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Risperdal vs. Seroquel

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Risperidone (Risperdal) and quetiapine (Seroquel) are both atypical antipsychotics used to treat schizophrenia and bipolar disorder. Risperidone is also used for irritability associated with autism, while quetiapine can be used as an add-on treatment for depression in its extended-release form. Risperidone is typically taken once or twice daily, whereas quetiapine's immediate-release form needs to be taken two to three times a day, and the extended-release form is taken once daily. Risperidone is available as a pill, dissolvable tablet, and liquid, while quetiapine comes in immediate-release and extended-release tablets. Both medications can cause weight gain and raise blood sugar levels, but quetiapine is more likely to raise blood cholesterol levels. Risperidone can cause movement problems and sleepiness, while quetiapine can cause sleepiness, dry mouth, and constipation. Both medications should not be used in older adults with dementia-related psychosis due to a higher risk of death.

Risperidone

(Risperdal)

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Quetiapine

(Seroquel)

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Summary for Risperdal

Prescription only

Risperidone (Risperdal) is an atypical antipsychotic that's used to improve mood, thoughts, and behaviors in people with schizophrenia, bipolar disorder, and autism. It's taken by mouth, typically once or twice daily. Common side effects of risperidone (Risperdal) include sleepiness, movement problems, and weight gain. Risperidone (Risperdal) can interact with some medications, such as certain antidepressants or blood pressure medications. Taking these medications together can make certain side effects worse.

Indications for Risperdal

  • Schizophrenia - people ages 13 years and older
  • Manic or mixed episodes associated with bipolar I disorder - people ages 10 years and older
  • Irritability associated with autism - children ages 5 to 17 years old

Pros and Cons for Risperdal

Pros

  • Taken by mouth
  • Available as a pill, dissolving tablet, and liquid
  • Can be used in both adults and children
  • Available as a lower-cost generic

Cons

  • Higher risk of sexual problems, compared to other atypical antipsychotics
  • Can cause weight gain
  • Can cause changes to sleep or movement problems
  • Shouldn't be mixed with alcohol

Common Side Effects for Risperdal

Adults:

  • Muscle stiffness, muscle tightening, difficulty with movement (25%)
  • Extreme sleepiness (11%)
  • Restlessness, trouble remaining still (9%)
  • Tremor (6%)
  • Dizziness (6%)
  • Nausea (5%)
  • Repetitive movements, abnormal postures (5%)

Children:

  • Extreme sleepiness (up to 56%)
  • Dizziness (up to 16%)
  • Nausea or vomiting (up to 16%)
  • Stomach pain (up to 16%)
  • Muscle stiffness, muscle tightening, difficulty with movement (up to 12%)
  • Heartburn (up to 10%)
  • Sore throat (up to 10%)

Warnings for Risperdal

  • Higher risk of death in older adults with dementia-related psychosis
  • Neuroleptic malignant syndrome
  • Difficulty controlling muscle movements (tardive dyskinesia)
  • Weight gain, higher blood sugar, and higher cholesterol levels
  • High prolactin levels
  • Changes in blood pressure and higher risk of falls
  • Risk of infection (from low white blood cell count)
  • Difficulty concentrating and extreme sleepiness
  • Seizures
  • Prolonged and painful erection
  • Caution use in people with phenylketonuria (PKU) - orally disintegrating tablets only

Summary for Seroquel

Prescription only

Quetiapine (Seroquel) is an atypical antipsychotic. It's used to treat mental health problems like schizophrenia and bipolar disorder. This medication comes as an immediate-release tablet (Seroquel) that's taken by mouth usually twice a day. There's also an extended-release tablet (Seroquel XR) that's taken once a day. The specific dosage depends on how well it's helping your mood, thoughts, and behaviors. Side effects can include sleepiness, headache, and possible weight gain. There are brand-name and generic versions of this medication.

Indications for Seroquel

Pros and Cons for Seroquel

Pros

  • Taken by mouth
  • Might notice an improvement in your symptoms in as early as a week of starting the medication
  • Available in both short-acting and long-acting tablets

Cons

  • Might cause weight gain
  • Can raise your blood sugar and cholesterol levels
  • Not recommended for older adults who have dementia-related psychosis

Common Side Effects for Seroquel

Immediate-release tablets:

  • Headache (21%)
  • Agitation (20%)
  • Sleepiness (18%)
  • Dizziness (11%)
  • Dry mouth (9%)
  • Constipation (8%)
  • Pain (7%)
  • Fast heart rate (6%)
  • Vomiting (6%)

Extended-release tablets:

Warnings for Seroquel

  • Higher risk of death and stroke in older people with dementia-related psychosis
  • Risk of suicidal thoughts and behavior
  • Neuroleptic malignant syndrome
  • High blood sugar, high cholesterol, and weight gain
  • Trouble controlling muscle movements (tardive dyskinesia)
  • Changes in blood pressure
  • Risk of falls
  • Risk of infection (due to low white blood cell counts)
  • Possible changes in heart rhythm
  • Seizures
  • Hypothyroidism (low thyroid hormone)
  • High prolactin levels
  • Feeling very sleepy and having trouble concentrating

Prices with our coupons for Risperdal vs. Seroquel

Price Card Drug Icon
Risperidone30 tablets / 1mg
$9.00$9.00
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Quetiapine30 tablets / 25mg
$9.00$9.00
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