How does haldol make you feel
Haloperidol (Haldol) | NAMI: National Alliance on Mental Illness
Brand name: Haldol®
Generic name: haloperidol (HAL oh PER i dol)
- Haloperidol
- Oral tablet: 0.5 mg, 1 mg, 2 mg, 5 mg, 10 mg, 20 mg
- Oral solution: 2 mg/mL
- Intramuscular injection (short-acting): 5 mg/mL
- Haloperidol decanoate
- Intramuscular injection oil (long-acting): 50 mg/mL, 100 mg/mL
- Haldol® decanoate
- Intramuscular injection oil (long-acting): 50 mg/L, 100 mg/mL
All FDA black box warnings are at the end of this fact sheet. Please review before taking this medication.
What is Haloperidol and What Does It Treat?
Haloperidol is a medication that works in the brain to treat schizophrenia. It is also known as a first generation antipsychotic (FGA) or typical antipsychotic. Haloperidol rebalances dopamine to improve thinking, mood, and behavior.
Symptoms of schizophrenia include:
- Hallucinations – imagined voices or images that seem real
- Delusions - beliefs that are not true (e.g., other people are reading your thoughts)
- Disorganized thinking or trouble organizing your thoughts and making sense
- Little desire to be around other people
- Trouble speaking clearly
- Lack of motivation
Haloperidol may help some or all of these symptoms.
Haloperidol is also FDA approved for Tourette’s syndrome as well as hyperactive behavior or severe behavioral problems in children that do not respond to therapy or other medications.
Haloperidol may also be helpful when prescribed “off-label” for other mental health conditions. “Off-label” means that it has not been approved by the Food and Drug Administration for this condition. Your mental health provider should justify his or her thinking in recommending an “off-label” treatment. They should be clear about the limits of the research around that medication and if there are any other options.
What Is The Most Important Information I Should Know About Haloperidol?
Schizophrenia requires long-term treatment. Do not stop taking haloperidol, even when you feel better.
With input from you, your health care provider will assess how long you will need to take the medication.
Missing doses of haloperidol may increase your risk for a relapse in your symptoms.
Do not stop taking haloperidol or change your dose without talking with your health care provider first.
For haloperidol to work properly, it should be taken every day as ordered by your health care provider.
Are There Specific Concerns About Haloperidol and Pregnancy?
If you are planning on becoming pregnant, notify your health care provider to best manage your medications. People living with schizophrenia who wish to become pregnant face important decisions. This is a complex decision since untreated schizophrenia has risks to the fetus, as well as the mother. It is important to discuss the risks and benefits of treatment with your doctor and caregivers.
Antipsychotic use during the third trimester of pregnancy has a risk for abnormal muscle movements (extrapyramidal symptoms [EPS]) and/or withdrawal symptoms in newborns following delivery. Symptoms in the newborn may include agitation, feeding disorder, hypertonia, hypotonia, respiratory distress, somnolence, and tremor; these effects may be self-limiting or require hospitalization.
Caution is advised with breastfeeding since haloperidol does pass into breast milk.
What Should I Discuss With My Healthcare Provider Before Taking Haloperidol?
- Symptoms of your condition that bother you the most
- If you have thoughts of suicide or harming yourself
- Medications you have taken in the past for your condition, whether they were effective or caused any adverse effects
- If you ever had muscle stiffness, shaking, tardive dyskinesia, neuroleptic malignant syndrome, or weight gain caused by a medication
- If you experience side effects from your medications, discuss them with your provider.
Some side effects may pass with time, but others may require changes in the medication. - Any psychiatric or medical problems you have, such as heart rhythm problems, long QT syndrome, heart attacks, diabetes, high cholesterol, or seizures
- If you have a family history of diabetes or heart disease
- All other medications you are currently taking (including over the counter products, herbal and nutritional supplements) and any medication allergies you have
- Other non-medication treatment you are receiving, such as talk therapy or substance abuse treatment. Your provider can explain how these different treatments work with the medication.
- If you are pregnant, plan to become pregnant, or are breastfeeding
- If you smoke, drink alcohol, or use illegal drugs
How Should I Take Haloperidol?
Haloperidol tablets and solution are usually taken 1 or 2 times per day with or without food.
Typically patients begin at a low dose of medication and the dose is increased slowly over several weeks.
The dose of the oral medication usually ranges from 5 mg to 20 mg. The dose of the long-acting injection is 25 mg to 200 mg. Only your health care provider can determine the correct dose for you.
Haloperidol oral solution should be measured with a dosing spoon or oral syringe, which you can get from your pharmacy if one is not provided with the product.
Use a calendar, pillbox, alarm clock, or cell phone alert to help you remember to take your medication. You may also ask a family member or friend to remind you or check in with you to be sure you are taking your medication.
The long-acting injection form of haloperidol is administered every 3 to 4 weeks. Your health care provider will administer these injections.
What Happens If I Miss a Dose of Haloperidol?
If you miss a dose of haloperidol, take it as soon as you remember, unless it is closer to the time of your next dose. Discuss this with your health care provider. Do not double your next dose or take more than what is prescribed.
What Should I Avoid While Taking Haloperidol?
Avoid drinking alcohol or using illegal drugs while you are taking haloperidol. They may decrease the benefits (e.g., worsen your confusion) and increase adverse effects (e.g., sedation) of the medication.
What Happens If I Overdose With Haloperidol?
If an overdose occurs call your doctor or 911. You may need urgent medical care. You may also contact the poison control center at 1-800-222-1222.
A specific treatment to reverse the effects of haloperidol does not exist.
What Are Possible Side Effects Of Haloperidol?
Common side effects
Rapid heartbeat, constipation, blurry vision, dry mouth, drop in blood pressure upon standing, extrapyramidal symptoms
Feeling drowsy, dizzy, or restless
Patients receiving haloperidol decanoate long-acting injection may notice some pain at the site of the injection. This pain should resolve after a few days.
Rare/serious side effects
Haloperidol may increase the blood levels of a hormone called prolactin.
Side effects of increased prolactin levels include females losing their period, production of breast milk and males losing their sex drive or possibly experiencing erectile problems. Long term (months or years) elevated prolactin levels can lead to osteoporosis or increased risk of bone fractures.
Some people may develop muscle related side effects while taking haloperidol. The technical terms for these are “extrapyramidal symptoms” (EPS) and “tardive dyskinesia” (TD). Symptoms of EPS include restlessness, tremor, and stiffness. TD symptoms include slow or jerky movements that one cannot control, often starting in the mouth with tongue rolling or chewing movements.
Temperature regulation: Impaired core body temperature regulation may occur; caution with strenuous exercise, heat exposure, and dehydration.
All antipsychotics have been associated with the risk of sudden cardiac death due to an arrhythmia (irregular heart beat). To minimize this risk, antipsychotic medications should be used in the smallest effective dose when the benefits outweigh the risks.
Your doctor may order an EKG to monitor for irregular heartbeat.
Neuroleptic malignant syndrome is a rare, life threatening adverse effect of antipsychotics which occurs in <1% of patients. Symptoms include confusion, fever, extreme muscle stiffness, and sweating. If any of these symptoms occur, contact your health care provider immediately.
All antipsychotics can cause sedation, dizziness, or orthostatic hypotension (a drop in blood pressure when standing up from sitting or lying down). These side effects may lead to falls which could cause bone fractures or other injuries. This risk is higher for people with conditions or other medications that could worsen these effects. If falls or any of these symptoms occur, contact your health care provider.
Are There Any Risks For Taking Haloperidol For Long Periods Of Time?
Tardive dyskinesia (TD) is a side effect that develops with prolonged use of antipsychotics. If you develop symptoms of TD, such as grimacing, sucking, and smacking of lips, or other movements that you cannot control, contact your health care provider immediately.
All patients taking either first or second generation antipsychotics should have an Abnormal Involuntary Movement Scale (AIMS) completed regularly by their health care provider to monitor for TD.
What Other Medications May Interact With Haloperidol?
Haloperidol may block the effects of agents used to treat Parkinson’s disease such as levodopa/carbidopa (Sinemet®), bromocriptine, pramipexole (Mirapex®), ropinirole (Requip®), and others.
Haloperidol may lower your blood pressure. Medications used to lower blood pressure may increase this effect and increase your risk of falling. Propranolol (Inderal®) is an example of this type of medication.
The following medications may increase the risk of heart problems when used with haloperidol:
- Antipsychotics including chlorpromazine (Thorazine®), thioridizine (Mellaril®), iloperidone (Fanapt®), paliperidone (Invega®), pimozide (Orap®), quetiapine (Seroquel®), and ziprasidone (Geodon®).
- Antiarrhythmics (heart rhythm medications) including procainamide, quinidine, amiodarone (Cordarone®), dronedarone (Multaq®), and sotalol (Betapace®).
Metoclopramide (Reglan®) may increase the risk of EPS or TD when used in combination with haloperidol.
The following medications may increase the levels and effects of haloperidol: bupropion (Wellbutrin®), fluoxetine (Prozac®), fluvoxamine (Luvox®), ketoconazole (Nizoral®),venlafaxine (Effexor®), and paroxetine (Paxil®).
The following medications may decrease the levels and effects of haloperidol: carbamazepine (Tegretol®, Equatro®), phenytoin (Dilantin®), phenobarbital, and rifampin (Rifadin®).
How Long Does It Take For Haloperidol To Work?
It is very important to tell your doctor how you feel things are going during the first few weeks after you start taking haloperidol. It will probably take several weeks to see big enough changes in your symptoms to decide if haloperidol is the right medication for you.
Antipsychotic treatment is generally needed lifelong for persons with schizophrenia. Your doctor can best discuss the duration of treatment you need based on your symptoms and illness.
- Hallucinations, disorganized thinking, and delusions may improve in the first 1-2 weeks
- Sometimes these symptoms do not completely go away
- Motivation and desire to be around other people can take at least 1-2 weeks to improve
- Symptoms continue to get better the longer you take haloperidol
- It may take 2-3 months before you get the full benefit of haloperidol
Summary of FDA Black Box Warnings
Increased mortality in elderly patients with dementia related psychosis
- Both first generation (typical) and second generation (atypical) antipsychotics are associated with an increased risk of mortality in elderly patients when used for dementia related psychosis.
- Although there were multiple causes of death in studies, most deaths appeared to be due to cardiovascular causes (e.g., sudden cardiac death) or infection (e.g., pneumonia).
- Antipsychotics are not indicated for the treatment of dementia-related psychosis.
Provided by
(November 2022)
©2022 The College of Psychiatric and Neurologic Pharmacists (CPNP) and the National Alliance on Mental Illness (NAMI). CPNP and NAMI make this document available under the Creative Commons Attribution-No Derivatives 4.0 International License. Last Updated: January 2016.
This information is being provided as a community outreach effort of the College of Psychiatric and Neurologic Pharmacists. This information is for educational and informational purposes only and is not medical advice. This information contains a summary of important points and is not an exhaustive review of information about the medication. Always seek the advice of a physician or other qualified medical professional with any questions you may have regarding medications or medical conditions. Never delay seeking professional medical advice or disregard medical professional advice as a result of any information provided herein.
The College of Psychiatric and Neurologic Pharmacists disclaims any and all liability alleged as a result of the information provided herein.
Haldol Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing
Warnings:
There may be a slightly increased risk of serious, possibly fatal side effects (such as heart failure, fast/irregular heartbeat, pneumonia) when this medication is used by older adults with dementia. This medication is not approved for the treatment of dementia-related behavior problems. Discuss the risks and benefits of this medication, as well as other effective and possibly safer treatments for dementia-related behavior problems, with the doctor.
Warnings:
There may be a slightly increased risk of serious, possibly fatal side effects (such as heart failure, fast/irregular heartbeat, pneumonia) when this medication is used by older adults with dementia.
This medication is not approved for the treatment of dementia-related behavior problems. Discuss the risks and benefits of this medication, as well as other effective and possibly safer treatments for dementia-related behavior problems, with the doctor.
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Uses
Haloperidol is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorders). This medicine helps you to think more clearly, feel less nervous, and take part in everyday life. It can also help prevent suicide in people who are likely to harm themselves. It also reduces aggression and the desire to hurt others. It can decrease negative thoughts and hallucinations.Haloperidol can also be used to treat uncontrolled movements and outbursts of words/sounds related to Tourette's syndrome. Haloperidol is also used for severe behavior problems in hyperactive children when other treatments or medications have not worked.Haloperidol is a psychiatric medication (antipsychotic-type) that works by helping to restore the balance of certain natural substances in the brain (neurotransmitters).
How to use Haldol Tablet
Take this medication by mouth with or without food, or as directed by your doctor. If you are using the liquid form of the medication, use the measuring dropper provided in the package to measure your dose. If you do not have the dropper, ask your pharmacist for a measured oral syringe so that your dose will be correct.
Dosage is based on your medical condition and response to therapy. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time(s) each day.
Do not stop taking this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually reduced.
Inform your doctor if your symptoms do not improve or if they worsen.
Side Effects
Dizziness, lightheadedness, drowsiness, difficulty urinating, sleep disturbances, headache, and anxiety may occur. If these effects last or get worse, notify your doctor or pharmacist promptly.
Dizziness and lightheadedness can increase the risk of falling. Get up slowly when rising from a sitting or lying position.
Tell your doctor promptly if any of these side effects occur: muscle spasm/stiffness, shaking (tremor), restlessness, mask-like facial expression, drooling. Your doctor may prescribe another medication for you to take with haloperidol to decrease these side effects.
Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
In rare cases, haloperidol may increase your level of a certain chemical made by the body (prolactin). For females, this increase in prolactin may result in unwanted breast milk, missed/stopped periods, or difficulty becoming pregnant. For males, it may result in decreased sexual ability, inability to produce sperm, or enlarged breasts. If you develop any of these symptoms, tell your doctor right away.
For males, in the unlikely event you have a painful or prolonged erection (lasting more than 4 hours), stop using this drug and get medical help right away, or permanent problems may occur.
This medication may rarely cause a condition known as tardive dyskinesia. In some cases, this condition may be permanent. Tell your doctor right away if you develop any facial/muscle twitching such as tongue thrusting, chewing movements, puffing or puckering of your mouth, or uncontrollable shaking.
This medication may rarely cause a very serious condition called neuroleptic malignant syndrome (NMS). Get medical help right away if you have any of the following symptoms: fever, muscle stiffness/pain/tenderness/weakness, severe tiredness, severe confusion, sweating, fast/irregular heartbeat, dark urine, signs of kidney problems (such as change in the amount of urine).
Tell your doctor right away if you have any serious side effects, including: nausea/vomiting that doesn't stop, stomach/abdominal pain, yellowing of eyes/skin, seizures, signs of infection (such as sore throat that doesn't go away, fever).
Get medical help right away if you have any very serious side effects, including: slow heartbeat, severe dizziness, chest pain, fainting.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Precautions
Before taking haloperidol, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: a certain severe nervous system problem (severe CNS depression), Parkinson's disease, bipolar disorder, difficulty urinating (for example, due to prostate problems), glaucoma, heart problems (such as angina), overactive thyroid (hyperthyroidism), seizures, low white blood cell count.
Haloperidol may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.
The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using haloperidol, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).
Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using haloperidol safely.
This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).
Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
This medication can reduce sweating, making you more likely to get heatstroke. Avoid hard work and exercise in hot weather.
Children may be more sensitive to the side effects of this drug, especially uncontrolled movements.
Older adults may be more sensitive to the side effects of this drug, especially drowsiness, dizziness, lightheadedness, difficulty urinating, and heart effects such as QT prolongation (see above). Drowsiness, dizziness, and lightheadedness can increase the risk of falling.
During pregnancy, this medication should be used only when clearly needed. Babies born to mothers who have used this drug during the last 3 months of pregnancy may rarely develop symptoms including muscle stiffness or shakiness, drowsiness, feeding/breathing difficulties, or constant crying. If you notice any of these symptoms in your newborn especially during their first month, tell the doctor right away.
Since untreated mental/mood problems (such as schizophrenia, schizoaffective disorders) can be a serious condition, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss with your doctor the benefits and risks of using this medication during pregnancy.
This drug passes into breast milk and could have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.
Interactions
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug include: anticholinergic medications (for example, antispasmodics such as belladonna alkaloids, scopolamine), cabergoline, ketoconazole, lithium, methyldopa, drugs for Parkinson's disease (such as levodopa and carbidopa, selegiline), paroxetine, pergolide, quinupristin/dalfopristin, rifampin, saquinavir.
Many drugs besides haloperidol may affect the heart rhythm (QT prolongation), including amiodarone, dofetilide, pimozide, quinidine, sotalol, procainamide, macrolide antibiotics (such as erythromycin), among others.
Before using haloperidol, report all medications you are currently using to your doctor or pharmacist.
Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine).
Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.
Does Haldol Tablet interact with other drugs you are taking?
Enter your medication into the WebMD interaction checker
Overdose
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away.
US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
Do not share this medication with others.
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
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Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.
Arpimed
What Haloperidol is and what it is used for
Haloperidol is the active ingredient in Haloperidol tablets.
Haloperidol belongs to the group of antipsychotic drugs.
Haloperidol is used to treat:
- Schizophrenia, psychosis, mania and conduct disorders in adults and children.
These symptoms affect thought processes, senses and behavior, resulting in:
- Confusion
- Visual, auditory or tactile hallucinations
- False beliefs
- Delusional ideas (paranoia)
- Feeling overexcited, agitated, excited or hyperactive.
- Feeling aggressive and furious
Haloperidol is also used:
- for Gilles de la Tourette syndrome and uncontrolled tics
- for long-term hiccups
What you need to know before you use Haloperidol
Do not take Haloperidol You should not take this medicine if you have any of the conditions listed above. If you have any doubts about taking the drug, then you should consult your doctor before using Haloperidol. nine0003 Take special care when taking Haloperidol: Talk to your doctor or pharmacist before taking Haloperidol: You may need to monitor your condition more closely and the dose of Haloperodol may be changed if necessary. If you are in doubt about the presence or absence of any of the above conditions, check with your doctor before using Haloperidol. nine0003 Medical examination Your doctor needs to take an ECG (electrocardiogram) before or during treatment with Haloperidol. An ECG evaluates the electrical activity of the heart. Blood tests Your doctor will need to check your blood electrolyte levels. Drug interactions Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, including OTC and herbal remedies. nine0003 The thorough Monitoring of the condition at The simultaneous appointment of haloperidol C lithium. You should contact your doctor immediately and stop taking your medicine if: These are precursors of a syndrome similar to encephalopathy. Haloperidol may affect the effects of the following drugs Tell your doctor or pharmacist if you are taking: Tell your doctor or pharmacist if you are taking any of the above medicines before taking Haloperidol. Some drugs may affect the effects of Haloperidol Tell your doctor or pharmacist if you are taking: It may be necessary to change the dose of haloperidol. Interaction with food and alcohol Haloperidol should be taken with or without food. The tablets should be taken with some water. In patients taking Haloperidol, alcohol intake may lead to the development of drowsiness and decreased alertness. Therefore, you should monitor the amount of alcohol taken. Pregnancy and breast-feeding Talk to your doctor if you are pregnant, think you might be pregnant or plan to become pregnant before taking this medicine. When taking Haloperidol in the last trimester of pregnancy, neonates may develop the following symptoms: tremor, muscle rigidity or weakness, drowsiness, overexcitation, breathing problems and difficulty breastfeeding. If your child has any of these symptoms, you should contact your doctor immediately. nine0003 You can continue taking Haloperidol only with the permission of your doctor. It is not recommended to take Haloperidol during breastfeeding, as even small amounts of Haloperidol are excreted in breast milk. Consult your healthcare professional if you are pregnant or breastfeeding before taking any medication. Older age In case of disorders associated with relative memory loss, you should first consult with your doctor to determine whether further use of Haloperidol is advisable and explain the possible risks of using the drug. nine0003 Influence on the ability to drive vehicles and mechanisms Haloperidol may affect the ability to drive vehicles. Do not drive or operate machinery without first talking to your doctor. Important information about the ingredients of Haloperidol Haloperidol tablets contain lactose. If you have been told by your doctor that you have an intolerance to some sugars, talk to your doctor before taking Haloperidol. nine0003 Available safety data for the use of the drug in children indicates a risk of developing extrapyramidal disorders, including tardive dyskinesia (involuntary, repetitive body movements) and sedation. How to take Haloperidol Haloperidol should be taken exactly as directed by your doctor. If you have any doubts, then you should consult with your doctor. nine0003 Dosing regimen Your doctor will determine the dosage and duration of Haloperidol. The dose of the drug is set individually. It is very important to take the correct dose. The dose depends on: Adults Children In children, the dose of the drug is determined depending on body weight and age. The daily doses recommended below may be divided into 2-3 doses. Children 3 to 12 years In the treatment of childhood schizophrenia, the usual daily dose is 1-4 mg If necessary, the indicated dose can be increased to 6 mg. In the treatment of agitation (excitation) or conduct disorder, the usual daily dose is 0.5-3 mg, but if necessary, this dose can be increased to 3 mg. nine0003 Adolescents 13 to 17 years old In the treatment of childhood schizophrenia, the usual daily dose is 1-6 mg per day, but if necessary, this dose can be increased to 10 mg. In the treatment of agitation (agitation) or conduct disorder, the usual daily dose is 2-6 mg, but if necessary, this dose can be increased to 6 mg. Elderly Elderly patients should be treated with half the recommended dose, but if necessary, the dose should be adjusted to the optimum for the patient. nine0003 How to use Haloperidol should be taken orally. Tablets should be taken with some water. Stopping Haloperidol Haloperidol should be continued for as long as prescribed by the doctor. It may take some time before you feel the full effect of the drug. It is necessary to stop taking the drug gradually, unless otherwise prescribed. If you suddenly stop taking Haloperidol, the following symptoms may occur: Follow your doctor's instructions exactly If you have taken more Haloperidol than recommended to the nearest hospital. nine0003 If you forget to take Haloperidol If you have any further questions on the use of this medicine, ask your doctor or pharmacist. Possible side effects Like all medicines, Haloperidol can cause side effects, although not everyone gets them. Tell your doctor or nurse right away if you notice or suspect any of the following effects. You may need emergency medical treatment. May affect up to 1 in 1000 people. Tell your doctor or nurse immediately if you notice any of the following conditions: More than 1 in 10 people may experience these symptoms. These symptoms may affect up to 1 in 10 people. Less than 1 in 100 people may experience these symptoms. Haloperidol may cause trismus (a toxic spasm of the masticatory muscles resulting in limited movement in the temporomandibular joint.) This symptom may affect less than 1 in 1000 people. The exact incidence of these side effects has not been identified. Uncommon side effects (may affect up to 1 in 100 people) When taking Haloperidol, the following side effects were observed, but the frequency of these side effects was not identified. nine0011 If your child has any of these symptoms, you should contact your doctor immediately. Effects on biochemical test results: Reporting side effects If you notice any side effects, tell your doctor, pharmacist or pharmacist, including any side effects not listed in this package insert. You can also report side effects to Arpimed LLC by going to the website www.arpimed.com and filling out the appropriate form “Report a side effect or ineffectiveness of a drug” and to the Scientific Center for Expertise of Drugs and Medical Technologies named after. Academician E.Gabrielyan, by going to the website www.pharm.am in the section “Report a side effect of a drug” and fill out the form “Map of reporting a side effect of a drug”. Scientific center hotline: +37410237665; +37498773368 By reporting side effects, you help provide more information about the safety of this drug. How to store Haloperidol Haloperidol 5 mg tablets . The drug should be stored out of the reach of children, dry, dark place at a temperature of 15 0 C -25 0 C. Important information This drug has been prescribed just for you. Only your doctor can prescribe this drug for you. It should never be given to others. It can harm them even if they have similar symptoms. nine0003 If you have any further questions or doubts about taking a medicine after reading this package leaflet, ask your doctor or pharmacist. Contents of the pack and additional information One Haloperidol 5 mg tablet contains: Active substance: haloperidol - 5 mg Auxiliary substances: Microcrystalline cellulose, Monohydrate lactose, Calcium phosphate corn corn, Povidon, sodium of the Crachmala of glyculative, glyculates, stern. What Haloperidol looks like and contents of the pack:0002 White or off-white round flat tablets with small patches of a darker color, notched on one side and chamfered on both sides. Carton containing 48 tablets (2 blisters of 24 tablets each) with leaflet. Holiday Conditions Available by prescription . An hour and a half later, Redmond Brix gathered the entire task force for an emergency meeting. Vail had already testified to Brix and turned in the Glock to an agent from the Santa Rosa station. Her gun, which may have been used to shoot Fuller, was placed in an evidence-protected bag, and the agent handed Vail an equivalent replacement. nine0003 After the exchange, Veil and Dixon went to the toilet to wash up. — How do you feel? Enough strength? Dixon asked, drying herself off with a paper towel. - Don't defend me. I'm ready to listen to whatever they tell me. — I thought so. Leaning on the dressing table, Veil looked down at her swollen temple and gently patted it dry with a damp towel. Every touch was painful. - It will be necessary to find out with whom Fuller communicated, check all his acquaintances and friends. You'll also need to get a search warrant for his house and any other places where he might have hidden something. - Let me take care of this. I'm not sure that at the moment someone will listen to you. — I agree. Dixon crumpled up the used towel and threw it in the trash can. - Let's go. Mann, Gordon, Dixon, Brix, Lugo, Nance and Weil sat down at the conference table. Brix has secured a uniform shirt and pants for Veil while her blood-stained clothes—specifically, Dixon's blouse and pants—are being tested in the lab. Since the meeting was held at a late hour and under force majeure, Robbie was also allowed to attend. Brix promised that the meeting would be short and productive. nine0003 — How are you? Lugo asked as he sat down at the table. Thanks, Ray, I'm fine. True, it seems that every day I have fewer friends in this city. - I didn't know you had friends here. Veil did not know how to interpret his words. Lugo was probably joking, but she was so tired, hungry and nervous that she couldn't be completely sure of anything. “Well then,” began Brix, “I personally will miss Scott very much. And I think it's our duty to solve this case out of respect for him and the sheriff and his family. If Karen and Roxana are right, this is the work of our NEP. I doubt it, but I can't explain it any other way. "I think," Dixon said, "that we should at all costs justify Scott. Let's first find out what his social circle was. I'll get a warrant to search his house and every place he might be hiding something, wiretap his cell phone, and access his bank accounts. nine0003 "I'm certainly not a cop," Nance cut in, "but it sounds like Scott is not the victim, but the suspect." Veil's eyes were droopy and the eyelids began to get heavy. If only I could take a nap... “We have two crimes,” said Brix. “The first was the burning of the hotel, where Karen was nearly roasted alive. The second is the murder of Scott, which was probably committed by the Crusher. Dixon clicked her fountain pen and made a note in her notebook. - If we can prove that Scott had nothing to do with the arson, this will help us restore his reputation. nine0003 “It seems to me,” Nance said skeptically, “that you are trying to do the opposite. “It's like looking,” Veil said. She felt that she was talking very slowly, perhaps even indistinctly, but no one showed any sign, and she decided that she was imagining it, and continued: - We just want to get to the bottom of the truth. Wherever it leads... Our job at the moment is to gather evidence, not interpret it. There will be time for interpretations. “Let's hope,” Dixon encouraged her, “that along the way we will find another suspect and Scott's reputation - or rather, Detective Fuller's - will be restored. nine0003 Nance shook his head. - This is a pure witch hunt. You can twist the words as you like, but the essence remains the same. Dixon angrily threw the pen on the table. - Listen, Mr. Nance! They did you a favor by inviting you here. I, as the head of the task force, decide whether you stay or leave. So don't underestimate my generosity. You must understand that this is our business and we will conduct it at our discretion - professionally and efficiently. We keep you updated, but this does not mean that you can influence our decisions. I don't understand why you're so concerned about this investigation. nine0003 - I'm interested in this investigation because Stan Owens is a close friend of the congressman I represent. And it seems to me that this is my duty. Dixon spread her hands helplessly. — Then let us do our duty! We'll take care of everything, no doubt. No one is going to hang all the dogs on Detective Fuller and tarnish his reputation. He looked at Vale and said: “I'm not sure about that. Veil heard his words, but they didn't even stick in her memory. She urgently needed to lie down. But first, something needs to be communicated to the general public. “There's something else I wanted to say,” she muttered without looking up from the table. “Given the way NEPO kills its victims, we need to interrogate all males with amputated upper limbs and prosthetics living in the region. Everyone looked at Austin Mann as if on cue, but he did not react to these words, only looked at Vale. - I know what you're thinking, but I've already discussed this with Agent Mann. He has an ironclad alibi. Looking up, she saw on the faces of her colleagues a mixture of surprise and anger. nine0003 “Damn him! I had to confess. These words should have been spoken. She massaged the back of her head. - Maybe this is far-fetched, but this option cannot be discounted. Someone needs to take care of this, make a complete list, limited to men living within a radius of seventy-five kilometers. The radius, of course, is too big, but it eliminates the possibility of error. If the list is too long, cut the radius down to forty miles, and rule out anyone under twenty-five and over forty as a suspect. Brix cleared his throat uncertainly. - I'll try to involve someone from the operational-search bureau. Veil stood up and swayed slightly. - I feel unwell. If no one minds, I'll go lie down. "Recreation room down the hall," said Brix. “Hang up the “Busy” sign and no one will disturb you. “I'll be back,” Veil promised. And I hope soon. Holding a prepaid cell phone (he had three in all and never repeated), John Wayne Mayfield contemplated what text to enter. nine0003 The venture with Vail and Fuller went exceptionally well. He was driving behind a car that was chasing Vail and only later realized that Scott Fuller was driving. Then a backup plan began to take shape. The case contained a syringe and medication. He had never used these items before, but he lived by the Boy Scouts' motto: be prepared. And he was still ready. He pulled away a little, but still kept at a relatively close distance. The fact that Vail and Fuller had an accident only helped him in the implementation of the new plan. Fuller's death should stir them up. Now they will be on their guard. He regretted that he could not stay and watch their reaction when Veil came to his senses and began to explain where the corpse had come from next to her, while she ... slept, struck down by an invisible enemy. I wonder if they believe her? But he had no time to hang around in some vineyards and find out the fate of Karen Vale. Great things awaited him, new impressions. Because so far he has only been warming up. He looked down at his phone and typed in a message. nine0003 …twenty-seventh Veil spent a good four hours in the break room: recent poisoning had taken its toll. When she woke up, she saw Dixon and Dr. Brooke Abbott in front of her. The light hit my face. She narrowed her eyes and covered her eyes with her hand, blinking in confusion. — Roxana… She tried to get up, but dizziness threw her back on the pillow, like a sea wave overturning a fragile boat. - Oh, I'm sorry. Probably, the drug has not yet left the body. “The drug is called betasomol,” Abbott said. - This is confirmed by a blood test, and simple logic. We don't know exactly how long you were in bed before you woke up, but most likely you were injected with fifteen milligrams. This is enough for a person of your size to pass out for about twenty minutes. Pretty hefty dose. So it's no wonder you're still dizzy. — Never heard of such a thing. Beta… - ...doubtful. A super-rapid sedative of the latest generation, a mixture of a benzodiazepine - it's a drug like Valium - and some antipsychotic. - Who has access to it? - Few. It was developed for emergency rooms and psychiatric hospitals, where it is sometimes necessary to subdue aggressive patients. Betasomnol is gradually replacing the traditional Haldol and Lorazepam cocktails, which are too slow to act; And when someone tries to gouge out your eye, you want to knock it out as soon as possible. — Do you have final test results? Dixon asked. - I sent them to the laboratory for quantitative testing. They will conduct an ultra-precise examination for all legal and illegal drugs, as well as for alcohol content. Only after that the results can be considered final, but it will take several days, if not weeks. Veil rubbed her neck thoughtfully. — Does this betasomol have long-term effects? - It recycles pretty fast, so I wouldn't worry if I were you. Everything will be OK. nine0003 Dixon stifled a yawn and glanced at her watch. — Then the obvious question arises: where did he get this medicine? - Betasomnol has only recently been on the market, so it will be easy to find suppliers. — Excellent. Then we need to find out if there have been any thefts in hospitals within a radius of a hundred miles. - Steal fifteen milligrams? If a person has access to the drug, he can easily grab a gram here and there, and no one will know anything. Veil finally decided to get her feet off the bed. - That's right, but I'm talking about something else. Theoretically, a person has to work there to have access to the drug. Moreover, usually the vaults are locked, and the key is given only to responsible persons. This, again theoretically, will help us narrow down the suspects. Abbott nodded in understanding. - I'll look into it and let you know what I've found out. She left the room. Pushing off, Veil somehow got out of bed, shook herself, and looked into the wall mirror. Running her hand through her hair, she turned her head to see both sides of herself and sighed: - Well, I have a video recorder! - You were in a car accident, got into a fight with Scott Fuller, and then got a hefty dose of neuroleptic cocktail. Not to mention the fact that the clock is half past four in the morning. How did you expect to look? - Come on, it's all nonsense. We can come up with as many excuses as we want, but does a woman have the right to look bad? — I just wanted to reassure you. — Now only a hot shower and a comfortable bed can calm me down. And Robbie is right there. nine0003 They left the break room and into the corridor. - Speaking of Robbie. Where is he? - Works with Brix and Lugo. Veil's phone vibrated on her belt. Taking it out of its case, she blew off the dust that must have stuck to her as she crawled through the vineyard. She opened the received message and stopped dead in her tracks. His head was spinning again, but this time it wasn't from the newest sedative. It was pure fear. “Oh my god…” she muttered. Dixon also stopped and looked over her shoulder. — What is it? “Put on your brains, Karen. And calm down. What to do? How do I… Stop. Breathe. Focus." Veil rubbed her eyes as if in disbelief. "Find Robbie," was all she could say. Dixon started to run down the corridor, and Veil called Jonathan, but got on the answering machine. "Damn it!" After she hung up, she looked for shortcuts to call Paul Bledsoe, but there were no shortcuts on the phone. “Damn, think about it! Remember! Seven-zero-three… Come on…” Veil closed her eyes tightly, and the numbers popped up in her head. She entered them and pressed call. Bledsoe, her friend and Fairfax County Homicide detective, answered on the third ring. Bledsoe, this is Karen. I understand that this early... — Go ahead, Karen! I didn't sleep half the night, I only went to bed at three o'clock. What time is it now? - It's half past seven. — Half... Do you mean "with you"? Where are you… - In California, for work. I need your help. “I have a day off today,” he grumbled. - Call back in a couple of hours ... - No! Get out of bed quickly. He's after Jonathan... - Jonathan? Who is hunting... - Shut up and listen! Get dressed immediately and pack everything you need. I'll call you in half a minute and tell you where to go. Veil disconnected and stared at the phone screen where the message text was hanging. "Whoever you are, you filthy bastard..." — Karen! Robbie was running down the corridor toward her. But before he got close, she ordered: - Let someone know the next flight to Washington. — To Washington? What for? “Jonathan…” was all she said. “Please do it—that’s all!” Robbie pulled out his phone and started calling someone. Veil dialed Bledsoe's number again. - Bledsoe, I'm turning on the speakerphone. Robbie and Roxane Dixon are here with me, we work together. She pressed the right button and held out her hand. - Can you hear me? nine0003 “Yeah,” Bledsoe said in a barely audible voice. "So what the hell do you have there?" - Go to Jonathan's school. Lincoln High School. Do you know where she is? - Yes, but... - Get in the car and drive, I'll explain everything to you! The hum of the motor was heard from the speaker. - Sat down, I'm leaving. Robbie, having finished speaking, approached them. - I just got a message from a serial killer we're looking for in Napa County. She returned the message to the screen. He writes: “I am watching a handsome young man. Looks like Karen Weil when she was younger. He's just on his way to school. The Lincoln School is much prettier than the hole I went to. I'll be sure to give Jonathan your regards. I hope you slept well. Look, don't oversleep anything important. lol. nine0003 Dixon and Robbie looked at each other anxiously. Did you call Jonathan? Robbie asked. - He has an answering machine. He turns it off at school, because they can even take away a vibrating alert. - Well done! Bledsoe said. - Clever idea. "I'll call the school," Robbie said, opening his cot again. - Close all exits. "They won't be able to close before school starts," she said. - Bledsoe, find him... - Find him, Karen. I'll be there in ten minutes. “No, it won't. Ten minutes is too long." - Yes. Thank you. She turned off the phone, leaned against the wall and slowly slid down to the floor. …twenty-eighth Clutching the mobile in his left hand, Robbie knelt down in front of Veil and lifted her chin. Karen, look at me. He waited for their eyes to meet. “Everything will be all right. Bledsoe knows his stuff. She took a deep breath, as if choking on air. Anger boiled inside her. She was angry with herself that she missed him when he was so close, literally behind her back - he even touched her ... And now, a few hours later, he can touch her son. nine0003 “He could have killed me, but instead he flew to the other side of the country. What for? For the sake of power. Control. But such bravado requires too much effort. Unless… Unless he really intends to kill Jonathan.” She got up on her own, brushing off Robbie's help. “Karen,” Dixon said. Veil gritted her teeth. She knew that Dixon wanted to help her pass the time until Bledsoe called and said... What? That Jonathan is safe? Or what… She took out a gun and slammed it hard on the glass of the door. Splinters rained down. “Oh my God, Karen…” Dixon grabbed her arm and pointed the muzzle at the floor. - Calm down, mother! Veil jerked her hand free. - Son of a bitch! No one dares to threaten my son! Karen, look into my eyes. Karen…” Robbie waited for her to concentrate. - Hide your weapons. Veil unzipped her fanny pack and put her Glock in it. - I swear I'll kill him! If he lays a finger on Jonathan, I'll castrate him! nine0003 "I do," Robbie said. - And then I'll blow his sick head off! Robbie pulled her close and hugged her tightly. "And I'll make him beg for mercy," she muttered, burying herself in his chest. Robbie stroked her head. - Unless I get to him first. He will not wait for a polite treatment from me. Brix and Lugo approached them. “We heard a ringing…” Brix looked at the floor strewn with fragments. - What the heck? nine0003 "Bats," Dixon said. Brix looked questioningly from her to Robbie. - Bats? - Yeah. Their echo sounders were junk. Then Brix saw Vale in Robbie's arms. - What's going on? "NEPO says he's in Virginia," Dixon explained. He sent Karen a message. He writes that he is now near her son's school. Is that true? “I have to fly home,” Veil said. — When is the next flight? nine0003 "There's a flight out of San Francisco at six twenty-five," Lugo said. Robbie shook his head. - Even if you go right now, you still won't make it in time. In addition, you will arrive only at six in the evening - and then, if the flight is not delayed. And then you still have to get out of the airport during rush hour.
Long-term safety data are not available.
Symptoms include:
Rash
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They have professional information regarding this drug, which allows them to give you proper advice if you have additional questions or doubts. Winemaker read online Alan Jacobson (Page 18)
..twenty-sixth 
If it is possible to prove his involvement in the arson, the case can be closed for objective reasons. nine0003 
Apparently, the drug she was given hadn't stopped working yet. 
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Everything turned out even better than he expected. nine0003 
She held out her hand, hoping to grab onto something, and Dixon helped her. nine0003 
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The beats of the pulse hurt in the head. nine0003 
Everything will be okay. nine0003 
“You just have to wait. Let's go get some coffee. 
