Table 1.
Generic name | Trade name | Approved for human use? | Approved for use in the USA? | Notes |
---|---|---|---|---|
Azaperone | Azaperona, Stresnil, Fluoperidol, Suicalm, Eucalmyl, Sedaperone vet | No | Yes | Approved for veterinary use only |
Benperidol | Anquil, Glianimon | Yes | No | Most potent neuroleptic on the European market; 150%–200% potency of haloperidol |
Bromperidol | Brimidol, Bromodol, Erodium, Impromen | Yes | No | Only available in Belgium, German, the Netherlands, and Italy |
Cinuperone | Yes | No | ||
Droperidol | Droleptan, Dridol, Inapsine, Xomolix, Innovar (combination with fentanyl) | Yes | Yes | US FDA Black Box warning for torsade’s de pointesa |
Fluanisone | Haloanison, Sedalande, Anti-Pica, Metorin | Yes | No | Veterinary use; used for agitation in humans, but no longer marketed; was available in Belgium, France, Germany, and Switzerland |
Haloperidol | Haldol, Peridol | Yes | Yes | |
Lenperone | Elanone-V | Yes | No | Veterinary use |
Moperone | Luvatren, Methylperidol, Meperon, Luvatrena | Yes | No | No longer available on market. Previously available in Japan, Sweden, and Switzerland |
Nonaperone | Nonaperonum, Nonaperona | Yes | No | Only available in India. |
Pipamperone | Dipiperone, Dipiperal, Piperonil, Piperonyl, Propitan | Yes | No | Also known by non-trade names including carpiperone and floropipamide or fluoropipamide, and as floropipamide hydrochloride |
Spiperone | Spiroperidol, Spiropitan | Yes | No | Marketed in Japan |
Timiperone | Tolopelon | Yes | No | Marketed in Japan |
Trifluperidol | Psychoperidol, Triperidol, Trisedyl | Yes | No | Only available in India. Previously available in Belgium, France, Germany, Italy, and the UK |
Notes:
In 2001, the US FDA changed the labeling requirements for droperidol injection to include a Black Box Warning, citing concerns of QT prolongation and torsades de pointes. The evidence for this is disputed, with nine reported cases of torsades de pointes in 30 years and all of those having received doses more than 5 mg. QT prolongation is a dose-related effect, and it appears that droperidol is not a significant risk in low doses. A study in 2015 showed that droperidol is relatively safe and effective for the management of violent and aggressive adult patients in hospital emergency departments in doses of 10 mg and above and that there was no increased risk of QT prolongation and torsades de pointes.
Abbreviation: US FDA, United States Food and Drug Administration.