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Details

Stereochemistry ACHIRAL
Molecular Formula C23H27FN4O2.C6H12O2
Molecular Weight 526.6428
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of RISPERIDONE HEXANOATE

SMILES

CCCCCC(O)=O.CC1=C(CCN2CCC(CC2)C3=NOC4=C3C=CC(F)=C4)C(=O)N5CCCCC5=N1

InChI

InChIKey=KBFKXAXGRPWQON-UHFFFAOYSA-N
InChI=1S/C23H27FN4O2.C6H12O2/c1-15-18(23(29)28-10-3-2-4-21(28)25-15)9-13-27-11-7-16(8-12-27)22-19-6-5-17(24)14-20(19)30-26-22;1-2-3-4-5-6(7)8/h5-6,14,16H,2-4,7-13H2,1H3;2-5H2,1H3,(H,7,8)

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including: https://www.drugs.com/risperidone.html http://www.wikidoc.org/index.php/Risperidone_(oral) http://www.rxlist.com/risperdal-drug.htm

Risperidone, a benzisoxazole derivative, is an atypical antipsychotic drug with high affinity for 5-hydrotryptamine (5-HT) and dopamine D2 receptors. It is FDA approved for the treatment of schizophrenia, bipolar mania, irritability associated with autistic disorder. Carbamazepine and other enzyme inducers decrease plasma concentrations of risperidone. Vice versa, Fluoxetine, paroxetine, and other CYP 2D6 enzyme inhibitors increase plasma concentrations of risperidone. Common adverse reactions include increased mortality in elderly patients with dementia-related psychosis, cerebrovascular adverse events, including stroke, in elderly patients with dementia-related psychosis, neuroleptic malignant syndrome, tardive dyskinesia , metabolic Changes (hyperglycemia and diabetes mellitus, dyslipidemia, weight gain), hyperprolactinemia, orthostatic hypotension, leukopenia, neutropenia, agranulocytosis, potential for cognitive and motor impairment, seizures, dysphagia, priapism, disruption of body temperature regulation.

Originator

Curator's Comment: # Janssen Pharmaceutica N.V.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
RISPERDAL

Approved Use

INDICATIONS & USAGE Risperidone tablets are indicated for the acute and maintenance treatment of schizophrenia [see Clinical Studies (14.1)

Launch Date

1993
Primary
RISPERDAL

Approved Use

INDICATIONS & USAGE Risperidone tablets are indicated for the acute and maintenance treatment of schizophrenia [see Clinical Studies (14.1)

Launch Date

1993
Primary
RISPERDAL

Approved Use

INDICATIONS & USAGE Risperidone tablets are indicated for the acute and maintenance treatment of schizophrenia [see Clinical Studies (14.1)

Launch Date

1993
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
17 ng/mL
2 mg 2 times / day steady-state, oral
dose: 2 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
RISPERIDONE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
7.77 ng/mL
1 mg single, oral
dose: 1 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RISPERIDONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
83.1 ng × h/mL
2 mg 2 times / day steady-state, oral
dose: 2 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
RISPERIDONE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
53.86 ng × h/mL
1 mg single, oral
dose: 1 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RISPERIDONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
4.88 h
1 mg single, oral
dose: 1 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RISPERIDONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
20 h
1 mg single, oral
dose: 1 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RISPERIDONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
10%
1 mg single, oral
dose: 1 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RISPERIDONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Overview

OverviewOther

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
moderate [IC50 38.1 uM]
weak
no (co-administration study)
Comment: RISPERDAL did not significantly affect the pharmacokinetics of donepezil and galantamine, which are metabolized by CYP2D6
Page: 37.0
yes [IC50 15.78 uM]
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
yes (co-administration study)
Comment: Fluoxetine and paroxetine (CYP 2D6 inhibitors) have been shown to increase the plasma concentration of risperidone 2.5-2.8 fold and 3-9 fold, respectively
Page: 36.0
minor
minor
yes (co-administration study)
Comment: Carbamazepine co-administration with oral RISPERDAL decreased the steady-state plasma concentrations of risperidone by about 50%;
Page: 4.0
no
no
no
no
no
no
no
yes
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
Effects of dopamine antagonists with different receptor blockade profiles on morphine-induced place preference in male mice.
2001-06
[Viewpoint of schizophrenic patients: a European survey].
2001-04-11
Short-term inpatient pharmacotherapy of schizophrenia.
2001-04-05
Effective treatment of aggression and impulsivity in antisocial personality disorder with risperidone.
2001-04
Risperidone-induced retrograde ejaculation.
2001-04
An MRI study of basal ganglia volumes in first-episode schizophrenia patients treated with risperidone.
2001-04
Novel treatments for bipolar disorder.
2001-04
Dynamic dopamine-antagonist interactions at recombinant human dopamine D(2short) receptor: dopamine-bound versus antagonist-bound receptor states.
2001-04
Protein thiol oxidation by haloperidol results in inhibition of mitochondrial complex I in brain regions: comparison with atypical antipsychotics.
2001-04
Estrogen - a potential treatment for schizophrenia.
2001-03-01
Effects of olanzapine and other antipsychotics on cognitive function in chronic schizophrenia: a longitudinal study.
2001-03-01
Effectiveness of ECT combined with risperidone against aggression in schizophrenia.
2001-03
Suspected induction of a pyoderma gangrenosum-like eruption due to sulpiride treatment.
2001-03
The evaluation of multiple surrogate endpoints.
2001-03
5-HT(2A) and D(2) receptor blockade increases cortical DA release via 5-HT(1A) receptor activation: a possible mechanism of atypical antipsychotic-induced cortical dopamine release.
2001-03
Fixed-dosed risperidone in mania: an open experimental trial.
2001-03
Does fast dissociation from the dopamine d(2) receptor explain the action of atypical antipsychotics?: A new hypothesis.
2001-03
Pharmacological characterization of locomotor sensitization induced by chronic phencyclidine administration.
2001-03
Hyperthermia and chronic pancerebellar syndrome after cocaine abuse.
2001-02-26
Health care utilization in patients with schizophrenia maintained on atypical versus conventional antipsychotics.
2001-02
Dose relationship of limbic-cortical D2-dopamine receptor occupancy with risperidone.
2001-02
Treatment of psychogenic polydipsia: comparison of risperidone and olanzapine, and the effects of an adjunctive angiotensin-II receptor blocking drug (irbesartan).
2001-02
Addition of risperidone to clozapine therapy in chronically psychotic inpatients.
2001-02
Priapism associated with polypharmacy.
2001-02
Weight gain with risperidone among patients with mental retardation: effect of calorie restriction.
2001-02
Long-term treatment of chronic schizophrenia with risperidone: a study with plasma levels.
2001-02
Drug induced akathisia, suicidal ideation and its treatment in the elderly.
2001-02
Tolerability and effectiveness of atypical antipsychotics in male geriatric inpatients.
2001-02
Combination risperidone and quetiapine therapy in refractory schizophrenia.
2001-02
A case of risperidone-induced stuttering.
2001-02
Atypical antipsychotics and cardiovascular risk in schizophrenic patients.
2001-02
Adverse drug interaction between risperidone and carbamazepine in a patient with chronic schizophrenia and deficient CYP2D6 activity.
2001-02
Antipsychotic drugs classified by their effects on the release of dopamine and noradrenaline in the prefrontal cortex and striatum.
2001-01-26
Dopamine transporter density in young patients with schizophrenia assessed with [123]FP-CIT SPECT.
2001-01-15
Relationship between plasma risperidone and 9-hydroxyrisperidone concentrations and clinical response in patients with schizophrenia.
2001-01-01
Consistency of atypical antipsychotic superiority to placebo in recent clinical trials.
2001-01-01
Receptor-mediated regulation of serotonin output in the rat dorsal raphe nucleus: effects of risperidone.
2001-01
Risperidone versus pimozide in Tourette's disorder: a comparative double-blind parallel-group study.
2001-01
Acute and long-term treatment of catatonia with risperidone.
2001-01
Bodyweight gain with atypical antipsychotics. A comparative review.
2001-01
Risperidone-induced cholestatic hepatitis.
2001-01
Does risperidone have a place in the treatment of nonschizophrenic patients?
2001-01
Weight change and atypical antipsychotic treatment in patients with schizophrenia.
2001
Evidence for the effectiveness of olanzapine among patients nonresponsive and/or intolerant to risperidone.
2001
Antipsychotic medications and the elderly: effects on cognition and implications for use.
2001
Olanzapine: an updated review of its use in the management of schizophrenia.
2001
Risperidone addition and psychotic exacerbation.
2001
Full remission of panic attacks in a schizophrenic patient after switching from haloperidol to risperidone.
2001
Atypical antipsychotics: new directions and new challenges in the treatment of schizophrenia.
2001
Use of the dopamine agonists bromocriptine and cabergoline in the management of risperidone-induced hyperprolactinemia in patients with psychotic disorders.
2000-12
Patents

Sample Use Guides

Initial dosing is generally 2 mg/day. Dose increases should then occur at intervals not less than 24 hours, in increments of 1–2 mg/day, as tolerated, to a recommended dose of 4–8 mg/day. Effective dose range - 0.5-16 mg (disease dependent).
Route of Administration: Other
Measurement of ATP contents in the neuronal cell line showed significantly increased levels after a 24-h treatment with 25 microg/mL risperidone.
Name Type Language
HEXANOIC ACID, COMPD. WITH 3-(2-(4-(6-FLUORO-1,2-BENZISOXAZOL-3-YL)-1-PIPERIDINYL)ETHYL)-6,7,8,9-TETRAHYDRO-2-METHYL-4H-PYRIDO(1,2-A)PYRIMIDIN-4-ONE
Preferred Name English
RISPERIDONE HEXANOATE
Common Name English
Code System Code Type Description
FDA UNII
FQ117R8W8H
Created by admin on Wed Apr 02 07:05:17 GMT 2025 , Edited by admin on Wed Apr 02 07:05:17 GMT 2025
PRIMARY
CAS
1587586-95-5
Created by admin on Wed Apr 02 07:05:17 GMT 2025 , Edited by admin on Wed Apr 02 07:05:17 GMT 2025
NON-SPECIFIC STOICHIOMETRY
PUBCHEM
70675271
Created by admin on Wed Apr 02 07:05:17 GMT 2025 , Edited by admin on Wed Apr 02 07:05:17 GMT 2025
PRIMARY