Haloperidol

Haloperidol belongs to a class of medications known as typical (first-generation) antipsychotics. It is used to treat and prevent the return of symptoms in Schizophrenia and other mental health related conditions such as:

• Hearing, seeing or sensing things that are not real
• Having mistaken beliefs
• Uncontrolled anger
• Being overly suspicious

Haloperidol may be used for other conditions such as Tourette syndrome (a movement or muscle related condition) or to control severe behavioural problems in children. Check with your healthcare professional if you are unsure why you are given this medication.

For Haloperidol tablet:

• Take your medication according to the instructions stated on the medication label.
• Haloperidol may be taken with or without food.
• Do not stop taking or adjust the dose of this medication without checking with your doctor.
• Haloperidol needs to be taken regularly for a few weeks before you can feel its full benefits. You should not stop taking this medication even if you do not feel better at the beginning. Continue to take this medication even after you feel better to prevent your symptoms from returning.
• Do check with your doctor on how long you will have to be on this medication.

For Haloperidol oral solution:

• Measure the dose carefully with the dropper provided. (1 drop equals to 0.1mg)
• You may mix the dose of oral solution with a small glass of water. Do not mix with alcoholic drinks.

For Haloperidol depot injection:

• Haloperidol is injected into your upper arm or buttocks.

For Haloperidol tablet/oral solution:

• If you forget to take a dose, take it as soon as you remember. However, if more than half of the time to the next dose has passed, skip the missed dose and take the next dose at your usual timing.
• For example, for a medication to be taken two times daily at 8am and 8pm, and you missed your first dose at 8am, skip the first dose if it is after 2pm, and take your second dose at the usual timing at 8pm. Do not take two doses to make up for the missed dose.

For Haloperidol depot injection:

Please call up your doctor to arrange for an appointment visit.

Inform your healthcare professional if:

• You are allergic to this medication or any of the other ingredients of this medication
• You are pregnant, planning to become pregnant, or breastfeeding. If you are pregnant and/or breastfeeding, your doctor would have discussed the potential benefits and side-effects with you and should you have further questions or concerns, do consult your doctor.
• You are taking any other medications (including those that can be bought without a prescription), supplements, traditional Chinese medicine and herbal products. Some of them may affect how this medication works or cause serious drug interactions.
• You have or have ever had:
  • Other drug allergies
  • Medical conditions such as:
    • Liver or severe lung disease, irregular heartbeat or other heart problems, glaucoma (high pressure in the eye), thyroid disease, urinary or prostate problems, jaundice (yellowing of eye whites or skin), stroke
    • Parkinson’s disease, dementia, seizure (fits), high or low blood pressure, blood disorders, history of blood clots

Haloperidol can make your skin more sensitive to sunlight. Avoid prolonged exposure to sunlight. Wear protective clothing or use sunscreen if necessary.

The mentioned side effects generally affect up to 10% of patients.

• Drowsiness or feeling tired
  • Avoid driving or taking part in activities that require concentration
  • Discuss with your doctor if you can take your medication at a different time of the day
• Dizziness
  • Get up slowly from a sitting or lying down position
• Constipation
  • Drink more water (if you do not have any fluid restriction), eat more high-fibre foods, and exercise regularly
  • Speak to your doctor or pharmacist if you need medication to help with your constipation
• Dry mouth
  • Chew sugar-free gum, suck on sugar-free hard candies or ice chips, sip water regularly
• Muscle movement side effects (extrapyramidal side effects) – do speak to your doctor for further management. Examples include:
  • Muscle stiffness and spasms (such as in the face, neck and back), difficulty in speaking or swallowing, twitching, or upward rolling of eyes (symptoms of dystonia)
  • Restlessness or need to keep moving constantly (akathisia)
  • Uncontrollable shaking of limbs (tremors)
• Increased prolactin hormone in the body (hyperprolactinemia):
  • This may result in changes in menstrual cycle in females (Iirregular or stopping of menstrual periods) and/or abnormal breast swelling, soreness or secretion (in both men and women)
  • This condition can be managed by speaking to your doctor
• Headache

Most of the side effects listed here will improve with time. Speak with your doctor if any of them continues, worsens or affects your daily life.

The symptoms of a drug allergy include one or more of the following:

• Swollen face/eyes/lips/tongue
• Difficulty in breathing
• Itchy skin rashes over your whole body

Rarely this medication may cause:

• Confusion, high fever, severe muscle stiffness, irregular blood pressure (signs and symptoms of neuroleptic malignant syndrome)
• Uncontrollable movements such as in the face, tongue, jaw or other parts of the body (tardive dyskinesia)
• Blurred vision
• Difficulty in passing urine
• Seizures (fits)
• Sudden weakness or numbness in the face, arms or legs, and speech or vision problems (signs and symptoms of stroke)
• Loss of appetite, severe nausea or vomiting, pain in the upper part of the stomach, yellowing of the skin or ‘whites’ of the eyes, dark-brown coloured urine and/or pale/clay-coloured stools (signs and symptoms of a liver problem)
• Fast or irregular heartbeat, fainting episodes (signs and symptoms of an abnormal heart beating rhythm (prolonged QTc interval))
• Fever, chills, sore throat and/or mouth ulcers that do not go away (symptoms of blood dyscrasias)
• Severe chest pain, difficulty breathing, or severe pain or swelling in either of the legs (symptoms of venous thromboembolism)

If you experience any of these symptoms, you should stop your medication and see your healthcare professional immediately.

Avoid drinking alcohol while taking Haloperidol as it can cause excessive sleepiness.

Store in a cool and dry place, away from direct sunlight. Keep this medication away from children.

For Haloperidol tablet/oral solution:

• Pack this medication into a trash bag and seal it tightly before throwing into the rubbish chute or bin.