Chlorpromazine

Chlorpromazine

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Chlorpromazine
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๐Ÿท๏ธย Parameter ๐Ÿ”ย Details
๐Ÿงฌ Active Ingredient Chlorpromazine Hydrochloride
๐Ÿ’Š Indication Schizophrenia, Bipolar Mania, Severe Nausea/Vomiting, Intractable Hiccups
๐Ÿ‡บ๐Ÿ‡ธ US Brand Thorazineยฎ (discontinued in 2020); generic available
๐Ÿญ Manufacturer Sun Pharmaceutical Industries Ltd.
๐Ÿ“ฆ Packaging Blister strips of 10 tablets (50mg, 100mg)
๐Ÿ’ช Strength 50 mg, 100 mg
๐Ÿšš Delivery Time 7โ€“14 days (Worldwide)

๐Ÿง  Introduction to Chlorpromazine

Chlorpromazine is aย first-generation antipsychoticย from the phenothiazine class, manufactured by Sun Pharma. It blocks dopamine D2 receptors in the mesolimbic pathway, reducing hallucinations, agitation, and psychotic symptoms. Beyond psychiatry, itโ€™s used off-label for:

  • ๐Ÿคขย Chemotherapy-induced nausea/vomitingย (25โ€“50mg every 4โ€“6h)

  • ๐Ÿ˜ฎย Intractable hiccupsย (25โ€“50mg TID)

  • ๐ŸŒ€ย Tetanus-associated muscle spasmsย (IV administration)

Historically termed “chemical lobotomy” for its sedative effects, it remains vital in low-resource settings due to low cost.


๐Ÿ’Š Dosage & Indications

๐Ÿ’‰ย Indication ๐Ÿงชย Dosage โฑ๏ธย Frequency ๐Ÿ’กย Route
Schizophrenia (Adults) 75โ€“300 mg/day 2โ€“4 divided doses Oral
Bipolar Mania 100โ€“800 mg/day (Max: 2000 mg/day) Divided doses Oral
Severe Nausea (Adults) 10โ€“25 mg every 4โ€“6 hours PRN Oral/IM
Intractable Hiccups 25โ€“50 mg TID Max 5 days Oral
Pediatric Psychosis 0.5 mg/kg every 4โ€“6 hours Max 40 mg/day (<5y) Oral

โš ๏ธ Side Effects, Storage & Warnings

  • โ— Common Side Effects: Sedation, dry mouth, blurred vision, orthostatic hypotension.

  • ๐Ÿšซ Serious Effects:

    • QT prolongation โ†’ Torsades de Pointes (ECG monitoring essential)

    • Neuroleptic malignant syndrome (NMS)

    • Tardive dyskinesia (long-term use)

  • โ„๏ธ Storage: Below 30ยฐC; protect from light (turns pink if degraded).

  • โš ๏ธ Warnings:

    • Contraindicated in coma, severe CVD, or porphyria.

    • Avoid in elderly with dementia (โ†‘ mortality risk).

    • Dose adjustment in hepatic impairment.


๐ŸŒ Global Availability & Shipping

๐ŸŒŽย Region ๐Ÿ“ฆย Shipping ๐Ÿ’ตย Price (50mg pack) ๐Ÿ“œย Prescription
๐Ÿ‡บ๐Ÿ‡ธ USA โœ… Yes $20โ€“$40 Required
๐Ÿ‡ฌ๐Ÿ‡ง UK โœ… Yes ยฃ15โ€“ยฃ30 Required
๐Ÿ‡ฆ๐Ÿ‡บ Australia โœ… Yes AUD 25โ€“45 Required

๐Ÿ”— Related Indian Alternatives (Different in Same Category)

๐Ÿ’Š Product Name ๐Ÿญ Manufacturer ๐Ÿ”— Internal Link
Largactil (Chlorpromazine) Sanofi India largactil
Pacitane (Trihexyphenidyl) Sun Pharma pacitane
Zyprexa (Olanzapine) Lilly zyprexa
Seroquel (Quetiapine) AstraZeneca seroquel
Haloperidol (Serenace) Sun Pharma serenace
Trifluoperazine (Eskazine) GlaxoSmithKline eskazine

๐Ÿ“š External Medical References

  1. NIH: Chlorpromazine Drug Information

  2. NICE: Psychosis Treatment Guidelines

  3. FDA: Thorazine Historical Safety Data


๐Ÿฉบ Expert Commentary

Dr. Priya Mehta, Psychopharmacologist:
*”Chlorpromazineโ€™s potent alpha-blockade makes it effective for acute agitation but demands caution in cardiac patients. For maintenance therapy, newer agents like [seroquel] (Quetiapine) offer better metabolic profiles. Always monitor QT interval with doses >100mg/day.”*


๐Ÿ“Œ Disclaimer

This information does not replace medical advice. Consult a healthcare provider before use. Sun Pharmaโ€™s Chlorpromazine is not FDA-approved for hiccups or nausea.


๐Ÿ’ก Clinical Pearls:

  • Emergency Use: IM injection (25โ€“50mg) for acute psychosis (onset: 15โ€“30 min).

  • Antidote for Overdose: Norepinephrine (NEVER epinephrine due to reversed alpha effects).

Additional Information

Active

Chlorpromazine

Strength

50mg, 100mg

Tablets

30, 60, 90

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