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Haloperidol information


Haloperidol
Clinical data
Pronunciation/ˌhælˈpɛrɪdɒl/
Trade namesHaldol, Serenace, others
AHFS/Drugs.comMonograph
MedlinePlusa682180
License data
  • US DailyMed: Haloperidol
Pregnancy
category
  • AU: C[1]
Routes of
administration
By mouth, intramuscular, intravenous, depot (as decanoate ester)
Drug classTypical antipsychotic
ATC code
  • N05AD01 (WHO)
Legal status
Legal status
  • AU: S4 (Prescription only)
  • BR: Class C1 (Other controlled substances)[3]
  • CA: ℞-only
  • UK: POM (Prescription only)
  • US: WARNING[2]Rx-only
Pharmacokinetic data
Bioavailability60–70% (by mouth)[4]
Protein binding~90%[4]
MetabolismLiver-mediated[4]
Elimination half-life14–26 hours (IV), 20.7 hours (IM), 14–37 hours (oral)[4]
ExcretionBiliary (hence in feces) and in urine[4][5]
Identifiers
IUPAC name
  • 4-[4-(4-Chlorophenyl)-4-hydroxypiperidin-1-yl]-1-(4-fluorophenyl)butan-1-one
CAS Number
  • 52-86-8 checkY
PubChem CID
  • 3559
IUPHAR/BPS
  • 86
DrugBank
  • DB00502 checkY
ChemSpider
  • 3438 checkY
UNII
  • J6292F8L3D
KEGG
  • D00136 checkY
ChEBI
  • CHEBI:5613 checkY
ChEMBL
  • ChEMBL54 checkY
CompTox Dashboard (EPA)
  • DTXSID4034150 Edit this at Wikidata
ECHA InfoCard100.000.142 Edit this at Wikidata
Chemical and physical data
FormulaC21H23ClFNO2
Molar mass375.87 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • c1cc(ccc1C(=O)CCCN2CCC(CC2)(c3ccc(cc3)Cl)O)F
InChI
  • InChI=1S/C21H23ClFNO2/c22-18-7-5-17(6-8-18)21(26)11-14-24(15-12-21)13-1-2-20(25)16-3-9-19(23)10-4-16/h3-10,26H,1-2,11-15H2 checkY
  • Key:LNEPOXFFQSENCJ-UHFFFAOYSA-N checkY
  (verify)

Haloperidol, sold under the brand name Haldol among others, is a typical antipsychotic medication.[6] Haloperidol is used in the treatment of schizophrenia, tics in Tourette syndrome, mania in bipolar disorder, delirium, agitation, acute psychosis, and hallucinations from alcohol withdrawal.[6][7][8] It may be used by mouth or injection into a muscle or a vein.[6] Haloperidol typically works within 30 to 60 minutes.[6] A long-acting formulation may be used as an injection every four weeks by people with schizophrenia or related illnesses, who either forget or refuse to take the medication by mouth.[6]

Haloperidol may result in a movement disorder known as tardive dyskinesia which may be permanent.[6] Neuroleptic malignant syndrome and QT interval prolongation may occur, the latter particularly with IV administration.[6] In older people with psychosis due to dementia it results in an increased risk of death.[6] When taken during pregnancy it may result in problems in the infant.[6][9] It should not be used by people with Parkinson's disease.[6]

Haloperidol was discovered in 1958 by Paul Janssen,[10] prepared as part of a structure-activity relationship investigation into analogs of pethidine (meperidine).[11] It is on the World Health Organization's List of Essential Medicines.[12] It is the most commonly used typical antipsychotic.[13] In 2020, it was the 303rd most commonly prescribed medication in the United States, with more than 1 million prescriptions.[14]

  1. ^ a b "Haloperidol Use During Pregnancy". Drugs.com. 10 February 2020. Retrieved 13 September 2020.
  2. ^ "FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)". nctr-crs.fda.gov. FDA. Retrieved 22 October 2023.
  3. ^ Anvisa (31 March 2023). "RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial" [Collegiate Board Resolution No. 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control] (in Brazilian Portuguese). Diário Oficial da União (published 4 April 2023). Archived from the original on 3 August 2023. Retrieved 16 August 2023.
  4. ^ a b c d e Cite error: The named reference PK1999 was invoked but never defined (see the help page).
  5. ^ "Product Information Serenace" (PDF). TGA eBusiness Services. Aspen Pharma Pty Ltd. 29 September 2011. Archived from the original on 14 March 2017. Retrieved 29 May 2014.
  6. ^ a b c d e f g h i j "Haloperidol". The American Society of Health-System Pharmacists. Archived from the original on 2 January 2015. Retrieved 2 January 2015.
  7. ^ Schuckit MA (November 2014). "Recognition and management of withdrawal delirium (delirium tremens)". The New England Journal of Medicine. 371 (22): 2109–2113. doi:10.1056/NEJMra1407298. PMID 25427113. S2CID 205116954.
  8. ^ Plosker GL (July 2012). "Quetiapine: a pharmacoeconomic review of its use in bipolar disorder". PharmacoEconomics. 30 (7): 611–631. doi:10.2165/11208500-000000000-00000. PMID 22559293.
  9. ^ "Prescribing medicines in pregnancy database". Australian Government. 3 March 2014. Archived from the original on 8 April 2014. Retrieved 2 January 2015.
  10. ^ Sneader W (2005). Drug discovery : a history (Rev. and updated ed.). Chichester: Wiley. p. 124. ISBN 978-0-471-89979-2. Archived from the original on 8 December 2015.
  11. ^ Ravina E (2011). The evolution of drug discovery: from traditional medicines to modern drugs (1. Aufl. ed.). Weinheim: Wiley-VCH. p. 62. ISBN 978-3-527-32669-3. Archived from the original on 8 December 2015.
  12. ^ World Health Organization (2021). World Health Organization model list of essential medicines: 22nd list (2021). Geneva: World Health Organization. hdl:10665/345533. WHO/MHP/HPS/EML/2021.02.
  13. ^ Stevens A (2004). Health care needs assessment: the epidemiologically based needs assessment reviews (2nd ed.). Abingdon: Radcliffe Medical. p. 202. ISBN 978-1-85775-892-4. Archived from the original on 8 December 2015.
  14. ^ "Haloperidol - Drug Usage Statistics". ClinCalc. Retrieved 7 October 2022.

and 28 Related for: Haloperidol information

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Haloperidol

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Haloperidol, sold under the brand name Haldol among others, is a typical antipsychotic medication. Haloperidol is used in the treatment of schizophrenia...

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Haloperidol decanoate

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Haloperidol decanoate, sold under the brand name Haldol Decanoate among others, is a typical antipsychotic which is used in the treatment of schizophrenia...

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Chorea

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PMID 15825133. Axley, John (1972). "Rheumatic chorea controlled with haloperidol". The Journal of Pediatrics. 81 (6): 1216–7. doi:10.1016/S0022-3476(72)80272-5...

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Typical antipsychotic

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grouping of antipsychotics are the butyrophenones, an example of which is haloperidol. The newer, second-generation antipsychotics, also known as atypical...

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List of antipsychotics

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Flupentixol palmitate Fluphenazine decanoate Fluphenazine enanthate Haloperidol decanoate Oxyprothepin decanoate Perphenazine decanoate Perphenazine...

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Psychomotor agitation

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effective or even more effective than the IM administration of haloperidol alone or haloperidol with lorazepam (which is the standard treatment of agitation...

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Phencyclidine

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seizures (when present). Typical antipsychotics such as phenothiazines and haloperidol have been used to control psychotic symptoms, but may produce many undesirable...

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Lorazepam

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as an alternative to haloperidol when there is the need for rapid sedation of violent or agitated individuals, but haloperidol plus promethazine is preferred...

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Bad trip

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hallucinations. In severe cases, antipsychotics such as haloperidol can reduce or stop hallucinations. Haloperidol is effective against acute intoxication caused...

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Chlorpromazine

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effective as ziprasidone and asenapine, and 12–16% less effective than haloperidol, quetiapine, and aripiprazole. A 2014 systematic review carried out by...

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Neuroleptic malignant syndrome

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risk than atypicals, specifically first generation antipsychotics like haloperidol. Onset is often within a few weeks of starting the medication but can...

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Pharmacological torture

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(medication). Furthermore, Kianush Sanjari indicated he was injected with haloperidol at Aminabad Psychiatric Hospital without diagnosis in 2019. Author Hengameh...

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Dyskinesia

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emergency because it can impair breathing. Older antipsychotics such as Haloperidol or Fluphenazine are more likely to cause acute dystonia than newer agents...

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Sulpiride

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Behnke K, Heltberg J, Nielsen H, Gerlach J (1984). "Sulpiride versus haloperidol, a clinical trial in schizophrenia. A preliminary report". Acta Psychiatrica...

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Tiapride

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study in agitated elderly patients compared the effects of tiapride, haloperidol and placebo and found that while the two drugs had comparable efficacy...

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Dissociative

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Giannini, AJ; Eighan, MS; Loiselle, RH; Giannini, MC (1984). "Comparison of haloperidol and chlorpromazine in the treatment of phencyclidine psychosis". Journal...

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Akathisia

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akathisia-inducing drugs were allegedly used as a form of torture. Haloperidol, an antipsychotic medication, was used to induce intense restlessness...

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Catalepsy

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can be caused by schizophrenia treatment with anti-psychotics, such as haloperidol, and by the anesthetic ketamine. Protein kinase A has been suggested...

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Dopamine hypothesis of stuttering

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elevated than the norm in people who stutter. The typical antipsychotic haloperidol has been the most used drug in treatment trials for stuttering. In double-blind...

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Butyrophenone

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antiemetics. Examples of butyrophenone-derived pharmaceuticals include: Haloperidol, the most widely used classical antipsychotic drug in this class Benperidol...

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Delirium tremens

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manage the sleep disturbance associated with condition. The antipsychotic haloperidol may also be used, as a major tranquilizer, in order to combat the overactivity...

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Paul Janssen

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Janssen Pharmaceutica.[citation needed] On 11 February 1958 he developed haloperidol, a major breakthrough in the treatment of schizophrenia. Working with...

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Somnolence

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olanzapine (Zyprexa), risperidone and ziprasidone (Geodon) but not haloperidol Dopamine agonists used in the treatment of Parkinson's disease – e.g...

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Magnesium

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antagonists: Besonprodil Buphenine (nylidrin) CO-101244 (PD-174494) Eliprodil Haloperidol Isoxsuprine Radiprodil (RGH-896) Rislenemdaz (CERC-301, MK-0657) Ro 8-4304...

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Pimavanserin

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tolerability and safety of adjunctive pimavanserin to risperidone and haloperidol were published in November 2012, and the results showed that pimavanserin...

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Zotepine

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approximately as effective as paliperidone, and slightly more effective than haloperidol, quetiapine, and aripiprazole. Common Tachycardia Hypotension Orthostatic...

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Cocaine

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Diallyl trisulfide Domperidone E-4031 Ergtoxins Erythromycin Gigactonine Haloperidol Ketoconazole Norpropoxyphene Orphenadrine Pimozide PNU-282,987 Promethazine...

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Antipsychotic

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Risperidone (atypical) has a similar rate of extrapyramidal symptoms to haloperidol (typical). A rare but potentially lethal condition of neuroleptic malignant...

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