Skip to Content

UK Edition. Click here for US version.

RISPERDAL 1MG/ML LIQUID

Active substance(s): RISPERIDONE

View full screen / Print PDF » Download PDF ⇩
Transcript
 A restless urge to move parts of your body, Balance disorder, Abnormal
coordination, Dizziness upon standing, Disturbance in attention,
Problems with speech, Loss or abnormal sense of taste, Reduced
sensation of skin to pain and touch, A sensation of tingling, pricking, or
numbness skin
 Oversensitivity of the eyes to light, Dry eye, Increased tears, Redness
of the eyes
 Sensation of spinning (vertigo), Ringing in the ears, Ear pain
 Atrial fibrillation (an abnormal heart rhythm), An interruption in
conduction between the upper and lower parts of the heart, Abnormal
electrical conduction of the heart, Prolongation of the QT interval from
your heart, Slow heart rate, Abnormal electrical tracing of the heart
(electrocardiogram or ECG), A fluttering or pounding feeling in your
chest (palpitations)
 Low blood pressure, Low blood pressure upon standing (consequently,
some people taking Risperdal® Liquid may feel faint, dizzy, or may pass
out when they stand up or sit up suddenly, Flushing
 Pneumonia caused by inhaling food, Lung congestion, Congestion of
breathing passages, Crackly lung sounds, Wheezing, Voice disorder,
Breathing passage disorder
 Stomach or intestinal infection, Stool incontinence, Very hard stool,
Difficulty swallowing, Excessive passing of gas or wind
 Hives (or “nettle rash”), Itching, Hair loss, Thickening of skin, Eczema,
Dry skin, Skin discoloration, Acne, Flaky, itchy scalp or skin, Skin
disorder, Skin lesion
 An increase of CPK (creatine phosphokinase) in your blood, an enzyme
which is sometimes released with muscle breakdown
 Abnormal posture, Joint stiffness, Joint swelling, Muscle weakness,
Neck pain
 Frequent passing of urine, Inability to pass urine, Pain when passing
urine
 Erectile dysfunction, Ejaculation disorder
 Loss of menstrual periods, Missed menstrual periods or other problems
with your cycle (females)
 Development of breasts in men, Leakage of milk from the breasts,
Sexual dysfunction, Breast pain, Breast discomfort, Vaginal discharge
 Swelling of the face, mouth, eyes, or lips
 Chills, An increase in body temperature
 A change in the way you walk
 Feeling thirsty, Feeling unwell, Chest discomfort, Feeling “out of sorts”,
Discomfort
 Increased liver transaminases in your blood, Increased GGT (a liver
enzyme called gammaglutamyltransferase) in your blood, Increased
liver enzymes in your blood
 Procedural pain.

 Priapism (a prolonged penile erection that may require surgical
treatment)
 Hardening of the skin
 Decreased body temperature, Coldness in arms and legs
 Symptoms of drug withdrawal
 Yellowing of the skin and the eyes (jaundice).
Very rare (may affect up to 1 in 10,000 people):
 Life threatening complications of uncontrolled diabetes.
 Serious allergic reaction with swelling that may involve the throat and
lead to difficulty breathing
 Lack of bowel muscle movement that causes blockage.
The following side effect has been seen with the use of another medicine
called paliperidone that is very similar to risperidone, so these can also be
expected with Risperdal® Liquid: Rapid heartbeat upon standing.
Additional side effects in children and adolescents
In general, side effects in children are expected to be similar to those in
adults. The following side effects were reported more often in children and
adolescents (5 to 17 years) than in adults: feeling sleepy, or less alert,
fatigue (tiredness), headache, increased appetite, vomiting, common cold
symptoms, nasal congestion, abdominal pain, dizziness, cough, fever,
tremor (shaking), diarrhoea, and incontinence (lack of control) of urine.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes
any possible side effects not listed in this leaflet. You can also report side
effects directly via the Yellow Card Scheme (Website:
www.mhra.gov.uk/yellowcard). By reporting side effects you can help
provide more information on the safety of this medicine.
5. HOW TO STORE RISPERDAL® LIQUID
 Store below 30°C. Do not refrigerate. Use within three months of first
opening.
 Keep out of the sight and reach of children.
 Do not use this medicine after the expiry date (This is printed on both
the bottle label and on the carton the bottle is packed in).
 If your doctor tells you to stop taking this medicine, return any unused
medicine to your pharmacist for safe disposal. Only keep this medicine,
if your doctor tells you to.
 If your medicine show signs of deterioration or discolouration, you
should seek the advice of your pharmacist who will tell you what to do.
 Medicines should not be disposed of via wastewater or household
waste. These measures will help protect the environment.

Rare (may affect up to 1 in 1,000 people):

























Infection
Inappropriate secretion of a hormone that controls urine volume
Sugar in the urine, Low blood sugar, High blood triglycerides (a fat)
Lack of emotion, Inability to reach orgasm
Neuroleptic malignant syndrome (confusion, reduced or loss of
consciousness, high fever, and severe muscle stiffness)
Blood vessel problems in the brain
Coma due to uncontrolled diabetes
Shaking of the head
Glaucoma (increased pressure within the eyeball), Problems with
movement of your eyes, Eye rolling, Eyelid margin crusting
Eye problems during cataract surgery. During cataract surgery, a
condition called intraoperative floppy iris syndrome (IFIS) can happen if
you take or have taken Risperdal® Liquid. If you need to have cataract
surgery, be sure to tell your eye doctor if you take or have taken this
medicine.
Dangerously low numbers of a certain type of white blood cell needed
to fight infection in your blood
Severe allergic reaction characterised by fever, swollen mouth, face, lip
or tongue, shortness of breath, itching, skin rash and sometimes drop
in blood pressure
Dangerously excessive intake of water
Irregular heart beat
Blood clot in the legs, Blood clot in the lungs
Trouble breathing during sleep (sleep apnea), Fast, shallow breathing
Inflammation of the pancreas, A blockage in the bowels
Swollen tongue, Chapped lips, Rash on skin related to drug
Dandruff
Breakdown of muscle fibers and pain in muscles (rhabdomyolysis)
A delay in menstrual periods, Enlargement of the glands in your
breasts, Breast enlargement, Discharge from the breasts
Increased insulin (a hormone that controls blood sugar levels) in your
blood

6. CONTENTS OF THE PACK AND OTHER INFORMATION
What Risperdal® Liquid contains
Each millilitre (ml) of liquid contains 1mg of the active ingredient
risperidone.
Also contains tartaric acid, benzoic acid, sodium hydroxide and purified
water.
What Risperdal® Liquid looks like and the contents of the pack
It is a clear colourless liquid in an amber glass bottle with plastic childresistant screw cap incorporating a tamper-evident ring, with plastic
dosing syringe.
Each bottle contains 100ml of liquid.
Who manufactured your medicine
Manufactured by Janssen Pharmaceutica N.V., Turnhoutseweg 30, B2340 Beerse, Belgium, and is procured from within the EU by the Product
Licence Holder: Beachcourse Limited, 20 Alliance Court, Alliance Road,
London, W3 0RB
PL 16378/0129

POM

Revision date: 14.09.2015
Leaflet reference: RISP1MG/ML
Risperdal® is a registered trademark.

4

PACKAGE LEAFLET: INFORMATION FOR THE USER
®

RISPERDAL 1 MG/ML LIQUID

Revision date: 14.09.2015
Leaflet reference: RISP1MG/ML

(risperidone)
 You or someone else in your family has a history of blood clots, as
antipsychotics have been associated with formation of blood clots.
If you are not sure if any of the above applies to you, talk to your doctor or
pharmacist before using Risperdal® Liquid.
Read all of this leaflet carefully before you start taking this medicine
As dangerously low numbers of a certain type of white blood cell needed
because it contains important information for you.
to fight infection in your blood has been seen very rarely with patients
taking Risperdal® Liquid, your doctor may check your white blood cell
 Keep this leaflet. You may need to read it again.
counts.
 If you have any further questions, ask your doctor or pharmacist.
 This medicine has been prescribed for you only. Do not pass it on to
Risperdal® Liquid may cause you to gain weight. Significant weight gain
others. It may harm them, even if their signs of illness are the same as
may adversely affect your health. Your doctor should regularly measure
yours.
your body weight.
 If you get any side effects, talk to your doctor or pharmacist. This
As diabetes mellitus or worsening of pre-existing diabetes mellitus have
includes any possible side effects not listed in this leaflet. See section 4
been seen with patients taking Risperdal® Liquid, your doctor should
check for signs of high blood sugar. In patients with pre-existing diabetes
What is in this leaflet:
mellitus blood glucose should be monitored regularly.
1. What Risperdal® Liquid is and what it is used for
Risperdal® Liquid commonly raises levels of a hormone called "prolactin".
2. What you need to know before you take Risperdal® Liquid
This may cause side effects such as menstrual disorders or fertility
3. How to take Risperdal® Liquid
problems in women, breast swelling in men (see Possible side effects). If
4. Possible side effects
such side effects occur, evaluation of the prolactin level in the blood is
5. How to store Risperdal® Liquid
recommended.
6. Contents of the pack and other information
During an operation on the eye for cloudiness of the lens (cataract), the
pupil (the black circle in the middle of your eye) may not increase in size
1. WHAT RISPERDAL® LIQUID IS AND WHAT IT IS USED FOR
as needed. Also, the iris (the coloured part of the eye) may become floppy
during surgery and that may lead to eye damage. If you are planning to
have an operation on your eye, make sure you tell your eye doctor that
Risperdal® Liquid belongs to a group of medicines called ‘anti-psychotics’.
you are taking this medicine.
®
Risperdal Liquid is used to treat the following:
Elderly people with dementia
 Schizophrenia, where you may see, hear or feel things that are not
there, believe things that are not true or feel unusually suspicious, or
In elderly patients with dementia, there is an increased risk of stroke. You
confused
should not take risperidone if you have dementia caused by stroke.
 Mania, where you may feel very excited, elated, agitated, enthusiastic
During treatment with risperidone you should frequently see your doctor.
or hyperactive. Mania occurs in an illness called “bipolar disorder”
Medical treatment should be sought straight away if you or your care Short-term treatment (up to 6 weeks) of long-term aggression in people
giver notice a sudden change in your mental state or sudden weakness or
with Alzheimer’s dementia, who harm themselves or others. Alternative
numbness of your face, arms or legs, especially on one side, or slurred
(non-drug) treatments should have been used previously
speech, even for a short period of time. These may be signs of a stroke.
 Short-term treatment (up to 6 weeks) of long-term aggression in
intellectually disabled children (at least 5 years of age) and adolescents
Children and adolescents
with conduct disorder.
®
Before treatment is started for conduct disorder, other causes of
Risperdal Liquid can help alleviate the symptoms of your disease and
aggressive behaviour should have been ruled out.
stop your symptoms from coming back.
If during treatment with risperidone tiredness occurs, a change in the time
of administration might improve attention difficulties.
2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE RISPERDAL®
Before treatment is started your, or your child’s body weight may be
LIQUID
measured and it may be regularly monitored during treatment.
A small and inconclusive study has reported an increase in height in
Do not take Risperdal® Liquid :
children who took risperidone, but whether this is an effect of the drug or
 If you are allergic to risperidone or any of the other ingredients of this
due to some other reason is not known.
medicine (listed in section 6).
Other medicines and Risperdal® Liquid
If you are not sure if the above applies to you, talk to your doctor or
®
pharmacist before using Risperdal Liquid.
Tell your doctor or pharmacist if you are taking, have recently taken or
might take any other medicines.
Warnings and precautions
This product is also available in tablet form.
Your medicine is known by the above name, but will be referred to as
Risperdal® Liquid throughout this leaflet.

It is especially important to talk to your doctor or pharmacist if you
are taking any of the following:

Talk to your doctor or pharmacist before taking Risperdal® Liquid if:
 You have a heart problem. Examples include an irregular heart rhythm
or if you are prone to low blood pressure or if you are using medicines
for your blood pressure. Risperdal® Liquid may cause low blood
pressure. Your dose may need to be adjusted
 You know of any factors which would favour you having a stroke, such
as high blood pressure, cardiovascular disorder or blood vessel
problems in the brain
 You have ever experienced involuntary movements of the tongue,
mouth and face
 You have ever had a condition whose symptoms include high
temperature, muscle stiffness, sweating or a lowered level of
consciousness (also known as Neuroleptic Malignant Syndrome)
 You have Parkinson’s disease or dementia
 You know that you have had low levels of white blood cells in the past
(which may or may not have been caused by other medicines)
 You are diabetic
 You have epilepsy
 You are a man and you have ever had a prolonged or painful erection
 You have problems controlling your body temperature or overheating
 You have kidney problems
 You have liver problems
 You have an abnormally high level of the hormone prolactin in your
blood or if you have a possible prolactin-dependent tumour.

 Medicines that work on your brain such as to help you calm down
(benzodiazepines) or some medicines for pain (opiates), medicines for
allergy (some antihistamines), as risperidone may increase the
sedative effect of all of these
 Medicines that may change the electrical activity of your heart, such as
medicines for malaria, heart rhythm problems, allergies (antihistamines), some antidepressants or other medicines for mental
problems
 Medicines that cause a slow heart beat
 Medicines that cause low blood potassium (such as certain diuretics)
 Medicines to treat raised blood pressure. Risperdal® Liquid can lower
blood pressure
 Medicines for Parkinson's disease (such as levodopa)
 Water tablets (diuretics) used for heart problems or swelling of parts of
your body due to a build up of too much fluid (such as furosemide or
chlorothiazide). Risperdal® Liquid taken by itself or with furosemide,
may have an increased risk of stroke or death in elderly people with
dementia.

1

The following medicines may reduce the effect of risperidone

For the treatment of mania

 Rifampicin (a medicine for treating some infections)
 Carbamazepine, phenytoin (medicines for epilepsy)
 Phenobarbital
If you start or stop taking such medicines you may need a different dose
of risperidone.

Adults

 Experience severe allergic reaction characterised by fever, swollen
mouth, face, lip or tongue, shortness of breath, itching, skin rash or
drop in blood pressure.
The following side effects may happen:

 Your starting dose will usually be 2 mg once a day
 Your dose may then be gradually adjusted by your doctor depending on
how you respond to the treatment
 Most people feel better with doses of 1 to 6 mg once a day.

The following medicines may increase the effect of risperidone

Very Common (may affect more than 1 in 10 people):
 Difficulty falling or staying asleep
 Parkinsonism: This condition may include: slow or impaired movement,
sensation of stiffness or tightness of the muscles (making your
movements jerky), and sometimes even a sensation of movement
“freezing up” and then restarting. Other signs of parkinsonism include a
slow shuffling walk, a tremor while at rest, increased saliva and/or
drooling, and a loss of expression on the face.
 Feeling sleepy, or less alert
 Headache.

Elderly people

 Quinidine (used for certain types of heart disease)

 Your starting dose will usually be 0.5 mg twice a day
 Your dose may then be gradually adjusted by your doctor to 1 mg to
2 mg twice a day depending on how much you respond to the
treatment.

 Antidepressants such as paroxetine, fluoxetine, tricyclic
antidepressants
 Medicines known as beta blockers (used to treat high blood pressure)
 Phenothiazines (such as medicines used to treat psychosis or to calm
down)
 Cimetidine, ranitidine (blockers of the acidity of stomach)
 Itraconazole and ketoconazole (medicines for treating fungal infections)
 Certain medicines used in the treatment of HIV/AIDS, such as ritonavir
 Verapamil, a medicine used to treat high blood pressure and/or
abnormal heart rhythm.
 Sertraline and fluvoxamine, medicines used to treat depression and
other psychiatric disorders.

For the treatment of long-standing aggression in people with
Alzheimer’s dementia

Common (may affect up to 1 in 10 people):

Adults (including elderly people)

 Pneumonia, Infection of the chest (bronchitis), Common cold
symptoms, Sinus infection, Urinary tract infection, Ear infection, Feeling
like you have the flu
 Raised levels of a hormone called “prolactin” found in a blood test
(which may or may not cause symptoms). Symptoms of high prolactin
occur uncommonly and may include in men breast swelling, difficulty in
getting or maintaining erections, decreased sexual desire or other
sexual dysfunction. In women they may include breast discomfort,
leakage of milk from the breasts, missed menstrual periods, or other
problems with your cycle or fertility problems.
 Weight gain, Increased appetite, Decreased appetite
 Sleep disorder, Irritability, Depression, Anxiety, Restlessness
 Dystonia: This is a condition involving slow or sustained involuntary
contraction of muscles. While it can involve any part of the body (and
may result in abnormal posture), dystonia often involves muscles of the
face, including abnormal movements of the eyes, mouth, tongue or jaw.
 Dizziness
 Dyskinesia: This is a condition involving involuntary muscle
movements, and can include repetitive, spastic or writhing movements,
or twitching.
 Tremor (shaking)
 Blurry vision, Eye infection or “pink eye”
 Rapid heart rate, High blood pressure, Shortness of breath
 Sore throat, Cough, Nosebleeds, Stuffy nose
 Abdominal pain, Abdominal discomfort, Vomiting, Nausea,
Constipation, Diarrhea, Indigestion, Dry mouth, Toothache
 Rash, Skin redness
 Muscle spasms, Bone or muscle ache, Back pain, Joint pain
 Incontinence (lack of control) of urine
 Swelling of the body, arms or legs, Fever, Chest pain, Weakness,
Fatigue (tiredness), Pain
 Fall.

 Your starting dose will normally be 0.25 mg twice a day
 Your dose may then be gradually adjusted by your doctor depending on
how you respond to the treatment
 Most people feel better with 0.5 mg twice a day. Some patients may
need 1 mg twice a day
 Treatment duration in patients with Alzheimer’s dementia should be not
more than 6 weeks.

If you start or stop taking such medicines you may need a different dose
of risperidone.
If you are not sure if any of the above applies to you, talk to your doctor or
pharmacist before using Risperdal® Liquid.

Use in children and adolescents

Risperdal® Liquid with food, drink and alcohol

 Children and adolescents under 18 years old should not be treated with
Risperdal® Liquid for schizophrenia or mania.

You can take this medicine with or without food. You should avoid
drinking alcohol when taking Risperdal® Liquid.

For the treatment of conduct disorder
The dose will depend on your child’s weight:
For children who weigh less than 50 kg
 The starting dose will normally be 0.25 mg once a day
 The dose may be increased every other day in steps of 0.25 mg per
day.
 The usual maintenance dose is 0.25 mg to 0.75 mg once a day.
For children who weigh 50 kg or more
 The starting dose will normally be 0.5 mg once a day
 The dose may be increased every other day in steps of 0.5 mg per day.
 The usual maintenance dose is 0.5 mg to 1.5 mg once a day.
Treatment duration in patients with conduct disorder should be not more
than 6 weeks.
Children under 5 years old should not be treated with Risperdal® Liquid
for conduct disorder.

Pregnancy, breast-feeding and fertility
 If you are pregnant or breast-feeding, think you may be pregnant or are
planning to have a baby, ask your doctor or pharmacist for advice
before taking this medicine. Your doctor will decide if you can take it
 The following symptoms may occur in newborn babies, of mothers that
have used Risperdal® Liquid in the last trimester (last three months of
their pregnancy): shaking, muscle stiffness and/or weakness,
sleepiness, agitation, breathing problems, and difficulty in feeding. If
your baby develops any of these symptoms you may need to contact
your doctor.
 Risperdal® Liquid can raise your levels of a hormone called "prolactin"
that may impact fertility (see Possible side effects).
Driving and using machines
Dizziness, tiredness, and vision problems may occur during treatment
with Risperdal® Liquid. Do not drive or use any tools or machines without
talking to your doctor first.

People with kidney or liver problems

3. HOW TO TAKE RISPERDAL® LIQUID

Regardless of the disease to be treated, all starting doses and following
doses of risperidone should be halved. Dose increases should be slower
in these patients.
Risperidone should be used with caution in this patient group.

Always take this medicine exactly as your doctor has told you. Check with
your doctor or pharmacist if you are not sure.

Method of administration

The recommended dose is as follows:

Risperdal® Liquid

 See a doctor right away. Take the medicine pack with you
 In case of overdose you may feel sleepy or tired, or have abnormal
body movements, problems standing and walking, feel dizzy due to low
blood pressure, or have abnormal heartbeats or fits.
If you forget to take Risperdal® Liquid
 If you forget to take a dose, take it as soon as you remember it.
However, if it is almost time for your next dose, skip the missed dose
and continue as usual. If you miss two or more doses, contact your
doctor
 Do not take a double dose (two doses at the same time) to make
up for a forgotten dose
If you stop taking Risperdal® Liquid

For oral use.

For the treatment of schizophrenia

If you take more Risperdal® Liquid than you should

The solution comes with a syringe (pipette). This should be used to help
you measure the exact amount of medicine you need.
Follow these steps:
1. Remove the child-proof cap. Push the plastic screw cap down while
turning it counter clockwise (Figure 1)
2. Insert the syringe into the bottle
3. While holding the bottom ring, pull the top ring up to the mark that
corresponds to the number of millilitres or mg you need to take (Figure
2)
4. Holding the bottom ring, remove the entire syringe from the bottle
(Figure 3)
5. Empty the syringe into any non-alcoholic drink, except for tea. Slide the
upper ring down
6. Close the bottle
7. Rinse the syringe with some water.

Adults
 The usual starting dose is 2 mg per day, this may be increased to 4 mg
per day on the second day
 Your dose may then be adjusted by your doctor depending on how you
respond to the treatment
 Most people feel better with daily doses of 4 to 6 mg
 This total daily dose can be divided into either one or two doses a day.
Your doctor will tell you which is the best for you.
Elderly people
 Your starting dose will normally be 0.5 mg twice a day
 Your dose may then be gradually increased by your doctor to 1 mg to
2 mg twice a day
 Your doctor will tell you which is the best for you.

2

Uncommon (may affect up to 1 in 100 people):

You should not stop taking this medicine unless told to do so by your
doctor. Your symptoms may return. If your doctor decides to stop this
medicine, your dose may be decreased gradually over a few days.
If you have any further questions on the use of this medicine, ask your
doctor or pharmacist.

 Infection of the breathing passages, Bladder infection, ‘Eye infection,
Tonsillitis, Fungal infection of the nails, Infection of the skin. An
infection confined to a single area of skin or part of the body, Viral
infection, Skin inflammation caused by mites
 Decrease in the type of white blood cells that help to protect you
against infection, White blood cell count decreased. Decrease in
platelets (blood cells that help you stop bleeding), Anemia, Decrease in
red blood cells, Increase in eosinophils (a type of white blood cell) in
your blood
 Allergic reaction
 Diabetes or worsening of diabetes, High blood sugar, Excessive
drinking of water
 Weight loss, Loss of appetite resulting in malnutrition and low body
weight
 Increased cholesterol in your blood
 Elated mood (mania), Confusion, Decreased sexual drive,
Nervousness, Nightmares
 Tardive dyskinesia (twitching or jerking movements that you cannot
control in your face, tongue, or other parts of your body). Tell your
doctor immediately if you experience involuntary rhythmic movements
of the tongue, mouth and face. Withdrawal of Risperdal®Liquid may be
needed
 Sudden loss of blood supply to brain (stroke or “mini” stroke)
 Unresponsive to stimuli, Loss of consciousness, Low level of
consciousness
 Convulsion (fits), Fainting

4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects, although not
everybody gets them.
Tell your doctor immediately if you:
 Experience blood clots in the veins, especially in the legs (symptoms
include swelling, pain, and redness in the leg), which may travel
through blood vessels to the lungs causing chest pain and difficulty
breathing. If you notice any of these symptoms seek medical advice
immediately
 Have dementia and experience a sudden change in your mental state
or sudden weakness or numbness of your face, arms or legs,
especially on one side, or slurred speech, even for a short period of
time. These may be signs of a stroke
 Experience fever, muscle stiffness, sweating or a lowered level of
consciousness (a disorder called “Neuroleptic Malignant Syndrome”).
Immediate medical treatment may be needed
 Are a man and experience prolonged or painful erection. This is called
priapism. Immediate medical treatment may be needed
 Experience involuntary rhythmic movements of the tongue, mouth and
face. Withdrawal of risperidone may be needed

3

Expand view ⇕

Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

Hide