A Head-to-Head Comparison of Aripiprazole and Risperidone for Safety and Treating Autistic Disorders, a Randomized Double Blind Clinical Trial
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Aripiprazole and risperidone are the only FDA approved medications for treating irritability in autistic disorder, however there are no head-to-head data comparing these agents. This is the first prospective randomized clinical trial comparing the safety and efficacy of these two medications in patients with autism spectrum disorders. Fifty nine children and adolescents with autism spectrum disorders were randomized to receive either aripiprazole or risperidone for 2 months. The primary outcome measure was change in Aberrant Behavior Checklist (ABC) scores. Adverse events were assessed. Aripiprazole as well as risperidone lowered ABC scores during 2 months. The rates of adverse effects were not significantly different between the two groups. The safety and efficacy of aripiprazole (mean dose 5.5 mg/day) and risperidone (mean dose 1.12 mg/day) were comparable. The choice between these two medications should be on the basis of clinical equipoise considering the patient's preference and clinical profile.
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Risperidone and aripiprazole have shown similar efficacy and safety profiles in comparison clinical trials.
“Risperidone and aripiprazole have shown similar efficacy and safety profiles in comparison clinical trials [136, 137]”
From Pharmacological treatment in autism: a proposal for guidelines on common co-occurring psychiatric symptoms (2025) · cites this paper as [136]
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- Authors
- Ghanizadeh, A., Sahraeizadeh, A., & Berk, M.
- Affiliations
- Shiraz University (IR)
- Deakin University (AU)
- Corresponding author
- Ghanizadeh, Ahmad
- Venue
- Child Psychiatry & Human Development
- Published
- 2013-06-26
- Volume
- 45
- Issue
- 2
- Pages
- 185-192
- ISSN
- 0009-398X (ISSN-L)
- 1573-3327
- OpenAlex
- W1969516074
- Cited by
- 134
- References
- 26
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 5 · 2023: 9 · 2022: 7 · 2021: 25 · 2020: 12 · 2019: 12 · 2018: 11 · 2017: 7 · 2016: 11 · 2015: 7 · 2014: 8 · 2013: 4
- FWCI
- 5.47
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Child Psychiatry & Human Development (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- Deakin Research Online (Deakin University) (submittedVersion)
- Funders
- Bristol-Myers Squibb
- Eli Lilly and Company
- Pfizer
- Sanofi
- Geelong Region Medical Research Foundation
- Beyond Blue
- Shiraz University of Medical Sciences
- Shiraz University
- Servier
- H. Lundbeck A/S
- National Institutes of Health
- National Health and Medical Research Council
- Cilag
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Keywords
- aripiprazole, risperidone, autism spectrum disorder, irritability, antipsychotic drugs, Aberrant Behavior Checklist, adverse events, drug safety, children and adolescents, clinical equipoise
- MeSH terms
- Aripiprazole, Adolescent, Autistic Disorder, Body Weight, Child, Child, Preschool, Dose-Response Relationship, Drug, Double-Blind Method, Female, Humans, Irritable Mood, Male, Piperazines, Antipsychotic Agents, Quinolones, Treatment Outcome, Risperidone
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