Serenace 1.5 Tablet (Haloperidol 1.5 mg): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- High fever with severe muscle stiffness, confusion, or sweating (possible neuroleptic malignant syndrome).
- Irregular or very fast heartbeat, fainting, or palpitations (possible dangerous heart rhythm).
- Unusual movements of the tongue, face, lips, or jaw (possible tardive dyskinesia).
- Yellowing of the eyes or skin, dark urine, or severe abdominal pain (possible liver problem).
- Severe allergic reaction with swelling of the face, lips, or throat, or difficulty breathing.
- Sudden severe dizziness or fainting (possible severe low blood pressure).
- Fever, sore throat, or unusual infections (possible blood disorder).
- Seizures or loss of consciousness.
If experiencing severe symptoms, call emergency services immediately.
What is qutzal 1.5 tablet used for?
This medicine contains haloperidol 1.5 mg, a typical antipsychotic used to treat schizophrenia, acute psychosis, mania, and severe agitation. It works by blocking dopamine D2 receptors in the brain. It is taken by mouth, usually two or three times a day, and the dose must be individualized by a doctor. Common side effects include drowsiness, stiffness, tremor, and restlessness. It should not be used in Parkinson's disease or dementia with Lewy bodies.
- Generic Name: Haloperidol (1.5mg)
- Manufacturer: Arinna Lifescience Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 qutzal 1.5 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा हेलोपेरिडोल 1.5 मिलीग्राम युक्त एक टैबलेट है, जिसका उपयोग मुख्य रूप से सिज़ोफ्रेनिया, तीव्र मानसिक विकार, मेनिया और गंभीर आंदोलन जैसी स्थितियों में किया जाता है। यह मस्तिष्क में डोपामिन रिसेप्टर्स को ब्लॉक करके काम करती है, जिससे मतिभ्रम, भ्रम और अत्यधिक बेचैनी कम होती है। यह दवा टूरेट सिंड्रोम में टिक्स को कम करने और कुछ मामलों में मतली-उल्टी में भी मदद कर सकती है। यह दवा केवल डॉक्टर के परामर्श से ही लेनी चाहिए और डॉक्टर के बताए अनुसार ही इसकी खुराक तय की जाती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, चक्कर आना, मुँह सूखना, कब्ज, धुंधली दृष्टि और मांसपेशियों में अकड़न शामिल हैं। कुछ लोगों में हाथ-पैर कांपना, चलने में कठिनाई या बेचैनी महसूस हो सकती है। गंभीर लेकिन दुर्लभ दुष्प्रभावों में न्यूरोलेप्टिक मैलिग्नेंट सिंड्रोम, दिल की धड़कन में गड़बड़ी, और लंबे समय तक उपयोग से टार्डिव डिस्किनेसिया नामक हालत हो सकती है। अगर आपको तेज़ बुखार, मांसपेशियों में गंभीर अकड़न, बेहोशी, या चेहरे-जीभ-जबड़े में असामान्य हरकतें दिखें, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से खुराक बढ़ाएँ या घटाएँ नहीं, और अचानक बंद न करें। इस दवा के साथ शराब या नशीले पदार्थों का सेवन न करें। जब तक आपको पता न चले कि यह दवा आपको कैसे प्रभावित करती है, तब तक वाहन चलाने या भारी मशीनरी चलाने से बचें। अपने डॉक्टर को अपनी सभी दवाओं के बारे में बताएं, क्योंकि कई दवाएँ इसके साथ परस्पर क्रिया कर सकती हैं। नियमित जांच के लिए डॉक्टर के पास जाते रहें। अगर आप गर्भवती हैं या गर्भधारण की योजना बना रही हैं, तो डॉक्टर से सलाह लें।
💊 qutzal 1.5 tablet Uses & Benefits
[{"condition":"Schizophrenia","description":"This medicine helps control hallucinations, delusions, disorganised thinking, and agitation in people with schizophrenia.","evidence":"Well-established"},{"condition":"Acute psychotic episodes","description":"It is used for rapid control of severe psychotic symptoms, especially when agitation or aggression is present.","evidence":"Well-established"},{"condition":"Mania and bipolar disorder","description":"This medicine can reduce acute manic excitement and severe behavioural disturbance in bipolar disorder.","evidence":"Established"},{"condition":"Delirium","description":"It is sometimes used in hospital settings to manage agitation and perceptual disturbance in delirium.","evidence":"Moderate"},{"condition":"Tourette syndrome and severe tics","description":"This medicine can reduce the frequency and severity of motor and vocal tics.","evidence":"Established"},{"condition":"Nausea and vomiting in palliative care","description":"It is used in some palliative care settings when other antiemetics are not suitable.","evidence":"Limited"}]
Off-label uses: [{"condition":"Severe agitation in dementia","description":"Sometimes used for short-term behavioural control when non-drug measures have failed, but the risk of stroke and death is increased in elderly patients with dementia.","evidence":"Limited and caution advised"},{"condition":"Intractable hiccups","description":"Occasionally used for persistent hiccups that do not respond to other treatments.","evidence":"Limited"},{"condition":"Borderline personality disorder with severe agitation","description":"May be used short-term for severe agitation, but evidence is limited and risks must be weighed carefully.","evidence":"Limited"}]
Primary treatment for: Schizophrenia
Also treats: Acute psychotic episodes, Mania and bipolar disorder, Delirium, Tourette syndrome and severe tics, Severe agitation
📋 Drug Information
| Generic Name(s) | Haloperidol (1.5mg) |
| Brand Name | qutzal 1.5 tablet |
| Manufacturer | Arinna Lifescience Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Typical Antipsychotics |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature between 15°C and 30°C. Keep it in its original container, tightly closed, away from moisture, heat, and direct sunlight. Do not store it in the bathroom. Keep it out of reach of children and pets. |
| Shelf Life | The shelf life of this medicine is typically 24 to 36 months from the date of manufacture. Check the expiry date on the pack before use. Do not use it after the expiry date. |
| WHO Guideline | The World Health Organization includes haloperidol in its list of essential medicines for the treatment of psychotic disorders. It is recommended as one of the options for managing acute psychosis and schizophrenia, especially where other antipsychotics are not available or not suitable. The exact guideline recommendations should be checked against the latest WHO publications. |
| ICMR Guideline | The Indian Council of Medical Research has published guidelines for the management of schizophrenia and other psychotic disorders. Haloperidol is included as a first-generation antipsychotic option. The exact recommendations should be verified against the latest ICMR guidelines. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by blocking dopamine D2 receptors in several brain regions, especially the mesolimbic and mesocortical pathways. By reducing dopamine signalling, it helps control hallucinations, delusions, and severe agitation. It also blocks dopamine receptors in the nigrostriatal pathway, which explains the movement-related side effects. In addition, it has some blocking effect on alpha-1 adrenergic receptors, which can cause dizziness and low blood pressure, and on sigma receptors, which may contribute to its antipsychotic action. The blocking of dopamine in the chemoreceptor trigger zone helps explain its antiemetic effect.
Mechanism Steps
💡 How to Take qutzal 1.5 tablet
Strength: This medicine is available as an immediate-release tablet containing 1.5 mg of haloperidol.
Dosage Information
| Adult Dosage | The dose of this medicine must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and response to treatment. For psychotic disorders, a common starting dose is 0.5 mg to 5 mg two or three times a day, with gradual adjustment. For severe agitation, higher doses may be used under close supervision. The usual maintenance dose ranges from 1 mg to 5 mg two or three times a day. Do not change the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician or child psychiatrist for appropriate dosing and monitoring. |
| Elderly Dosage | Elderly patients are more sensitive to the effects of this medicine, especially drowsiness, low blood pressure, and movement side effects. A lower starting dose, often half the usual adult dose, is recommended. The dose should be increased slowly and monitored closely. Elderly patients with dementia have an increased risk of stroke and death with antipsychotic medicines, so use should be limited to carefully selected cases. |
| Renal Impairment | People with kidney disease may need a lower dose or longer dosing interval because this medicine is partly excreted by the kidneys. The exact dose adjustment is not established from the available information. Close monitoring is advised. |
| Hepatic Impairment | People with liver disease may need a lower dose because this medicine is metabolised in the liver. The exact dose adjustment is not established from the available information. Liver function should be monitored during treatment. |
| Maximum Daily Dose | The maximum daily dose of this medicine depends on the indication and the individual patient. In general, doses above 20 mg per day are rarely used and require close supervision. The exact maximum dose must be determined by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of qutzal 1.5 tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Amiodarone | Major | |
| Ketoconazole | Major | |
| Carbamazepine | Major | |
| Levodopa | Major | |
| Alcohol | Major | |
| Metoclopramide | Moderate | |
| Fluoxetine | Moderate | |
| Lithium | Moderate | |
| Amlodipine | Moderate | |
| Aluminium or magnesium antacids | Minor |
🚨 Major Interactions
- Other medicines that prolong the QT interval (for example, amiodarone, sotalol, moxifloxacin, methadone)
- Central nervous system depressants (for example, alcohol, benzodiazepines, opioids, antihistamines)
- Levodopa and other dopamine agonists
- CYP3A4 inhibitors (for example, ketoconazole, itraconazole, ritonavir, clarithromycin)
- CYP3A4 inducers (for example, carbamazepine, rifampicin, phenytoin, St John's wort)
⚡ Moderate Interactions
- Antihypertensive medicines
- Anticholinergic medicines (for example, trihexyphenidyl, benztropine, some antihistamines)
- Metoclopramide
- Lithium
- Fluoxetine and paroxetine
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Alcohol increases the sedative and blood-pressure-lowering effects of this medicine, which can lead to excessive drowsiness, dizziness, falls, and difficulty concentrating. Alcohol can also worsen psychiatric symptoms and reduce the overall benefit of treatment. If you drink alcohol regularly, discuss this with your doctor before starting or continuing this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity or allergy to haloperidol or any ingredient in this medicine","Parkinson's disease","Dementia with Lewy bodies","Severe central nervous system depression or coma","Uncontrolled epilepsy or a history of severe seizures","Severe heart disease or a history of dangerous heart rhythms","Neuroleptic malignant syndrome in the past","Severe liver disease","Prolactin-dependent tumours such as pituitary prolactinoma or breast cancer","Use in children below the age for which safety is established"]
⚠️ Warnings & Precautions
["This medicine can cause drowsiness and reduced alertness. Avoid driving or operating machinery until you know how it affects you.","Do not stop this medicine suddenly, as this can cause withdrawal symptoms or relapse of the underlying condition.","Elderly patients with dementia have an increased risk of stroke and death when treated with antipsychotic medicines. Use with caution and only when necessary.","This medicine can cause a serious condition called neuroleptic malignant syndrome. Seek emergency care for high fever, severe muscle stiffness, confusion, or unstable blood pressure.","Long-term use can cause tardive dyskinesia, which may be irreversible. Report any unusual movements of the tongue, face, or jaw immediately.","This medicine can prolong the QT interval. Tell your doctor if you have heart problems or take other medicines that affect heart rhythm.","Avoid alcohol and recreational drugs while taking this medicine.","Tell your doctor if you have liver disease, kidney disease, epilepsy, or thyroid problems, as dose adjustment or extra monitoring may be needed.","This medicine may raise prolactin levels and cause breast enlargement, milk secretion, or menstrual changes.","Keep all follow-up appointments so your doctor can monitor your response and side effects."]
🤱 Lactation Safety
This medicine passes into breast milk in small amounts. Breastfeeding while taking this medicine should be discussed with your doctor. In some cases, monitoring of the baby for drowsiness, poor feeding, or movement problems may be advised. The decision to breastfeed should balance the benefits of breastfeeding against the possible risks to the baby.
💊 Overdose Management
Overdose of this medicine can cause severe drowsiness, coma, low blood pressure, fast or irregular heartbeat, and severe muscle stiffness. If you suspect an overdose, seek emergency medical care immediately. Do not try to induce vomiting. Treatment is supportive and may include monitoring of heart rhythm, blood pressure, and breathing, along with intravenous fluids and other measures as needed. There is no specific antidote for this medicine.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember if less than half the dosing interval has passed. If more than half the dosing interval has passed, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure, contact your doctor or pharmacist for advice.
Additional Safety Advice
Take this medicine exactly as prescribed by your clinician. Do not increase, decrease, or stop the dose on your own, because sudden withdrawal can trigger relapse or withdrawal symptoms. Avoid alcohol and recreational drugs while taking this medicine, as they can increase drowsiness and worsen psychiatric symptoms. Do not drive or operate heavy machinery until you know how this medicine affects your alertness and coordination. Tell your doctor about all other medicines you take, including antidepressants, antifungals, antibiotics, heart medicines, and Parkinson's medicines, because many can interact with this medicine. Keep all follow-up appointments so your doctor can monitor your symptoms, movement control, heart rhythm, and blood tests. If you have Parkinson's disease, dementia with Lewy bodies, or a heart rhythm problem, remind your doctor before starting this medicine. Store this medicine in its original container, away from moisture and direct sunlight, and keep it out of reach of children. If you become pregnant or plan to become pregnant, speak to your doctor before continuing this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the side effects of this medicine, especially drowsiness, low blood pressure, movement problems, and heart rhythm changes. A lower starting dose is recommended, and the dose should be increased slowly. Elderly patients with dementia have an increased risk of stroke and death with antipsychotic medicines. Use this medicine only when clearly necessary and for the shortest possible time. Regular monitoring for falls, confusion, and movement symptoms is important.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, speak to your doctor before making any changes to your medicine. This medicine should be used during pregnancy only when the benefit clearly outweighs the risk. Do not stop it suddenly, as this can cause relapse. Your doctor may consider switching to a different medicine or adjusting the dose. Close monitoring during pregnancy and after delivery is recommended.
🏥 Post-Surgery Considerations
Inform your surgeon and anaesthetist that you are taking this medicine before any surgery. This medicine can interact with anaesthetic agents and other medicines used during surgery, and it may affect blood pressure and heart rhythm. Your doctor may advise adjusting the dose or temporarily stopping the medicine before surgery. Do not stop it on your own.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. This medicine can cause dry mouth, which may increase the risk of dental problems. It can also interact with some medicines used in dentistry. Your dentist may recommend extra precautions or adjustments. Maintain good oral hygiene and regular dental check-ups.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness, dizziness, and movement problems, which may increase the risk of falls during exercise. Start with gentle activities and avoid strenuous exercise until you know how the medicine affects you. If you feel dizzy or unsteady, stop and rest. Consult your doctor before starting a new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, dizziness, and difficulty concentrating, which may affect your ability to work, drive, or operate machinery. Avoid driving or operating heavy machinery until you know how the medicine affects you. Inform your employer if your job involves safety-sensitive tasks. With stable treatment, many people are able to return to work and daily activities. Discuss any work-related difficulties with your doctor.
🛑 When to Stop This Medicine
Do not stop this medicine on your own. Your doctor will decide when and how to stop it, usually by gradually reducing the dose over time. If you experience serious side effects such as neuroleptic malignant syndrome, severe heart rhythm problems, or tardive dyskinesia, contact your doctor immediately, as they may advise stopping the medicine. Always consult your doctor before making any changes.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to tardive dyskinesia, a potentially irreversible movement disorder. It may also cause weight gain, metabolic changes, and elevated prolactin levels. Regular monitoring of movement symptoms, weight, blood glucose, lipids, and prolactin is recommended. The dose should be reviewed periodically, and the lowest effective dose should be used for the shortest necessary duration. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help manage symptoms of schizophrenia and psychosis alongside medicine.
Evidence: Well-establishedHelps families understand the illness and support the patient.
Evidence: Well-establishedCan improve overall mental health and complement medicine.
Evidence: ModerateMay be considered if typical antipsychotics cause too many movement side effects.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions with this medicine. However, if you have a fever or infection, consult your doctor before taking any vaccine. Routine vaccinations can generally be given while taking this medicine, but always inform the healthcare provider about all medicines you are taking.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not refrigerate unless specified on the label.
✅ DO
Keep in the original container, tightly closed.
❌ DON'T
Do not transfer to unmarked containers.
✅ DO
Keep away from direct sunlight and moisture.
❌ DON'T
Do not store in the bathroom cabinet.
✅ DO
Keep out of reach of children and pets.
❌ DON'T
Do not use after the expiry date.
✈️ Traveling with This Medicine
When travelling, carry this medicine in its original packaging with the prescription label clearly visible. Bring a copy of your prescription and a letter from your doctor stating the medicine name, dose, and reason for use. Keep the medicine in your hand luggage to avoid loss or exposure to extreme temperatures. If you are crossing time zones, ask your doctor how to adjust the timing of your doses. Store the medicine away from direct sunlight and moisture during travel. Check the customs regulations of your destination country regarding controlled or prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Some calming effects may be noticed within 1 to 2 hours after a dose, but the full antipsychotic benefit usually takes several days to weeks. Your doctor will adjust the dose based on your response.
A: No. Stopping suddenly can cause withdrawal symptoms or a relapse of your condition. Always consult your doctor before stopping or changing the dose.
A: If less than half the dosing interval has passed, take the missed dose as soon as you remember. If more than half has passed, skip it and continue with your regular schedule. Do not double dose.
A: No. Alcohol increases the sedative and blood-pressure-lowering effects of this medicine and can worsen psychiatric symptoms. Avoid alcohol completely.
A: This medicine can cause drowsiness, dizziness, and slowed reactions. Do not drive or operate machinery until you know how it affects you.
A: This medicine should be used during pregnancy only when the benefit clearly outweighs the risk. Do not stop it suddenly if you are pregnant. Speak to your doctor immediately.
A: Watch for high fever with muscle stiffness, irregular heartbeat, fainting, unusual movements of the tongue or face, yellowing of the eyes or skin, and severe allergic reactions. Seek emergency care if any of these occur.
🤔 Common Patient Concerns
🔄 Substitutes for qutzal 1.5 tablet
View AllAlternative brands with exact same active ingredient:
-
halodyl 1.5mg tabletTas Med India Pvt Ltd ₹7.12 50.5% CHEAPER
-
helinase 1.5mg tabletTas Med India Pvt Ltd ₹7.32 49.1% CHEAPER
-
mindwel 1.5mg tabletAjanta Pharma Ltd ₹7.97 44.6% CHEAPER
-
oprex 1.5mg tabletPsycormedies ₹8.63 40% CHEAPER
-
epidol 1.5mg tabletElite Pharma Pvt Ltd ₹9.38 34.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is addictive and causes dependence.
Fact: This medicine is not addictive in the usual sense, but it should not be stopped suddenly because withdrawal symptoms and relapse can occur. It is not a controlled substance with abuse potential. - Myth: This medicine can cure mental illness permanently.
Fact: This medicine controls symptoms but does not cure the underlying condition. It is usually part of a long-term treatment plan that includes therapy and lifestyle support. - Myth: This medicine is only for severe mental illness and should be avoided.
Fact: This medicine is prescribed for specific conditions and can be very helpful when used appropriately. The decision to use it should be made by a qualified clinician. - Myth: This medicine can be taken with alcohol without any problem.
Fact: Alcohol increases the sedative and blood-pressure-lowering effects of this medicine and should be avoided. - Myth: This medicine causes permanent brain damage.
Fact: This medicine does not cause brain damage, but long-term use can cause a movement disorder called tardive dyskinesia. Regular monitoring helps detect this early.
🔄 Alternative Options
Generic Alternatives
- Haloperidol 1.5 mg tablet
Brand Alternatives
- Serenace 1.5 tablet