Other Names

•Haldol

•Peridol

•Dozic

•Serenance

Classification

•Antipsychotic

Action

•Unknown - a butyrophenone that probably exerts antipsychotic effects by blocking post synaptic dopamine receptors in the brain

Indications

•Psychotic disorders

•Chemical restraint of combative patients

Contraindications

•Hypersensitivity to the medication

•Patients with Parkinson’s, coma or CNS depression

Precautions

•Use cautiously in elderly and debilitated patients

•Patients with a history of seizure disorder, ECG abnormalities, severe CV disorders and glaucoma

•Patients on aniticoagulants, anticonvulsants, antiparkinsonians or lithium

Adverse Reactions

•Tachycardia, hypotension, hypertension

•Torsades de pointes, ECG changes

•Blurred vision

•Drowsiness, headache, insomnia, confusion

•Dry mouth, anorexia, nausea, vomiting

•Skin rash, urine retention

Interactions/Compatibility/Stability

•Anticholinergics, CNS depressants

•Lithium and alcohol use

Special Considerations

•Protect form light (slight yellowing of injection is common)

•Can be mixed in the same syringe as lorazepam or midazolam

Dosages

•Preparation: 5 mg/ml vial

•Adult: 2 - 5 mg IM/IV, every 5 - 10 minutes to a maximum of 30 mg

•Pediatric: N/A

Kinetics

Onset:         < 10 minutes

Peak:          10-20 minutes

Duration:    4-6 hours

Want to help out?  Feel free to fill in a template for a medication that you use in your system and send it to me.  These templates are (and always will be) free for anyone to use.  Send it to Marc.