Skip to main content

Compare
Haldol vs. Saphris

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

 

Get free coupons

Asenapine

(Saphris)

Get free coupons

Summary for Haldol

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.

Indications for Haldol

  • Schizophrenia

Pros and Cons for Haldol

Pros

  • Typically given monthly
  • Low risk for weight gain, compared to some other antipsychotics
  • Available as a lower-cost, generic medication

Cons

Common Side Effects for Haldol

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 Saphris

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.

Indications for Saphris

Pros and Cons for Saphris

Pros

  • Dissolved under the tongue; good option for people who have a hard time swallowing tablets
  • Possible option for children who have bipolar I disorder
  • Less likely to cause weight gain than some other antipsychotic medications, like olanzapine (Zyprexa)

Cons

  • Can cause drowsiness or trouble sleeping
  • Taken twice a day
  • Can't be taken by people who have severe liver problems

Common Side Effects for Saphris

  • 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 for Saphris

  • Higher risk of death in older adults with dementia
  • Neuroleptic malignant syndrome
  • Difficulty controlling movements
  • High blood sugar, high cholesterol, and weight gain
  • Serious allergic reactions
  • Low blood pressure and changes in heartbeat
  • Low white blood cell count
  • Seizures
  • High prolactin levels
  • Phenylketonuria

Prices with our coupons for Haldol vs. Saphris

Price Card Drug Icon
Haloperidol Lactate1 vial / 1ml of 5mg/ml
--
Get free coupons
More Information
Price Card Drug Icon
Asenapine1 carton / 60 sublingual tablets of 10mg
$112.12$1,157.90
Get free coupons
More Information

Browse medications by letter

Show All

Browse prescription and over-the-counter medications from A to Z, compare drug prices, and start saving.