Haloperidol -- its use in children

Insights

Haloperidol effectively treats psychotic symptoms in children with autism and schizophrenia. It also helps manage Tourette's syndrome and behavioral issues in hyperactive children, improving their response to therapy.

Area of Science:

  • Child and Adolescent Psychiatry
  • Pediatric Neurology
  • Clinical Pharmacology

Background:

  • Psychotic symptoms and behavioral disturbances present significant challenges in pediatric populations.
  • Limited pharmacological options exist for conditions like childhood autism, schizophrenia, Tourette's syndrome, and hyperactive disorders.

Purpose of the Study:

  • To evaluate the safety and efficacy of haloperidol in children for various psychiatric and neurological conditions.
  • To assess haloperidol's utility in nonpsychotic, hyperactive, or aggressive children.

Main Methods:

  • Clinical assessment of symptom relief and behavioral control.
  • Gradual dose titration to minimize side effects.
  • Monitoring for adverse events, particularly drowsiness and extrapyramidal symptoms.

Main Results:

  • Haloperidol demonstrated safety and efficacy in alleviating psychotic symptoms in children with autism and schizophrenia.
  • It proved effective for Tourette's syndrome and beneficial in managing acute episodes in hyperactive or aggressive children.
  • Patients exhibited improved calmness and responsiveness to other therapies and educational instruction.

Conclusions:

  • Haloperidol is a well-tolerated and effective treatment option for psychotic symptoms in children.
  • It offers a valuable therapeutic alternative for Tourette's syndrome and behavioral dysregulation in pediatric patients.
  • The drug enhances treatment response and educational engagement in affected children.

Related Concept Videos

Direct-Acting Cholinergic Agonists: Therapeutic Uses01:11

Direct-Acting Cholinergic Agonists: Therapeutic Uses

Direct-acting cholinergic agonists have many therapeutic uses in various medical fields. Choline esters, including acetylcholine, have limited clinical utility due to their non-selectivity and short duration of action. Still, acetylcholine and carbachol are applied topically during ophthalmologic surgery to induce miosis. Pilocarpine, a muscarinic and ganglionic stimulator, effectively treats open-angle glaucoma and alleviates xerostomia and dry mouth caused by radiotherapy or Sjögren syndrome.
Cholinergic Antagonists: Therapeutic Uses01:26

Cholinergic Antagonists: Therapeutic Uses

Antimuscarinic drugs have various therapeutic applications by inhibiting parasympathetic stimulation in different systems. Here are the key therapeutic uses of antimuscarinics:    
Respiratory Tract: Ipratropium, aclidinium, and tiotropium treat asthma, chronic bronchitis, and chronic obstructive pulmonary disease (COPD). They protect against bronchoconstriction caused by irritants like cigarette smoke, sulfur dioxide, and ozone. They also help reduce nasopharyngeal secretions in common...
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Antipsychotic Drugs: Therapeutic Uses and Side Effects01:21

Antipsychotic Drugs: Therapeutic Uses and Side Effects

Antipsychotic drugs primarily block dopamine and serotonin receptors and cholinergic, adrenergic, and histaminergic receptors, thereby reducing hallucinations and delusions in conditions like schizophrenia. However, they can trigger unwanted extrapyramidal effects such as dystonias, Parkinson-like symptoms, and tardive dyskinesia.
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

Sedatives and Hypnotics Drugs: Miscellaneous Agents

Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...