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Haldol vs. Rexulti

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

Key takeaways

Haldol (haloperidol) and Rexulti (brexpiprazole) are both antipsychotic medications, but they belong to different classes and have distinct uses and side effects. Haldol is a typical antipsychotic used mainly to treat schizophrenia and is available as oral forms, and an injection, either long-acting or short-acting. Rexulti, on the other hand, is an atypical antipsychotic that treats schizophrenia, depression (as an add-on), and dementia-related agitation from Alzheimer's disease, and it is taken orally once a day. Haldol works by blocking dopamine activity in the brain, while Rexulti balances both dopamine and serotonin, which helps improve mood and behavior. Haldol is available as a lower-cost generic, while Rexulti is only available as a brand-name medication, making it potentially more expensive. Additionally, Haldol has a higher risk of movement-related side effects, whereas Rexulti is less likely to cause these issues but may lead to impulsive behaviors and higher blood sugar levels.

Haloperidol

 

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Rexulti

(brexpiprazole)

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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 Rexulti

Prescription only

Rexulti (brexpiprazole) is an atypical antipsychotic used to treat depression and schizophrenia. It can also help manage dementia-related agitation from Alzheimer's disease. The medication works by balancing chemicals in your brain to regulate your mood. Rexulti (brexpiprazole) comes as a tablet you take by mouth, usually once a day. Common side effects include weight gain, sleepiness, and dizziness. Although generic versions have been approved, they aren't yet available in pharmacies.

Indications for Rexulti

Pros and Cons for Rexulti

Pros

  • Only need to take once a day
  • Less likely to cause weight gain compared to older antipsychotics
  • Available in many strengths

Cons

  • Can take a couple of months to fully work
  • Interacts with many medications
  • Not known if safe in pregnancy

Common Side Effects for Rexulti

Depression

  • Fidgeting (9%)
  • Weight gain (7%)
  • Headache (7%)
  • Sleepiness (5%)

Schizophrenia

  • Fidgeting (6%)

Dementia-related agitation

  • Headache (8%)

Warnings for Rexulti

  • Higher risk of death in older adults with dementia-related psychosis
  • Suicidal thoughts and behaviors
  • Neuroleptic malignant syndrome (NMS)
  • Uncontrolled body movements (tardive dyskinesia)
  • High blood sugar, high cholesterol, and weight gain
  • Impulse control problems
  • Low white blood cell count
  • Falls and fainting
  • Seizures
  • Trouble controlling body temperature
  • Difficulty swallowing
  • Problems with thinking and movement

Prices with our coupons for Haldol vs. Rexulti

Price Card Drug Icon
Haloperidol Lactate1 vial / 1ml of 5mg/ml
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Rexulti30 tablets / 1mg
$1,494.82$1,943.70
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