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Haldol vs. Invega

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

Key takeaways

Haldol (haloperidol) and Invega (paliperidone) 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, either long-acting or short-acting. In contrast, Invega is an atypical antipsychotic that affects both dopamine and serotonin levels and is taken orally as an extended-release tablet. Haldol long-acting injection is typically given monthly by a healthcare provider, and Invega is also available as a long-acting injection. Both medications can cause movement-related side effects, such as rigid muscles and tremors, as well as weight gain and high blood sugar levels. However, Haldol may be less likely to cause weight gain compared to Invega. Both medications should not be used in older adults with dementia-related psychosis due to an increased risk of death.

Haloperidol

 

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Invega

(paliperidone)

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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 Invega

Prescription only

Invega (paliperidone) is taken by mouth and used to improve mood, thoughts, and behaviors in people who have schizophrenia or schizoaffective disorder. It's available as both brand and generic versions in an extended-release pill, which means the medication is released slowly in your body. It only needs to be taken once a day. Some common side effects include drowsiness and uncontrolled muscle movements. There are long-acting injection forms of this medication available given by a trained healthcare provider.

Indications for Invega

  • Schizophrenia
  • Schizoaffective disorder

Pros and Cons for Invega

Pros

  • Available in many different strengths to make it easier to customize your dose
  • Can be used in adolescents
  • Only need to take the medication once a day

Cons

  • You might have to see your provider several times until you find a dose that works best for you
  • Can make you feel sleepy or sedated
  • Can cause weight gain

Common Side Effects for Invega

  • Abnormal muscle movements (up to 40%)
  • Drowsiness (up to 26%)
  • Headache (up to 14%)
  • Irregular heart beat (up to 14%)
  • Vomiting (up to 11%)
  • Anxiety (up to 9%)

Warnings for Invega

  • Higher risk of death in older adults with dementia-related psychosis
  • Neuroleptic malignant syndrome (NMS)
  • High blood sugar, high cholesterol, and weight gain
  • Difficulty controlling muscle movements (tardive dyskinesia)
  • Higher risk of falls
  • High prolactin levels
  • Higher risk of infections
  • Not for people with gut problems
  • Heart rhythm problem (QT prolongation)

Prices with our coupons for Haldol vs. Invega

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Haloperidol Lactate1 vial / 1ml of 5mg/ml
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Paliperidone ER30 tablets / 6mg
$42.27$419.47
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