Doctor insights on:
Hiccups Treatment Chlorpromazine
Pt. has chronic hiccups. Given thorazine (chlorpromazine) injection. Why?
Thorazine if effective lasted only about an hour and hiccups returned. Explanations?
Chlorpromazine : Thorazine is a commonly accepted treatment for intractable hiccups. It's unfortunate that the effect lasted for so little time, as this medication has a significant half life and should have remained active for some time. Here's an overview of Thorazine - Hope it helps! http://reference.medscape.com/drug/chlorpromazine-342970 ...Read more
Depends: Thorazine (chlorpromazine) can be prescribed for many conditions including psychosis, nausea and vomiting, sedation, and intractable hiccups at a wide range of doses. It can certainly be effective in some individuals, however side effects including sedation and weight gain may be problematic for some. ...Read more
Mostly supportive: There is no antidote for an overdose of haldol (haloperidol). If caught acutely, lavage to get as much out of the stomach as possible, plus charcoal to absorb some. Large overdose can produce serious life-threatening effects on the body, including elevated temp, heart problems, muscle spasms, etc. Some symptoms can be counteracted with other medications; most require support until passes out of body. ...Read more
Not necessarily: Thorazine (chlorpromazine) is an antipsychotic medication with strong sedative properties -- that it can cause drowsiness. If you are also having psychotic symptoms such as hallucinations and delusions along with insomnia, it may be helpful. Thorazine (chlorpromazine) isn't usually used for insomnia alone, though, as side effects like movement disorders and restlessness can result. It may help you sleep more than Risperdal will. ...Read more
Symptom exacerbation: Discontinuation protocol must address major risk of discontinuation. In the case of thorazine (chlorpromazine) and other antipsychotic medications, the big risk is return of psychotic symptoms (voices, paranoia, other delusions). Since these symptoms, almost by definition, is difficult for the sufferer to detect by him/herself, a person who can monitor for return of symptoms is needed: ideally, a psychiatrist. ...Read moreSee 2 more doctor answers
If Thorazine (chlorpromazine) isn't helping alone what other medications will help while taking Thorazine (chlorpromazine) for severe mood changes?
Below: This is a question you need to be asking your treating DR about. This format does not allow one to give an accurate treatment course. ...Read more
Talk to doctor: Thorazine (chlorpromazine) can help persistent hiccups, but you should ask the prescribing physician about giving it to a particular patient. Some heart patients have arrhythmias, and one's personal cardiologist would be best to answer that question. ...Read moreSee 2 more doctor answers
Activated Charcoal: Phenergan (promethazine) or Promethazine overdose can be treated with activated charcoal to reduce the side effects of an overdose. In addition to activated charcoal, IV fluids and other supportive treatments must be taken to control side effects such as low blood pressure. ...Read moreSee 2 more doctor answers
Yes, it can be: Some patients have great restlessness and agitation at the end of life. Thorazine (chlorpromazine) is among the medicines that can be helpful in such palliative care situations. http://tinyurl.com/lo7p272 it can also be used for persistent hiccups that are extremely troublesome for people whose cancers are irritating their diaphragms. http://tinyurl.com/mrn4zga. ...Read moreSee 1 more doctor answer
Any: Any of the antipsychotic meds can cause muscle spasms, rigidity, tremors, restlessness (akathisia) and long term have a risk for tar dive dyskinesia. The newer antipsychotics have less of these effects. Of newer meds risperidone and zyprexa more likely. Seroquel, Geodon, Abilify less, but still high incidence of akathisia with Abilify. Latuda (lurasidone) and Fanapt also have lower incidence ...Read more
Haloperidol...: ...or Haldol is a "first-generation" or "typical" antipsychotic originally developed for schizophrenia, where patients have lost touch with reality, have hallucinations and/or delusions. It is also used for sedation in inpatient psychiatric settings if patients are violent or severely psychotic. It is used much less often than the newer "atypical" drugs although haloperidol is just as effective. ...Read more
Depends: The treatment for a zyprexa (olanzapine) overdose will vary. If the zyprexa (olanzapine) overdose was recent, may give certain medicines or place a tube into the stomach to "pump the stomach." however, once zyprexa (olanzapine) has been absorbed into the body, there is no treatment that can remove it quickly. Therefore, in these cases, treatment involves supportive care, which consists of treating the symptoms. ...Read moreSee 2 more doctor answers
Extrapyramidal symptoms occur with thorazine, haldol, (haloperidol) mellaril, or cardiazem, is this true?
Extrapyramidal symptoms occur with thorazine, haldol, (haloperidol) mellaril, or cardiazem, what to do?
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