Page last updated: 2024-11-03

risperidone and Long QT Syndrome

risperidone has been researched along with Long QT Syndrome in 29 studies

Risperidone: A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA.
risperidone : A member of the class of pyridopyrimidines that is 2-methyl-6,7,8,9-tetrahydropyrido[1,2-a]pyrimidin-4-one carrying an additional 2-[4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl]ethyl group at position 2.

Long QT Syndrome: A condition that is characterized by episodes of fainting (SYNCOPE) and varying degree of ventricular arrhythmia as indicated by the prolonged QT interval. The inherited forms are caused by mutation of genes encoding cardiac ion channel proteins. The two major forms are ROMANO-WARD SYNDROME and JERVELL-LANGE NIELSEN SYNDROME.

Research Excerpts

ExcerptRelevanceReference
"Results of these analyses suggest that olanzapine, as therapeutically administered to patients with schizophrenia and related psychoses, does not contribute to QTc prolongation resulting in potentially fatal ventricular arrhythmias."9.09Analysis of the QTc interval during olanzapine treatment of patients with schizophrenia and related psychosis. ( Beasley, CM; Berg, PH; Czekalla, J; Dellva, MA; Grundy, S, 2001)
"We examined sex differences in the effect of olanzapine (OLZ), risperidone (RIS), aripiprazole (ARP), or quetiapine (QTP) on mean corrected QT (QTc) intervals among 222 patients with schizophrenia."5.17Sex differences in the effect of four second-generation antipsychotics on QTc interval in patients with schizophrenia. ( Fukui, N; Ono, S; Saito, M; Someya, T; Sugai, T; Suzuki, Y; Tsuneyama, N; Watanabe, J, 2013)
" Sixty-six patients with a diagnosis of schizophrenia that were treated with risperidone or olanzapine and 40 healthy volunteers were enrolled."5.16Increased risk of antipsychotic-related QT prolongation during nighttime: a 24-hour holter electrocardiogram recording study. ( Fukui, N; Ono, S; Someya, T; Sugai, T; Suzuki, Y; Tsuneyama, N; Watanabe, J, 2012)
"Results of these analyses suggest that olanzapine, as therapeutically administered to patients with schizophrenia and related psychoses, does not contribute to QTc prolongation resulting in potentially fatal ventricular arrhythmias."5.09Analysis of the QTc interval during olanzapine treatment of patients with schizophrenia and related psychosis. ( Beasley, CM; Berg, PH; Czekalla, J; Dellva, MA; Grundy, S, 2001)
"Risperidone is an antipsychotic medication suspected of causing QT prolongation and several cases are reported in this regard."2.77Risperidone and corrected QT-interval prolongation in surface electrocardiogram. ( Abbasnejhad, M; Ahmadi, NM; Akbarzadeh, F; Ranjbar, F, 2012)
"The present study evaluated associations between risperidone metabolism and QT interval in 61 psychiatric patients who had been receiving risperidone for ≥4 weeks at an average dosage of 4."2.77QT prolongation of the antipsychotic risperidone is predominantly related to its 9-hydroxy metabolite paliperidone. ( Fukui, N; Inoue, Y; Ono, S; Saito, M; Someya, T; Sugai, T; Suzuki, Y; Tsuneyama, N; Watanabe, J, 2012)
"Risperidone is an atypical antipsychotic drug with combined dopamine-2/serotonin-2 (D(2)/5-HT(2)) antagonist activity that has been effective in reducing cocaine use in some animal studies."2.73A randomized, double-blind, placebo-controlled trial of long-acting risperidone in cocaine-dependent men. ( Angarita, GA; Culhane, MA; Evins, AE; Huang, KL; Lee, SH; Loebl, T; Logvinenko, T; Nino, J; Pachas, GN, 2008)
"Risperidone has been shown to inhibit the delayed rectifier leading to lengthening of cardiac repolarization."1.32QTc interval, CYP2D6 and CYP2C9 genotypes and risperidone plasma concentrations. ( Berecz, R; de la Rubia, A; Dorado, P; Llerena, A, 2004)

Research

Studies (29)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's17 (58.62)29.6817
2010's11 (37.93)24.3611
2020's1 (3.45)2.80

Authors

AuthorsStudies
Kongsamut, S1
Kang, J1
Chen, XL1
Roehr, J1
Rampe, D1
Cavalli, A1
Poluzzi, E1
De Ponti, F1
Recanatini, M1
Arditti, R1
Mongin, Y1
Drancourt, N1
Hotier, S1
Laguerre, A1
Hamdani, N1
Suzuki, Y3
Sugai, T3
Fukui, N3
Watanabe, J3
Ono, S3
Tsuneyama, N3
Saito, M2
Someya, T3
Vieweg, WV1
Hasnain, M1
Hancox, JC1
Baranchuk, A1
Digby, GC1
Kogut, C1
Crouse, EL1
Koneru, JN1
Deshmukh, A1
Pandurangi, AK1
Ranjbar, F1
Akbarzadeh, F1
Ahmadi, NM1
Abbasnejhad, M1
Mizuki, Y1
Takaki, M1
Alda, JA1
Muñoz-Samons, D1
Tor, J1
Merchán-Naranjo, J2
Tapia-Casellas, C1
Baeza, I1
Calvo-Escalona, R1
Castro-Fornieles, J1
Martínez-Cantarero, C1
Andrés-Nestares, P1
Fernández-Avilés, F1
Arango, C2
Brahmbhatt, K1
Whitgob, E1
Önen, Ö1
Kutlu, A1
Erkuran, HÖ1
Zink, M1
Kuwilsky, A1
Krumm, B1
Dressing, H1
de Castro, MJ1
Fraguas, D1
Laita, P1
Moreno, D1
Parellada, M1
Pascual, D1
Alvarez, M1
Rapado, M1
Giráldez, M1
Leiva, M1
Inoue, Y1
Said, TH1
Wilson, LD1
Jeyaraj, D1
Fossa, AA1
Rosenbaum, DS1
Lazarczyk, MJ1
Bhuiyan, ZA1
Perrin, N1
Giannakopoulos, P1
Timell, AM1
Harrigan, EP1
Miceli, JJ1
Anziano, R1
Watsky, E1
Reeves, KR1
Cutler, NR1
Sramek, J1
Shiovitz, T1
Middle, M1
Llerena, A1
Berecz, R1
Dorado, P1
de la Rubia, A1
Raviña, T2
Gutierrez, J2
Raviña, P2
Huang, CL1
Su, KP1
Hsu, HB1
Pariante, CM1
Katagai, H1
Yasui-Furukori, N1
Kikuchi, A1
Kaneko, S1
Blaschke, D1
Parwani, AS1
Huemer, M1
Rolf, S1
Boldt, LH1
Dietz, R1
Haverkamp, W1
Loebl, T1
Angarita, GA1
Pachas, GN1
Huang, KL1
Lee, SH1
Nino, J1
Logvinenko, T1
Culhane, MA1
Evins, AE1
Czekalla, J1
Beasley, CM1
Dellva, MA1
Berg, PH1
Grundy, S1
Beelen, AP1
Yeo, KT1
Lewis, LD1
Wilton, LV1
Heeley, EL1
Pickering, RM1
Shakir, SA1
Taylor, DM1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Double-Blind, Placebo-Controlled Study of the Effects of Risperdal Consta on Brain Reward Circuitry, Craving and Cocaine Use in Active Cocaine Dependence[NCT00385801]Phase 231 participants (Actual)Interventional2005-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cocaine Craving

The University of Minnesota Cocaine Craving Scale was performed to assess cocaine craving. The scale contains 1 continuous scale for intensity and 2 categorical scales for frequency and duration of craving episodes. The continuous scale for craving intensity ranges from 0 (no craving at all in the past week) to 10 (a great deal of craving in the past week) (NCT00385801)
Timeframe: 12 weeks

Interventionunits on a scale (Mean)
PlaceboNA
RisperidoneNA

Cocaine Use by Quantitative Urine Samples

After randomization, participants provided urine samples every week for the first 3 weeks and then every 2 weeks for 8 weeks, up to 7 samples per participant. The average visits with cocaine negative urine samples per participant are reported below (NCT00385801)
Timeframe: 12 weeks

Interventionvisit with negative UBE (Mean)
Placebo1.81
Risperidone Consta0.87

Reviews

2 reviews available for risperidone and Long QT Syndrome

ArticleYear
Risperidone, QTc interval prolongation, and torsade de pointes: a systematic review of case reports.
    Psychopharmacology, 2013, Volume: 228, Issue:4

    Topics: Adolescent; Adult; Aged; Antipsychotic Agents; Child; Dose-Response Relationship, Drug; Female; Huma

2013
Diagnosis and Management of Delirium in Critically Ill Infants: Case Report and Review.
    Pediatrics, 2016, Volume: 137, Issue:3

    Topics: Abnormalities, Multiple; Antipsychotic Agents; Critical Illness; Delirium; Humans; Infant; Long QT S

2016

Trials

10 trials available for risperidone and Long QT Syndrome

ArticleYear
Sex differences in the effect of four second-generation antipsychotics on QTc interval in patients with schizophrenia.
    Human psychopharmacology, 2013, Volume: 28, Issue:3

    Topics: Adolescent; Adult; Aged; Antipsychotic Agents; Aripiprazole; Benzodiazepines; Dibenzothiazepines; El

2013
Risperidone and corrected QT-interval prolongation in surface electrocardiogram.
    Pakistan journal of biological sciences : PJBS, 2012, May-15, Volume: 15, Issue:10

    Topics: Adult; Antipsychotic Agents; Cohort Studies; Female; Humans; Iran; Long QT Syndrome; Male; Middle Ag

2012
Absence of Change in Corrected QT Interval in Children and Adolescents Receiving Antipsychotic Treatment: A 12 Month Study.
    Journal of child and adolescent psychopharmacology, 2016, Volume: 26, Issue:5

    Topics: Adolescent; Antipsychotic Agents; Benzodiazepines; Biomarkers, Pharmacological; Child; Child, Presch

2016
Efficacy and tolerability of ziprasidone versus risperidone as augmentation in patients partially responsive to clozapine: a randomised controlled clinical trial.
    Journal of psychopharmacology (Oxford, England), 2009, Volume: 23, Issue:3

    Topics: Adolescent; Adult; Antipsychotic Agents; Clozapine; Drug Therapy, Combination; Female; Humans; Long

2009
QT prolongation of the antipsychotic risperidone is predominantly related to its 9-hydroxy metabolite paliperidone.
    Human psychopharmacology, 2012, Volume: 27, Issue:1

    Topics: Adult; Age Factors; Antipsychotic Agents; Dose-Response Relationship, Drug; Electrocardiography; Fem

2012
Increased risk of antipsychotic-related QT prolongation during nighttime: a 24-hour holter electrocardiogram recording study.
    Journal of clinical psychopharmacology, 2012, Volume: 32, Issue:1

    Topics: Adult; Antipsychotic Agents; Benzodiazepines; Circadian Rhythm; Death, Sudden, Cardiac; Electrocardi

2012
A randomized evaluation of the effects of six antipsychotic agents on QTc, in the absence and presence of metabolic inhibition.
    Journal of clinical psychopharmacology, 2004, Volume: 24, Issue:1

    Topics: Adolescent; Adult; Antipsychotic Agents; Aryl Hydrocarbon Hydroxylases; Benzodiazepines; Biotransfor

2004
A pilot observational crossover study of QTc interval changes associated with switching between olanzapine and risperidone.
    The Journal of clinical psychiatry, 2007, Volume: 68, Issue:5

    Topics: Adult; Benzodiazepines; Cross-Over Studies; Electrocardiography; Female; Humans; Long QT Syndrome; M

2007
A randomized, double-blind, placebo-controlled trial of long-acting risperidone in cocaine-dependent men.
    The Journal of clinical psychiatry, 2008, Volume: 69, Issue:3

    Topics: Adult; Antipsychotic Agents; Cocaine-Related Disorders; Delayed-Action Preparations; Depressive Diso

2008
Analysis of the QTc interval during olanzapine treatment of patients with schizophrenia and related psychosis.
    The Journal of clinical psychiatry, 2001, Volume: 62, Issue:3

    Topics: Acute Disease; Adolescent; Adult; Adverse Drug Reaction Reporting Systems; Aged; Antipsychotic Agent

2001

Other Studies

17 other studies available for risperidone and Long QT Syndrome

ArticleYear
A comparison of the receptor binding and HERG channel affinities for a series of antipsychotic drugs.
    European journal of pharmacology, 2002, Aug-16, Volume: 450, Issue:1

    Topics: Animals; Antipsychotic Agents; Cation Transport Proteins; Cell Line; Clinical Trials as Topic; Crice

2002
Toward a pharmacophore for drugs inducing the long QT syndrome: insights from a CoMFA study of HERG K(+) channel blockers.
    Journal of medicinal chemistry, 2002, Aug-29, Volume: 45, Issue:18

    Topics: Anti-Arrhythmia Agents; Cation Transport Proteins; Cluster Analysis; Databases, Factual; Ether-A-Go-

2002
[Hypothermia due to antipsychotic drug: A case report].
    L'Encephale, 2020, Volume: 46, Issue:3

    Topics: Adult; Antipsychotic Agents; Consciousness Disorders; Drug Substitution; Female; Haloperidol; Humans

2020
Blonanserin ameliorated the tendency toward QTc prolongation associated with risperidone in a patient with schizophrenia.
    Journal of clinical psychopharmacology, 2015, Volume: 35, Issue:1

    Topics: Adult; Antipsychotic Agents; Female; Humans; Long QT Syndrome; Piperazines; Piperidines; Risperidone

2015
Treating an Adolescent with Long QT Syndrome for Bipolar Disorder: A Case Presentation.
    Psychopharmacology bulletin, 2017, 01-26, Volume: 47, Issue:1

    Topics: Adolescent; Bipolar Disorder; Female; Humans; Long QT Syndrome; Lorazepam; Risperidone; Valproic Aci

2017
QTc changes after 6 months of second-generation antipsychotic treatment in children and adolescents.
    Journal of child and adolescent psychopharmacology, 2008, Volume: 18, Issue:4

    Topics: Adolescent; Antipsychotic Agents; Benzodiazepines; Child; Child, Preschool; Dibenzothiazepines; Elec

2008
Transmural dispersion of repolarization as a preclinical marker of drug-induced proarrhythmia.
    Journal of cardiovascular pharmacology, 2012, Volume: 60, Issue:2

    Topics: Action Potentials; Animals; Bepridil; Dogs; Dose-Response Relationship, Drug; Electrocardiography; E

2012
Selective acquired long QT syndrome (saLQTS) upon risperidone treatment.
    BMC psychiatry, 2012, Dec-05, Volume: 12

    Topics: Adult; Antipsychotic Agents; Clozapine; Electrocardiography; Female; Humans; Long QT Syndrome; Potas

2012
Re: Thioridazine: re-evaluating the risk/benefit equation.
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 2003, Volume: 15, Issue:2

    Topics: Antipsychotic Agents; Data Collection; Death, Sudden; Electrocardiography; Female; Humans; Long QT S

2003
QTc interval, CYP2D6 and CYP2C9 genotypes and risperidone plasma concentrations.
    Journal of psychopharmacology (Oxford, England), 2004, Volume: 18, Issue:2

    Topics: Administration, Oral; Adult; Aryl Hydrocarbon Hydroxylases; Cytochrome P-450 CYP2C9; Cytochrome P-45

2004
Acquired long QT syndrome: long-term electrocardiographic (Holter) recording of torsades de pointes ending in asystole: II.
    International journal of cardiology, 2007, Mar-20, Volume: 116, Issue:2

    Topics: Aged; Electrocardiography, Ambulatory; Female; Heart Arrest; Humans; Long QT Syndrome; Risperidone;

2007
Acquired long QT syndrome: risperidone-facilitated triggered activity and Torsades de Pointes during complete AV block. I.
    International journal of cardiology, 2007, Apr-04, Volume: 116, Issue:3

    Topics: Aged, 80 and over; Antipsychotic Agents; Electrocardiography; Fatal Outcome; Female; Heart Block; Hu

2007
Effective electroconvulsive therapy in a 92-year-old dementia patient with psychotic feature.
    Psychiatry and clinical neurosciences, 2007, Volume: 61, Issue:5

    Topics: Aged, 80 and over; Antipsychotic Agents; Combined Modality Therapy; Dementia, Multi-Infarct; Electro

2007
Torsade de pointes during combined treatment with risperidone and citalopram.
    Pharmacopsychiatry, 2007, Volume: 40, Issue:6

    Topics: Aged; Antipsychotic Agents; Citalopram; Drug Therapy, Combination; Electrocardiography, Ambulatory;

2007
Asymptomatic QTc prolongation associated with quetiapine fumarate overdose in a patient being treated with risperidone.
    Human & experimental toxicology, 2001, Volume: 20, Issue:4

    Topics: Adult; Antipsychotic Agents; Dibenzothiazepines; Female; Follow-Up Studies; Humans; Long QT Syndrome

2001
Comparative study of mortality rates and cardiac dysrhythmias in post-marketing surveillance studies of sertindole and two other atypical antipsychotic drugs, risperidone and olanzapine.
    Journal of psychopharmacology (Oxford, England), 2001, Volume: 15, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Antipsychotic Agents; Arrhythmias, Cardiac; Benzodiazepines; Cohort

2001
Prolongation of QTc interval and antipsychotics.
    The American journal of psychiatry, 2002, Volume: 159, Issue:6

    Topics: Antipsychotic Agents; Death, Sudden, Cardiac; Drug Administration Schedule; Drug Labeling; Drug Moni

2002