The bulk of positive RCT evidence for the pharmacotherapy of irritability of autism pertains to FDA approved antipsychotics risperidone and aripiprazole. RCTs supporting efficacy of several alternative and adjunctive agents may afford additional treatment options when optimal antipsychotic doses fail to control symptoms or cause intolerable adverse effects. Behavioural therapy should be employed where possible either before, or in addition to pharmacotherapy.
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Risperidone in Children with Autism and Serious Behavioral Problems
James T. McCracken, James J. McGough, Bhavik Shah et al. · New England Journal of Medicine · 2002 · 1.5K citations · Full text