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- $Unique_ID{BRK03102}
- $Pretitle{}
- $Title{clozapine}
- $Subject{Clozaril Sandoz Antipsychotic clozapine schizophrenia monitor blood}
- $Volume{}
- $Log{}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- clozapine
- ------------------------------------------------------------------------------
-
- BRAND NAME (Manufacturer)
-
- Clozaril (Sandoz)
-
- TYPE OF DRUG
-
- Antipsychotic
-
- INGREDIENT
-
- clozapine
-
- DOSAGE FORM
-
- Tablets (25 mg and 100 mg)
-
- STORAGE
-
- Clozapine tablets should be stored at room temperature in the unit-dose
- packages provided by the manufacturer.
-
- USES
-
- Clozapine is prescribed for the treatment of schizophrenia in patients
- who have not been helped by or could not tolerate other medications. It is
- available only through pharmacies that agree to participate with your doctor
- in a program to monitor your blood. The program, which your doctor will
- arrange, provides a week's supply of the drug at the time that blood is drawn
- for testing.
-
- TREATMENT
-
- To avoid stomach irritation, you can take this medication with a meal or
- a glass of water or milk (unless your doctor directs you to do otherwise).
- If you miss a dose of this medication, take the missed dose as soon as
- possible, then return to your regular dosing schedule. If it is almost time
- for the next dose, however, skip the one you missed and return to your regular
- schedule. Do not double the next dose (unless your doctor directs you to do
- otherwise).
- The full effects of this medication for the control of emotional or
- mental symptoms may not become apparent for two weeks after you start to take
- it.
-
- SIDE EFFECTS
-
- Minor.
-
- Abdominal discomfort, constipation, dizziness, drowsiness, dry mouth,
- headache, heartburn, increased saliva production, light-headedness, nausea,
- vomiting, or weight gain. As your body adjusts to the medication, these side
- effects should disappear.
- If you are constipated, increase the amount of fiber in your diet (fresh
- fruits and vegetables, salads, bran, and whole-grain breads), exercise, and
- drink more water (unless your doctor directs you to do otherwise).
- Chew sugarless gum or suck on ice chips or a piece of hard candy to
- reduce mouth dryness.
- To avoid dizziness or light-headedness when you stand, contract and relax
- the muscles of your legs for a few moments before rising. Do this by pushing
- one foot against the floor while raising the other foot slightly, alternating
- feet so that you are "pumping" your legs in a pedaling motion.
-
- Major.
-
- Tell your doctor about any side effects that are persistent or
- particularly bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about
- anxiety, blurred vision, chest pain, chills, confusion, convulsions,
- difficulty in urinating, fainting, fever, increased sweating, loss of bladder
- control, mouth sores, muscle stiffness, nightmares, rapid heart rate, rash,
- restlessness, severe headache, sore throat, tremor, trouble sleeping, or
- unusual bleeding or bruising.
-
- INTERACTIONS
-
- Clozapine antipsychotic medication interacts with several other types of
- medications:
- 1. It can cause extreme drowsiness when combined with alcohol or other
- central nervous system (brain and spinal cord) depressants, such as
- barbiturates, benzodiazepine tranquilizers, muscle relaxants, phenothiazine
- tranquilizers, narcotics, and pain medications, or with tricyclic
- antidepressants.
- 2. Lithium may increase the side effects of this drug.
- 3. The effect of clozapine on blood cells may be increased by other
- drugs, such as antineoplastics (cancer medicine), antithyroid drugs,
- azathioprine, chloramphenicol, colchicine, flucytosine, interferon, and
- zidovudine.
- 4. The side effects of digoxin, phenytoin, and warfarin may be increased
- by this medication.
- Before starting to take clozapine, BE SURE TO TELL YOUR DOCTOR about any
- other medications you are currently taking, especially if they are any of
- those listed above.
-
- WARNINGS
-
- * Be sure to tell your doctor about unusual or allergic reactions you
- have had to any medications, especially to clozapine.
- * Tell your doctor if you have a history of alcoholism or if you now have
- or have ever had blood disease, depression, enlarged prostate,
- gastrointestinal problems, glaucoma, heart or circulatory disease, liver
- disease, or seizures.
- * To avoid oversedation, avoid drinking alcoholic beverages while taking
- this medication.
- * If this drug makes you dizzy or drowsy, do not take part in any
- activity that requires alertness, such as driving a car or operating
- potentially dangerous equipment. Be careful on stairs, and avoid getting up
- suddenly from a lying or sitting position.
- * Do not stop taking this medication suddenly. Your doctor may want to
- gradually reduce the amount you are taking before stopping the drug. Be sure
- to consult your doctor before stopping this medication.
- * It is very important that you have your blood tested weekly and that
- you have your doctor check your progress regularly. You can only receive the
- drug after your blood is drawn and a test is conducted. The results of your
- blood tests will assist your doctor in making safe dosage adjustments for you.
- * Be sure to tell your doctor if you are pregnant. Although clozapine
- appears to be safe in animals, extensive studies in humans have not been
- conducted. Also, it is very important that you tell your doctor if you are
- breast-feeding an infant. Small amounts of this medication pass into breast
- milk.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-