After my last episode, I went on the risperidone. I'm currently taking a combination of the risperidone along with topamax and that combination has been a miracle. I've been episode free and stable for the past 4 years. For me, the positives simply outweigh the negatives.

For the first 18 months, I was on 2mg risp. daily at bedtime. I did notice it was somewhat more difficult to concentrate and increased grogginess. After going those first 18 months, my pscyh scaled it back to 1mg risp. daily at bedtime, and those side effects greatly improved. I haven't noticed any sexual issues, which I was concerned about at first and did discuss in depth with my pscyh. She assured me it wouldn't be an issue and it hasn't been. It has helped me regulate my sleeping pattern, which is paramount.