Advertisement
Advertisement
Vertinex

Vertinex

prochlorperazine

Manufacturer:

Kusum Healthcare

Distributor:

Kusum Healthcare
Concise Prescribing Info
Contents
Prochlorperazine maleate
Indications/Uses
Vertigo due to Meniere's syndrome, labyrinthitis & other causes; nausea & vomiting from whatever cause including that associated w/ migraine. Chronic stage schizophrenia, acute mania. Adjunct to short management of anxiety.
Dosage/Direction for Use
Adult Prevention of nausea & vomiting 5-10 mg bid-tid. Treatment of nausea & vomiting 20 mg stat followed by 10 mg after 2 hr if necessary. Vertigo & Meniere's syndrome 5 mg tid, may be increased to 30 mg daily, & may be reduced gradually to 5-10 mg daily after several wk. Adjunct in short term management of anxiety Initially 15-20 mg daily in divided doses, may be increased to max of 40 mg daily in divided doses if necessary. Schizophrenia & other psychotic disorders Usual effective dose: 75-100 mg daily. Initially 12.5 mg bid for 7 days, may be increased at 4-7 days. Childn 0.25 mg/kg bid-tid.
Contraindications
Special Precautions
Avoid in patients w/ liver or renal dysfunction, Parkinson's disease, hypothyroidism, cardiac failure, pheochromocytoma, myasthenia gravis & prostate hypertrophy; hypersensitivity to phenothiazine or w/ history of narrow angle glaucoma or agranulocytosis. Acute w/drawal symptoms including nausea, vomiting & insomnia. Gradual w/drawal is advised. May potentiate QT interval prolongation. Patients w/ stroke risk factors; depression. Avoid exposure to direct sunlight. Closely monitor patients w/ epilepsy or history of seizure. Regularly monitor CBC. NMS. VTE. Hyperglycemia or intolerance to glucose. Perform medical & lab evaluations before & during initial phase of treatment. Depression skin reactions. Hyperglycemia. Avoid concomitant treatment w/ other neuroleptics. May affect ability to drive or operate machines. Pregnancy. Suspend breastfeeding during treatment. Not recommended in childn <10 kg or <1 yr. Elderly. Increased mortality in elderly people w/ dementia
Adverse Reactions
Acute dystonia or dyskinesias (in childn & young adult); akathisia; parkinsonism (in adult & elderly); tardive dyskinesia; insomnia; agitation; convulsions.
Drug Interactions
Intensified effects & resp depression may occur w/ alcohol, barbiturates & other sedatives. May reduce antipsychotic effects w/ anticholinergics. May interfere absorption w/ antacids, anti-Parkinson drugs & lithium. Antagonized antiparkinsonian action of dopaminergic. High doses may reduce the response to hypoglycemic agents. May exaggerate the hypotensive effects of α-adrenoceptor blocking agents. Opposed effects w/ amphetamine, L-dopa, clonidine, guanethidine & adrenaline. Induce transient metabolic encephalopathy characterised by loss of consciousness w/ desferrioxamine & prochlorperazine. Increased risk of arrhythmia w/ QT prolonging drugs & drugs causing electrolyte imbalance. Risk of agranulocytosis w/ drugs w/ myelosuppressive potential eg, carbamazepine, certain antibiotics & cytotoxics. Pharmacokinetic interaction between CYP2D6 inhibitors & substrates. May increase plasma levels of amitriptyline/amitriptylinoxide.
MIMS Class
Antipsychotics / Antiemetics / Antivertigo Drugs
ATC Classification
N05AB04 - prochlorperazine ; Belongs to the class of phenothiazine antipsychotics with piperazine structure.
Presentation/Packing
Form
Vertinex tab 5 mg
Packing/Price
50's (P618/box)
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement