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What the FDA labels say about taking them together

Milsaperidone and risperidone

Milsaperidone's FDA label of February 27, 2026 names risperidone in its warnings and precautions section; the risperidone labels PlainMeds reads (4) do not name milsaperidone.

Check it at the source: the milsaperidone FDA label on DailyMed (effective February 27, 2026, Vanda Pharmaceuticals Inc.); the risperidone FDA label on DailyMed (effective May 28, 2026, Janssen Pharmaceuticals, Inc.).

What does the milsaperidone label say about risperidone?

Milsaperidone label, warnings and precautions

Patients with Dementia-Related Psychosis In placebo-controlled trials in elderly patients with dementia-related psychosis treated with risperidone, aripiprazole, or olanzapine had a higher incidence of stroke and transient ischemic attack, including fatal stroke compared to those treated with placebo.

Source: FDA drug label (BYSANTI), Vanda Pharmaceuticals Inc., effective February 27, 2026 (SPL set 254a1c01-4a4c-4bdd-85d6-1f23f2e4e6f8), via openFDA; the full label on DailyMed

What does the risperidone label say about milsaperidone?

Risperidone's label (effective May 28, 2026) and its 3 other brand-application labels do not name milsaperidone in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (RISPERDAL), Janssen Pharmaceuticals, Inc., effective May 28, 2026 (SPL set 7e117c7e-02fc-4343-92a1-230061dfc5e0), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

0Milsaperidone generic labelers
37Risperidone generic labelers
MilsaperidoneRisperidone
Labeled forSchizophrenia, Bipolar disorderBipolar disorder, Schizophrenia
Boxed warningYesYes
Pharmacy cost (NADAC)n/a$0.0368 per tablet 0.25 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?