Product image of Haldol (Haloperidol) supplied by GNH India

Haldol

Active Ingredient:
Haloperidol
Origin:
EU

Haldol (Haloperidol)

Haldol is the trade name for the injectable form of haloperidol, a butyrophenone antipsychotic supplied as a sterile solution for intramuscular administration. It is a prescription‑only medication marketed in the European Union and acts as a dopamine D2‑receptor antagonist. The drug is packaged in ampoules for rapid delivery when acute psychiatric symptoms require immediate control, and it carries ATC code N05AD01 for use under medical supervision.

Manufacturer / TM Owner

Essential Pharma Limited

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Indications & Clinical Uses

Haloperidol injection is indicated for several acute psychiatric conditions where rapid symptom control is needed.

  • Schizophrenia, especially during acute exacerbations
  • Acute psychotic episodes unrelated to schizophrenia
  • Manic episodes in bipolar disorder
  • Severe agitation or aggression that poses safety risks
  • Pre‑operative sedation in patients with psychosis

Side Effects

Side effects of intramuscular haloperidol vary in frequency and severity.

Common

  • Drowsiness or sedation
  • Extrapyramidal symptoms such as tremor or rigidity
  • Dry mouth
  • Blurred vision
  • Constipation

Serious

  • Neuroleptic malignant syndrome
  • Tardive dyskinesia
  • Severe hypotension
  • Cardiac arrhythmias (QT prolongation)
  • Agranulocytosis (rare)

Precautions & Warnings

Before prescribing haloperidol injection, clinicians should evaluate several safety considerations.

  • History of cardiovascular disease or prolonged QT interval
  • Current or past movement disorders, including Parkinson’s disease
  • Severe hepatic or renal impairment
  • Pregnancy, lactation, or plans for pregnancy (risk unknown)
  • Concomitant use of other dopamine‑blocking agents
  • Elderly patients, especially with dementia‑related psychosis, due to higher mortality risk

Avoid Interactions

Haloperidol can interact with other medicines, affecting its efficacy or safety.

Avoid

  • Other antipsychotics or dopamine antagonists
  • Medications that prolong QT interval (e.g., certain antiarrhythmics, macrolide antibiotics)
  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin)

Use with caution

  • CNS depressants such as benzodiazepines or opioids
  • Anticholinergic agents (may mask extrapyramidal symptoms)
  • CYP3A4 inducers (e.g., carbamazepine, rifampin) which may reduce haloperidol levels

Frequently Asked Questions

Haloperidol works primarily as a dopamine D2 receptor antagonist, reducing dopaminergic neurotransmission in the brain.

Injectable haloperidol is often used when rapid control of severe agitation, acute psychosis, or mania is required, or when the patient cannot take oral medication.

Caution is advised for patients with known QT interval prolongation or other cardiac conduction disorders, and ECG monitoring may be recommended.

Typical side effects include drowsiness, dry mouth, blurred vision, constipation, and mild extrapyramidal symptoms such as tremor or rigidity.

The product should be kept in its original packaging, protected from light, and stored at controlled room temperature as specified by the manufacturer.

The safety of haloperidol during pregnancy has not been fully established; clinicians must weigh potential benefits against unknown risks.

Patients should be observed for signs of extrapyramidal reactions, changes in blood pressure, cardiac rhythm abnormalities, and rare but serious conditions like neuroleptic malignant syndrome.

Yes, co‑administration with antibiotics known to prolong QT (e.g., macrolides) should be avoided or closely monitored.

Healthcare providers may consider administering an anticholinergic agent such as benztropine or diphenhydramine to alleviate the symptoms.

Dose adjustments may be necessary for individuals with severe hepatic or renal dysfunction; dosing should be individualized by the prescriber.

The therapeutic effect can last from several hours up to a day, depending on the dose and individual patient metabolism.

Elderly patients, especially those with dementia‑related psychosis, have an increased risk of mortality and should be treated with the lowest effective dose and close monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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