Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Haldol (haloperidol) and Saphris (asenapine) are both antipsychotic medications, but they belong to different classes and have distinct forms. Haldol is a typical antipsychotic used for treating psychotic disorders including schizophrenia and is available as oral forms, as well as a long-acting injection given monthly or a short-acting injection for acute agitation. In contrast, Saphris is an atypical antipsychotic used for both schizophrenia and bipolar disorder, and it comes as a dissolvable tablet taken under the tongue twice daily. Haldol works by blocking dopamine activity, while Saphris affects both dopamine and serotonin. Both medications can cause weight gain and movement-related side effects. Additionally, Haldol is available as a lower-cost generic, while Saphris is also available as a generic but tends to be more expensive.
Haloperidol injection
Asenapine (Saphris)
Haloperidol injection
Asenapine (Saphris)
Summary of Haldol vs. Saphris
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 Atypical antipsychotic
Prescription only
Asenapine (Saphris) is an atypical antipsychotic. It's used to treat schizophrenia in adults and bipolar I disorder in people ages 10 years and older. It comes as sublingual (under the tongue) tablets in both a brand-name and generic versions. The usual dosage is to dissolve a tablet under the tongue twice a day. Some potential side effects of this medication include sleepiness, trouble sleeping, and movement problems.
•Can't be taken by people who have severe liver problems
Common Side Effects of Haldol vs. Saphris
Common Side Effects for
•Stiff or rigid muscles, tremors, trouble speaking, and other parkinsonism symptoms (31%)
Common Side Effects for
•Trouble sleeping (up to 16%)
•Sleepiness (up to 15%)
•Movement problems (up to 12%)
•Restlessness (not being able to sit still, up to 11%)
•Dizziness (up to 7%)
•Constipation (up to 7%)
•Vomiting (up to 7%)
•Mouth numbness (up to 7%)
*Note: Side effects listed above were reported by adults with schizophrenia. Similar side effects are seen in adults and children with bipolar disorder.
Warnings of Haldol vs. Saphris
Common Side Effects for
•Higher risk of death in older people with dementia-related psychosis