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Department of Anesthesiology and Critical Care, Karadeniz Technical University, Trabzon, Turkey
Address correspondence and reprint requests to Ahmet Akyol, MD, Department of Anesthesiology and Critical Care, Karadeniz Technical University, Faculty of Medicine, 61080 Trabzon, Turkey. Address e-mail to ahmetmelike{at}yahoo.com.
Risperidone is an atypical antipsychotic drug used for the treatment of schizophrenia. Both positive and negative symptoms are prominent with its use. Metabolism occurs mainly in the liver, where risperidone is changed by CUP2D6 to an active metabolite, 9-hydroxyrisperidone. The half-lives of risperidone and its metabolite are 3 and 7 h, respectively. Genetic polymorphism is seen in the 6%8% of white patients who are considered poor metabolizers. In poor metabolizers, the half-life extends to 2030 h. We present an unusual case of unanticipated delayed respiratory depression after risperidone overdose.
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