Discovery, structure, class and associated physiochemical properties
Haloperidol is an antipsychotic drug used in the treatment of schizophrenia. It was discovered by Bert Hermans in 1958 at Janssen Laboratories in Belgium. Haloperidol is placed in the class of butyrophenones. The chemical formula for haloperidol is C21H23ClFNO2. The IUPAC nomenclature for haloperidol is 4-[4-(4-chlorophenyl)-4-hydroxypiperidin-1-yl]-1-(4-fluorophenyl)butan-1-one.
Figure 1: 2-D structure of haloperidol (taken from https://pubchem.ncbi.nlm.nih.gov/compound/3559)
Tacke et al (2008) analysed haloperidol in order to determine the physicochemical properties of the drug. At a pH of 7.4, it was discovered that haloperidol has a distribution coefficient (Log D) of
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The drug is widely distributed around the body, with more than 90% binding to plasma proteins. Most of the drug is found in the liver, however, haloperidol is also found in other organs (e.g. brain, heart and lungs), hair, saliva and breast milk.
Metabolism of haloperidol takes place in the liver. The piperidine nitrogen in haloperidol is oxidised, by oxidative dealkylation, to piperidine metabolites and fluorophenylcarbonic acids. The butyrophenones carbonyl in haloperidol is reduced to carbinol which then forms hydroxyhaloperidol, a metabolite of haloperidol with reduced activity. Intrinsic clearance of haloperidol is due to glucoronidation by uridine diphosphoglucose glucuronosyltransferase, oxidation by cytochrome P450 and reduction by carbonyl reductase.
The elimination half-life for haloperidol is 12-38 hours. Complete elimination of an oral dose of haloperidol takes 4 weeks. Five days after the administration of haloperidol, approximately 40% of the dose of haloperidol will be excreted in urine and 15% will be excreted in the faeces. Approximately 1% of the haloperidol administered will be excreted, in urine, in its original
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Kane et al (2002) carried out a study on the safety and efficacy of antipsychotics. They found that out of 103 individuals, receiving haloperidol, 25% suffered from headaches, 19% had anxiety, 8% had blurred vision,13% felt drowsy, 6% had nausea, 10% were vomiting and 36% of patients taking haloperidol had extrapyramidal symptoms. Of the 103 patients being treated with haloperidol, the mean increase in prolactin levels was 22.5ng/mL. Increased prolactin (hyperprolactinaemia) can cause symptoms including increased milk production (galactorrhoea), gynaecomastia, amenorrhoea and lack of sexual
Upon removing the fluorenone from the watch glass and re-weighing, a much more reasonable yield of 52 mg or 52% recovery was obtained. This discrepancy in weighing led to
The depot preparation could ensure continuous drug delivery with a stable plasma drug concentration over long periods. Taking into account the high propensity of noncompliance to the oral medications, long-acting depot would likely be beneficial to Madam M. Therefore, the doctor initiated intramuscular fluphenazine decanoate 25mg monthly for her. As for oral antipsychotics, the doctor aimed to taper off tablet aripiprazole in the future. This was because a monotherapy (IM depot) was likely sufficient for Madam
Introduction: Quetiapine Fumarate (QF) is a psychotropic agent indicated for the treatment of schizophrenia and manic episodes associated with bipolar disorder. QF possesses good solubility in aqueous fluids (1) and ethanol. Quetiapine is available in the market with the brand name of Seroquel XL (2). Inadvertent, rapid drug release in a small period of time of the entire amount or a significant fraction of the drug contained in a prolonged release dosage form is often referred to as “dose dumping”. Jhonson F. et al.
The half-life of methadone is variable between individuals and ranges between 24 and 48 hours (Curran et al., 2000). Enzymes contributing in metabolism also vary, but it is primarily
Jim Lynn references a TV ad for Prozac in which the announcer, in a soft voice, gives the feeling of peace and serenity. Prozac is the panacea for all that ails humanity. Never mind the long list of side effects given at the end of the ad. “Are they the answer to man’s quest for happiness and healing, or is there something sinister at work here?” (p. 90)
Is the policy of giving methadone to drug addicts a good one? There are many conflicting opinions about this topic. Methadone Maintenance Treatment is a very controversial topic that arises many different attitudes toward the program. Some people believe that Methadone maintenance treatment is a good thing and that it does truly help addicts get over their addictions. Others are against Methadone Maintenance treatment because they believe it is an unnecessary and a waste of money.
Schizophrenia requires lifelong treatment, even when symptoms have subsided. Treatment with medications and psychosocial therapy can help manage the condition. In some cases, hospitalization may be needed. A psychiatrist experienced in treating schizophrenia usually guides treatment.
Opioids have been a troubling problem in the United States for many years. In the recent past, since the yearly 2000’s, opioid overdoses have been on a steady incline. With heroin becoming the drug of choice in many cities across the country, overdoses relating to heroin are on the rise. Many states and cities are attempting to reverse the epidemic. Making naloxone, an overdose reversal drug, readily available for emergency responders or even those individuals overdosing, could cause a decrease in overdose related fatalities.
Cape May County has a serious problem with heroin. Different law enforcement strategies and educational programs can help stop this problem. Heroin is an opioid drug that is synthesized from morphine, which is a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. Heroin usually appears as a white or brown powder or as a black sticky matter known as “black tar heroin”. Heroin can be smoked, inhaled or injected, all deliver the drug extremely rapidly.
Philosophically, the importance of the willow tree has come a long way since the Assyrians (4000 BC) and Sumerians (3500 BC), who had seen its medicinal benefits. The first documented use of willow bark as an analgesic was recorded by Hippocrates in 4000 BC. The evolution of the willow tree’s use as a medicinal treatment occurred first with the question of the clinical potential of willow, then the discovery of the structure of salicin, and finally the chemical synthesis of salicylic acid and aspirin. The pharmacological component of willow bark, salicin, was discovered in 1838 by Raffaele Piria, an Italian chemist. Piria’s discovery of salicin led to further discoveries of the use of the compound and eventually to the synthesis of aspirin in 1893 by Felix Hoffman.
Psychedelic drugs are a type of psychoactive drug which causes hallucinations and alters a person’s perceptions of reality. Some examples include LSD, ayahuasca, DXM, ecstasy, and LSD. It is most common for psychedelic drugs to be taken orally, but it is also possible for some of them to be taken via injections or snorted. These types of drugs have been used throughout history for a number of reasons. Along with being used for religious rituals, they have been used for medical purposes as well.
Literature review Symptom types of Schizophrenia Schizophrenia is generally divided according to symptom types. The symptoms of schizophrenia have been divided into three specific complexes (i.e., positive symptoms, negative symptoms and cognitive deficits; Buchanan, 2007), while others use a dichotomous model, such as type I and type II Schizophrenia (Crow, 1980) that roughly corresponds to positive and negative symptoms of schizophrenia (Andreasen, 1982). Positive symptoms were characterized over the past 150 years by active excesses in normal functioning; while negative symptoms of schizophrenia are characterized by a loss of normal functioning (Berrios, 1985; Rector, Beck & Stolar, 2005). Hence, while there are different symptom types, all typologies and dimensional models acknowledge negative symptoms. Negative symptoms of schizophrenia are thought to be a marker of dysfunction and cognitive impairments (Rabinowtiz et al., 2012).
When interpreting concentration measurements, factors that need to be considered include the sampling time in relation to drug dose, dosage history, patient response, and the desired medicinal targets. The goal of therapeutic drug monitoring is to use suitable concentrations of difficult-to-manage medications to optimize clinical outcomes in patients in various clinical situations. Keywords: Drug monitoring, therapeutic; Pharmacokinetics Introduction Therapeutic drug monitoring is generally defined as the measurement of specific drugs at timed intervals in order to maintain a relatively constant concentration of the medication in the bloodstream. Monitored drugs tend to have a narrow therapeutic index, that is a ratio between the toxic and therapeutic doses of medications.
PROJECT 4: METHADONE MAINTENANCE PROGRAMS Dolophinel, also known as methadone hydrochloride, or methadone for short, was synthesized by German scientists in the 1930’s during World War II. Methadone was originally used as a painkiller because of a shortage of morphine. In 1947, methadone was introduced to the United States. Methadone maintenance essentially began with an experiment in 1963.
Fatigue symptoms are a consequence of cancer or cancer therapy 4. The symptoms are not primarily a consequence of a comorbid psychiatric disorder. Structured Clinical Interview for the DSM-IV This interview provides information and diagnosis whether the patient has any of the DSM –IV diseases. The same person conducted the interviews, done by a OM who was trained in administration and supervised by consultant liaison psychiatrist.