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Haldol 10mg Tablets

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Document: leaflet MAH BRAND_PLPI 18799-2438 change

PACKAGE LEAFLET: INFORMATION FOR THE USER

Haldol® 10mg tablets

(haloperidol)

Read all of this leaflet carefully before you start using this medicine.

•    Keep this leaflet. You may need to read it again

•    If you have any further questions, ask your doctor or pharmacist

•    This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours

•    If you get side effects and they become serious or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist

The name of your medicine is Haldol 10mg tablets but will be referred to as Haldol throughout this leaflet. Please note that the leaflet also contains information about other strengths such as Haldol 5mg tablets.

In this leaflet

1.    What Haldol is and what it is used for

2.    Before you take Haldol

3.    How to take Haldol

4.    Possible side effects

5.    How to store Haldol

6.    Further information

1. What Haldol is and what it is used for

The name of your medicine is Haldol.

Haldol contains a medicine called haloperidol. This belongs to a group of medicines called 'antipsychotics'.

Haldol is used for:

•    Schizophrenia, psychoses, mania and behavioural problems in adults and children

These illnesses affect the way you think, feel or behave. They may make you:

•    Feel confused

•    See, hear or feel things that are not there (hallucinations)

•    Believe things that are not true (delusions)

•    Feel unusually suspicious (paranoia)

•    Feel very excited, agitated, enthusiastic or hyperactive

•    Feel very aggressive or violent

Haldol is also used for:

•    Gilles de la Tourette syndrome and movements you can't control (tics)

•    Hiccups that won't go away

2. Before you take Haldol

Do not take Haldol if:

•    You are allergic to anything in Haldol (listed in section 6 overleaf)

•    You have, or have had, certain types of heart disease which cause your heart to beat with an abnormal rhythm (arrhythmia) or unusually slowly

•    You are taking any medicines which affect your heart beat

•    Your doctor tells you that the level of potassium in your blood is too low

•    You have Parkinson's disease

•    Your doctor tells you that you have a condition that affects part of your brain called the 'basal ganglia'

•    You are less aware of things around you or your reactions become slower

Do not take this medicine if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before using Haldol.

Take special care with Haldol

If you are elderly, as you may be more sensitive to the effects of Haldol.

If you or someone else in your family has a history of blood clots, as medicines like these have been associated with formation of blood clots.

Check with your doctor or pharmacist before taking Haldol if you have:

•    A heart problem or anyone in your close family has died suddenly of heart problems

•    Ever had bleeding in the brain, or your doctor has told you that you are more likely than other people to have a stroke

•    Lower than normal levels of minerals (electrolytes) in your blood. Your doctor will advise you

•    Not been eating properly for a long time

•    Liver or kidney problems

•    Epilepsy or have ever had fits (convulsions) as you may need more medicine to control them.

•    Depression

•    Problems with your thyroid gland

•    A non-cancerous tumour of the adrenal gland (phaeochromocytoma) You may need to be more closely monitored, and the amount of Haldol you take may have to be altered. If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Haldol.

Medical check ups

Your doctor may want to take an electrocardiogram (ECG) before or during your treatment with Haldol. The ECG measures the electrical activity of your heart.

Blood tests

Your doctor may want to check the levels of minerals (electrolytes) in your blood.

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines that you buy without a prescription or herbal medicines.

Special monitoring may be needed if you are taking lithium and Haldol at the same time. Tell your doctor straight away and stop taking both medicines if you get:

•    Fever you can't explain or movements you can't control

•    Confused, disoriented, a headache, balance problems and feel sleepy. These are signs of a serious condition

Haldol can affect the way the following types of medicine work

Tell your doctor if you are taking medicines for:

•    Calming you down or helping you to sleep (tranquillisers)

•    Illnesses that affect the way you think, feel or behave (antipsychotics or neuroleptics)

•    Pain (strong pain killers)

•    Changes in your heart beat or are taking medicines that affect your heart beat

•    Coughs and colds

•    Epilepsy

•    Depression, such as 'tricyclic antidepressants' and 'tetracyclic antidepressants'

•    Lowering blood pressure, such as guanethidine and methyldopa

•    Severe allergic reactions, such as adrenaline

•    Parkinson's disease, such as levodopa

•    Thinning the blood, such as phenindione

Talk to your doctor before taking Haldol if you are taking any of these medicines.

Certain medicines may affect the way that Haldol work

Tell your doctor if you are taking medicines for:

•    Depression, such as fluoxetine and paroxetine

•    Malaria, such as quinine and mefloquine

•    Anxiety, such as buspirone

•    Problems with your heart beat, such as quinidine, disopyramide and procainamide, amiodarone, sotalol and dofetilide

•    Epilepsy, such as phenobarbital and carbamazepine

•    Allergies, such as terfenadine

•    Serious infections, such as rifampicin

•    Lowering blood pressure, such as water tablets (diuretics)

•    Infections such as sparfloxacin, moxifloxacin, erythromycin IV

•    A fungal infection, such as ketoconazole

Your doctor may have to change your dose of Haldol.

Taking Haldol with food and alcohol

You can take Haldol with or without food. Swallow the tablets with some water.

Drinking alcohol while you are taking Haldol might make you feel drowsy and less alert. This means you should be careful how much alcohol you drink.

Pregnancy and breast-feeding

Talk to your doctor before taking Haldol if you are pregnant, think you may be pregnant or might become pregnant. The following symptoms may occur in newborn babies of mothers that have used Haldol in the last trimester (last three months of their pregnancy): shaking, muscle stiffness and/or weakness, sleepiness, agitation, breathing problems and difficulty in feeding. If your baby develops any of these symptoms you may need to contact your doctor.

You may still be able to take HaIdol if your doctor thinks you need to.

Do not take this medicine if you are breast-feeding. This is because small amounts may pass into the mother's milk.

Ask your doctor or pharmacist for advice before taking any medicine if you are pregnant or breast-feeding.

Elderly

If you suffer from a disorder with related memory loss, you should talk first to your doctor, who will decide if you can be given HaIdol and will explain the possible risks of its use.

Driving and using machines

This medicine may affect you being able to drive. Do not drive or use any tools or machines without discussing this with your doctor first.

Important information about some of the ingredients of HaIdol 5mg tablets

HaIdol 5mg tablets contain lactose. If your doctor has told you that you are intolerant of some sugars, discuss it with them before taking this medicine.

Available safety data in the paediatric population indicate a risk of extrapyramidal symptoms, including tardive dyskinesia (involuntary, repetitive body movements), and sedation. No long-term safety data are available.

3. How to take Haldol

Always take HaIdol exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

How much should you take

Your doctor will tell you how many tablets to take and for how long. Your doctor will adjust the dose to suit you. It is very important you take the correct amount.

Your dose will depend on:

•    Your age

•    How serious your symptoms are

•    Whether you have other medical problems

•    How you have reacted to similar medicines in the past

Adults

•    When used to treat schizophrenia, psychoses or mania your dose will normally be 2mg, but may be increased up to 20mg

•    When used to treat agitation and behavioural problems your dose will normally be 1,5mg to 5mg

•    It may be given as a single dose or split into smaller doses and given two to three times a day

•    Your doctor may reduce the dose of HaIdol when your symptoms begin to improve

Children

•    The dose for children depends on their weight and age

•    The following doses will be split into smaller doses and given two to three times a day

Children aged 3 to 12 years

•    When used to treat childhood schizophrenia, the normal dose will be 1 to 4mg a day but may be increased up to 6mg a day

•    When used to treat agitation and behavioural problems, the normal dose will be 0.5 to 3mg a day but may be increased up to 3mg a day

Adolescents aged 13 to 17 years of age

•    When used to treat childhood schizophrenia, the normal dose will be 1 to 6mg a day but may be increased up to 10mg a day

•    When used to treat agitation and behavioural problems, the normal dose will be 2 to 6mg a day but may be increased up to 6mg a day

Elderly people

•    Elderly people are normally started on half the adult dose

•    The amount of HaIdol you take will then be adjusted until the doctor finds the dose that suits you best

Taking Haldol

•    Haldol should be taken by mouth

•    Swallow the tablets with some water

When to stop taking HaIdol

Take the medicine for as long as your doctor has told you. It may be some time before you feel the full effect of the medicine.

Unless your doctor tells you otherwise, you should stop taking HaIdol gradually. Stopping treatment suddenly may cause effects such as:

•    Feeling sick (nausea) or being sick (vomiting)

•    Difficulty sleeping

Always follow your doctor's instructions carefully.

If you take more Haldol than you should

If you take more Haldol than you were told to or if someone else has taken any Haldol, talk to a doctor or go to the nearest hospital casualty department straight away.

If you forget to take Haldol

If you forget to take a dose, take your next dose as usual. Then keep taking your medicine as your doctor has told you • Do not take a double dose

If you have any further questions on the use of this product, ask your doctor or pharmacist.

I 4. Possible side effects

Like all medicines, Haldol can cause side effects, although not everybody gets them.

Tell your doctor or nurse straight away if you notice or suspect any of the following. You may need urgent medical treatment.

•    Blood clots in the veins especially in the legs (symptoms include swelling, pain and redness in the leg), which may travel through blood vessels to the lungs causing chest pain and difficulty in breathing.

•    Sudden swelling of the face or throat. Hives (also known as nettle rash or urticaria), severe irritation, reddening or blistering of your skin. These may be signs of a severe allergic reaction. This only happens in a small number of people

•    A serious problem called 'neuroleptic malignant syndrome'. The signs may include:

•    Fast heart beat, changing blood pressure and sweating followed by fever

•    Faster breathing, muscle stiffness, reduced consciousness and coma

•    Raised levels of a protein in your blood (an enzyme called creatine phosphokinase)

This can occur in fewer than 1 in 1,000 people

•    Your heart may beat abnormally (arrhythmia). An arrhythmia can cause your heart to stop beating (cardiac arrest). In elderly people with dementia, a small increase in the number of deaths have been reported for patients taking neuroleptics compared with those not receiving neuroleptics. The precise frequency of how often this occurs is not known.

•    Jerky movements and problems such as slowness, muscle stiffness, trembling and feeling restless. More saliva than normal, twitching or unusual movements of the tongue, face, mouth, jaw or throat, or rolling of the eyes. If you get any of these effects, you may be given an additional medicine

Tell your doctor or nurse if you notice or suspect any of the following side effects:

•    Feeling agitated or having difficulty sleeping

•    Headache

These can affect more than 1 in 10 people

•    Trembling, rigid posture, mask-like face, slow movements and a shuffling, unbalanced walk

•    Feeling restless, low or depressed or sleepy

•    Feeling light headed or dizzy, particularly when standing up

•    Symptoms of psychosis such as abnormal thoughts or visions, or hearing abnormal sounds

•    Problems with sight including blurred vision and rapid eye movements These can occur in fewer than 1 in 10 people

•    Liver problems including yellowing of the skin and eyes, pale stools and dark coloured urine

•    Feeling confused

•    A fall in the number of white blood cells which can cause frequent infections

•    Fits or seizures (convulsions)

•    Difficulty breathing or wheezing

•    Hormone changes which may lead to:

•    Changes in weight

•    Difficulties with sex such as erection problems

•    Some men experiencing swelling of their breast or painful and prolonged erection

•    Some people losing interest in sex

•    Some women having irregular, painful or heavy periods or no monthly period

•    Some women unexpectedly producing breast milk, having painful breasts These can occur in fewer than 1 in 100 people

•    Being unable to open mouth

This can occur in fewer than 1 in 1000 people

•    Bleeding or bruising more easily than normal. This can be caused by a fall in the number of small blood cells called platelets

•    Fluid retention affecting the brain, resulting in weakness, tiredness or confusion

The precise frequency of how often these occur is not known Other side effects

Common side effects (affects fewer than 1 in 10 people)

•    Rash

•    Slow movements

•    Dry mouth

•    Feeling sick, being sick

•    Constipation

•    Difficulty passing water (urine)

Uncommon side effects (affects fewer than 1 in 100 people)

•    Sensitivity of skin to sunlight

•    Sweating more than usual

•    Fever

•    Swelling of the ankles

The following side effects have been reported, however the precise frequency cannot be identified and therefore how often they occur is classed as

Unknown:

•    Flaking or peeling of the skin

•    Inflamed skin (red, hot to the touch and tender)

•    Low body temperature

•    In newborn babies of mothers that have used Haldol in the last trimester (last three months of pregnancy): shaking, muscle stiffness and/or weakness, sleepiness, agitation, breathing problems and difficulty in feeding. If your baby develops any of these symptoms you may need to contact your doctor.

Test results:

•    Abnormal test results for liver function

•    Low blood sugar levels (hypoglycaemia)

•    Abnormal heart traces (electrocardiogram, 'ECG')

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard

By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Haldol

eep out of the sight and reach of children.

Do not take your tablet after the expiry date which is stated on the carton/ blister label after ‘Exp'. The expiry date refers to the last day of that month. Do not store above 25°C. Protect from light.

Medicines should not be disposed of via wastewater or household waste. These measures will help protect the environment. Return any leftover HaIdol to your pharmacist.

6. Further information

What Haldol contains

The active substance is haloperidol.

Each tablet contains 10mg of haloperidol.

The other ingredients are: Calcium hydrogen phosphate dihydrate, maize starch, calcium stearate and quinoline yellow.

What Haldol looks like and contents of the pack.

Haldol is yellow, round, biconvex tablet with 'JANSSEN' on one side and 'H' above the break line and '10' below the break line.

Haldol is available in blister packs of 20 tablets.

Manufactured by: FAMAR ABE (Lab. B), Av. Anthoussa, 153 44 Anthoussa, Greece.

Procured from within the EU and repacked by the Product Licence Holder: B&S Healthcare, Unit 4, Bradfield Road, Ruislip, Middlesex,

HA4 0NU, UK.

Haldol® 10mg tablets, PL 18799/2438

Leaflet date: 30.04.2015

Haldol is a registered trademark of Janssen-Cilag Ltd.

PACKAGE LEAFLET: INFORMATION FOR THE USER

Haloperidol 10mg tablets

Read all of this leaflet carefully before you start using this medicine.

•    Keep this leaflet. You may need to read it again

•    If you have any further questions, ask your doctor or pharmacist

•    This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours

•    If you get side effects and they become serious or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist

The name of your medicine is Haloperidol 10mg tablets but will be referred to as Haloperidol throughout this leaflet. Please note that the leaflet also contains information about other strengths such as Haloperidol 5mg tablets.

In this leaflet

1.    What Haloperidol is and what it is used for

2.    Before you take Haloperidol

3.    How to take Haloperidol

4.    Possible side effects

5.    How to store Haloperidol

6.    Further information

1. What Haloperidol is and what it is used for

The name of your medicine is Haloperidol.

Haloperidol contains a medicine called haloperidol. This belongs to a group of medicines called 'antipsychotics'.

Haloperidol is used for:

•    Schizophrenia, psychoses, mania and behavioural problems in adults and children

These illnesses affect the way you think, feel or behave. They may make you:

•    Feel confused

•    See, hear or feel things that are not there (hallucinations)

•    Believe things that are not true (delusions)

•    Feel unusually suspicious (paranoia)

•    Feel very excited, agitated, enthusiastic or hyperactive

•    Feel very aggressive or violent

Haloperidol is also used for:

•    Gilles de la Tourette syndrome and movements you can't control (tics)

•    Hiccups that won't go away

2. Before you take Haloperidol

Do not take Haloperidol if:

•    You are allergic to anything in Haloperidol (listed in section 6 overleaf)

•    You have, or have had, certain types of heart disease which cause your heart to beat with an abnormal rhythm (arrhythmia) or unusually slowly

•    You are taking any medicines which affect your heart beat

•    Your doctor tells you that the level of potassium in your blood is too low

•    You have Parkinson's disease

•    Your doctor tells you that you have a condition that affects part of your brain called the 'basal ganglia'

•    You are less aware of things around you or your reactions become slower

Do not take this medicine if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before using Haloperidol.

Take special care with Haloperidol

If you are elderly, as you may be more sensitive to the effects of Haloperidol.

If you or someone else in your family has a history of blood clots, as medicines like these have been associated with formation of blood clots.

Check with your doctor or pharmacist before taking Haloperidol if you have:

•    A heart problem or anyone in your close family has died suddenly of heart problems

•    Ever had bleeding in the brain, or your doctor has told you that you are more likely than other people to have a stroke

•    Lower than normal levels of minerals (electrolytes) in your blood. Your doctor will advise you

•    Not been eating properly for a long time

•    Liver or kidney problems

•    Epilepsy or have ever had fits (convulsions) as you may need more medicine to control them.

•    Depression

•    Problems with your thyroid gland

•    A non-cancerous tumour of the adrenal gland (phaeochromocytoma) You may need to be more closely monitored, and the amount of Haloperidol you take may have to be altered. If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Haloperidol.

Medical check ups

Your doctor may want to take an electrocardiogram (ECG) before or during your treatment with Haloperidol. The ECG measures the electrical activity of your heart.

Blood tests

Your doctor may want to check the levels of minerals (electrolytes) in your blood.

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines that you buy without a prescription or herbal medicines.

Special monitoring may be needed if you are taking lithium and Haloperidol at the same time. Tell your doctor straight away and stop taking both medicines if you get:

•    Fever you can't explain or movements you can't control

•    Confused, disoriented, a headache, balance problems and feel sleepy. These are signs of a serious condition

Haloperidol can affect the way the following types of medicine work

Tell your doctor if you are taking medicines for:

•    Calming you down or helping you to sleep (tranquillisers)

•    Illnesses that affect the way you think, feel or behave (antipsychotics or neuroleptics)

•    Pain (strong pain killers)

•    Changes in your heart beat or are taking medicines that affect your heart beat

•    Coughs and colds

•    Epilepsy

•    Depression, such as 'tricyclic antidepressants' and 'tetracyclic antidepressants'

•    Lowering blood pressure, such as guanethidine and methyldopa

•    Severe allergic reactions, such as adrenaline

•    Parkinson's disease, such as levodopa

•    Thinning the blood, such as phenindione

Talk to your doctor before taking Haloperidol if you are taking any of these medicines.

Certain medicines may affect the way that Haloperidol work

Tell your doctor if you are taking medicines for:

•    Depression, such as fluoxetine and paroxetine

•    Malaria, such as quinine and mefloquine

•    Anxiety, such as buspirone

•    Problems with your heart beat, such as quinidine, disopyramide and procainamide, amiodarone, sotalol and dofetilide

•    Epilepsy, such as phenobarbital and carbamazepine

•    Allergies, such as terfenadine

•    Serious infections, such as rifampicin

•    Lowering blood pressure, such as water tablets (diuretics)

•    Infections such as sparfloxacin, moxifloxacin, erythromycin IV

•    A fungal infection, such as ketoconazole

Your doctor may have to change your dose of Haloperidol.

Taking Haloperidol with food and alcohol

You can take Haloperidol with or without food. Swallow the tablets with some water.

Drinking alcohol while you are taking Haloperidol might make you feel drowsy and less alert. This means you should be careful how much alcohol you drink.

Pregnancy and breast-feeding

Talk to your doctor before taking Haloperidol if you are pregnant, think you may be pregnant or might become pregnant. The following symptoms may occur in newborn babies of mothers that have used Haloperidol in the last trimester (last three months of their pregnancy): shaking, muscle stiffness and/or weakness, sleepiness, agitation, breathing problems and difficulty in feeding. If your baby develops any of these symptoms you may need to contact your doctor.

You may still be able to take Haloperidol if your doctor thinks you need to.

Do not take this medicine if you are breast-feeding. This is because small amounts may pass into the mother's milk.

Ask your doctor or pharmacist for advice before taking any medicine if you are pregnant or breast-feeding.

Elderly

If you suffer from a disorder with related memory loss, you should talk first to your doctor, who will decide if you can be given HaIdol and will explain the possible risks of its use.

Driving and using machines

This medicine may affect you being able to drive. Do not drive or use any tools or machines without discussing this with your doctor first.

Important information about some of the ingredients of Haloperidol 5mg tablets

HaIoperidol 5mg tablets contain lactose. If your doctor has told you that you are intolerant of some sugars, discuss it with them before taking this medicine.

Available safety data in the paediatric population indicate a risk of extrapyramidal symptoms, including tardive dyskinesia (involuntary, repetitive body movements), and sedation. No long-term safety data are available.

3. How to take Haloperidol

Always take Haloperidol exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

How much should you take

Your doctor will tell you how many tablets to take and for how long. Your doctor will adjust the dose to suit you. It is very important you take the correct amount.

Your dose will depend on:

•    Your age

•    How serious your symptoms are

•    Whether you have other medical problems

•    How you have reacted to similar medicines in the past

Adults

•    When used to treat schizophrenia, psychoses or mania your dose will normally be 2mg, but may be increased up to 20mg

•    When used to treat agitation and behavioural problems your dose will normally be 1,5mg to 5mg

•    It may be given as a single dose or split into smaller doses and given two to three times a day

•    Your doctor may reduce the dose of Haloperidol when your symptoms begin to improve

Children

•    The dose for children depends on their weight and age

•    The following doses will be split into smaller doses and given two to three times a day

Children aged 3 to 12 years

•    When used to treat childhood schizophrenia, the normal dose will be 1 to 4mg a day but may be increased up to 6mg a day

•    When used to treat agitation and behavioural problems, the normal dose will be 0.5 to 3mg a day but may be increased up to 3mg a day

Adolescents aged 13 to 17 years of age

•    When used to treat childhood schizophrenia, the normal dose will be 1 to 6mg a day but may be increased up to 10mg a day

•    When used to treat agitation and behavioural problems, the normal dose will be 2 to 6mg a day but may be increased up to 6mg a day

Elderly people

•    Elderly people are normally started on half the adult dose

•    The amount of Haloperidol you take will then be adjusted until the doctor finds the dose that suits you best

Taking Haloperidol

•    Haloperidol should be taken by mouth

•    Swallow the tablets with some water

When to stop taking Haloperidol

Take the medicine for as long as your doctor has told you. It may be some time before you feel the full effect of the medicine.

Unless your doctor tells you otherwise, you should stop taking HaIdol tablets gradually. Stopping treatment suddenly may cause effects such as:

•    Feeling sick (nausea) or being sick (vomiting)

•    Difficulty sleeping

Always follow your doctor's instructions carefully.

If you take more Haloperidol than you should

If you take more Haloperidol than you were told to or if someone else has taken any Haloperidol, talk to a doctor or go to the nearest hospital casualty department straight away.

If you forget to take Haloperidol

If you forget to take a dose, take your next dose as usual. Then keep taking your medicine as your doctor has told you • Do not take a double dose

If you have any further questions on the use of this product, ask your doctor or pharmacist.

Test results:

•    Abnormal test results for liver function

•    Low blood sugar levels (hypoglycaemia)

•    Abnormal heart traces (electrocardiogram, 'ECG')

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard

By reporting side effects, you can help provide more information on the safety of this medicine.

I 4. Possible side effects

5. How to store Haloperidol

Like all medicines, Haloperidol can cause side effects, although not everybody gets them.

Tell your doctor or nurse straight away if you notice or suspect any of the following. You may need urgent medical treatment.

•    Blood clots in the veins especially in the legs (symptoms include swelling, pain and redness in the leg), which may travel through blood vessels to the lungs causing chest pain and difficulty in breathing.

•    Sudden swelling of the face or throat. Hives (also known as nettle rash or urticaria), severe irritation, reddening or blistering of your skin. These may be signs of a severe allergic reaction. This only happens in a small number of people

•    A serious problem called 'neuroleptic malignant syndrome'. The signs may include:

•    Fast heart beat, changing blood pressure and sweating followed by fever

•    Faster breathing, muscle stiffness, reduced consciousness and coma

•    Raised levels of a protein in your blood (an enzyme called creatine phosphokinase)

This can occur in fewer than 1 in 1,000 people

•    Your heart may beat abnormally (arrhythmia). An arrhythmia can cause your heart to stop beating (cardiac arrest). In elderly people with dementia, a small increase in the number of deaths have been reported for patients taking neuroleptics compared with those not receiving neuroleptics. The precise frequency of how often this occurs is not known.

•    Jerky movements and problems such as slowness, muscle stiffness, trembling and feeling restless. More saliva than normal, twitching or unusual movements of the tongue, face, mouth, jaw or throat, or rolling of the eyes. If you get any of these effects, you may be given an additional medicine

Tell your doctor or nurse if you notice or suspect any of the following side effects:

•    Feeling agitated or having difficulty sleeping

•    Headache

These can affect more than 1 in 10 people

•    Trembling, rigid posture, mask-like face, slow movements and a shuffling, unbalanced walk

•    Feeling restless, low or depressed or sleepy

•    Feeling light headed or dizzy, particularly when standing up

•    Symptoms of psychosis such as abnormal thoughts or visions, or hearing abnormal sounds

•    Problems with sight including blurred vision and rapid eye movements These can occur in fewer than 1 in 10 people

•    Liver problems including yellowing of the skin and eyes, pale stools and dark coloured urine

•    Feeling confused

•    A fall in the number of white blood cells which can cause frequent infections

•    Fits or seizures (convulsions)

•    Difficulty breathing or wheezing

•    Hormone changes which may lead to:

•    Changes in weight

•    Difficulties with sex such as erection problems

•    Some men experiencing swelling of their breast or painful and prolonged erection

•    Some people losing interest in sex

•    Some women having irregular, painful or heavy periods or no monthly period

•    Some women unexpectedly producing breast milk, having painful breasts These can occur in fewer than 1 in 100 people

Being unable to open mouth This can occur in fewer than 1 in 1000 people

•    Bleeding or bruising more easily than normal. This can be caused by a fall in the number of small blood cells called platelets

•    Fluid retention affecting the brain, resulting in weakness, tiredness or confusion

The precise frequency of how often these occur is not known Other side effects

Common side effects (affects fewer than 1 in 10 people)

•    Rash

•    Slow movements

•    Dry mouth

•    Feeling sick, being sick

•    Constipation

•    Difficulty passing water (urine)

Uncommon side effects (affects fewer than 1 in 100 people)

•    Sensitivity of skin to sunlight

•    Sweating more than usual

•    Fever

•    Swelling of the ankles

The following side effects have been reported, however the precise frequency cannot be identified and therefore how often they occur is classed as

Unknown:

•    Flaking or peeling of the skin

•    Inflamed skin (red, hot to the touch and tender)

•    Low body temperature

•    In newborn babies of mothers that have used Haloperidol in the last trimester (last three months of pregnancy): shaking, muscle stiffness and/or weakness, sleepiness, agitation, breathing problems and difficulty in feeding. If your baby develops any of these symptoms you may need to contact your doctor.

eep out of the sight and reach of children.

Do not take your tablet after the expiry date which is stated on the carton/ blister label after ‘Exp'. The expiry date refers to the last day of that month. Do not store above 25°C. Protect from light.

Medicines should not be disposed of via wastewater or household waste. These measures will help protect the environment. Return any leftover HaIdol tablets to your pharmacist.

6. Further information

What Haloperidol contains

The active substance is haloperidol.

Each tablet contains 10mg of haloperidol.

The other ingredients are: Calcium hydrogen phosphate dihydrate, maize starch, calcium stearate and quinoline yellow.

What Haloperidol looks like and contents of the pack.

Haloperidol is yellow, round, biconvex tablet with 'JANSSEN' on one side and 'H' above the break line and '10' below the break line.

It is available in blister packs of 20.

Manufactured by: FAMAR ABE (Lab. B), Av. Anthoussa, 153 44 Anthoussa, Greece.

Procured from within the EU and repacked by the Product Licence Holder: B&S Healthcare, Unit 4, Bradfield Road, Ruislip, Middlesex,

HA4 0NU, UK.

Haloperidol 10mg tablets, PL 18799/2438    POM

Leaflet date: 30.04.2015