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- $Unique_ID{BRK03368}
- $Pretitle{}
- $Title{trifluoperazine}
- $Subject{Stelazine Smith Kline Beecham hydrochloride Phenothiazine
- tranquilizer trifluoperazine mental illness emotional psychosis manic
- manic-depressive behavioral problems children chemicals nerve transmission
- brain}
- $Volume{}
- $Log{
- Stelazine*0336801.scf}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- trifluoperazine
- ------------------------------------------------------------------------------
-
- BRAND NAMES (Manufacturers)
-
- Stelazine (Smith Kline Beecham)
- trifluoperazine (various manufacturers)
- trifluoperazine hydrochloride
-
- TYPE OF DRUG
-
- Phenothiazine tranquilizer
-
- INGREDIENT
-
- trifluoperazine
-
- DOSAGE FORMS
-
- Tablets (1 mg, 2 mg, 5 mg, and 10 mg)
- Oral concentrate (10 mg per ml)
-
- STORAGE
-
- The tablet form of this medication should be stored at room temperature
- in a tightly closed, light-resistant container. The oral concentrate form
- should be stored in the refrigerator (never frozen) in a tightly closed,
- light-resistant container. If the oral concentrate turns slightly yellowish,
- the medicine is still effective and can be used. However, if it changes color
- markedly or has particles floating in it, it should not be used; instead, it
- should be discarded down the sink. Discard any outdated medication.
-
- USES
-
- Trifluoperazine 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. This
- medication is thought to relieve the symptoms of mental illness by blocking
- certain chemicals involved with nerve transmission in the brain.
-
- TREATMENT
-
- In order to avoid stomach irritation, you can take the tablet form of
- this medication with a meal or with a glass of water or milk (unless your
- doctor directs you to do otherwise).
- The oral concentrate form of this medication should be measured carefully
- with the dropper provided and then added to four ounces (cup) or more of
- water, milk, or a carbonated beverage or to applesauce or pudding immediately
- prior to administration. The medication should not be diluted with tea,
- coffee, or apple juice.
- Antacids and antidiarrheal medications 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 trifluoperazine.
- If you miss a dose of this medication, take the missed dose as soon as
- possible, unless it is almost time for the next dose. In that case, do not
- take the missed dose at all; just return to your regular dosing schedule. Do
- not double the next dose (unless your doctor directs you to do so).
- The full effects of this medication for the control of emotional or
- mental symptoms may not become apparent for at least two weeks after you start
- to take it.
-
- SIDE EFFECTS
-
- Minor.
-
- Blurred vision, constipation, decreased sweating, diarrhea, dizziness,
- 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.
- This medication can cause increased sensitivity to sunlight. It is,
- therefore, important to avoid prolonged exposure to sunlight and sunlamps.
- Wear protective clothing, and use an effective sunscreen.
- Trifluoperazine can also cause discoloration of the urine to red, pink,
- or red-brown. This is a harmless effect.
- 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
- breast enlargement (in both sexes); chest pain; convulsions; darkened skin;
- difficulty in swallowing or breathing; drooling; fainting; fever; impotence;
- involuntary movements of the face, mouth, jaw, or tongue; palpitations; rash;
- sleep disorders; sore throat; suicidal tendencies; tremors; uncoordinated
- movements; unusual bleeding or bruising; visual disturbances; or yellowing of
- the eyes or skin.
-
- INTERACTIONS
-
- Trifluoperazine interacts with several 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. Trifluoperazine 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. At least 14 days should separate the use of this drug and the use
- of an MAO inhibitor.
- 4. Lithium may increase the side effects and decrease the effectiveness
- of this medication.
- 5. Trifluoperazine used with methyldopa may increase blood pressure.
- 6. False-positive pregnancy tests may occur. If you think you may be
- pregnant, call your doctor.
- BE SURE TO TELL YOUR DOCTOR about any medications you are currently
- taking, especially those listed above.
-
- WARNINGS
-
- * Tell your doctor about unusual or allergic reactions you have had to
- any medications, especially to trifluoperazine or other phenothiazine
- tranquilizers (such as chlorpromazine, fluphenazine, mesoridazine,
- perphenazine, prochlorperazine, promazine, thioridazine, and triflupromazine)
- or to loxapine.
- * Tell your doctor if you have a history of alcoholism or if you now have
- or have ever had blood disease, bone marrow disease, brain disease, breast
- cancer, blockage of the urinary or digestive tract, 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 enlarged prostate gland.
- * Tell your doctor about any recent exposure to a pesticide or an
- insecticide. Trifluoperazine may increase the side effects from the exposure.
- * To prevent oversedation, avoid drinking alcoholic beverages while
- taking this medication.
- * If this drug makes you dizzy or drowsy, avoid any activity that
- requires alertness, such as driving a car or operating dangerous machinery.
- Be careful on stairs, and avoid getting up suddenly from a lying or sitting
- position.
- * Prior to surgery or other medical or dental treatment, tell your doctor
- or dentist you are taking this drug.
- * 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 exercising strenuously
- in hot weather, and do not take hot baths, showers, and saunas).
- * Do not stop taking this drug 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. It
- is important to let your doctor know you have stopped taking this drug. Your
- doctor may 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 your spinal cord, be sure to tell your doctor that
- you are undergoing treatment with this medication.
- * Avoid spilling the oral concentrate form of this drug on your skin or
- clothing; it may cause redness and skin irritation.
- * While taking this drug, do not take any over-the-counter
- (nonprescription) medications for weight control or for cough, cold, allergy,
- asthma, or sinus problems unless you first check with your doctor. The
- combination of these medications with trifluoperazine may cause high blood
- pressure.
- * Tell your doctor if you are pregnant. Small amounts of this drug 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 drug close to term. Also, be sure to tell
- your doctor if you are breast-feeding an infant. Small amounts of this drug
- pass into breast milk, which may result in 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.
-