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risperidone and Sleep Wake Disorders

risperidone has been researched along with Sleep Wake Disorders in 15 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.

Sleep Wake Disorders: Abnormal sleep-wake schedule or pattern associated with the CIRCADIAN RHYTHM which affect the length, timing, and/or rigidity of the sleep-wake cycle relative to the day-night cycle.

Research Excerpts

ExcerptRelevanceReference
"Eighty-six patients with probable Alzheimer's disease, vascular dementia, or mixed-etiology dementia (DSM-IV criteria) were randomly assigned to treatment with olanzapine or risperidone."9.11Correlates of anticholinergic activity in patients with dementia and psychosis treated with risperidone or olanzapine. ( Bastean, JN; Bossie, CA; Gharabawi, GM; Greenspan, AJ; Mao, L; Martinez, RA; Mulsant, BH; Pollock, BG; Tune, LE, 2004)
"Risperidone has been reported as a well-tolerated antipsychotic in children."5.35An unreported side effect of risperidone in children: sinus arrest with long pauses causing syncope. ( Ceviz, N; Karacan, M; Olgun, H; Sepetcigil, O, 2009)
" The primary objective of this double-blind study was to compare the effects of treatment initiation with risperidone and quetiapine on cognitive function in subjects with stable bipolar disorder."5.12Cognitive functioning and acute sedative effects of risperidone and quetiapine in patients with stable bipolar I disorder: a randomized, double-blind, crossover study. ( Engelhart, LM; Gharabawi, GM; Harvey, PD; Hassman, H; Mahmoud, RA; Mao, L, 2007)
"Eighty-six patients with probable Alzheimer's disease, vascular dementia, or mixed-etiology dementia (DSM-IV criteria) were randomly assigned to treatment with olanzapine or risperidone."5.11Correlates of anticholinergic activity in patients with dementia and psychosis treated with risperidone or olanzapine. ( Bastean, JN; Bossie, CA; Gharabawi, GM; Greenspan, AJ; Mao, L; Martinez, RA; Mulsant, BH; Pollock, BG; Tune, LE, 2004)
", weight gain, liver function, extrapyramidal side effects, and seizures) and efficacy of the long-term use of risperidone in children and adolescents and to ascertain the effects of drug withdrawal in a semi-naturalistic prospective, subjects with autism or pervasive developmental disorders not otherwise specified (PDDNOS) were treated with risperidone for 6 months after which parents were given the option of continuing for a further 6 months (final assessment at 12 months)."5.09Long-term risperidone for pervasive developmental disorder: efficacy, tolerability, and discontinuation. ( Cianchetti, C; Di Martino, A; Muglia, P; Zuddas, A, 2000)
"The purpose of this manuscript is to review the evidence generated by clinical trials of pharmaceuticals in autism spectrum disorder (ASD), describe challenges in the conduct of such trials, and discuss future directions RECENT FINDINGS: Clinical trials in ASD have produced several compounds to adequately support the pharmacological treatment of associated symptom domains: attention deficit hyperactivity disorder (methylphenidate, atomoxetine, and alpha agonists), irritability/aggression (risperidone and aripiprazole), sleep (melatonin), and weight gain associated with atypical antipsychotic use (metformin)."4.98Clinical trials in autism spectrum disorder: evidence, challenges and future directions. ( Anagnostou, E, 2018)
" The newer atypical agents have a lower risk of EPS, but are associated in varying degrees with sedation, cardiovascular effects, anticholinergic effects, weight gain, sexual dysfunction, hepatic effects, lowered seizure threshold (primarily clozapine), and agranulocytosis (clozapine only)."4.80Adverse effects of the atypical antipsychotics. Collaborative Working Group on Clinical Trial Evaluations. ( , 1998)
"DSM-IV PTSD diagnoses were made by using the Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Nonpatient Edition."2.82Sleep disturbance in chronic military-related PTSD: clinical impact and response to adjunctive risperidone in the Veterans Affairs cooperative study #504. ( Collins, J; Cramer, JA; Huang, GD; Jones, KM; Krystal, AD; Krystal, JH; Pietrzak, RH; Rosenheck, RA; Vertrees, JE; Vessicchio, J, 2016)
"Risperidone-treated patients had a significantly greater reduction in total score on the CAPS-2 (z = -2."2.71A preliminary study of risperidone in the treatment of posttraumatic stress disorder related to childhood abuse in women. ( Hennen, J; Reich, DB; Stanculescu, C; Watts, T; Winternitz, S, 2004)
"Risperidone has been reported as a well-tolerated antipsychotic in children."1.35An unreported side effect of risperidone in children: sinus arrest with long pauses causing syncope. ( Ceviz, N; Karacan, M; Olgun, H; Sepetcigil, O, 2009)
"When treated with risperidone 2 mg/day, both his sleep and the delusional thoughts improved markedly and his daytime alertness increased."1.30Beneficial effect of risperidone on sleep disturbance and psychosis following traumatic brain injury. ( Gross, Y; Klag, E; Pick, CG; Schreiber, S; Segman, RH, 1998)

Research

Studies (15)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (20.00)18.2507
2000's8 (53.33)29.6817
2010's3 (20.00)24.3611
2020's1 (6.67)2.80

Authors

AuthorsStudies
Chan, S1
Chik, I1
Wilson, BA1
Anagnostou, E1
Yin, Y1
Liu, Y1
Zhuang, J1
Pan, X1
Li, P1
Yang, Y1
Li, YP1
Zhao, ZQ1
Huang, LQ1
Zhao, ZX1
Krystal, JH1
Pietrzak, RH1
Rosenheck, RA1
Cramer, JA1
Vessicchio, J1
Jones, KM1
Huang, GD1
Vertrees, JE1
Collins, J1
Krystal, AD1
Arana-Lechuga, Y1
Sanchez-Escandón, O1
de Santiago-Treviño, N1
Castillo-Montoya, C1
Terán-Pérez, G1
Velázquez-Moctezuma, J1
Olgun, H1
Sepetcigil, O1
Karacan, M1
Ceviz, N1
Reich, DB1
Winternitz, S1
Hennen, J1
Watts, T1
Stanculescu, C1
Mulsant, BH1
Gharabawi, GM2
Bossie, CA1
Mao, L2
Martinez, RA1
Tune, LE1
Greenspan, AJ1
Bastean, JN1
Pollock, BG1
Uchimura, N1
Kotorii, N1
McEvoy, JP1
Lieberman, JA1
Perkins, DO1
Hamer, RM1
Gu, H1
Lazarus, A1
Sweitzer, D1
Olexy, C1
Weiden, P1
Strakowski, SD1
Harvey, PD1
Hassman, H1
Mahmoud, RA1
Engelhart, LM1
Schreiber, S1
Klag, E1
Gross, Y1
Segman, RH1
Pick, CG1
Hori, M1
Shiraishi, H1
Zuddas, A1
Di Martino, A1
Muglia, P1
Cianchetti, C1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
CSP #504 - Risperidone Treatment for Military Service Related Chronic Post-Traumatic Stress Disorder[NCT00099983]Phase 2296 participants (Actual)Interventional2006-10-31Completed
A Double-Blind, Placebo-Controlled Random Order Crossover Study of Iloperidone for Symptoms of Arousal in PTSD Including Insomnia and Irritability.[NCT01917318]Phase 21 participants (Actual)Interventional2013-07-31Terminated (stopped due to Enrollment challenges - Single participant discontinued after placebo, no relevant outcome measure data was recorded.)
Efficacy and Tolerability of Olanzapine, Quetiapine and Risperidone in the Treatment of First Episode Psychosis: A Randomized Double Blind 52-Week Comparison[NCT00034892]Phase 30 participants Interventional2002-03-31Completed
Differences in Cognitive Function Due to Acute Sedative Effects of Risperidone and Quetiapine in Stable Bipolar I Out-Patients.[NCT00097032]Phase 330 participants (Actual)Interventional2004-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in CAPS Score From Baseline to Week 24

The primary outcome measure for this study was the total score on the 34-item Clinician-Administered PTSD Scale (CAPS). This study was the intent-to-treat analysis of the improvement in PTSD symptoms from baseline to week-24 follow-up as measured by the CAPS. Total score range for the CAPS is 0-136 with higher values representing a worse outcome. This study was powered initially to detect a 9-point difference between the treatment groups in the CAPS change score. (NCT00099983)
Timeframe: 24 Weeks

Interventionunits on a scale (Least Squares Mean)
Risperidone-16.3
Sugar Pill-12.5

Intensity of Suicidal Ideation

"Intensity of Suicidal Ideation was monitored over the course of the trial by the second section of the Columbia Suicide Severity Rating Scale (CSSRS). This section is only administered if the patient answers yes to the first section. The section consists of 5 questions that refer to the most severe level of ideation endorsed in the first section of the CSSRS. The total score ranges from 2 to 25, with a higher number indicating more intense ideation and greater risk.~Only lifetime intensity of suicidal ideation was explored as the patient had no suicidal ideation from the month prior to beginning the study to the completion of the study" (NCT01917318)
Timeframe: Baseline

Interventionscore on a scale (Number)
Placebo / Iloperidone16

Aggression

Aggression was measured by the Modified Overt Aggression Scale (MOAS).This assessment measures four types of aggressive behavior (verbal, aggression against property, autoaggression, and physical aggression) . Total scores on the MOAS range from 0-40, with a higher score indicating more aggressive behavior. (NCT01917318)
Timeframe: Randomization and 8 weeks of treatment, during both treatment periods

Interventionunits on a scale (Number)
MOAS at randomization 1MOAS after 8 weeks with placeboMOAS at randomization 2MOAS after 2 weeks with iloperidone treatment
Placebo / Iloperidone1000

Change in Clinician Administered PTSD Scale (CAPS) Part B and D

"The Clinician-Administered PTSD Scale (CAPS) is a structured interview used to diagnose and assess PTSD. Part B of CAPS evaluates symptoms of re-experiencing. Part D evaluates avoidance and numbing.~CAPS-B scores range from 0 to 40 where higher scores indicate more symptoms. A score 0 means no re-experiencing symptoms.~CAPS-D scores range form 0 to 56 and higher scores indicate more symptoms. A score 0 means no avoidance or numbing symptoms.~The primary endpoint was changes in CAPS part B and D after 8 weeks of treatment." (NCT01917318)
Timeframe: Randomization and at the end of each treatment period. Placebo treatment lasted 8 weeks. Iloperidone treatment lasted 2 weeks.

Interventionunits on a scale (Number)
CAPS part B at randomization 1CAPS part B after 8 weeks with placeboCAPS part B at randomization 2CAPS part B after 2 weeks with iloperidoneCAPS part D at randomization 1CAPS part D after 8 weeks with placeboCAPS part D at randomization 2CAPS part D after 2 weeks with iloperidone
Placebo / Iloperidone204406270

Suicidal Behavior

The presence and severity os suicidal behavior was monitored over the course of the trial by the third section of the Columbia Suicide Severity Rating Scale (CSSRS). This sections consists of questions about 5 suicidal behaviors and non-suicidal self injurious behavior and it can be answered yes or no. The number of participants who experienced suicidal behavior is reported. (NCT01917318)
Timeframe: Total course of the study. CSSRS was administered during each study visit. Suicidal ideation during lifetime and during the month prior to screening were also explored

Interventionparticipants (Number)
Lifetime suicidal behavior1 month prior ro screeningDuring the course of the study
Placebo / Iloperidone000

Suicidal Ideation

The presence of suicidal ideation was monitored over the course of the trial by the first section of the Columbia Suicide Severity Rating Scale (CSSRS). This first section of the scale consists of 5 questions that can be answered yes or no. The number of participants who reported experiencing suicidal ideation is reported. (NCT01917318)
Timeframe: Total course of the study. CSSRS was administered during each study visit. Suicidal ideation during lifetime and during the month prior to screening were also explored

Interventionparticipants (Number)
Lifetime suicidal ideation1 month prior to screeningSuicidal ideation during the study
Placebo / Iloperidone100

Reviews

2 reviews available for risperidone and Sleep Wake Disorders

ArticleYear
Clinical trials in autism spectrum disorder: evidence, challenges and future directions.
    Current opinion in neurology, 2018, Volume: 31, Issue:2

    Topics: Adrenergic alpha-Agonists; Adrenergic Uptake Inhibitors; Aggression; Antipsychotic Agents; Aripipraz

2018
Adverse effects of the atypical antipsychotics. Collaborative Working Group on Clinical Trial Evaluations.
    The Journal of clinical psychiatry, 1998, Volume: 59 Suppl 12

    Topics: Agranulocytosis; Antipsychotic Agents; Basal Ganglia Diseases; Benzodiazepines; Central Nervous Syst

1998

Trials

7 trials available for risperidone and Sleep Wake Disorders

ArticleYear
Low-Dose Atypical Antipsychotic Risperidone Improves the 5-Year Outcome in Alzheimer's Disease Patients with Sleep Disturbances.
    Pharmacology, 2015, Volume: 96, Issue:3-4

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Antipsychotic Agents; Caregivers; Donepezil; Female; Hum

2015
Sleep disturbance in chronic military-related PTSD: clinical impact and response to adjunctive risperidone in the Veterans Affairs cooperative study #504.
    The Journal of clinical psychiatry, 2016, Volume: 77, Issue:4

    Topics: Adult; Aged; Combat Disorders; Double-Blind Method; Female; Humans; Interview, Psychological; Male;

2016
A preliminary study of risperidone in the treatment of posttraumatic stress disorder related to childhood abuse in women.
    The Journal of clinical psychiatry, 2004, Volume: 65, Issue:12

    Topics: Adolescent; Adult; Ambulatory Care; Antipsychotic Agents; Child; Child Abuse; Child Abuse, Sexual; D

2004
Correlates of anticholinergic activity in patients with dementia and psychosis treated with risperidone or olanzapine.
    The Journal of clinical psychiatry, 2004, Volume: 65, Issue:12

    Topics: Antipsychotic Agents; Basal Ganglia Diseases; Benzodiazepines; Cognition Disorders; Delusions; Demen

2004
Efficacy and tolerability of olanzapine, quetiapine, and risperidone in the treatment of early psychosis: a randomized, double-blind 52-week comparison.
    The American journal of psychiatry, 2007, Volume: 164, Issue:7

    Topics: Adolescent; Adult; Antipsychotic Agents; Benzodiazepines; Dibenzothiazepines; Double-Blind Method; D

2007
Cognitive functioning and acute sedative effects of risperidone and quetiapine in patients with stable bipolar I disorder: a randomized, double-blind, crossover study.
    The Journal of clinical psychiatry, 2007, Volume: 68, Issue:8

    Topics: Adult; Antipsychotic Agents; Attention; Bipolar Disorder; Cognition; Cognition Disorders; Dibenzothi

2007
Long-term risperidone for pervasive developmental disorder: efficacy, tolerability, and discontinuation.
    Journal of child and adolescent psychopharmacology, 2000,Summer, Volume: 10, Issue:2

    Topics: Adolescent; Antipsychotic Agents; Autistic Disorder; Child; Female; Humans; Male; Psychiatric Status

2000

Other Studies

6 other studies available for risperidone and Sleep Wake Disorders

ArticleYear
Paranoid delusions • ideas of reference • sleep problems • Dx?
    The Journal of family practice, 2020, Volume: 69, Issue:3

    Topics: Antipsychotic Agents; Asian People; Delusions; Female; Humans; Late Onset Disorders; Middle Aged; Pr

2020
Risperidone treatment of sleep disturbances in Tourette's syndrome.
    The Journal of neuropsychiatry and clinical neurosciences, 2008,Summer, Volume: 20, Issue:3

    Topics: Antipsychotic Agents; Child; Electroencephalography; Humans; Male; Neuropsychological Tests; Risperi

2008
An unreported side effect of risperidone in children: sinus arrest with long pauses causing syncope.
    Pediatric emergency care, 2009, Volume: 25, Issue:7

    Topics: Antipsychotic Agents; Child; Diagnosis, Differential; Dose-Response Relationship, Drug; Electrocardi

2009
[Sleep disorders in schizophrenic patients and the effect of atypical antipsychotic agents].
    Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica, 2006, Volume: 108, Issue:11

    Topics: Administration, Oral; Adult; Antipsychotic Agents; Drug Administration Schedule; Female; Humans; Mal

2006
Beneficial effect of risperidone on sleep disturbance and psychosis following traumatic brain injury.
    International clinical psychopharmacology, 1998, Volume: 13, Issue:6

    Topics: Antipsychotic Agents; Brain Injuries; Circadian Rhythm; Humans; Male; Middle Aged; Psychotic Disorde

1998
Risperidone-induced anxiety might also develop 'awakening' phenomenon.
    Psychiatry and clinical neurosciences, 1999, Volume: 53, Issue:6

    Topics: Adult; Antipsychotic Agents; Anxiety; Humans; Male; Risperidone; Schizophrenia, Paranoid; Sleep Wake

1999