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Haldol vs. Seroquel

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

Key takeaways

Haloperidol (Haldol) and quetiapine (Seroquel) are both antipsychotic medications, but they belong to different classes and have distinct uses and side effects. Haloperidol is a typical antipsychotic used mainly for treating schizophrenia and is available as an oral tablet, oral liquid, and an injection, either long-acting or short-acting. It works by blocking dopamine activity in the brain, which can lead to movement-related side effects like rigid muscles and tremors. Quetiapine, on the other hand, is an atypical antipsychotic that treats schizophrenia, bipolar disorder, and can be used as an add-on for depression. It is taken orally and works by balancing dopamine and serotonin levels. Quetiapine is more likely to cause weight gain and increase blood sugar and cholesterol levels, while haloperidol has a lower risk of weight gain but a higher risk of movement-related side effects. Both medications should be used cautiously in older adults with dementia-related psychosis due to an increased risk of death.

Haloperidol

 

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Quetiapine

(Seroquel)

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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 Seroquel

Prescription only

Quetiapine (Seroquel) is an atypical antipsychotic. It's used to treat mental health problems like schizophrenia and bipolar disorder. This medication comes as an immediate-release tablet (Seroquel) that's taken by mouth usually twice a day. There's also an extended-release tablet (Seroquel XR) that's taken once a day. The specific dosage depends on how well it's helping your mood, thoughts, and behaviors. Side effects can include sleepiness, headache, and possible weight gain. There are brand-name and generic versions of this medication.

Indications for Seroquel

Pros and Cons for Seroquel

Pros

  • Taken by mouth
  • Might notice an improvement in your symptoms in as early as a week of starting the medication
  • Available in both short-acting and long-acting tablets

Cons

  • Might cause weight gain
  • Can raise your blood sugar and cholesterol levels
  • Not recommended for older adults who have dementia-related psychosis

Common Side Effects for Seroquel

Immediate-release tablets:

  • Headache (21%)
  • Agitation (20%)
  • Sleepiness (18%)
  • Dizziness (11%)
  • Dry mouth (9%)
  • Constipation (8%)
  • Pain (7%)
  • Fast heart rate (6%)
  • Vomiting (6%)

Extended-release tablets:

Warnings for Seroquel

  • Higher risk of death and stroke in older people with dementia-related psychosis
  • Risk of suicidal thoughts and behavior
  • Neuroleptic malignant syndrome
  • High blood sugar, high cholesterol, and weight gain
  • Trouble controlling muscle movements (tardive dyskinesia)
  • Changes in blood pressure
  • Risk of falls
  • Risk of infection (due to low white blood cell counts)
  • Possible changes in heart rhythm
  • Seizures
  • Hypothyroidism (low thyroid hormone)
  • High prolactin levels
  • Feeling very sleepy and having trouble concentrating

Prices with our coupons for Haldol vs. Seroquel

Price Card Drug Icon
Haloperidol Lactate1 vial / 1ml of 5mg/ml
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Quetiapine30 tablets / 25mg
$9.00$9.00
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