Generic name: haloperidol (oral) [ hal-oh-per-i-dol ]
Drug class: Miscellaneous antipsychotic agents
Availability: Prescription only
Pregnancy & Lactation: Risk data available
Brand names: Haldol, Haldol decanoate (injection), Haldol (injection), Haloperidol (injection)
What is Haloperidol?
Haloperidol is an antipsychotic medicine that is used to treat schizophrenia.
Haloperidol is also used to control motor and speech tics in people with Tourette's syndrome.
Haloperidol may also be used for purposes not listed in this medication guide.
Warnings
Haloperidol is not approved for use in older adults with dementia-related psychosis.
How should I take Haloperidol
Haloperidol comes as a tablet and concentrated liquid to take by mouth. It is usually taken two or three times a day. Take haloperidol at around the same times every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take haloperidol exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Your doctor will probably start you on a low dose of haloperidol and gradually increase your dose. Your doctor may decrease your dose once your condition is controlled. Be sure to tell your doctor how you are feeling during your treatment with haloperidol.
Haloperidol may help control your condition, but will not cure it. Continue to take haloperidol even if you feel well. Do not stop taking haloperidol without talking to your doctor. Your doctor will probably decrease your dose gradually. If you suddenly stop taking haloperidol, you may experience difficulty controlling your movements.
Dosing information
Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.
Taking too much haloperidol can cause a serious heart rhythm disorder or sudden death. Never take more than your prescribed dose.
Measure liquid medicine with the supplied syringe or a dose-measuring device (not a kitchen spoon).
Your symptoms may not improve for several weeks.
You may have withdrawal symptoms if you stop using haloperidol suddenly. Ask your doctor before stopping the medicine.
Store at room temperature away from moisture, heat, and light. Do not allow liquid medicine to freeze.
Before Taking
You should not use haloperidol if you are allergic to it, or if you have:
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Parkinson's disease; or
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certain conditions that affect your central nervous system (such as severe drowsiness, or slowed thinking caused by taking other medicines or drinking alcohol).
Haloperidol may increase the risk of death in older adults with dementia-related psychosis and is not approved for this use.
Tell your doctor if you have ever had:
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heart problems, angina (chest pain);
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long QT syndrome (in you or a family member);
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low blood pressure;
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a seizure;
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a thyroid disorder;
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breast cancer; or
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an electrolyte imbalance (such as low blood levels of potassium or magnesium).
Using antipsychotic medicine in the last 3 months of pregnancy may cause serious problems in the newborn. If you get pregnant, tell your doctor right away. Do not stop the medicine without your doctor's advice.
Ask a doctor if it is safe to breastfeed while using haloperidol.
What happens if I miss a dose?
Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of haloperidol can be fatal.
What should I know about storage and disposal of this medication?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Protect the liquid from light and do not allow it to freeze.
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.
It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org
What special dietary instructions should I follow?
Unless your doctor tells you otherwise, continue your normal diet.
What should I avoid while using Haloperidol?
Drinking alcohol with haloperidol can cause side effects.
Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Dizziness or severe drowsiness can cause falls, fractures, or other injuries.
Haloperidol side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
High doses or long-term use of haloperidol can cause a serious movement disorder that may not be reversible. The longer you use haloperidol, the more likely you are to develop this disorder, especially if you are a woman or an older adult.
Haloperidol may cause serious side effects. Call your doctor at once if you have:
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uncontrolled muscle movements in your face (chewing, lip smacking, frowning, tongue movement, blinking or eye movement);
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muscle spasms in your neck, tightness in your throat, trouble swallowing;
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rapid changes in mood or behavior;
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fast or pounding heartbeats, fluttering in your chest, shortness of breath, and sudden dizziness (like you might pass out);
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cough with mucus, chest pain, feeling short of breath;
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low white blood cell counts--fever, chills, mouth sores, skin sores, sore throat, cough, trouble breathing; or
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severe nervous system reaction--very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out.
Common side effects of haloperidol may include:
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drowsiness;
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headache;
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dizziness, spinning sensation;
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uncontrolled muscle movements;
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feeling restless or anxious;
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sleep problems (insomnia); or
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breast enlargement, irregular menstrual periods.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See more: Haloperidol Side EffectsWhat other drugs will affect Haloperidol?
Haloperidol can cause a serious heart problem. Your risk may be higher if you also use certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV.
Using haloperidol with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.
Tell your doctor about all your other medicines, especially:
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lithium;
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rifampin;
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medicine to treat Parkinson's disease;
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seizure medicine; or
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a blood thinner--warfarin, Coumadin, Jantoven.
This list is not complete. Other drugs may affect haloperidol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.
What other information should I know?
Keep all appointments with your doctor.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.