Country: Canada
Language: English
Source: Health Canada
HALOPERIDOL (HALOPERIDOL DECANOATE)
HOSPIRA HEALTHCARE ULC
N05AD01
HALOPERIDOL
50MG
LIQUID
HALOPERIDOL (HALOPERIDOL DECANOATE) 50MG
INTRAMUSCULAR
100
Prescription
BUTYROPHENONES
Active ingredient group (AIG) number: 0101774007; AHFS:
CANCELLED PRE MARKET
2019-06-21
PRODUCT MONOGRAPH HALOPERIDOL DECANOATE INJECTION 50 mg/mL, 100 mg/mL FOR INTRAMUSCULAR INJECTION ONLY. NOT FOR INTRAVENOUS USE Antipsychotic Agent Hospira Healthcare Corporation Date of Preparation: 27 March 2009 1111 Dr. Frederik Philips, Suite 600 Saint-Laurent, Quebec H4M 2X6 Control number 124727 _PRODUCT MONOGRAPH – Haloperidol Decanoate Injection _ _Page 2 of 25 _ PRODUCT MONOGRAPH Haloperidol Decanoate Injection 50 mg/mL, 100 mg/mL THERAPEUTIC CLASSIFICATION Antipsychotic Agent ACTION AND CLINICAL PHARMACOLOGY Haloperidol decanoate (intramuscular), an ester derivative of haloperidol, possesses the antipsychotic properties of haloperidol. When it is administered as an intramuscular depot in sesame oil, esterases present in blood and tissues hydrolyse haloperidol decanoate to provide a slow release of the active neuroleptic haloperidol from the depot into the systemic circulation. The onset of action occurs within a few days after injection and the therapeutic effect continues for 2 to 4 weeks, although adequate control is frequently maintained with one injection every four weeks. Careful supervision is required throughout treatment due to the variations in individual patient response. Haloperidol decanoate possesses antiemetic properties; it has a marked tendency to provoke extrapyramidal effects and has relatively weak alpha-adrenolytic properties. It may also exhibit hypothermic and anorexiant effects and potentiate the action of barbiturates, general anesthetics, and other CNS depressant drugs. As with other neuroleptics, the mechanism of action of haloperidol decanoate has not been entirely elucidated, but has been attributed to the inhibition of the transport mechanism of cerebral monoamines by haloperidol, particularly by blocking the impulse transmission in dopaminergic neurons. The pharmacokinetics were studied in chronic psychotic patients receiving monthly injections for up to two years. The initial dose was based on the observation that the bioavailability of oral haloperidol is 60 to 70%, cor Read the complete document