Presentation
This work shows that high levels of the glucuronidated form of haloperidol are present in patient urine samples. [ncbi.nlm.nih.gov]
Diagnosis and treatment of newly presenting delirium in elderly people can be challenging as it is often multifactorial. Clinical guidance recommends that patients are reviewed, and screening tools used. [gov.uk]
B’s case illustrates the classical delirium presentation ( Table 1 ), 6 highlighting 2 hallmark features of the disorder: inattention and an acute fluctuating course. 4 Unfortunately, delirium is a diverse disorder that may present with numerous nonclassical [mdedge.com]
When it is administered as an intramuscular depot injection in sesame oil, esterases present in the blood and tissues hydrolyse haloperidol decanoate to provide a slow release of the active neuroleptic haloperidol from the depot into the systemic circulation [myvmc.com]
Contraindications: Haloperidol should not be used in cases where other drug, especially sedatives are present. [mstcparamedic.pbworks.com]
Entire Body System
- Pain
Pain was self-reported at onset and at 20 minute intervals using a 100mm visual analog scale (VAS). Adequate pain control was considered to be patient satisfaction with symptomatic relief. [clinicaltrials.gov]
Seek immediate medical attention if any of these rare but very serious side effects occur: slow heartbeat, severe dizziness, chest pain, fainting. [webmd.com]
Important Information Before Use You should not take Haldol if you take certain medications, including narcotic pain relievers, sleep aids, antihistamines, vitamins, cold medications, tranquilizers, and blood thinners. [goodtherapy.org]
[…] mouth sores, pain when swallowing, skin sores, cold or flu symptoms, cough, easy bruising or bleeding ; stabbing chest pain, feeling short of breath, cough with yellow or green mucus; headache with chest pain and severe dizziness, fainting, fast or pounding [emedicinehealth.com]
- Falling
[…] and, consequently, fractures or other fall-related injuries; assess risk of falls when initiating treatment and recurrently for patients receiving repeated doses, particularly the elderly, with diseases, conditions, or medications that could exacerbate [reference.medscape.com]
Perform fall risk assessments when initiating and recurrently on long-term therapy. Hepatic impairment. Debilitated. Avoid abrupt cessation. [empr.com]
Realized once I broke my ankle twice from falling this is not a good medicine. [casafuturatech.com]
- Antipsychotic Agent
Haloperidol is a butyrophenone derivative commonly used in many hospital units as an antipsychotic agent. [ncbi.nlm.nih.gov]
Antipsychotic agents often are the drugs of choice for the management of delirium. [endoflifecare.tripod.com]
011325, 末期, マッキ, last stage, 046634, ヒト, ヒト, human(primates), 012150, human, 併用効果, ヘイヨウコウカ, combined effect, 012350, 薬物療法, ヤクブツリョウホウ, drug therapy, 023545, 点滴, テンテキ(チリョウ), drip infusion, 057283, テンテキ, ブチロフェノン系抗精神病薬, ブチロフェノンケイコウセイシンビョウヤク, butyrophenone antipsychotic [togodb.biosciencedbc.jp]
Haldol is used in the treatment of icu agitation; psychosis; dementia ; nausea/vomiting ; mania (and more ), and belongs to the drug class miscellaneous antipsychotic agents. Risk cannot be ruled out during pregnancy. [drugs.com]
- Inflammation
Dizziness Drowsiness Dystonia Euphoria Extrapyramidal symptomsExtremely high fever Eye problems Fast or irregular heartbeat Fine, worm-like tongue movements Grand mal seizures/Seizures Hallucinations Heat stroke High or low blood pressure Increased saliva Inflammation [cchrint.org]
Liver problems such as jaundice or liver inflammation ( hepatitis ). Tell your doctor straight away if you notice any yellowing of your eyes or skin while taking this medicine. Faster than normal heartbeat (tachycardia). Difficulty breathing. [netdoctor.co.uk]
Phlebitis [ edit ] Phlebitis is inflammation of a vein that may be caused by infection, the mere presence of a foreign body (the IV catheter) or the fluids or medication being given. Symptoms are warmth, swelling, pain, and redness around the vein. [en.wikipedia.org]
Gastrointestinal
- Vomiting
Secondary outcomes included the number of vomiting episodes and side effects over time. [ncbi.nlm.nih.gov]
The vomiting centre is responsible for causing feelings of sickness (nausea) and for the vomiting reflex. [netdoctor.co.uk]
Background: Nausea and vomiting are common symptoms in patients with terminal, incurable illnesses. Both nausea and vomiting can be distressing. Haloperidol is commonly prescribed to relieve these symptoms. [cochrane.org]
- Nausea
OBJECTIVES: To determine any difference in the effectiveness of ABH gel compared with placebo in cancer patients with nausea. [ncbi.nlm.nih.gov]
Background: Nausea and vomiting are common symptoms in patients with terminal, incurable illnesses. Both nausea and vomiting can be distressing. Haloperidol is commonly prescribed to relieve these symptoms. [cochrane.org]
Haloperidol controls nausea and vomiting by blocking dopamine receptors found in the CTZ. This stops the CTZ from sending the messages to the vomiting centre that would otherwise cause nausea and vomiting. [netdoctor.co.uk]
- Loss of Appetite
Additional information Common side effects of Haldol include dry mouth, blurred vision, diarrhea, loss of appetite, agitation, heartburn, nausea, and headaches. [huntingtonsdiseasenews.com]
Loss of appetite, constipation, diarrhea, increased salivation, indigestion, nausea, vomiting and dry mouth. • Respiratory : Asthma. • Eye : Visual disturbances. • Metabolic : Increased sugar. [medindia.net]
[…] of appetite swelling of the face tiredness and weakness Get emergency help immediately if any of the following symptoms of overdose occur while taking haloperidol: Symptoms of Overdose Difficulty with breathing (severe) dizziness (severe) drowsiness [drugs.com]
[…] of appetite, muscle spasms, nausea, Parkinson-like symptoms, persistent abnormal erections, physical rigidity and stupor, protruding tongue, puckering of mouth, puffing of checks, rapid heartbeat, restlessness, rigid arms, feet, head, and muscles, rotation [healthyplace.com]
Tell your doctor if any of these symptoms are severe or do not go away: dry mouth increased saliva blurred vision loss of appetite constipation diarrhea heartburn nausea vomiting difficulty falling asleep or staying asleep blank facial expression uncontrollable [medlineplus.gov]
Liver, Gall & Pancreas
- Jaundice
Jaundice associated with haloperidol. Lancet 1963; 2: 890-1. [livertox.nih.gov]
• Liver : Impaired liver function and/or jaundice. • Skin : Pimples, photosensitivity and loss of hair. • Genitourinary : Spontaneous milk secretion, breast engorgement, menstrual irregularities, breast enlargement in male, impotence, increased sexual [medindia.net]
[…] or lack of sweating Increased blinking or eyelid spasms Muscle weakness Sore throat and fever Uncontrolled twisting movements of neck, trunk, arms or legs Unusual bleeding or bruising Unusual facial expressions or body positions Yellow eyes or skin (jaundice [bipolar.about.com]
Extrapyramidal symptomsExtremely high fever Eye problems Fast or irregular heartbeat Fine, worm-like tongue movements Grand mal seizures/Seizures Hallucinations Heat stroke High or low blood pressure Increased saliva Inflammation of the lungs Insomnia Jaundice [cchrint.org]
Cardiovascular
- Hypotension
[…] dose: monitor ECG if administering IV Conditions or drugs that prolong QT interval, congenital long QT syndrome Safety of prolonged administration of 100 mg/day PO not established Avoid use in narrow angle glaucoma, bone marrow suppression, and severe hypotension [reference.medscape.com]
Haloperidol administration has also been associated with transient hypotension and precipitation of angina; use caution in patients with preexisting hypotension or angina. [pdr.net]
Adverse reactions due to haloperidol intoxication include drowsiness, blurred vision, extrapyramidal effects, tardive dyskinesia, tachycardia, hypotension and muscular rigidity. [ncbi.nlm.nih.gov]
Orthostatic hypotension may been seen in conjunction with this med, for this reason care should be given when administering this med to patient's taking anticoagulants. [mstcparamedic.pbworks.com]
- Orthostatic Hypotension
Orthostatic hypotension may been seen in conjunction with this med, for this reason care should be given when administering this med to patient's taking anticoagulants. [mstcparamedic.pbworks.com]
Orthostatic hypotension causes patients to become dizzy upon arising from a lying or sitting position because of a drop in blood pressure. [medicinenet.com]
[…] evidence becomes available, gradually withdraw therapy Hyperprolactinemia may occur Monitor for mental status changes, muscle rigidity, fever, and/or autonomic instability; neuroleptic malignant syndrome may occur Motor instability, somnolence, and orthostatic [reference.medscape.com]
Therefore, they have a greater propensity to cause sedation and orthostatic hypotension. Pharmacokinetics. Haloperidol is well absorbed from the GI tract and by the intramuscular route. [accessmedicine.mhmedical.com]
Skin
- Skin Rash
Rare: Dizziness,racing heartbeat / palpitations, weakness, sexual problems, restlessness, skin rash, seizures, low white blood cell count, tremors, or involuntary facial / tongue movements. [psyweb.com]
rash, itching, redness or other skin discoloration, or severe sunburn) Nausea or vomiting Tardive Dyskinesia With Haldol Treatment with Haldol can cause a movement disorder called tardive dyskinesia. [bipolar.about.com]
Signs of allergy may include skin rash, itching, shortness of breath, and/or swollen face that may lead to difficulty breathing or swallowing. [myvmc.com]
[…] to sun (skin rash, itching, redness or other discoloration of skin, or severe sunburn) nausea or vomiting For Healthcare Professionals Applies to haloperidol: compounding powder, injectable solution, intramuscular solution, oral concentrate, oral tablet [drugs.com]
- Eruptions
[…] symptoms, persistent abnormal erections, physical rigidity and stupor, protruding tongue, puckering of mouth, puffing of checks, rapid heartbeat, restlessness, rigid arms, feet, head, and muscles, rotation of eyeballs, sensitivity to light, skin rash, skin eruptions [healthyplace.com]
I am confident I won’t experience the kind of eruption of my subconscious that happened in college. There may be a bumpy road ahead of me, filled with aggravating side effects and unknown outcomes, that I will have to somehow take in stride. [statnews.com]
Eyes
- Blurred Vision
Adverse reactions due to haloperidol intoxication include drowsiness, blurred vision, extrapyramidal effects, tardive dyskinesia, tachycardia, hypotension and muscular rigidity. [ncbi.nlm.nih.gov]
See physician if severe: Lethargy / sleepiness,dry mouth, blurred vision, constipation, or weight gain. See physician NOW: Reduced urinary output. [psyweb.com]
Additional information Common side effects of Haldol include dry mouth, blurred vision, diarrhea, loss of appetite, agitation, heartburn, nausea, and headaches. [huntingtonsdiseasenews.com]
Adverse effects may include drowsiness, blurred vision, tardive dyskinesia, tachycardia, nausea and vomiting. [ltd.aruplab.com]
• It may cause drowsiness, dizziness or blurred vision, do not drive a car or operate machinery while taking this medication. • Avoid exposure to sunlight; otherwise it may cause sunburn easily. • Avoid becoming overheated; otherwise heatstroke may [medindia.net]
Musculoskeletal
- Motor Restlessness
These include dystonia (continuous, often painful muscle spasms and contractions) and akathisia (motor restlessness). These reactions can be treated with anticholinergics like benzotropine or diphenhydramine. [epmonthly.com]
Other adverse neuromuscular reactions have been reported less frequently, but are often more severe, and include feelings of motor restlessness (i.e., akathisia), tardive dystonia, and dystonic reactions (e.g., hyperreflexia, opisthotonos, oculogyric [endoflifecare.tripod.com]
Psychiatrical
- Increased Libido
Endocrine: Menstrual irregularities, galactorrhea, lactation, gynecomastia, impotence, increased libido, hyponatremia, hyperglycemia, hypoglycemia. Special Senses: Blurred vision. Hematologic: Mild transient leukopenia, agranulocytosis (rare). [robholland.com]
Endocrine Disorders Lactation, breast engorgement, mastalgia, menstrual irregularities, gynecomastia, impotence, increased libido, hyperglycemia, hypoglycemia and hyponatremia Label Gastrointestinal Effects Anorexia, constipation, diarrhea, hypersalivation [drugbank.ca]
Impotence, increased libido, priapism, and menstrual irregularities have occurred in some individuals during haloperidol therapy. Haloperidol is distributed into milk. [endoflifecare.tripod.com]
- Suicidal Ideation
Patients with major depressive disorder (MDD), both adult and pediatric, may experience worsening of their depression and/or the emergence of suicidal ideation and behavior (suicidality) or unusual changes in behavior, whether or not they are taking medications [nami.org]
As someone who was also “locked up” in a psychiatric setting for suicide ideation, among other things, this book hit close to home. I’ve lived similar experiences with staff indifferences and psychosis. But I did have some issues with this book. [goodreads.com]
Neurologic
- Confusion
[1] So Confused I Couldn't Think Straight SG Fake Alprazolam [erowid.org]
Some physicians feel that it is especially useful in the confused ''sundowning'' patient (someone in whom confusion worsens at night). [zarcrom.com]
Terminal delirium is frequently seen as rapid onset of confusion, restlessness, changes in perception and it can — but doesn’t always — include agitation. [crossroadshospice.com]
- Agitation
It is the drug of choice in hospice for the treatment of terminal agitation and delirium. Haldol ( also known as haloperidol ) is an antipsychotic medication. In hospice, it is used to treat terminal delirium, severe agitation in end-stage dementia. [crossroadshospice.com]
Even within a unique setting with high-powered and board-spectrum therapeutic tools, acute agitation can pose a serious problem. [ncbi.nlm.nih.gov]
[…] sort of agitation. [nrsng.com]
A fourth study reviewed several previously research studies that had been conducted on the use of medications to treat agitation in dementia. [verywellhealth.com]
- Seizure
Administration: IV Infusion: 100 mg in 100 ml of dextrose 5% (maximum concentration of 3 mg/ml) Adverse Effects: tachycardia hypotension or hypertension CNS: ataxia, fixed stare, tardive dyskinesia, tardive dystonia, insomnia, restlessness, agitation, seizures [lhsc.on.ca]
• Caution should be exercised in patients with history of blood disease porphyria, decrease in white blood cells, electrolyte disturbances, high or low blood pressure, dementia, Alzheimer’s disease, seizures, abnormal electroencephalogram (EEG), thyroid [medindia.net]
Therefore, before using haloperidol, report all medications you are currently using to your doctor or pharmacist.Also report the use of drugs which might increase seizure risk (decrease seizure threshold) when combined with haloperidol such as: isoniazid [medicinenet.com]
- Akathisia
Treatment of Akathisia Akathisia refers to an uncomfortable sense of internal restlessness, accompanied by constant movement of the legs or pacing back and forth. [livestrong.com]
Haloperidol ( Symptoms or Effects ) Common: Akathisia, akinesia,lethargy / sleepiness, low blood pressure, dry mouth, blurred vision, constipation, weight gain, difficulty urinating, or stiffness ( Acute dystonia ). [psyweb.com]
Haloperidol: Adverse Reactions Even in therapeutic doses, haloperidol commonly causes extrapyramidal movement disorders, especially parkinsonism, acute dyskinesias, and akathisia (motorial excitation). [infomed.ch]
- Behavior Problem
This medicine should not be used to treat behavior problems in older adult patients who have dementia. [mayoclinic.org]
problems in children Severe attention deficit hyperactivity disorder ( ADHD ) in children (for short-term use only). [schizophrenia.emedtv.com]
Haldol is also used to treat severe behavior problems in children with combative, explosive hyperexcitability. [everydayhealth.com]
Workup
We perform a delirium workup while we start Ms. B on olanzapine, 5 mg/d orally and 5 mg intramuscular (IM) every 8 hours as needed. Ms. [mdedge.com]
Case 2 A 28-year-old man also with recurrent CHS and multiple ED visits and nondiagnostic workups came to the ED requesting admission to the hospital. This patient also had no other history of psychiatric disorder. [journals.lww.com]
Serum
- Hyperprolactinemia
Anticholinergic effects (e.g. dry mouth), consequences of hyperprolactinemia (menstruation disorders, galactorrhea, impotence), seborrheic dermatitis and gastrointestinal ailments have been observed. [infomed.ch]
[…] are indistinguishable from tardive dyskinesia except for duration; not known whether gradual withdrawal will reduce rate of occurrence of withdrawal emergent neurological signs but until further evidence becomes available, gradually withdraw therapy Hyperprolactinemia [reference.medscape.com]
Additional adverse reactions that are listed below were reported by haloperidol-treated patients in double-blind, active comparator-controlled clinical trials with the injectable or oral formulation, or at Cardiac Disorders: Tachycardia Endocrine Disorders: Hyperprolactinemia [rxlist.com]
[…] lymphomonocytosis [ Ref ] Hypersensitivity Uncommon (0.1% to 1%): Hypersensitivity reactions Frequency not reported : Anaphylactic reaction [ Ref ] Endocrine Inappropriate antidiuretic hormone secretion occurred with hyponatremia [ Ref ] Rare (0.01% to 0.1%): Hyperprolactinemia [drugs.com]
Treatment
The need for further ECGs during treatment should be assessed on an individual basis, and blood pressure monitoring during treatment is also advised. [gov.uk]
[…] to more than one-half of their chronic refractory patients showed remarkable improvement with a partial multimodal treatment. [ncbi.nlm.nih.gov]
In adults, for: treatment of schizophrenia and schizoaffective disorder; acute treatment of delirium when non-pharmacological treatments (treatments that do not involve medicines) have not worked; treatment of moderate to severe manic episodes associated [ema.europa.eu]
According to "Kaplan and Sadock's Textbook of Psychiatry," there is no effective treatment. [livestrong.com]
Prognosis
We additionally adjusted for number of days from admission to the day before index date, as a longer hospital stay is associated with a worse prognosis. 29 30 Statistical analyses We compared the baseline characteristics of the patients who initiated [bmj.com]
Etiology
Regardless of the etiology, all types of delirium share a set of common symptoms that include: Disturbances of consciousness and attention Changes in cognition such as memory deficit, language disturbance, or disorientation Perceptual disturbances not [mdedge.com]
Both samples did not significantly differ in respect to age, cancer diagnoses or etiologies. The MDAS scores at baseline were higher in HAL treated subjects (20.2) compared to RIS treated subjects (17.7). [scielo.isciii.es]
The choice of somatic intervention will depend on the specific features of the patients clinical condition, the underlying etiology of the delirium, and any associated comorbid conditions. [endoflifecare.tripod.com]
Epidemiology
^ "Pinkbook | Vaccine Administration | Epidemiology of VPDs | CDC". www.cdc.gov. 2017-10-04. Retrieved 2017-10-30. ^ "What Is a Subcutaneous Injection?". Healthline. Retrieved 2017-11-15. ^ "Administer the Vaccine(s)". www.cdc.gov. 2017-09-01. [en.wikipedia.org]
Epidemiology Although widely used as an antipsychotic, acute poisoning with haloperidol is rare. Adverse effects Extrapyramidal effects such as acute dystonia, Parkinsonian rigidity, tremor, and akathisia. [inchem.org]
[…] programmer 1, Krista F Huybrechts, assistant professor 1 1 Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, 1620 Tremont Street, Boston, MA, 02120, USA 2 Department of Epidemiology [bmj.com]
Although an increase in mammary neoplasms has been found in rodents following long-term administration of prolactin-stimulating antipsychotic agents, no clinical or epidemiologic studies conducted to date have shown an association between long-term administration [endoflifecare.tripod.com]
Pathophysiology
Useful For Suggests clinical disorders or settings where the test may be helpful Optimizing dosage Monitoring compliance Assessing toxicity Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory [mayomedicallaboratories.com]
Cannabinoid hyperemesis and compulsive bathing: a case series and paradoxical pathophysiological explanation. J Am Board Fam Med. 2010;23:90–93. 13. Morris R, Fisher M. Cannabinoid hyperemesis syndrome : a specific cause of cyclical vomiting. [journals.lww.com]
Prevention
[…] levodopa; Medicines used to treat epilepsy (such as carbamazapine, phenobarbital); Medicines used to slow or prevent blood clotting (anticoagulants). [myvmc.com]
This security monitor is set up to prevent malicious bots and malware from accessing the site. [askapatient.com]
The use of agents given via inappropriate routes may delay or prevent the use of more effective interventions. [aafp.org]
The CMI and the CMI Search are not intended to be used by consumers to diagnose, treat, cure or prevent any disease or for any therapeutic purpose. [mydr.com.au]
[…] levodopa (Levodopa) medicines used to treat epilepsy (such as carbamazapine, phenobarbital) medicines used to slow or prevent blood clotting (anticoagulants). [nps.org.au]