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Haldol vs. Loxapine

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

Key takeaways

Haloperidol (Haldol) and loxapine (Loxitane) are both typical antipsychotics used to treat schizophrenia, but they have some key differences. Haloperidol is available in oral forms, as well as an injection, either long-acting or short-acting, while loxapine is taken orally as capsules. Haloperidol works by blocking dopamine activity in the brain, whereas loxapine's exact mechanism is unclear but is thought to regulate both dopamine and serotonin levels. Haloperidol long-acting injection is typically given monthly by a healthcare provider, while loxapine is taken once or twice daily. Haloperidol has a lower risk of weight gain compared to some other antipsychotics, but it has a higher risk of movement-related side effects. Loxapine can cause drowsiness and has a risk of causing uncontrollable muscle movements that might not go away after stopping the medication. 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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Loxapine

 

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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 Loxapine

Prescription only

Loxapine is a typical antipsychotic used to treat schizophrenia. Loxapine is taken by mouth, typically once or twice daily. It can cause more movement-related side effects compared with atypical antipsychotics, such as aripiprazole (Abilify). It used to be sold under the brand name Loxitane, which is no longer available. Oral loxapine is now only available as generic capsules.

Indications for Loxapine

  • Schizophrenia

Pros and Cons for Loxapine

Pros

  • A good option if other schizophrenia medications haven't worked or have caused bothersome side effects
  • Dose can be adjusted by your provider based on your response
  • Available as a lower-cost generic medication

Cons

  • More likely to cause trouble controlling movements compared to other treatment options
  • Can raise your heart rate and lower your blood pressure
  • Risk of developing abnormal muscle movements that might not go away after you stop taking loxapine

Common Side Effects for Loxapine

  • Drowsiness
  • Extrapyramidal symptoms (movement problems, such as shakiness, stiffness, excess saliva, and loss of facial expression)
  • Restless muscles (akathisia)

Warnings for Loxapine

  • Higher risk of death in older adults
  • Uncontrollable body movements (tardive dyskinesia)
  • Neuroleptic malignant syndrome
  • Falls
  • Low white blood cell count
  • Seizures
  • Vision changes
  • High prolactin levels

Prices with our coupons for Haldol vs. Loxapine

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Haloperidol Lactate1 vial / 1ml of 5mg/ml
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Loxapine30 capsules / 10mg
$15.48$36.68
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