Reported Reactions

Drugs › Atypical antipsychotic

Generic name

Risperdal: adverse event reports filed with FDA

54,454 reports list it as a suspect or interacting product, 2004–2026. Class: Atypical antipsychotic. Also reported as Risperdal Oral.

54,454
reports as suspect product
0.3% of all reports · about 2,421 a year
882
reports, 12 months to June 2026
1,523 in the 12 months before
48.4%
marked serious by the reporter
70.7% across the class
4.3%
record death among outcomes, as reported
2,353 reports · not verified by FDA

Between January 2004 and June 2026, 54,454 adverse event reports received by FDA list risperdal, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (14,466) are left out of every figure here.

In the 12 months to June 2026, 882 reports listed it, down 42% from 1,523 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 2,421 reports a year and 0.3% of the 20,646,523 reports in the database, and 8% of the reports for the atypical antipsychotic class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are gynaecomastia (43.3%), abnormal weight gain (16.9%) and off label use (15.6%). A report can list several reactions, so shares add to more than 100%; 1,915 different terms appear across these reports. Gynaecomastia is recorded in 43.3% of these reports, a larger share than in the median atypical antipsychotic drug (0.3%).

48.4% of the reports are marked serious by the reporter (70.7% across the class); 4.3% record death among the outcomes and 17.3% record hospitalisation, as reported. 55.8% of the reports came from consumers, and the largest patient age group is 18 to 44 (14.3%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0153305Jul 2021: 134Aug 2021: 47Sep 2021: 39Oct 2021: 33Nov 2021: 65Dec 2021: 1102022Jan 2022: 147Feb 2022: 93Mar 2022: 196Apr 2022: 78May 2022: 113Jun 2022: 114Jul 2022: 108Aug 2022: 184Sep 2022: 123Oct 2022: 72Nov 2022: 127Dec 2022: 972023Jan 2023: 83Feb 2023: 122Mar 2023: 97Apr 2023: 113May 2023: 109Jun 2023: 111Jul 2023: 126Aug 2023: 130Sep 2023: 131Oct 2023: 127Nov 2023: 121Dec 2023: 1022024Jan 2024: 135Feb 2024: 111Mar 2024: 121Apr 2024: 160May 2024: 117Jun 2024: 88Jul 2024: 115Aug 2024: 95Sep 2024: 98Oct 2024: 153Nov 2024: 161Dec 2024: 3052025Jan 2025: 110Feb 2025: 122Mar 2025: 88Apr 2025: 85May 2025: 103Jun 2025: 88Jul 2025: 83Aug 2025: 87Sep 2025: 92Oct 2025: 120Nov 2025: 50Dec 2025: 922026Jan 2026: 59Feb 2026: 103Mar 2026: 57Apr 2026: 33May 2026: 41Jun 2026: 65

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

05,16510,3302004: 96520042005: 8212006: 1,2012007: 86620072008: 1,1352009: 1,2302010: 1,20720102011: 1,0982012: 1,1262013: 1,00920132014: 1,8782015: 9,0632016: 10,33020162017: 8,6712018: 2,0322019: 3,01620192020: 1,8562021: 9882022: 1,45220222023: 1,3722024: 1,6592025: 1,12020252026: 358

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Risperdal reports recording the termmedian drug in atypical antipsychotic

  1. Gynaecomastiabreast enlargement in men43.3%23,582
  2. Off label useused for a purpose or in a way not on the label15.6%8,485
  3. Weight increasedweight gain10.5%5,710
  4. Product use in unapproved indicationused for a purpose not on the label8.4%4,591
  5. Injurya physical injury8%4,380
  6. Galactorrhoea6.1%3,315
  7. Emotional distressemotional distress5.4%2,916
  8. Obesity5.2%2,856
  9. Product use issuea problem in how the product was used4%2,175
  10. Drug ineffectivethe medicine did not work as expected3.7%1,988
  11. Somnolencedrowsiness3.3%1,778
  12. Extrapyramidal disordermovement problems such as stiffness or tremor3%1,615
  13. Treatment noncompliancethe treatment was not taken as directed2.4%1,300
  14. Adverse eventan unwanted medical event, type not specified2.1%1,129
  15. Drug interactionan interaction between medicines2%1,080
  16. Suicide attempta suicide attempt1.8%991
  17. Blood prolactin increased1.7%930
  18. Fatiguetiredness1.6%878
  19. Sedationdrowsiness from a medicine1.6%853
  20. Insomniadifficulty sleeping1.5%798
  21. Depressionlow mood1.5%792
  22. Diabetes mellitusdiabetes1.5%791
  23. Intentional overdosea deliberate overdose1.4%773
  24. Falla fall1.4%754
  25. Tardive dyskinesiainvoluntary repetitive movements1.3%728
  26. Anxietyanxiety1.3%717
  27. Suicidal ideationthoughts of suicide1.3%714

Top 30 of 1,915 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 37 drugs in the atypical antipsychotic class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death4.3%2,353
Life-threatening2.8%1,506
Hospitalisation (initial or prolonged)17.3%9,415
Disability1.5%797
Congenital anomaly0.3%163
Other serious32.2%17,530
Not serious51.6%28,105

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 683,680 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.3%145
2 to 116.9%3,748
12 to 176.4%3,473
18 to 4414.3%7,813
45 to 646.8%3,715
65 to 742.3%1,245
75 and over4.6%2,493
Age not given58.4%31,822

Patient sex

Female18.7%10,195
Male71.9%39,174
Not given9.3%5,085

Who reported

Physician14.9%8,114
Pharmacist4.3%2,343
Other health professional14.3%7,813
Lawyer9%4,900
Consumer or non-health professional55.8%30,374
Not given1.7%910

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 69.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Schizophrenia4,9699.1%
Bipolar disorder3,5796.6%
Attention deficit/hyperactivity disorder3,3546.2%
Psychotic disorder1,7403.2%
Depression1,4282.6%
Attention deficit hyperactivity disorder1,1132%

The indication field is filled in by the reporter and is often blank; shares are of all 54,454 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Risperdal reports
Risperidone10,07818.5%
Invega8,64215.9%
Risperdal Consta2,4134.4%
Seroquel2,0573.8%
Abilify1,8043.3%
Zyprexa1,4652.7%
Invega Sustenna1,2602.3%
Haldol9801.8%
Depakote9651.8%
Olanzapine9431.7%

Other products listed in reports where Risperdal is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureRisperdalAtypical antipsychoticAll reports
Reports as suspect product54,454683,68020,646,523
Share of that pool—8%0.3%
Reports, latest 12 months882—1,332,454
Marked serious48.4%70.7%57.4%
Death recorded among outcomes, per 1,000 reports4312191
Hospitalisation recorded, per 1,000 reports173304213
Consumer-filed share55.8%34%45.8%
Top term, share of reportsGynaecomastia 43.3%median 0.3%0.1%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the atypical antipsychotic class

DrugName typeReportsLatest 12 monthsMarked serious
Clozapinegeneric73,0233,25293.4%
Abilifybrand54,64562558%
Nuplazidbrand53,7539,60250.6%
Quetiapinegeneric52,3884,19097.6%
Seroquelbrand52,27226562.9%
Clozarilbrand47,9143,08898.4%
Olanzapinegeneric46,8374,08795.3%
Risperidonegeneric44,9622,51176.9%
Aripiprazolegeneric30,1453,10287.8%
Zyprexabrand26,46912178.4%
Invega Sustennabrand23,6481,51335.8%
Quetiapine fumarategeneric19,5681,69790.7%
Invegabrand16,67223835.5%
Latudabrand16,08518340.7%
Rexultibrand12,68363032.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Risperdal reports

How many adverse event reports has FDA received for Risperdal?

54,454 reports list Risperdal as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 882 of them arrived in the latest 12 months. Another 14,466 list it only as a concomitant medication.

What reactions are recorded in Risperdal reports?

gynaecomastia (43.3%), abnormal weight gain (16.9%), off label use (15.6%), weight increased (10.5%) and emotional disorder (10.1%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Risperdal was responsible.

How serious are the reports?

48.4% are marked serious by the reporter. Among the outcomes recorded, 4.3% of reports include death and 17.3% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (55.8%), physician (14.9%) and other health professional (14.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Risperdal rising?

882 reports in the 12 months to June 2026, down 42% from 1,523 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Risperdal was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Risperdal?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Risperdal as a suspect or interacting product; reports listing it only as a concomitant medication (14,466) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.