Chlorpromazine Injection

— THERAPEUTIC CATEGORIES —
  • Nausea
  • Psychosis

Chlorpromazine Injection Generic Name & Formulations

General Description

Chlorpromazine HCl 25mg/mL; for IV inj after dilution or IM inj; contains sulfites; multidose vials contain benzyl alcohol.

Pharmacological Class

Phenothiazine.

See Also

How Supplied

Contact supplier.

Chlorpromazine Injection Indications

Indications

Nausea and vomiting.

Chlorpromazine Injection Dosage and Administration

Adult

25–50mg IM every 3–4hrs if needed.

Children

<6months: not recommended. ≥6months: 0.25mg/lb IM every 6–8hrs if needed. <5yrs or <50lbs: max 40mg/day; ≥5yrs or 50–100lbs: usual max 75mg/day.

Chlorpromazine Injection Contraindications

Contraindications

Coma. CNS or bone marrow depression. Reye's syndrome.

Chlorpromazine Injection Boxed Warnings

Not Applicable

Chlorpromazine Injection Warnings/Precautions

Warnings/Precautions

Discontinue 48 hrs before to 24 hrs after myelography. Cardiovascular, respiratory, renal, or liver disease. Epilepsy. Glaucoma. History of breast cancer. Exposure to extreme heat or organophosphates. Asthma (inj). Monitor blood, liver, and ocular function. Elderly. Pregnancy, nursing mothers: not recommended.

Chlorpromazine Injection Pharmacokinetics

See Literature

Chlorpromazine Injection Interactions

Interactions

Potentiates phenytoin, alcohol, other CNS depressants, propranolol. Potentiated by propranolol. Antagonized by anticholinergics. Atropine. Decreased guanethidine, anticoagulant effects.

Chlorpromazine Injection Adverse Reactions

Adverse Reactions

Tardive dyskinesia, drowsiness, jaundice, blood dyscrasias, hypotension, retinopathy, may mask emetic signs of disease, lowered seizure threshold, rash, skin pigmentation, anticholinergic effects, insomnia, extrapyramidal reactions, neuroleptic malignant syndrome.

Chlorpromazine Injection Clinical Trials

See Literature

Chlorpromazine Injection Note

Notes

Formerly known under the brand name Thorazine.

Chlorpromazine Injection Patient Counseling

See Literature

Chlorpromazine Injection Generic Name & Formulations

General Description

Chlorpromazine HCl 25mg/mL; for IV inj after dilution or IM inj; contains sulfites; multidose vials contain benzyl alcohol.

Pharmacological Class

Aliphatic phenothiazine.

See Also

How Supplied

Contact supplier.

Chlorpromazine Injection Indications

Indications

Rapid control of severe psychotic symptoms. Severe childhood behavior disorders. Adjunct in tetanus.

Chlorpromazine Injection Dosage and Administration

Adult

Psychosis: 25mg IM; may repeat in 1 hour, then switch to oral forms. Tetanus: 25–50mg IM 3–4 times daily or 25–50mg IV (see literature).

Children

<6months: not recommended. ≥6months: Severe behavior disorders: 0.25mg/lb IM every 6–8 hrs if needed. Tetanus: 0.25mg/lb IM or IV (see literature) every 6–8 hrs. Both: <5yrs or <50lbs: max 40mg/day; ≥5yrs or 50–100lbs: usual max 75mg/day.

Chlorpromazine Injection Contraindications

Contraindications

Coma. CNS or bone marrow depression. Reye's syndrome.

Chlorpromazine Injection Boxed Warnings

Not Applicable

Chlorpromazine Injection Warnings/Precautions

Warnings/Precautions

Discontinue 48 hrs before to 24 hrs after myelography. Cardiovascular, respiratory, renal, or liver disease. Epilepsy. Glaucoma. History of breast cancer. Exposure to extreme heat or organophosphates. Asthma (inj). Monitor blood, liver, and ocular function. Elderly. Pregnancy, nursing mothers: not recommended.

Chlorpromazine Injection Pharmacokinetics

See Literature

Chlorpromazine Injection Interactions

Interactions

Potentiates phenytoin, alcohol, other CNS depressants, propranolol. Potentiated by propranolol. Antagonized by anticholinergics. Atropine. Decreased guanethidine, anticoagulant effects.

Chlorpromazine Injection Adverse Reactions

Adverse Reactions

Tardive dyskinesia, drowsiness, jaundice, blood dyscrasias, hypotension, retinopathy, may mask emetic signs of disease, lowered seizure threshold, rash, skin pigmentation, anticholinergic effects, insomnia, extrapyramidal reactions, neuroleptic malignant syndrome.

Chlorpromazine Injection Clinical Trials

See Literature

Chlorpromazine Injection Note

Notes

Formerly known under the brand name Thorazine.

Chlorpromazine Injection Patient Counseling

See Literature