Reported Reactions

Drugs › Atypical antipsychotic

Generic name

Risperidone: adverse event reports filed with FDA

44,962 reports list it as a suspect or interacting product, 2004–2026. Class: Atypical antipsychotic. Also reported as Risperidone Tablets Usp, Risperidone Tablets, Risperidone 1mg.

44,962
reports as suspect product
0.2% of all reports · about 1,999 a year
2,511
reports, 12 months to June 2026
2,411 in the 12 months before
76.9%
marked serious by the reporter
70.7% across the class
9.1%
record death among outcomes, as reported
4,079 reports · not verified by FDA

Between January 2004 and June 2026, 44,962 adverse event reports received by FDA list risperidone, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (17,850) are left out of every figure here.

In the 12 months to June 2026, 2,511 reports listed it, close to the 2,411 of 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 1,999 reports a year and 0.2% of the 20,646,523 reports in the database, and 6.6% 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 MedDRA terms listed most often are gynaecomastia (20.7%), off label use (10.1%) and drug ineffective (9.3%). A report can list several reactions, so shares add to more than 100%; 2,507 different terms appear across these reports. Gynaecomastia is recorded in 20.7% of these reports, a larger share than in the median atypical antipsychotic drug (0.3%).

76.9% of the reports are marked serious by the reporter (70.7% across the class); 9.1% record death among the outcomes and 35.2% record hospitalisation, as reported. 32.6% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (25.8%). 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

0142284Jul 2021: 235Aug 2021: 160Sep 2021: 220Oct 2021: 180Nov 2021: 188Dec 2021: 2372022Jan 2022: 235Feb 2022: 166Mar 2022: 259Apr 2022: 136May 2022: 142Jun 2022: 218Jul 2022: 239Aug 2022: 231Sep 2022: 284Oct 2022: 161Nov 2022: 226Dec 2022: 2452023Jan 2023: 227Feb 2023: 232Mar 2023: 159Apr 2023: 154May 2023: 173Jun 2023: 225Jul 2023: 252Aug 2023: 197Sep 2023: 203Oct 2023: 263Nov 2023: 239Dec 2023: 1392024Jan 2024: 194Feb 2024: 211Mar 2024: 212Apr 2024: 271May 2024: 234Jun 2024: 175Jul 2024: 209Aug 2024: 209Sep 2024: 180Oct 2024: 228Nov 2024: 169Dec 2024: 1802025Jan 2025: 183Feb 2025: 237Mar 2025: 181Apr 2025: 248May 2025: 176Jun 2025: 211Jul 2025: 258Aug 2025: 216Sep 2025: 188Oct 2025: 183Nov 2025: 180Dec 2025: 2392026Jan 2026: 198Feb 2026: 176Mar 2026: 225Apr 2026: 229May 2026: 192Jun 2026: 227

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

02,8515,7022004: 13320042005: 1762006: 1762007: 24120072008: 4202009: 7692010: 75420102011: 1,0462012: 1,3682013: 1,10920132014: 1,4422015: 4,1612016: 4,06320162017: 5,7022018: 3,3342019: 3,49520192020: 2,8732021: 2,4752022: 2,54220222023: 2,4632024: 2,4722025: 2,50020252026: 1,247

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Risperidone reports recording the termmedian drug in atypical antipsychotic

  1. Gynaecomastiabreast enlargement in men20.7%9,321
  2. Off label useused for a purpose or in a way not on the label10.1%4,541
  3. Drug ineffectivethe medicine did not work as expected9.3%4,179
  4. Weight increasedweight gain8.4%3,762
  5. Drug interactionan interaction between medicines5.9%2,646
  6. Product use in unapproved indicationused for a purpose not on the label5.8%2,624
  7. Extrapyramidal disordermovement problems such as stiffness or tremor4.4%1,969
  8. Condition aggravatedthe condition being treated got worse4%1,800
  9. Emotional distressemotional distress4%1,781
  10. Toxicity to various agentspoisoning or toxic effect of one or more substances3.9%1,753
  11. Somnolencedrowsiness3.9%1,748
  12. Suicide attempta suicide attempt3.4%1,540
  13. Sedationdrowsiness from a medicine3.4%1,511
  14. Obesity3.3%1,502
  15. Neuroleptic malignant syndromea rare severe reaction with fever and rigidity3.2%1,438
  16. Psychotic disordera loss of contact with reality2.8%1,268
  17. Completed suicidedeath by suicide2.8%1,266
  18. Schizophreniaschizophrenia2.8%1,240
  19. Galactorrhoea2.7%1,230
  20. Dystoniainvoluntary muscle contractions2.7%1,199
  21. Treatment noncompliancethe treatment was not taken as directed2.7%1,194
  22. Tremorshaking2.5%1,130
  23. Anxietyanxiety2.5%1,109
  24. Dyskinesiainvoluntary movements2.4%1,095
  25. Suicidal ideationthoughts of suicide2.3%1,050
  26. Aggressionaggressive behaviour2.2%1,005
  27. Confusional stateconfusion2.2%991

Top 30 of 2,507 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

Death9.1%4,079
Life-threatening5.8%2,616
Hospitalisation (initial or prolonged)35.2%15,814
Disability2.8%1,263
Congenital anomaly0.5%240
Other serious51.3%23,072
Not serious23.1%10,368

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 20.4%173
2 to 115.8%2,617
12 to 178%3,593
18 to 4425.8%11,607
45 to 6414.8%6,654
65 to 745.5%2,483
75 and over6.6%2,968
Age not given33.1%14,867

Patient sex

Female30.9%13,891
Male57.7%25,926
Not given11.4%5,145

Who reported

Physician25%11,220
Pharmacist7.6%3,414
Other health professional32.6%14,675
Lawyer4%1,795
Consumer or non-health professional28.1%12,617
Not given2.8%1,241

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 45.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Schizophrenia5,38312%
Psychotic disorder2,5045.6%
Bipolar disorder1,4733.3%
Depression9032%
Schizoaffective disorder7271.6%
Autism spectrum disorder5591.2%

The indication field is filled in by the reporter and is often blank; shares are of all 44,962 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Risperidone reports
Risperdal10,36923.1%
Olanzapine5,81612.9%
Quetiapine4,1979.3%
Aripiprazole3,6958.2%
Lorazepam2,9806.6%
Haloperidol2,9466.6%
Clozapine2,8216.3%
Clonazepam2,2805.1%
Sertraline2,1384.8%
Diazepam2,0124.5%

Other products listed in reports where Risperidone 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

MeasureRisperidoneAtypical antipsychoticAll reports
Reports as suspect product44,962683,68020,646,523
Share of that pool—6.6%0.2%
Reports, latest 12 months2,511—1,332,454
Marked serious76.9%70.7%57.4%
Death recorded among outcomes, per 1,000 reports9112191
Hospitalisation recorded, per 1,000 reports352304213
Consumer-filed share28.1%34%45.8%
Top term, share of reportsGynaecomastia 20.7%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%
Risperdalgeneric54,45488248.4%
Nuplazidbrand53,7539,60250.6%
Quetiapinegeneric52,3884,19097.6%
Seroquelbrand52,27226562.9%
Clozarilbrand47,9143,08898.4%
Olanzapinegeneric46,8374,08795.3%
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 Risperidone reports

How many adverse event reports has FDA received for Risperidone?

44,962 reports list Risperidone as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 2,511 of them arrived in the latest 12 months. Another 17,850 list it only as a concomitant medication.

What reactions are recorded in Risperidone reports?

gynaecomastia (20.7%), off label use (10.1%), drug ineffective (9.3%), weight increased (8.4%) and abnormal weight gain (6.3%). 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 Risperidone was responsible.

How serious are the reports?

76.9% are marked serious by the reporter. Among the outcomes recorded, 9.1% of reports include death and 35.2% 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?

other health professional (32.6%), consumer or non-health professional (28.1%) and physician (25%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Risperidone rising?

2,511 reports in the 12 months to June 2026, close to the 2,411 of 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 Risperidone 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 Risperidone?

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 Risperidone as a suspect or interacting product; reports listing it only as a concomitant medication (17,850) 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.