@HALLIEBETH87 Muscle spasms are awful! Keep us posted on how lowering the dose and adding cogentin works. I'm not sure if it's a direct side effect of Risperdal or if it's something more along the lines of risperdal leads to this leads to that leads to spasms, but given that it's summer and hot it's also important to stay hydrated and get a good balance of electrolytes because taking care of that can prevent muscle spasms too.