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|Chlorpromazine Hydrochloride |
Drugs search, click the first letter of a drug name: | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | 1 | 2 | 3 | 4 | 5 | 6 | 8 | 9 Home Chlorpromazine HydrochloridePronouncation: (klor-PRO-muh-zeen HIGH-droe-KLOR-ide)Class: Antidopaminergic, Phenothiazine derivative Trade Names: Trade Names: Mechanism of ActionPharmacologyEffects apparently caused by dopamine receptor blockade in CNS. Indications and UsageManagement of manic phase of manic-depressive disorder; treatment of schizophrenia; relief of anxiety and restlessness prior to surgery; adjunct in treatment of tetanus; management of acute intermittent porphyria and severe behavioral and conduct disorders in children 1 to 12 years of age; control of nausea and vomiting; relief of intractable hiccoughs. Unlabeled UsesTreatment of migraine headaches (IM or IV forms). ContraindicationsComatose or severely depressed states; allergy to product or other phenothiazines; presence of large amounts of other CNS depressants. Dosage and AdministrationPsychiatric (outpatient)Adults IM 25 mg for prompt control; may repeat in 1 hr. PO 25 to 50 mg tid after initial regimen. May initiate oral dosing with 10 mg tid to qid or 25 mg bid or tid. Children older than 6 mo of agePO 0.5 mg/kg q 4 to 6 hr as needed; PR 1 mg/kg q 6 to 8 hr as needed; IM 0.5 mg/kg q 6 to 8 hr as needed. Psychiatric (inpatient)Adults PO 25 mg tid; increase as needed; usually 400 mg/day. IM 25 mg initially; may give additional 25 to 50 mg in 1 hr. Increase gradually until controlled. Up to 2,000 mg/day may be needed but generally not for extended periods. Children older than 6 mo of agePO Start low and increase gradually; 50 to 100 mg/day may be needed in severe cases or 200 mg/day or more in older children. IM Up to 5 yr of age: Do not exceed 40 mg/day. 5 to 12 yr of age: Do not exceed 75 mg/day if possible. Acute Intermittent PorphyriaAdults PO 25 to 50 mg tid or qid; IM 25 mg tid to qid. TetanusAdults IM 25 to 50 mg tid to qid usually in conjunction with barbiturates; IV 25 to 50 mg diluted to greater than or equal to 1 mg/mL and administered at rate of 1 mg/min. Children 6 mo of age and olderIM/IV 0.5 mg/kg q 6 to 8 hr. When giving IV, dilute to at least 1 mg/mL and administer at rate of 1 mg per 2 min. In children 23 kg or under, do not exceed 40 mg/day; 23 to 45 kg, do not exceed 75 mg/day if possible. Nausea and VomitingAdults PO 10 to 25 mg q 4 to 6 hr as needed. PR 100 mg q 6 to 8 hr as needed. IM 25 mg. If no hypotension, may give 25 to 50 mg q 4 to 6 hr as needed. During surgeryIM 12.5 mg; repeat in 0.5 hr if necessary and if no hypotension. IV 2 mg per fractional injection, at 2-min intervals (max, 25 mg). Dilute to 1 mg/mL (1 mL [25 mg]) mixed with 24 mL of saline. Children 6 mo of age and olderPO 0.55 mg/kg q 4 to 6 hr. PR 1.1 mg/kg q 6 to 8 hr as needed. IM 0.55 mg/kg q 6 to 8 hr as needed. Do not exceed 40 mg/day if younger than 5 yr of age (or 20 kg) or 75 mg/day if 5 to 12 yr of age (or 20 to 40 kg). During surgeryIM 0.25 mg/kg. Repeat in 0.5 hr if necessary and no hypotension occurs. IV 1 mg per fractional injection at 2 minute intervals and not exceeding recommended IM dosage. Presurgical apprehensionAdults PO 25 to 50 mg 2 to 3 hr prior to surgery. IM 12.5 to 25 mg 1 to 2 hr before surgery. Children 6 mo of age and olderPO 0.55 mg/kg 2 to 3 hr before surgery. IM 0.55 mg/kg 1 to 2 hr before surgery. Intractable HiccoughsAdults PO 25 to 50 mg tid to qid. IM May give 25 to 50 mg if symptoms persist 2 to 3 days. IV May use slow infusion if hiccoughs persist. General Advice
Storage/StabilityStore tablets, suppositories, and injection at controlled room temperature (59° to 86°F). Protect injection from light. Refrigeration is not required. Drug InteractionsAlcohol and other CNS depressantsMay cause increased CNS depression and may precipitate extrapyramidal reaction. AnticholinergicsMay reduce therapeutic effects of and increase anticholinergic effects of chlorpromazine; may lead to tardive dyskinesia. Barbiturate anestheticsMay increase frequency and severity of neuromuscular excitation and hypotension. Beta-blockersMay result in increased plasma levels of beta-blocker and chlorpromazine. Cisapride, sparfloxacinThe risk of life-threatening cardiac arrhythmias, including torsades de pointes, may be increased. Epinephrine, norepinephrineActions of these drugs may be decreased or reversed. GuanethidineThe hypotensive effect of guanethidine may be inhibited. LithiumMay cause disorienting unconsciousness and extrapyramidal effects. MeperidineMay result in excessive sedation and hypotension. MetrizamideRisk of seizure may increase. ParoxetinePlasma levels of chlorpromazine may be elevated, increasing the risk of side effects. Laboratory Test InteractionsChlorpromazine may discolor urine (pink to red-brown). False-positive pregnancy test results may occur (less likely with a serum test). Increases in protein-bound iodine have been reported. False-positive phenylketonuria test results may occur. Adverse ReactionsCardiovascularOrthostatic hypotension; hypertension; tachycardia; bradycardia; syncope; cardiac arrest; circulatory collapse; ECG changes. CNSFaintness; drowsiness; dystonias; dizziness; extrapyramidal side effects (eg, pseudoparkinsonism, tardive dyskinesia); muscle spasms; motor restlessness; headache; weakness; tremor; fatigue; slurring; insomnia; vertigo; seizures; sedation; NMS; cerebral edema. DermatologicPhotosensitivity; skin pigmentation; dry skin; exfoliative dermatitis; urticarial rash; maculopapular hypersensitivity reaction; seborrhea; eczema; contact dermatitis. EENTPigmentary retinopathy; glaucoma; photophobia; blurred vision; increased IOP; mydriasis; nasal congestion; miosis. GIDry mouth; dyspepsia; constipation; adynamic ileus (with possible complications resulting in death); nausea; atonic colon; obstipation. GenitourinaryUrinary retention and hesitancy; impotence; sexual dysfunction; menstrual irregularities; lactation; moderate breast engorgement; priapism; breast enlargement; galactorrhea. HematologicAgranulocytosis; eosinophilia; leukopenia; hemolytic anemia; thrombocytopenic purpura; pancytopenia. HepaticJaundice. MetabolicAltered cholesterol levels. RespiratoryLaryngospasm; bronchospasm; dyspnea, aspiration pneumonia; asthma; laryngeal edema. MiscellaneousIncreased appetite and weight; polydipsia; heat stroke/hyperpyrexia; sudden death; angioneurotic edema; anaphylactoid reactions; systemic lupus erythematosus-like syndrome; increased prolactin levels. Precautions
PregnancySafety not established. LactationExcreted in breast milk. ChildrenDo not use in children younger than 6 mo of age unless considered life-saving. Do not use in conditions for which specific children"s dosage is not established. ElderlyMore susceptible to enhanced effects; consider lower dose. Special Risk PatientsUse caution in patients with CV disease or mitral insufficiency, history of glaucoma, EEG abnormalities or seizure disorders, prior brain damage, or hepatic or renal impairment, or who will be exposed to extreme heat. Abrupt withdrawalAbrupt withdrawal of high-dose therapy may cause symptoms resembling physical dependence such as gastritis, nausea, vomiting, dizziness, and tremulousness. Avoid sudden discontinuation of therapy if possible. Attempt to gradually reduce dose if decision to discontinue medication is made. Antiemetic effectMay mask the signs and symptoms of overdosage of other drugs and obscure the diagnosis and treatment of other conditions such as intestinal obstruction, brain tumor, or Reye syndrome. AspirationAs result of suppression of cough reflex, aspiration of vomitus possible. Bedfast patientAdminister IM dose to patient who is bedfast. Keep patient lying down for at least 30 min after injection to minimize hypotensive effects. Bone marrow suppressionPatients with bone marrow depression or who have previously demonstrated a hypersensitivity reaction with a phenothiazine should not receive chlorpromazine unless, in the judgment of the physician, the potential benefits outweigh the possible risks. CNS effectsMay impair mental or physical abilities, especially during the first few days of therapy. May lower convulsive threshold; dosage adjustments of anticonvulsants may be necessary. Hepatic effectsJaundice usually occurs between second and fourth weeks of treatment; considered hypersensitivity reaction. Usually reversible. HyperprolactinemiaPatients treated with antipsychotic agents often have elevation in prolactin levels; however, there is no evidence of increased breast tumor risk. NMSHas occurred with agents of this class; is potentially fatal. Signs and symptoms are hyperpyrexia, muscle rigidity, altered mental status, irregular pulse, irregular BP, tachycardia, and diaphoresis. Tardive dyskinesiaSyndrome of potentially irreversible involuntary body and facial movements may develop. Prevalence highest in the elderly, especially women. Use smallest effective dose. OverdosageSymptomsCNS depression, hypotension, extrapyramidal symptoms, agitation, restlessness, convulsions, fever, hypothermia, hyperthermia, coma, autonomic reactions, ECG changes, cardiac arrhythmias. Patient Information
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