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Two medicines, side by side

Clozapine vs haloperidol

Clozapine and haloperidol are both labeled for schizophrenia. Drugs@FDA records approvals of clozapine since 1989 and of haloperidol since 1967. Pharmacies paid $0.610 per clozapine 100 mg tablet and $15.60 per mL (Haloperidol dec 100 mg/mL vial) (NADAC, October 7, 2026). In FDA's classes, clozapine is an atypical antipsychotic and haloperidol a typical antipsychotic.

Check it at the source: the clozapine FDA label on DailyMed (effective June 6, 2025); the haloperidol FDA label on DailyMed (effective April 23, 2026).

Highlights of the clozapine record

Clozapine (Clozaril) · label of June 6, 2025

Boxed warning

SEVERE NEUTROPENIA; ORTHOSTATIC HYPOTENSION, BRADYCARDIA, AND SYNCOPE; SEIZURE; MYOCARDITIS, PERICARDITIS AND CARDIOMYOPATHY; INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS Severe Neutropenia CLOZARIL has caused severe neutropenia which is associated with an increased risk of serious and potentially fatal infections. Prior to initiating CLOZARIL treatment, obtain baseline ANC(s).

Used for

From the label: indications

CLOZARIL is an atypical antipsychotic indicated for: • Treatment of severely ill patients with schizophrenia who fail to respond adequately to standard antipsychotic treatment. […]

On the market

Earliest approval on file
September 26, 1989
Generic labelers
11 labelers
Pharmacy cost
$0.610 per tablet

Supply and safety

Shortage
No current entry
Recalls
4

Highlights of the haloperidol record

Haloperidol (Haldol) · label of April 23, 2026

Boxed warning

Increased Mortality in Elderly Patients with Dementia-Related Psychosis Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Analyses of seventeen placebo-controlled trials (modal duration of 10 weeks), largely in patients taking atypical antipsychotic drugs, revealed a risk of death in drug-treated patients of between 1.6 to 1.7 times the risk of death in placebo-treated patients.

Used for

From the label: indications

Haloperidol tablets are indicated for use in the management of manifestations of psychotic disorders. Haloperidol tablets are indicated for the control of tics and vocal utterances of Tourette’s Disorder in children and adults. Haloperidol tablets are effective for the treatment of severe behavior problems in children of combative, explosive hyperexcitability (which cannot be accounted for by immediate provocation). […]

On the market

Earliest approval on file
April 12, 1967
Generic labelers
41 labelers
Pharmacy cost
$15.60 per mL

Supply and safety

Shortage
A presentation being discontinued
Recalls
18

Source: FDA drug labels via openFDA (Clozapine label of June 6, 2025, Haloperidol label of April 23, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do clozapine and haloperidol differ on the record?

In FDA's classes, clozapine is an atypical antipsychotic and haloperidol a typical antipsychotic.

Both labels carry a boxed warning; the records quote them.

Generics: clozapine since 1996; haloperidol since 1986 (Drugs@FDA).

ClozapineHaloperidol
Labeled forSchizophreniaSchizophrenia
Pharmacologic classAtypical AntipsychoticTypical Antipsychotic
How it works (label)The mechanism of action of clozapine is unknown.n/a
Half-life (label)The mean elimination half-life of clozapine after a single 75 mg dose was 8 hours (range: 4 to 12 hours), compared to a mean elimination half-life of 12 hours (range: 4 to 66 hours), after achieving steady state with …n/a
Earliest approval on file (Drugs@FDA)September 26, 1989April 12, 1967
First generic approvedAugust 30, 1996June 10, 1986
Generic labelers (NDC)11 labelers41 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.610 per tablet (Clozapine 100 mg tablet)$15.60 per mL (Haloperidol dec 100 mg/mL vial)
12-month price change+5%no change
Boxed warningYesYes
Shortage nowNo current entryA presentation being discontinued
Recalls recorded418
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)124,82926,054
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What do the labels say about using others of their kind?

Clozapine label, warnings and precautions

When possible, avoid use with other anticholinergic drugs and use with caution in patients with a current diagnosis or prior history of constipation, urinary retention, clinically significant prostatic hypertrophy, or other conditions in which anticholinergic effects can lead to significant adverse reactions.

Source: FDA drug labels via openFDA

What next?

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