Name of Drug

General Considerations

Indication

Mechanis Chemical m of action classes

Generic name: Haloperidol

Brand name: ApoHaloperidol Haldol Haldol Decanoate Haldol LA Peridol

The tablet and liquid forms of Haldol are usually taken by mouth two or three times a day. You can take Haldol with or without food. If the medication bothers your stomach, try taking it with food. The liquid form may be better for those who have difficulty swallowing tablets. Haldol is also available in injectable forms,

Acute and chronic psychotic disorders including: Schizophreni a, manic states, drug induced psychoses. Schizophreni c patients who are require long term parenteral (IM) antipsychotic therapy. Also useful in managing aggressive or agitated patients.

Alters the effects of dopamine in the CNS. Also has anticholine rgic and alphaandrogenic blocking activity.

Classification Therapeutic: Antipsychotics Pharmacologic : butyphenones

Administration/ Usual dose & relief of symptoms IV: Haloperidol decanoate should not be administered IV.

Contraindications

Side effects and nursing interventions with collaboration

Therapeuti c effects: Diminished signs and symptoms of psychoses. Improved behavioura l problems.

Unlabelled

Contraindicated in: Hypersensitivity, Angle-closure glaucoma; bone Direct IV: marrow Diluent: may be depression; Sever administered liver or undiluted for cardiovascular rapid control of disease (QT acute psychosis interval prolonging or delirium. conditions); some Concentration: 5 products contain mg/ml. Rate: tartazine, sesame Administer at a oil, or benzyl rate of 5mh/min. alcohol and should be avoided in Intermittent patients with Infusion: known intolerance Diluent: May be or diluted in 30hypersensitivity. 50ml of D5W. Rate: Infuse over Use cautiously in: 30min. Debilitated patients (dose decrease required); cardiac

CNS: SEIZURES, extrapyramidal reactions, confusions, drowsiness, restlessness, tardive dyskinesia EENT: blurred vision, dry eyes Respiratory: Respiratory depression CV: Hypotension, tachycardia GI: Constipation, dry mouth anoxeria, drug induced hepatitis, ileus, weight gain GU: Impotence, urinary retention Derm: Diaphoresis, photosensitivity, rashes Endo: Amenorrhea, galactorrhea, gynecomastia

including a shortacting form (given several times per day) and a longacting form (given just once a month). Haldol should be taken at the same time(s) each day to maintain an even level in your blood. For the medication to work properly, it must be taken as prescribed. Haldol will not work if you stop taking it.

Use: Nausea and vomiting from surgery or chemothera phy.

disease, Diabetes, Respiratory insufficiency; Prostatic hyperplasia, CNS tumours; intestinal obstruction, seizures.

Hemat: AGRANULOCYSTOSIS, anemia, leukemia, neutropenia Metab: Hyperplaxia Nursing interventions 1. Assess mental status (orientation, mood, behaviour) prior to and periodically during therapy. 2. Assess positive (hallucination, delusions) and negative (social isolation) symptoms of schizophrenia. 3. Monitor blood pressure and pulse prior to and frequently during the period of adjustment. May cause QT interval changes on ECG. 4. Observe patient carefully when administering medication, to ensure medication is actually taken and not hoarded