Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Haloperidol (Haldol) and thioridazine (Mellaril) are both typical antipsychotics used to treat schizophrenia, but they have some key differences. Haloperidol is available as an oral tablet, oral liquid, and injection, while thioridazine is taken orally multiple times a day. Haloperidol is often used as a first-choice treatment, whereas thioridazine is reserved for cases where other antipsychotics haven't worked or caused intolerable side effects. Both medications can cause dangerous heart rhythm changes (QTc prolongation). Both medications can cause serious side effects like neuroleptic malignant syndrome and should not be used in older adults with dementia-related psychosis.
Haloperidol injection
Thioridazine
Haloperidol injection
Thioridazine
Summary of Haldol vs. Thioridazine
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
Thioridazine, previously known under the brand name Mellaril, treats adults and children with schizophrenia. This first-generation antipsychotic, or also called typical antipsychotic, is typically used only when other antipsychotic medications haven't worked well. Thioridazine tablets are taken by mouth a few times throughout the day. The dosage depends on how well the medication is helping with your symptoms and whether you're having side effects like dry mouth, sleepiness, and nausea. Thioridazine can also cause a serious heart rhythm problem called QT prolongation, so it's not a first-choice option.
Indications of Haldol vs. Thioridazine
Indications for
•Schizophrenia
Indications for
•Schizophrenia when other antipsychotic medications haven't worked well or have caused bothersome side effects
Pros and Cons of Haldol vs. Thioridazine
Pros and Const for Typical antipsychotic
Pros
•Typically given monthly
•Low risk for weight gain, compared to some other antipsychotics