Buy Haldol
Haldol

1
A powerful antipsychotic medication used to manage symptoms of severe mental health conditions and agitation.


Ingredient
Availability
In Stock
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Alternative/Local Brand
Haldol
Active Ingredient(s)
Haloperidol
Primary Category
Mental Health Treatment
Therapeutic Class
Antipsychotics, Butyrophenone derivatives
Pharmacological Class
Typical antipsychotic
Indications
Schizophrenia, Bipolar mania, Severe agitation, Tourette's syndrome, Persistent hiccups
Contraindications
Parkinson's disease, Comatose states, Severe CNS depression, Recent heart attack
Minor Side Effects
Dry mouth, Blurred vision, Drowsiness, Constipation
Moderate Side Effects
Weight gain, Restlessness, Stiffness, Tremor
Serious Side Effects
Tardive dyskinesia, Neuroleptic malignant syndrome, Sudden changes in heart rhythm, Jaundice
Dosage Forms
Tablet, Oral liquid, Injection
Administration Route
Oral (or Intramuscular)
Mechanism of Action
Haloperidol blocks dopamine receptors in the brain. Since overactive dopamine pathways are linked to psychosis and agitation, this drug helps calm the brain and reduce hallucinations or aggressive behavior.
Prescription Status
Rx
Manufacturer
Janssen-Cilag
Patient Summary
A powerful antipsychotic medication used to manage symptoms of severe mental health conditions and agitation.
Onset Time
1-2 hours (oral)
Duration
12-24 hours
Storage Instructions
Store at room temperature. Protect liquid from light.
Drug Interactions
Levodopa, Alcohol, Anticonvulsants, Rifampicin
Age Restrictions
Requires careful dose management in children and elderly
Pregnancy Use
Avoid unless the benefit outweighs potential risk to the fetus.
Alternative Drugs
Chlorpromazine, Risperidone, Quetiapine

Haldol: What Is It?

Haloperidol, sold under the brand name Haldol, is a prescription medication used in mental health care. It belongs to the class of drugs called typical antipsychotics. Haldol is available as oral pill tablets, most commonly in a 10 mg strength. In Hong Kong, haloperidol is classified as a prescription-only medicine and is regulated by the Hong Kong Department of Health.

How Haldol Works in the Body

Haloperidol blocks dopamine D₂ receptors in the brain, reducing the excessive dopamine signaling that contributes to psychotic symptoms. By antagonizing these receptors, the drug helps restore a more balanced neurotransmitter environment. The onset of action after an oral dose is usually within 30 minutes, with peak effects reached in 2-4 hours. The medication’s half-life ranges from 14 to 26 hours, allowing once-daily or divided dosing schedules.

Conditions Treated with Haldol

Haloperidol is approved for several mental-health indications, including:

  • Schizophrenia - management of acute psychotic episodes and maintenance therapy.
  • Acute psychosis - rapid control of severe agitation or hallucinations.
  • Tourette’s syndrome - reduction of motor and vocal tics when other treatments are insufficient.

In Hong Kong, these uses follow the approvals granted by the local health authority and align with international guidelines.

Patient Suitability and Contraindications

Who Should Use Haldol?

  • Adults with a confirmed diagnosis of schizophrenia or acute psychosis who need antipsychotic therapy.
  • Individuals with severe, treatment-resistant tic disorders for whom haloperidol is deemed appropriate.

Absolute Contraindications

  • Known hypersensitivity to haloperidol or any of its excipients.
  • Severe central nervous system depression.
  • Patients with a history of neuroleptic malignant syndrome (NMS).

Relative Contraindications

  • Pregnant or breastfeeding women - haloperidol crosses the placenta and may affect the infant; risk-benefit assessment is essential.
  • Elderly patients with dementia-related psychosis - higher risk of stroke and mortality.
  • Significant cardiac disease, especially a history of prolonged QT interval.

Special Populations

  • Renal or hepatic impairment: Dose adjustments may be needed; start with a lower dose and titrate slowly.
  • Geriatric patients: Increased sensitivity to side effects; monitor closely for sedation and orthostatic hypotension.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Drowsiness or sedation
  • Dry mouth
  • Constipation
  • Blurred vision
  • Minor weight gain

These effects are frequently reported and usually lessen with continued therapy or dose adjustment.

Serious Adverse Events

  • Extrapyramidal symptoms (EPS): Tremor, rigidity, bradykinesia, and akathisia may develop, especially at higher doses.
  • Neuroleptic malignant syndrome: A rare but life-threatening reaction characterized by fever, muscle rigidity, autonomic instability, and altered mental status.
  • QT prolongation: May lead to serious cardiac arrhythmias; caution is advised in patients with existing cardiac conditions or those taking other QT-prolonging drugs.

Drug Interactions

  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine) can increase haloperidol plasma levels, raising the risk of side effects.
  • Anticholinergic agents may mask early signs of EPS.
  • Other QT-prolonging medications (e.g., certain antiarrhythmics, some antibiotics) can compound cardiac risks.

Patients should inform their healthcare provider of all prescription medicines, over-the-counter drugs, supplements, and herbal products before starting Haldol.

Food and Lifestyle Interactions

  • Haloperidol may be taken with or without food; however, a high-fat meal can slightly delay absorption.
  • Alcohol can increase sedation and should be avoided or limited.
  • Caution when operating machinery or driving until the individual knows how the medication affects them.

Dosing and Administration Guidelines

Standard Dosing

  • Acute psychosis or schizophrenia (oral): Initiate with 0.5 - 5 mg two to three times daily, adjusting based on clinical response. A 10 mg tablet may be used when higher doses are required, but total daily dosage should not exceed 20 mg.
  • Tourette’s syndrome: Typical starting dose is 0.5 mg twice daily, titrated up to a maximum of 10 mg per day as needed.

Special Populations

  • Renal/Hepatic impairment: Start at the lower end of the dosing range (e.g., 0.5 mg once daily) and increase cautiously.
  • Elderly patients: Begin with 0.5 mg once daily, monitoring for excessive sedation or EPS.

Administration Tips

  • Swallow the pill whole with a full glass of water.
  • Do not crush, chew, or split the tablet unless advised by a pharmacist.
  • Store at room temperature, away from moisture and direct sunlight.

Missed Dose

If a dose is missed, take it as soon as it is remembered unless it is near the time of the next scheduled dose. Do not double the dose.

Overdose

Symptoms may include severe drowsiness, extrapyramidal signs, respiratory depression, or cardiac arrhythmias. Seek emergency medical attention promptly; supportive care and monitoring are the mainstays of treatment.

Discontinuation

Abrupt stopping can lead to rebound psychosis or withdrawal dyskinesia. Taper the dose gradually under medical supervision, especially after long-term use.

Monitoring and Follow-Up

  • Baseline and periodic ECGs are recommended to assess QT interval, particularly in patients with cardiac risk factors.
  • Liver function tests may be performed if hepatic disease is present.
  • Regular clinical evaluations should assess symptom control, side-effect burden, and adherence.

Storage and Handling

  • Keep tablets in the original container, tightly closed.
  • Store at controlled room temperature (15 °C - 30 °C).
  • Keep out of reach of children; use child-proof packaging when available.
  • Dispose of unused medication according to local pharmaceutical waste guidelines.

Medication-Specific Glossary

Extrapyramidal Symptoms (EPS)
Drug-induced movement disorders including tremor, rigidity, bradykinesia, and akathisia, commonly associated with dopamine antagonists.
Neuroleptic Malignant Syndrome (NMS)
A rare, potentially fatal reaction to antipsychotics characterized by hyperthermia, muscle rigidity, autonomic instability, and altered mental status.
QT Prolongation
Extension of the heart’s electrical repolarization interval, which can predispose to dangerous arrhythmias such as torsades de pointes.

Medical Disclaimer

This article provides educational information about Haldol and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Haldol FAQ

Can I travel internationally with Haldol tablets?

Yes, you may bring a reasonable supply for personal use, but keep the medication in its original packaging with a copy of the prescription. Some countries require a doctor’s note, so check the destination’s import regulations in advance.

Does Haldol cause weight gain?

Weight gain is less common with haloperidol than with many atypical antipsychotics, but some patients experience modest increases. Monitoring diet and activity levels can help manage this effect.

What do the imprint codes on Haldol tablets look like?

In Hong Kong, a 10 mg haloperidol tablet often bears the imprint “HAL 10” or a similar identifier. The exact code may vary by manufacturer; verify with your pharmacist if unsure.

Is a urine drug test likely to detect haloperidol?

Standard workplace drug screens do not typically include haloperidol. However, specialized testing could detect it if specifically requested.

How long does Haldol stay in the body after stopping?

Haloperidol’s elimination half-life is about 14-26 hours, so it generally clears from the system within 5-7 days after the last dose, though metabolites may persist slightly longer.

Can I drink alcohol while taking Haldol?

Alcohol can increase sedation and the risk of dizziness or fainting. It is safest to limit or avoid alcohol while on haloperidol, especially during dose adjustments.

What should I do if I develop a fever while on Haldol?

A sudden fever combined with muscle rigidity may signal neuroleptic malignant syndrome, a medical emergency. Seek immediate medical attention if these symptoms occur.

Are there generic versions of Haldol available in Hong Kong?

Yes, haloperidol is marketed under various generic names and can be dispensed as a 10 mg oral tablet. The therapeutic effect is equivalent when the dosage and formulation match.

How does Haldol compare to newer antipsychotics like risperidone?

Haloperidol is a typical antipsychotic with a strong dopamine blockade, which can lead to higher rates of extrapyramidal symptoms. Atypical agents such as risperidone often have a broader receptor profile, potentially offering a different side-effect balance. Choice of therapy depends on individual clinical response and tolerability.

Categories