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Haldol vs. Geodon

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

Key takeaways

Haldol (haloperidol) and Geodon (ziprasidone) are both antipsychotic medications used to treat schizophrenia, but they have some key differences. Haldol is a typical antipsychotic that works by blocking dopamine activity in the brain and is available in oral forms, as well as an injection, typically given monthly. In contrast, Geodon is an atypical antipsychotic that balances dopamine and serotonin levels and is available as an oral capsule taken by mouth twice daily with food. There's also an injectable form of Geodon to treat agitation caused by schizophrenia. Both medications can cause movement-related side effects, such as rigid muscles and tremors, as well as sleepiness and nausea. Both medications can cause serious side effects like neuroleptic malignant syndrome and heart rhythm problems, but Geodon also carries a risk of weight gain and high blood sugar. Haldol is less likely to cause weight gain compared to other antipsychotics.

Haloperidol

 

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Ziprasidone

(Geodon)

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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 Geodon

Prescription only

Ziprasidone (Geodon) is an atypical antipsychotic medication used to treat bipolar I disorder and schizophrenia in adults. It works by balancing the levels of certain chemicals in the brain, like dopamine and serotonin. Ziprasidone (Geodon) is taken by mouth, typically twice daily. It's also available as an injection that's given into the muscles by a healthcare provider to treat agitation in schizophrenia. Some common side effects of ziprasidone (Geodon) include uncontrolled body movements, sleepiness, and nausea.

Indications for Geodon

Pros and Cons for Geodon

Pros

Cons

  • Taken twice daily
  • Might take several weeks before you feel the full benefits of this medication
  • Must be taken with food

Common Side Effects for Geodon

  • Uncontrolled body movements (14%)
  • Sleepiness (14%)
  • Nausea (10%)
  • Constipation (9%)
  • Indigestion (8%)
  • Restlessness (8%)
  • Dizziness (8%)
  • Respiratory tract infection (8%)

Note: Side effects listed were reported by people who took ziprasidone for schizophrenia in a clinical study

Warnings for Geodon

  • Higher risk of death in older adults with dementia-related psychosis
  • Risk of suicidal thoughts and behavior
  • Difficulty controlling muscle movements (tardive dyskinesia)
  • Weight gain, higher blood sugar, and higher cholesterol levels
  • Neuroleptic malignant syndrome
  • Difficulty concentrating and extreme sleepiness
  • Changes in blood pressure and higher risk of falls
  • Risk of infection (from low white blood cell count)
  • Seizures
  • Serious skin reaction
  • Prolonged and painful erection
  • High prolactin levels
  • Heart rhythm problems

Prices with our coupons for Haldol vs. Geodon

Price Card Drug Icon
Haloperidol Lactate1 vial / 1ml of 5mg/ml
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Ziprasidone30 capsules / 40mg
$18.06$74.69
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