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HALOPERIDOL decanoate, 50mg/ml, 1ml, amp.

https://medicalguidelines.msf.org/en/node/805
https://unicat.msf.org/cat/product/40859
STD DINJHALP5AD

Valid Article

Former Code(s): DINJZBD0017
The product is supplied (and stored) sterile, it must remain sterile until its use. Sterile = state of being free from all living microorganisms.
2.3 - Medicines for other common symptoms in palliative care
Classification of the medicines in groups and subgroups according to their therapeutic use. The classification used by MSF is based on the WHO Model List of Essential Medicines.
24.1 - Medicines for psychotic disorders
Classification of the medicines in groups and subgroups according to their therapeutic use. The classification used by MSF is based on the WHO Model List of Essential Medicines.
N05AD01
Anatomical Therapeutic Chemical Classification according to WHOCC
PM
The order of this product needs to be justified and is only acceptable under certain conditions.
!
Substance listed as Narcotic Drug or Psychotropic Substance, and as precursors. Other substances may be subject to restrictions according to national regulations. These substances require an import permit from the country of destination when ordering.
1525
Thermosensitive codes are defined for storage and transportation temperature requirements of the products.
OC subscriptions: included in supply or field order tools (e.g. UniField)
SC subscriptions: included in supply or field tools
OC validations: approved for procurement and use by an OC for international or local orders specifying context and activity in Medical Standard Lists (MSL)

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HALOPERIDOL decanoate

First choice article, as is fluphenazine decanoate. The choice between the two articles will depend on the availability of the product, and/or previous experience and oral treatment (to avoid changing the treatment).

Therapeutic Action

Long-acting antipsychotic (neuroleptic)

Indications

Chronic psychosis, including schizophrenia, following stabilised treatment with oral haloperidol.

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Instructions for use

1 mg oral haloperidol = 10 mg decanoate haloperidol

Must be given as deep IM injection.

It is recommended to order biperiden (or trihexyphenidyl) together with haloperidol decanoate, to be given in the event of extrapyramidal disorders.

Long-acting decanoate haloperidol should be the drug of choice for patients on oral haloperidol treatment.

In some countries, haloperidol is on the list of narcotics: follow national regulations. (Cf Introduction: Narcotic and psychotropic medicines under international control)

Precautions for Use

Do not administer in children under 15 years of age.

Can be used during pregnancy, but not during breast feeding.

Do not prescribe long-acting antipsychotic for prompt control of acute psychotic symptom.

Administer with caution and carefully monitor use in elderly patients and patients with hypokalaemia, hypotension, hyperthyroidism, renal or hepatic impairment, history of seizures.

Storage

Below 25ºC Protect from sunlight