Korean J Psychopharmacol.
2003 Feb;14(Suppl):112-127.
The Clinical Use of Risperidone in Child & Adolescent Psychiatry
- Affiliations
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- 1Division of Child & Adolescent Psychiatry, Department of Neuropsychiatry, College of Medicine, Seoul National University, Seoul, Korea.
Abstract
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The use of the antipsychotic drug, one of the most frequently prescribed drugs in child & adolescent psychiatry, has been limited because of the diverse serious side effects and questionable safety. Since 1990, however, the atypical antipsychotics have been used much more than before due to lower extrapyramidal side effects and tardive dyskinesia. The use of atypical antipsychotics has rapidly increased in the treatment of autistic disorder and mental retardation with behavioral problems. In addition, the indication of atypical antipsychotics has expanded to the tic disorder (chronic tic disorder, tourette's disorder) and child onset obsessive compulsive disorder. Recently, the use of atypical antipsychotics in the treatment of the dispruptive behavior disorder (conduct disorder, oppositional defiant disorder) and severe ADHD with violent episode has been rapidly and dramatically increased. However, In Korea there is no systemic review paper about the clinical use of atypical antipsychotics in the field of child & adolescent psychiatry. The author reviewed the clinical use of risperidone, which has been most widely and frequently used and researched in the child & adolescent psychiatry. Although there are some limitations, I hope this paper can give the reasonable and useful clinical guideline to the clinicians dealing with child & adoles-cent psychiatric patients.