
NEUROLEPTIC MALIGNANT SYNDROME 1,562
CONFUSIONAL STATE 1,555
SUICIDE ATTEMPT 1,551
CONDITION AGGRAVATED 1,541
WEIGHT INCREASED 1,530
ANXIETY 1,481
TOXICITY TO VARIOUS AGENTS 1,463
AGGRESSION 1,430
SUICIDAL IDEATION 1,380
HYPOTENSION 1,355
EXTRAPYRAMIDAL DISORDER 1,347
OVERDOSE 1,314
PYREXIA 1,301

Nearby — Related Medications

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What the FAERS Data Reveals About risperidone Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 129,958 voluntary reports linked to risperidone and its brand equivalents (Risperdal), spanning 2003 through 2025. Of those, 9,958 (7.7%) listed death as an outcome and 39,145 (30.1%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 36% were female and 64% male; age distribution skews toward 18-44, with 26,227 reports in that bracket. The single most reported reaction is gynaecomastia with 24,608 submissions, followed by off label use and abnormal weight gain.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.