Chlorpromazine

Chlorpromazine

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Chlorpromazine
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🏷️ Parameter 🔍 Details
🧬 Active Ingredient Chlorpromazine Hydrochloride
💊 Indication Schizophrenia, Bipolar Mania, Severe Nausea/Vomiting, Intractable Hiccups
🇺🇸 US Brand Thorazine® (discontinued in 2020); generic available
🏭 Manufacturer Sun Pharmaceutical Industries Ltd.
📦 Packaging Blister strips of 10 tablets (50mg, 100mg)
💪 Strength 50 mg, 100 mg
🚚 Delivery Time 7–14 days (Worldwide)

🧠 Introduction to Chlorpromazine

Chlorpromazine is a first-generation antipsychotic 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, it’s used off-label for:

  • 🤢 Chemotherapy-induced nausea/vomiting (25–50mg every 4–6h)

  • 😮 Intractable hiccups (25–50mg TID)

  • 🌀 Tetanus-associated muscle spasms (IV administration)

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


💊 Dosage & Indications

💉 Indication 🧪 Dosage ⏱️ Frequency 💡 Route
Schizophrenia (Adults) 75–300 mg/day 2–4 divided doses Oral
Bipolar Mania 100–800 mg/day (Max: 2000 mg/day) Divided doses Oral
Severe Nausea (Adults) 10–25 mg every 4–6 hours PRN Oral/IM
Intractable Hiccups 25–50 mg TID Max 5 days Oral
Pediatric Psychosis 0.5 mg/kg every 4–6 hours Max 40 mg/day (<5y) Oral

⚠️ Side Effects, Storage & Warnings

  • ❗ Common Side Effects: Sedation, dry mouth, blurred vision, orthostatic hypotension.

  • 🚫 Serious Effects:

    • QT prolongation → Torsades de Pointes (ECG monitoring essential)

    • Neuroleptic malignant syndrome (NMS)

    • Tardive dyskinesia (long-term use)

  • ❄️ Storage: Below 30°C; protect from light (turns pink if degraded).

  • ⚠️ Warnings:

    • Contraindicated in coma, severe CVD, or porphyria.

    • Avoid in elderly with dementia (↑ mortality risk).

    • Dose adjustment in hepatic impairment.


🌍 Global Availability & Shipping

🌎 Region 📦 Shipping 💵 Price (50mg pack) 📜 Prescription
🇺🇸 USA ✅ Yes $20–$40 Required
🇬🇧 UK ✅ Yes £15–£30 Required
🇦🇺 Australia ✅ Yes AUD 25–45 Required

🔗 Related Indian Alternatives (Different in Same Category)

💊 Product Name 🏭 Manufacturer 🔗 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

📚 External Medical References

  1. NIH: Chlorpromazine Drug Information

  2. NICE: Psychosis Treatment Guidelines

  3. FDA: Thorazine Historical Safety Data


🩺 Expert Commentary

Dr. Priya Mehta, Psychopharmacologist:
*”Chlorpromazine’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.”*


📌 Disclaimer

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


💡 Clinical Pearls:

  • Emergency Use: IM injection (25–50mg) for acute psychosis (onset: 15–30 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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