Risperidone in Children with Autism and Serious Behavioral Problems
Authors: Research Units on Pediatric Psychopharmacology (RUPP) Autism Network: McCracken, J. T., et al.
Source: New England Journal of Medicine (NEJM)
Medications like risperidone do not "cure" autism or teach communication, but they can significantly lower intense irritability, aggression, and self-harm when behavioral supports alone are insufficient.
8-week double-blind RCT (n=101) demonstrated a 57% reduction on the ABC Irritability Subscale with risperidone vs. 14% with placebo (P < 0.001). Weight gain and metabolic monitoring are clinically essential.
