Lithium and Risperidone Interaction

Drug interaction information between Lithium and Risperidone.

Lithium and Risperidone have a documented major interaction in FDA labeling.

FDA drug labeling documents a major-severity interaction between Lithium and Risperidone. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Lithium

Mood Stabilizer

Drug B

Risperidone

Atypical Antipsychotic

How They Interact

Taking risperidone does not change the amount of lithium that stays in your bloodstream or how your body handles it.

FDA Label Information

Do not exceed twice the patient’s usual dose Enzyme (CYP3A) inhibitors Ranitidine 150 mg twice daily 1 mg single dose 1.2 1.4 Dose adjustment not needed Cimetidine 400 mg twice daily 1 mg single dose 1.1 1.3 Dose adjustment not needed Erythromycin 500 mg four times daily 1 mg single dose 1.1 0.94 Dose adjustment not needed Other Drugs Amitriptyline 50 mg twice daily 3 mg twice daily 1.2 1.1 Dose adjustment not Needed *Change relative to reference Effect of Risperidone on other drugs Lithium Repeated oral doses of risperidone tablets (3 mg twice daily) did not affect the exposure (AUC) or...

Frequently Asked Questions

What SPL severity band is on file for Lithium + Risperidone?

Compiled FDA labeling labels this pair major. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Lithium has 90 labeled pairs on file vs Risperidone's 20. In the major band specifically: Lithium has 2 (also Amlodipine/Benazepril); Risperidone has 6 (also Amitriptyline, Carbamazepine, Erythromycin, Ranitidine).

What mechanism field is on file for Lithium and Risperidone?

Taking risperidone does not change the amount of lithium that stays in your bloodstream or how your body handles it.

Risperidone carries more major-labeled pairs than Lithium

SPL source-record counts only. This page's band is major · classes on file: Lithium (Mood Stabilizer); Risperidone (Atypical Antipsychotic).

Risperidone has 6 major-labeled pairs vs Lithium's 2.

Lithium

2 major · 23 moderate · 65 minor · 90 total

Risperidone

6 major · 5 moderate · 9 minor · 20 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.