Risperdal To Gain Weight With ADHD?

    Risperdal To Gain Weight With ADHD?

    QUESTION:

    Dear Dr. Heller,

    My 9-year-old has been diagnosed with ADHD and is taking time-released Adderall.  Her M.D.  has added Risperdal to stimulate her appetite (0.25 mg at bedtime).  Is this common?  I am a registered nurse and very anxious about this medication.

    ANSWER:

    Weight loss from stimulants is a huge problem, generally worse with Adderall than with Ritalin.

    The antipsychotic Risperdal is great for aggressive behavior, and has weight gain as a side effect.  I’m fearful of the long-term effects and only use it when violent or out of control behavior is a problem.

    I usually look for anxiety disorders that may be worsened by stimulants and try Ritalin before adding Risperdal, unless violent behavior is a problem.

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