section name header

Pronunciation

ha-loe-PER-i-dole audio

Indications

BEERS REMS

Unlabeled Use:

Action

Therapeutic Effects:

Pharmacokinetics

Absorption: Well absorbed following PO/IM administration. Decanoate salt is slowly absorbed and has a long duration of action.

Distribution: Concentrates in liver. Crosses placenta; enters breast milk.

Protein Binding: 92%.

Metabolism/Excretion: Mostly metabolized by the liver.

Half-life: 21–24 hr.

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: TORSADES DE POINTES, hypotension, QT interval prolongation, tachycardia, ventricular arrhythmias.

Derm: diaphoresis, photosensitivity, rash.

EENT: blurred vision, dry eyes.

Endo: amenorrhea, galactorrhea, gynecomastia.

GI: constipation, dry mouth, anorexia, drug-induced hepatitis, ileus, weight gain.

GU: impotence, urinary retention.

Hemat: AGRANULOCYTOSIS, anemia, leukopenia, neutropenia.

Metab: hyperpyrexia.

Neuro: SEIZURES, extrapyramidal reactions, confusion, drowsiness, restlessness, tardive dyskinesia.

Resp: respiratory depression.

Misc: NEUROLEPTIC MALIGNANT SYNDROME, hypersensitivity reactions.

Interactions

Drug-Drug:

Drug-Natural Products:

Route/Dosage

see Calculator

Haloperidol

Haloperidol Decanoate

Implementation

US Brand Names

Haldol, Haldol Decanoate

Classifications

Therapeutic Classification: antipsychotics

Pharmacologic Classification: butyrophenones

Availability

(Generic available)

Time/Action Profile

(antipsychotic activity)

ROUTEONSETPEAKDURATION
PO2 hr2–6 hr8–12 hr
IM20–30 min30–45 min4–8 hr
IM (decanoate)3–9 daysunknown1 mo

†Effect may persist for several days.

Assessment

Lab Test Considerations:

Patient/Family Teaching

Evaluation/Desired Outcomes

Code

NDC Code*