NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Cannabis (THC-Dominant) and Risperidone: what the published research says

PubMed indexes 8 records that name Cannabis (THC-Dominant) and Risperidone together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Cannabis (THC-Dominant) and Risperidone. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

8 studies naming Cannabis (THC-Dominant) and Risperidone.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Comparing the effect of clozapine and risperidone on cue reactivity in male patients with schizophrenia and a cannabis use disorder: A randomized fMRI study.

Schizophrenia research · 2018 · PMID 28351544

Comparative StudyRandomized Controlled Trial38 participants

“These findings provide evidence that clozapine is superior to risperidone in decreasing subjective craving and cue reactivity for cannabis-related images probably due to a differential effect on dopaminergic neurotransmission.”

Machielsen et al. · Authors' conclusion

Names both Cannabis (THC-Dominant) and Risperidone in its title.

The effect of clozapine and risperidone on attentional bias in patients with schizophrenia and a cannabis use disorder: An fMRI study.

Journal of psychopharmacology (Oxford, England) · 2014 · PMID 24646809

Comparative StudyRandomized Controlled Trial

“A significant association was found between decreases in subjective craving and decreases in insula activation during the cannabis word Stroop. These findings strongly suggest that clozapine may be a better treatment choice in patients with schizophrenia and CUD than risperidone.”

Machielsen et al. · From the abstract

Names both Cannabis (THC-Dominant) and Risperidone in its title.

Differences in craving for cannabis between schizophrenia patients using risperidone, olanzapine or clozapine.

Journal of psychopharmacology (Oxford, England) · 2012 · PMID 21768161

Multicenter StudyHuman subjects123 participants

“Risperidone and clozapine show a maximal difference in D(2) receptor occupancy rate, dissociation rate and D(1)/D(2) ratio. Olanzapine is intermediate between risperidone and clozapine in these characteristics.”

Machielsen et al. · From the abstract

Names both Cannabis (THC-Dominant) and Risperidone in its title.

Olanzapine vs. risperidone in patients with first-episode schizophrenia and a lifetime history of cannabis use disorders: 16-week clinical and substance use outcomes.

Psychiatry research · 2011 · PMID 21636134

Comparative StudyRandomized Controlled TrialResearch Support, N.I.H., Extramural

“Thus, our results suggest that olanzapine and risperidone had a similar initial efficacy on psychotic symptoms and substance use in first-episode patients with co-occurring cannabis use disorders. If clinicians are choosing between olanzapine versus risperidone treatment for this population, their decision should be based upon factors other than symptom response and short-term substance misuse.”

Sevy et al. · From the abstract

Names both Cannabis (THC-Dominant) and Risperidone in its title.

Effect of olanzapine and risperidone on subjective well-being and craving for cannabis in patients with schizophrenia or related disorders: a double-blind randomized controlled trial.

Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2008 · PMID 18616861

Multicenter StudyRandomized Controlled Trial

“Both olanzapine and risperidone were associated with improved subjective well-being. No evidence was found for a differential effect of olanzapine or risperidone on subjective experience or on craving for cannabis in dosages leading to comparable dopamine D(2) occupancy.”

van Nimwegen et al. · Authors' conclusion

Names both Cannabis (THC-Dominant) and Risperidone in its title.

Alcohol and cannabis use in schizophrenia: effects of clozapine vs. risperidone.

Schizophrenia research · 2003 · PMID 12505141

Comparative StudyHuman subjects41 participants

“While the limitations of this retrospective study must be recognized, the data suggest that comorbid patients treated with clozapine are more likely to abstain from alcohol and cannabis use than are those treated with risperidone. Further prospective studies will be required to confirm these intriguing results.”

Green et al. · From the abstract

Names both Cannabis (THC-Dominant) and Risperidone in its title.

Program Evaluation to Aid Choice of Aripiprazole or Risperidone for Hospitalized Adolescents with Cannabis Use Disorder and Psychosis.

Journal of child and adolescent psychopharmacology · 2023 · PMID 37861990

Human subjects

“Conclusions: Adolescents hospitalized for co-occurring psychosis and cannabis use disorder had a significantly longer length of stay and length of stay index. These data are consistent with a more rapid reduction in acute psychotic symptoms for aripiprazole compared with risperidone in the context of co-occurring cannabis use disorder.”

Thurstone et al. · From the abstract

Names both Cannabis (THC-Dominant) and Risperidone in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Cannabis (THC-Dominant), Risperidone, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.