Haloperidol decanoate nursing considerations

processing.... Drugs & Diseases haloperidol (Rx) Brand and Other Names: Haldol, Haldol Decanoate, more... Haloperidol LA, Peridol

  • Classes: Antipsychotics, 1st Generation
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Sections haloperidol (Rx)
  • Sections haloperidol
  • Dosing & Uses
  • Interactions
  • Adverse Effects
  • Warnings
  • Pregnancy
  • Pharmacology
  • Administration
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Dosing & Uses Adult Pediatric Geriatric Dosage Forms & Strengths tablet

Special Considerations
Pregnancy category C: Haloperidol crosses the placenta, and adverse events have been reported in animal reproduction studies. Although haloperidol has not been proven to be a major human teratogen, there are concerns with use in pregnancy, and an association with limb abnormalities following first trimester exposure cannot be ruled out [ 11].  Use during third trimester is also problematic, and may cause extrapyramidal symptoms and withdrawal symptoms in newborns following delivery. Haloperidol is excreted in breast milk, and breast-feeding is not recommended [ 1].

The intravenous route is not FDA approved and is generally not recommended except when no other alternatives are available. Intravenous administration appears to be associated with a higher risk of QT prolongation and torsade de pointes (TdP) than other forms of administration. The manufacturer recommends ECG monitoring for QT prolongation and arrhythmias if IV administration is required. A dose in the range of 1 to 5 mg IV has been suggested, with the dose being repeated at 30 to 60 minute intervals, if needed. A maximum IV dose has not been established. The lowest effective dose should be used in conjunction with conversion to oral therapy as soon as possible.

Haloperidol decanoate nursing considerations

haloperidol decanoate nursing considerations


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