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Haldol vs. Aristada

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Haldol (haloperidol) and Aristada (aripiprazole lauroxil) are both injectable medications used to treat schizophrenia, but they have some key differences. Haldol is a typical antipsychotic that works by blocking dopamine, while Aristada is an atypical antipsychotic that balances both dopamine and serotonin. Haldol is usually given monthly, but it can also be administered as a short-acting injection in hospital settings for agitation. Aristada, on the other hand, can be given every 1 to 2 months, isn't short-acting, and requires you to tolerate Abilify (aripiprazole) tablets first. Haldol has a higher risk of movement-related side effects, such as rigid muscles and tremors, whereas Aristada can cause high blood sugar and weight gain. Additionally, Haldol is available as a lower-cost generic, while Aristada is only available as a brand medication and can be more expensive. Both medications should not be used in older adults with dementia-related psychosis due to a higher risk of death.

Haloperidol

 

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Aristada

(aripiprazole lauroxil)

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Summary for Haldol

Prescription only

Haloperidol is a typical antipsychotic used to treat several behavioral and psychiatric conditions in adults and children. This medication is taken by mouth, typically 2 to 3 times per day. Side effects of haloperidol include sleepiness, dizziness, and dry mouth.

Indications for Haldol

  • Psychotic and behavioral disorders
  • Tourette syndrome in adults and children
  • Hyperactivity in children

Pros and Cons for Haldol

Pros

  • Available as a tablet and a liquid
  • Available as a lower-cost, generic medication
  • Works well to treat several behavioral and psychiatric conditions
  • Can be used in children

Cons

  • Can have lots of problematic side effects compared to newer antipsychotics
  • Needs to be taken two to three times per day
  • Can cause dangerous withdrawal symptoms if suddenly stopped
  • Might cause drowsiness, which can affect normal daily activities

Common Side Effects for Haldol

  • Drowsiness
  • Headache
  • Tremor
  • Muscle spasms
  • Abnormal muscle movement
  • Mood changes (anxiety, depression)
  • Trouble sleeping
  • Restlessness

Warnings for Haldol

  • Higher risk of death in older people with dementia-related psychosis
  • Life-threatening abnormal heart rhythm (QT prolongation)
  • Difficulty controlling body movements
  • Neuroleptic malignant syndrome (NMS)
  • Higher risk of falls
  • Pneumonia
  • Low white blood cell counts
  • Harm to unborn babies

Summary for Aristada

Prescription only

Aristada (aripiprazole lauroxil) is used to improve mood, thoughts, and behaviors in adults who have schizophrenia. It's a long-acting medication that's injected into your muscle every 1 to 2 months by your healthcare provider. It's only used in people who can tolerate Abilify (aripiprazole) oral tablets.

Indications for Aristada

  • Schizophrenia

Pros and Cons for Aristada

Pros

  • Can be given up to once every 2 months
  • Good option for people who have a hard time taking medications by mouth
  • Has fewer side effects compared to some other antipsychotic medications
  • Patient assistance programs are available to help lower the cost

Cons

  • Can cause high blood sugar and weight gain
  • Must be injected in the muscle at your healthcare provider's office
  • Can cause soreness or pain at the injection site
  • Not recommended for use during pregnancy or breastfeeding
  • Can be expensive because it's only available as a brand medication

Common Side Effects for Aristada

  • Restlessness (11%)
  • Unusual and uncontrollable muscle movements or muscle spasms (5-7%)

Warnings for Aristada

  • Higher risk of death in older adults with dementia-related psychosis
  • Neuroleptic malignant syndrome (NMS)
  • Difficulty controlling muscle movements (tardive dyskinesia)
  • High blood sugar, high cholesterol, and weight gain
  • Impulsive behavior
  • Higher risk of falls
  • Higher risk of infections
  • Seizures

Prices with our coupons for Haldol vs. Aristada

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Haloperidol Lactate1 vial / 1ml of 5mg/ml
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Aristada1 syringe / 3.2ml of 882mg
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