This Haldol Is For You (from "Tonight (I'm Loving You)")

The latest Jdalonz and DJ Ra release, "This Haldol Is For You" is another educational song, detailing the diagnostic and clinical features of Schizophrenia, along with the mechanisms of action and side effect profiles of the antipsychotic drugs, of which Haloperidol, aka Haldol, is a prototype. Haldol is notable also for the fact that it is still the antipsychotic of choice for managing acute psychosis in patients, regardless of the etiology. This video is not meant to offend anyone but rather to educate medical professionals and the general public.

"This Haldol is for You" (adapted from "Tonight (I'm Loving You)" by Enrique Iglesias feat. Ludacris)
Jdalonz, prod. by DJ Ra

[Verse 1:]
Youre acting crazy,
You think that everyone's spying on you. A (See notes below)
You're clearly schizophrenic, (Lifetime risk= 1.5% (1st Aid); males=females; blacks=whites)
I'm sure because I checked my DSM through and through. (Presents in late teens to early 20s in men vs late 20s to early 30s in women)

But don't get neurotic, no
Genetics predisposed you, not much that you could do. (Genetic factors outweigh environmental factors in etiology)
But I hope youre ready,
I swear this conversation stays between me and you:


chorus:
Here's the situation
psychotic ideations
for 6 months in duration, girl thats more than a few (Periods of psychosis, disturbed behavior/thought, and decline in functioning for over 6 mo)
You know my motivation,
given my occupation,
please excuse me I dont mean to be rude,

But this haldol is for you
Oh, You know
x4


[Verse 2:]
Hallucinations,
nobody hears the voices that you say that you do.
Those loose associations,
Your a delusional, disorganized, social recluse. B (see notes below; also, they have increased risk of suicide)

Chorus:
heres the situation
psychotic ideations
for 6 months in duration, girl thats more than a few
You know my motivation,
given my occupation,
please excuse me I dont mean to be rude,

But this haldol is for you. (Haldol= Haloperidol; TYPICAL high potency antipsychotic; 1st choice for acute psychosis tx.; oral, IV, IM)
whoa, whoa
Girl this haldol is for you.
x4

Jdalonz rap verse:

Tonight Im going to,
block that dopamine receptor D2. (elevate cAMP; a side effect of D block is hyperprolactinemia, leading to galactorrhea, sexual dysfunction)
or maybe even give you atypicals (Atypical antipsychotics have fewer EPS and anticholinergic rxns than typicals but some cause weight gain)
blocking serotonin (5HT2), histamine (H1), and alphas, too. (In addition to anti dopaminergic and milder anti muscarinic effects)

From the window, to the wall
do the Haldol Shuffle, don't fall ("Haldol Shuffle" refers to the Parkinsonian gait typically seen)
Take a benadryl and benztropine (Benztropine = anticholinergic and mild antihistaminic; Diphenhydramine= antihistaminic)
When the EPS symptoms what you wanna stall (Extrapyramidal System side effects due to dopamine blockade)


Got that NMS FEVER, (Neuroleptic Malignant Syndrome; tx: dantrolene, dopamine agonists i.e. bromocriptine)
Encephalitis, rigid muscles,
vitals messy, High enzymes. (FEVER= Fever, Encephalitis, Vitals unstable, Elevated enzymes, Rigid muscles; myoglobinuria)
And side effects of the low potency
anti muscarinic, (anti) alpha (adrenergic), (anti) histaminic
you'll find.

(EPS now!) (EPS side effects (highest from High potency typicals) in order: dystonia, akinesia, akathisia, tardive dyskinesia)
Dystonia, (dystonia = muscle spasm, stiffness, oculogyric crisis)
akinesia, (akinesia = Parkinsonian symptoms)
akathisia (akathisia= Restlessness)
I TARDily include (Tardive dyskinesia= stereotypic oral/facial movements due to long term antipsychotic use. Often irreversible.)
Excuse me, I dont mean to be rude...

But this Haldol is for you...
oh, you know
x4

Jdalonz and DJ Ra, Jdalonz and DJ Ra

END SONG (Notes below)

Notes:
A. 5 subtypes:
1. Paranoid (delusions)
2. Disorganized (with regard to speech, behavior, and affect)
3. Catatonic (automatisms)
4. Undifferentiated (elements of all types)
5. Residual

B.
DSM: 2 or more of the following (1 to 4 are positive symptoms):
1. Delusions
2. Hallucinations (often auditory)
3. Disorganized speech (loose associations)
4. Disorganized or catatonic behavior
5. Negative symptoms: flat affect, SOCIAL WITHDRAWAL, lack of motivation, lack of speech or thought