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- $Unique_ID{BRK03307}
- $Pretitle{}
- $Title{promazine}
- $Subject{Sparine Wyeth-Ayerst tranquilizer promazine Phenothiazine mental illness psychosis manic manic-depressive behavioral problems children chemicals nerve transmission brain }
- $Volume{}
- $Log{}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- promazine
- ------------------------------------------------------------------------------
-
- BRAND NAME (Manufacturer)
-
- Sparine (Wyeth-Ayerst)
-
- TYPE OF DRUG
-
- Phenothiazine tranquilizer
-
- INGREDIENT
-
- promazine
-
- DOSAGE FORM
-
- Tablets (25 mg, 50 mg, and 100 mg)
-
- STORAGE
-
- This medication should be stored at room temperature in a tightly closed,
- light-resistant container.
-
- USES
-
- Promazine is prescribed to treat the symptoms of certain types of mental
- illness, such as emotional symptoms of psychosis, the manic phase of
- manic-depressive illness, and severe behavioral problems in children. It is
- thought to relieve symptoms of mental illness by blocking certain chemicals
- involved with nerve transmission in the brain.
-
- TREATMENT
-
- To avoid stomach irritation, you can take this medication with a meal or
- with 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, unless it is almost time for your next dose. In that case, do not
- take the missed dose at all; just return to your regular dosing schedule. Do
- not double the dose (unless your doctor directs you to do so).
- Antacids and antidiarrheal medicines may decrease the absorption of this
- medication from the gastrointestinal tract. Therefore, at least one hour
- should separate doses of one of these medicines and promazine.
- The full effects of this medication for the control of emotional or
- mental symptoms may not become apparent until two weeks after you start to
- take it.
-
- SIDE EFFECTS
-
- Minor.
-
- Blurred vision, constipation, decreased sweating, diarrhea, dizziness,
- drooling, drowsiness, dry mouth, fatigue, jitteriness, menstrual
- irregularities, nasal congestion, restlessness, vomiting, or weight gain. As
- your body adjusts to the medication, these side effects should disappear.
- Promazine can also cause discoloration of the urine to red, pink, or
- red-brown. This is a harmless effect.
- This medication can cause increased sensitivity to sunlight. It is,
- therefore, important to avoid prolonged exposure to sunlight and sunlamps.
- Wear protective clothing and sunglasses, and use an effective sunscreen.
- If you are constipated, increase the amount of fiber in your diet (raw
- 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
- unusual bleeding or bruising; breast enlargement (in both sexes); chest pain;
- convulsions; darkened skin; difficulty in swallowing or breathing; fainting;
- fever; impotence; involuntary movements of the face, mouth, jaw, or tongue;
- palpitations; rash; sleep disorders; sore throat; tremors; uncoordinated
- movements; visual disturbances; or yellowing of the eyes or skin.
-
- INTERACTIONS
-
- This medication interacts with a number of other types of medications:
- 1. It can cause extreme drowsiness when combined with alcohol or other
- central nervous system depressants (drugs that slow the activity of the brain
- and spinal cord), such as barbiturates, benzodiazepine tranquilizers, muscle
- relaxants, narcotics, and pain medications, or with tricyclic antidepressants.
- 2. Promazine can decrease the effectiveness of amphetamines,
- guanethidine, anticonvulsants, and levodopa.
- 3. The side effects of epinephrine, monoamine oxidase (MAO) inhibitors,
- propranolol, phenytoin, and tricyclic antidepressants may be increased by this
- medication.
- 4. Lithium may increase the side effects and decrease the effectiveness
- of this medication.
- Before starting to take promazine, BE SURE TO TELL YOUR DOCTOR about any
- medications you are currently taking, especially any of those listed above.
-
- WARNINGS
-
- Tell your doctor about unusual or allergic reactions you have had to any
- medications, especially to promazine or other phenothiazine tranquilizers
- (such as chlorpromazine, fluphenazine, mesoridazine, perphenazine,
- prochlorperazine, thioridazine, trifluoperazine, and triflupromazine) or to
- loxapine.
- Tell your doctor if you have a history of alcoholism or if you now have
- or have ever had any blood disease, bone marrow disease, brain disease, breast
- cancer, blockage in the urinary or digestive tracts, drug-induced depression,
- epilepsy, high or low blood pressure, diabetes mellitus, glaucoma, heart or
- circulatory disease, liver disease, lung disease, Parkinson's disease, peptic
- ulcers, or an enlarged prostate gland.
- Tell your doctor about any recent exposure to a pesticide or an
- insecticide. Promazine may increase the side effects from the exposure.
- To prevent oversedation, avoid drinking alcoholic beverages while taking
- this medication.
- If this medication makes you dizzy or drowsy, do not take part in any
- activity that requires alertness, such as driving a car or operating
- potentially dangerous machinery. Be careful on stairs, and avoid getting up
- suddenly from a lying or sitting position.
- Prior to having surgery or any other medical or dental treatment, be sure
- to tell your doctor or dentist that you are taking this medication.
- Some of the side effects caused by this drug can be prevented by taking
- an antiparkinsonism drug. Discuss this with your doctor.
- This medication can decrease sweating and heat release from the body.
- You should, therefore, try not to get overheated (avoid strenuous exercise in
- hot weather and do not take hot baths, showers, and saunas).
- Do not stop taking this medication suddenly. If the drug is stopped
- abruptly, you may experience nausea, vomiting, stomach upset, headache,
- increased heart rate, insomnia, tremors, or a worsening of your condition.
- Your doctor may, therefore, want to reduce the dosage gradually.
- If you are planning to have a myelogram, or any other procedure in which
- dye will be injected into the space surrounding your spinal cord, tell your
- doctor that you are taking this medication.
- While taking this medication, do not take any over-the-counter
- (nonprescription) medication for weight control or for cough, cold, allergy,
- asthma, or sinus problems unless you first check with your doctor. The
- combination of these medications may cause high blood pressure.
- Be sure to tell your doctor if you are pregnant. Small amounts of this
- medication cross the placenta. Although there are reports of safe use of this
- drug during pregnancy, there are also reports of liver disease and tremors in
- newborn infants whose mothers received this medication close to term. Also,
- tell your doctor if you are breast-feeding an infant. Small amounts of this
- medication pass into breast milk and may cause unwanted effects in nursing
- infants.
-
- ----------------
-
- 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.
-