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 injection
Loxapine
Haloperidol injection
Loxapine
Summary of Haldol vs. Loxapine
Summary for Typical antipsychotic
Prescription only
Haloperidol injection is an antipsychotic medication that's used to treat schizophrenia. It's a long-acting injection that's given into the muscles monthly by a healthcare provider. It's also available as a shorter-acting injection that's typically given in a hospital setting to people who are experiencing agitation related to schizophrenia. The most common side effects of haloperidol injection are movement-related side effects, such as rigid muscles, tremors, and trouble speaking.
Summary for First-generation (typical) antipsychotic
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 of Haldol vs. Loxapine
Indications for
•Schizophrenia
Indications for
•Schizophrenia
Pros and Cons of Haldol vs. Loxapine
Pros and Const for Typical antipsychotic
Pros
•Typically given monthly
•Low risk for weight gain, compared to some other antipsychotics