Chlorpromazine drug data and news

Chlorpromazine drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Chlorpromazine
Brand Names/Synonyms Largactil; Contomin; Chlorpromados; Chlorderazin; Ampliactil; Aminazine; Aminazin; Fenactil; Fenaktyl; Chlorpromanyl-20; Chlorpromanyl-40; Chlorpromazine Hydrochloride Intensol; Largactil Liquid; Largactil Oral Drops; Novo-Chlorpromazine; Thorazine; Thorazine Spansule
Indication For the treatment of schizophrenia, control nausea and vomiting, For relief of restlessness and apprehension before surgery, adjunct in the treatment of tetanus, control the manifestations of the manic type of manic-depressive illness.
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Description Not Available
Pharmacology Chlorpromazine is a psychotropic agent indicated for the treatment of schizophrenia. It also exerts sedative and antiemetic activity. Chlorpromazine has actions at all levels of the central nervous system-primarily at subcortical levels-as well as on multiple organ systems. Chlorpromazine has strong antiadrenergic and weaker peripheral anticholinergic activity; ganglionic blocking action is relatively slight. It also possesses slight antihistaminic and antiserotonin activity.
Mechanism Of Action Chlorpromazine acts as an antagonist (blocking agent) on different postsysnaptic receptors -on dopaminergic-receptors (subtypes D1, D2, D3 and D4 - different antipsychotic properties on productive and unproductive symptoms), on serotonergic-receptors (5-HT1 and 5-HT2, with anxiolytic, antidepressive and antiaggressive properties as well as an attenuation of extrapypramidal side-effects, but also leading to weight gain, fall in blood pressure, sedation and ejaculation difficulties), on histaminergic-receptors (H1-receptors, sedation, antiemesis, vertigo, fall in blood pressure and weight gain), alpha1/alpha2-receptors (antisympathomimetic properties, lowering of blood pressure, reflex tachycardia, vertigo, sedation, hypersalivation and incontinence as well as sexual dysfunction, but may also attenuate pseudoparkinsonism - controversial) and finally on muscarinic (cholinergic) M1/M2-receptors (causing anticholinergic symptoms like dry mouth, blurred vision, obstipation, difficulty/inability to urinate, sinus tachycardia, ECG-changes and loss of memory, but the anticholinergic action may attenuate extrapyramidal side-effects). Additionally, Chlorpromazine is a weak presynaptic inhibitor of Dopamine reuptake, which may lead to (mild) antidepressive and antiparkinsonian effects. This action could also account for psychomotor agitation and amplification of psychosis (very rarely noted in clinical use).
Chlorpromazine News
(When available)

DRD2 Promoter Region Variation as a Predictor of Sustained ...  Mar 2, 2006
...striatal receptor density in Del carriers (7). While one pharmacogenetic study of this polymorphism has indicated reduced response to chlorpromazine in Del ... - Am J Psychiatry (subscription)

Sex Differences in Language Dysfunction in Schizophrenia  Mar 2, 2006
The patients were receiving a mean daily neuroleptic dose of 520 mg (SD=428) in chlorpromazine equivalents; mean daily doses were comparable for men and women. ... - Am J Psychiatry (subscription)

Monoaminergic Treatment of Schizophrenia  Feb 27, 2006
Carlsson A, Lindqvist M (1963), Effect of chlorpromazine or haloperidol on formation of 3methoxytyramine and normetanephrine in mouse brain. ... - Psychiatric Times,

Lifetime suicide rates in treated schizophrenia: 1875–1924 and ...  Feb 28, 2006
Aims To establish the lifetime suicide rate from the pre-chlorpromazine era and to compare this with recent lifetime suicide rates for schizophrenia. ... - British Journal of Psychiatry (subscription),

Dr. Lieberman and Colleagues Reply  Mar 2, 2006
...to cause fewer extrapyramidal side effects than high-potency drugs, such as haloperidol, and less sedation than low-potency drugs, such as chlorpromazine. ... - Am J Psychiatry (subscription)

Sildenafil in the Treatment of Antipsychotic-Induced Erectile ...  Mar 2, 2006
The mean PANSS score was 40.8 (SD=6.0, range=32–55). They were taking an average dose of 556.3 mg of chlorpromazine equivalents (SD=198.6, range=200–1000). ... - Am J Psychiatry (subscription)

Biofusion launches spin-out company Genophrenix  Feb 22, 2006
...antipsychotic drugs include haloperidole (Haldol), zuclopenthioxol (Cisordinol), perphenazin (Trilafon), alimemazin (Theralen) and chlorpromazine (Hibernal). ... - DrugResearcher.com,

Health Tip: Drugs to Avoid While Breast-Feeding  Feb 16, 2006
Trazodone. Antipsychotic drugs: Chlorpromazine Galactorrhea, Chlorprothixene, Clozapine, Haloperidol, Mesoridazine, Trifluoperazine. ... - Forbes

Myocarditis During Clozapine Treatment  Feb 14, 2006
Kane J, Honigfeld G, Singer J, Meltzer H: Clozapine for the treatment-resistant schizophrenic: a double-blind comparison with chlorpromazine. ... - Am J Psychiatry (subscription)

DEATH, TOXINS AND REPRESENTATION  Feb 8, 2006
Chlorpromazine signalled the start of another revolution (the psychopharmacological one) and ‘no treatment without representation’ has long been the silent ... - British Journal of Psychiatry (subscription),

Bipolar Disorder Treatment: An Evidence-Based Reality Check  Feb 14, 2006
Prien RF, Caffey EM Jr, Klett CJ: A comparison of lithium carbonate and chlorpromazine in the treatment of excited schizo-affectives: report of the Veterans ... - Am J Psychiatry (subscription)

Psychiatric drugs restored Nia's sanity and destroyed her beauty ...  Jan 25, 2006
The older drugs like Chlorpromazine and Haloperidol were felt to be “dirtier� and to have worse side effects, including the irreversible lip-smacking and ... - Prospect Magazine,

Brief Reports: Patterns of Psychotropic Medication Use by Race ...  Jan 25, 2006
First-generation antipsychotics included chlorpromazine, fluphenazine, mesoridazine, thiothixene, perphenazine, thioridazine, trifluoperazine, haloperidol ... - Psychiatric Services (subscription)

A Horrific Case of Hiccups, a Novel Treatment  Jan 9, 2006
Mr. Shafer "had essentially been tried on everything," Dr. Payne said, including a major tranquilizer, chlorpromazine; a muscle relaxant, baclofen; and ... - New York Times,

The phone that can steer you away from traffic hell  Jan 13, 2006
Important, too, was the new range of drugs like chlorpromazine and other anti-depressants. In 1961, attitudes to mental hospitals had irrevocably changed. ... - Leeds Today,

Extra suicide care call  Jan 24, 2006
...so. He also revealed he had ingested a quantity or chlorpromazine, which had been prescribed for his partner," Mr Matterson said. ... - The Mercury,

Time to repay debt to developing nations  Jan 18, 2006
The medications they use in the public service are Chlorpromazine, tricyclics, Haloperidol, diazepam, Chlordiazepoxide and lithium. ... - Irish Medical Times,

Personal Accounts: My Experiences as a Psychiatric Patient in the ...  Dec 10, 2005
For the most part the only therapy I received during my 40 months of hospitalization was drug therapy with Thorazine (chlorpromazine). ... - Psychiatric Services (subscription)

Older Antipsychotic Drugs Called Risky Compared With Atypical ...  Nov 30, 2005
In a retrospective cohort study involving 22,890 patients, Dr. Wang and colleagues found that the older agents -- such as Thorazine (chlorpromazine) and Haldol ... - MedPage Today,

The Discriminated  Nov 8, 2005
It was in 1954, that the medical community introduced its first conventional anti-psychotic drug called Chlorpromazine (Thorazine) for the treatment of ... - The Bahama Journal,

Kissy Mental Hospital in Sierra Leone teaches International ...  Nov 9, 2005
...the ilness, which is manifested by aggressiveness and arrogance, they are treated initially with injections of drugs she called, Chlorpromazine and Cabamazepin ... - Awareness Times,

The Lobotomist: A Maverick Medical Genius and His Tragic Quest to ...  Oct 9, 2005
It is both ironic and poignant that the following month—March of 1954—the US Food and Drug Administration approved chlorpromazine for use among psychiatric ... - Psychiatric Services (subscription)

Treatment for mental illness falls short  Oct 2, 2005
...illness. Chlorpromazine (Thorazine), haloperidol (Haldol) and thioridazine (Mellaril) became the standard treatments for schizophrenia. ... - Houston Chronicle,

An Update of Fast-Off Dopamine D 2 Atypical Antipsychotics  Sep 30, 2005
To the Editor: Older antipsychotics (chlorpromazine and haloperidol) elicit extrapyramidal signs and prolactinemia, compatible with the idea that these typical ... - Am J Psychiatry (subscription)

Through the Times With Max Fink, MD  Oct 3, 2005
He conducted a random assignment study of chlorpromazine (Thorazine), for example, in patients referred for insulin coma. Published ... - Psychiatric Times,

Schizophrenia treatment lags  Sep 20, 2005
The first antipsychotic medicines arrived 50 years ago, when a French surgeon observed that an antihistamine called chlorpromazine calmed patients without ... - Newsday,

Limitations of rapid tranquillisation trial  Aug 1, 2005
Petrack, EM, Marx, CM & Wright, MS (1996) Intramuscular ketamine is superior to meperidine, promethazine, and chlorpromazine for paediatric emergency ... - British Journal of Psychiatry (Subscription)

Opiates better than sedatives for treating newborns in withdrawal  Jul 29, 2005
NAS were treated with opiates ( morphine, methadone, paregoric, or tincture of opium ), sedatives ( phenobarbitone, diazepam or chlorpromazine ) or supportive ... - I-Newswire.com (press release)

Parents charged with murdering son  Jul 7, 2005
The medications were the sleeping drug Temazepam, an anti-psychotic medication Chlorpromazine, and generic flu and pain treatments pholcodeine, codeine and ... - Ninemsn

Dementia drugs don't increase stroke risk  Aug 2, 2005
...between dementia patients given atypical antipsychotics and those given the older, so-called "typical" antipsychotics such as haloperidol or chlorpromazine. ... - Macleans

Schizophrenia drug can curb loss of brain cells  Aug 1, 2005
...treat new patients with atypical drugs like olanzapine, rather than older conventional medications such as haloperidol and chlorpromazine," Leiberman said. ... - DetNews.com

Rational pharmacotherapy in early psychosis *  Jul 29, 2005
A longer-term study (52 weeks) comparing clozapine and chlorpromazine found differences favouring clozapine at 12 weeks, although the two groups were ... - British Journal of Psychiatry (Subscription)

Reduced Left Angular Gyrus Volume in First-Episode Schizophrenia  Jul 29, 2005
Daily chlorpromazine equivalents did not correlate significantly with MRI volumes. MRI acquisition and postprocessing methods are detailed elsewhere (13). ... - Am J Psychiatry (subscription)

Acute Akathisia Associated With Quetiapine Use  Jul 6, 2005
Patients who take lower-potency agents, such as chlorpromazine and thioridazine, are thought to have a lower incidence of extrapyramidal symptoms, compared to ... - Psychosomatics (subscription)

Schneiderian First-Rank Symptoms and Right Parietal ...  Jul 29, 2005
...first-rank symptoms (N=7) (age: mean=36 years, SD=11; illness duration: mean=15 years, SD=11; premorbid IQ: mean=102.1, SD=9.7; chlorpromazine equivalents: mean ... - Am J Psychiatry (subscription)

A brief history of psychiatry  Jul 25, 2005
Chlorpromazine, the first generally effective treatment for severe psychotic states was introduced in the early 1950s, and two decades later, thousands of long ... - Inland Valley Daily Bulletin

Textbook of Geriatric Psychiatry, Third Edition  Jul 14, 2005
...for clinicians to note that older patients may benefit most from a shift away from conventional antipsychotic drugs such as chlorpromazine, haloperidol, and ... - Psychiatric Services (subscription)

When home remedies for hiccups fail, medicines can usually end ...  Jul 20, 2005
...remedies. Medicines have to be turned to. Chlorpromazine, omeprazole, metoclopramide and baclofen are often successfully used. In ... - Yuma Sun

Alleviating the Itch-Scratch Cycle in Atopic Dermatitis  Jul 6, 2005
Neuroleptics (chlorpromazine, thioridazine, and thiothixene) have not been shown to suppress histamine-induced pruritis but have been beneficial in nonhistamine ... - Psychosomatics (subscription)

Dosage Forms DROPS; LIQUID; SOLUTION; SYRUP; TABLET
Drug_Category Antipsychotics; Antiemetics; Dopamine Antagonists; Phenothiazines; ATC:N05AA01
Absorption Not Available
Interactions Interactions for Chlorpromazine: The concurrent use of two or more drugs with anticholinergic activity--such as an antipsychotic drug (eg, chlorpromazine), an antiparkinsonian drug (eg, trihexyphenidyl), and/or a tricyclic antidepressant (eg, amitriptyline)--commonly results in excessive anticholinergic effects, including dry mouth and associated dental complications, blurred vision, and, in patients exposed to high temperature and humidity, hyperpyrexia. Interactions may also occur with the following: anti-depressants/anti-anxiety drugs, drugs used to treat an overactive thyroid, beta-blockers (e.g., propranolol), sparfloxacin, grepafloxacin, guanethidine, guanadrel, metrizamide, cabergoline, lithium, narcotic pain medication (e.g., codeine), drugs used to aid sleep, drowsiness-causing antihistamines (e.g., diphenhydramine), any other drugs that may make you drowsy.
Toxicity Agitation, coma, convulsions, difficulty breathing, difficulty swallowing, dry mouth, extreme sleepiness, fever, intestinal blockage, irregular heart rate, low blood pressure, restlessness
Organisms Affected Humans and other mammals
Chemical IUPAC Name 3-(2-chloro-10H-phenothiazin-10-yl)-N,N-dimethyl-propan-1-amine
Chemical Formula C17H19ClN2S
Molecular Weight 318.865 g/mol
Smiles String CN(C)CCCN1C2=CC=CC=C2SC3=C1C=C(C=C3)Cl
Melting Point < 25 °C
Water Solubility 2.55 mg/L
State Liquid
LogP/Hphobicity 5.512
Isoelectric Point 9.3
Biotransformation Not Available
Half Life Not Available
Protein Binding [%] 40%
RxList Link RXlist
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Drug Reference http://www.pdrhealth.com/drug_info/rxdrugprofiles/drugs/chl1441.shtml
http://www.drugs.com/cons/Chlorpromazine.html
http://www.rxlist.com/cgi/generic3/chlorpromazine.htm
Drug Type Approved Drug
Accession No APRD00482
CAS Registry Number 50-53-3
KEGG Compound ID C06906
PubChem ID SID:148556
PharmGKB ID PA448964
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 21342

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