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Haldol vs. Zyprexa

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

Key takeaways

Haloperidol (Haldol) and olanzapine (Zyprexa) are both antipsychotic medications used to treat schizophrenia, but they belong to different classes. Haloperidol is a typical antipsychotic, while olanzapine is an atypical antipsychotic. Haloperidol is available as an oral tablet, oral liquid, and an injection, either long-acting monthly or short-acting in a hospital setting, and is less likely to cause weight gain. Olanzapine is also available in an oral form and an injectable form, and is more likely to cause weight gain and other metabolic issues like high blood sugar and cholesterol. Olanzapine can also treat bipolar disorder and certain types of depression when combined with fluoxetine (Prozac), whereas haloperidol is primarily used for schizophrenia. Both medications can cause movement-related side effects, but haloperidol has a higher risk of these issues. Additionally, both medications can cause sleepiness, dry mouth, and constipation.

haloperidol injection

 

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Olanzapine

(Zyprexa)

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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 Zyprexa

Prescription only

Olanzapine (Zyprexa) is an atypical antipsychotic used treat schizophrenia or bipolar disorder. It can also treat depression, in combination with fluoxetine (Prozac), when other treatments haven't worked well. This medication is thought to work by balancing the levels of certain chemicals in the brain. Olanzapine (Zyprexa) is taken by mouth, typically once daily, by adults and children. Olanzapine (Zyprexa) is also available as an injection that's usually given in a hospital or clinic setting. Some of the more common side effects of olanzapine (Zyprexa) include sleep problems, dizziness, and weight gain.

Indications for Zyprexa

When taken with fluoxetine (Prozac):

  • Bipolar depression in adults and children age 10 years and older
  • Depression that hasn't responded well to other treatments

Pros and Cons for Zyprexa

Pros

  • Taken by mouth
  • Taken once daily
  • Might notice an improvement in your symptoms in as early as a week of starting olanzapine (Zyprexa)
  • Available as a lower-cost generic

Cons

  • Can cause anticholinergic side effects, such as constipation and dry mouth
  • Can affect your sleep
  • More likely to cause weight gain, high blood cholesterol, and high blood sugar levels compared to some other atypical antipsychotics

Common Side Effects for Zyprexa

  • Sleepiness (29%)
  • Trouble sleeping (12%)
  • Accidental injury (12%)
  • Dizziness (11%)
  • Weakness (10%)
  • Dry mouth (9%)
  • Constipation (9%)
  • Upset stomach (7%)
  • Runny nose (7%)

Warnings for Zyprexa

  • Higher risk of death in older people with dementia-related psychosis
  • Worsening depression, suicidal thoughts and behavior
  • Severe allergic skin reactions
  • Neuroleptic malignant syndrome
  • Weight gain, higher blood sugar, and higher cholesterol levels
  • Difficulty controlling body movements
  • Changes in blood pressure and higher risk of falls
  • Risk of infection (from low white blood cell count)
  • Seizures
  • High prolactin levels
  • Difficulty concentrating and extreme sleepiness
  • Anticholinergic side effects

Prices with our coupons for Haldol vs. Zyprexa

Price Card Drug Icon
Haloperidol Lactate1 vial / 1ml of 5mg/ml
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Olanzapine30 tablets / 5mg
$16.20-
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