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Haldol vs. Thioridazine

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

 

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Thioridazine

 

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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 Thioridazine

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 for Thioridazine

  • Schizophrenia when other antipsychotic medications haven't worked well or have caused bothersome side effects

Pros and Cons for Thioridazine

Pros

Cons

Common Side Effects for Thioridazine

  • Sleepiness
  • Dry mouth
  • Blurry vision
  • Constipation
  • Nausea
  • Vomiting
  • Diarrhea

Warnings for Thioridazine

  • Life-threatening abnormal heart rhythm (QT prolongation)
  • Higher risk of death in older people with dementia-related psychosis
  • Difficulty controlling body movements
  • Neuroleptic malignant syndrome (NMS)
  • Higher risk of falls
  • Lower white blood cell count (leading to possible risk for infection)
  • Possible high prolactin levels
  • Harm to an unborn baby

Prices with our coupons for Haldol vs. Thioridazine

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Haloperidol Lactate1 vial / 1ml of 5mg/ml
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Thioridazine90 tablets / 25mg
$30.88$50.38
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