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Chlorpromazine, (Thorazine), PSYweb:"Antacids containing aluminum or magnesium should not be taken one hour before taking this drug and never right after. Only take this drug and Heterocyclic antidepressants with careful monitoring. Also check with your physician if you are taking central nervous system depressants like antihistamines, hay fever medicines, sedatives, narcotics, anesthetics, barbiturates or muscle relaxants. Also check with your physician if you are taking a vasodilator (drug that dilate blood vessels.)
The habit-forming potential is none, but long term use may lead to Tardive Dyskinesia. Do not take this drug if you are pregnant ( Only take if the mother's or baby's live is endangered. ) Do not take this drug if planning to become pregnant. Do not take if you are breast-feeding."
http://www.psyweb.com/Drughtm/chlor.html
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Chlorpromazine, (Thorazine), Internet Mental Health:"Phenothiazines should be used with caution in patients with cardiovascular disease. Chlorpromazine is an alpha-adrenergic blocking agent and increased pulse rate and transient hypotension have both been reported in some patients receiving these drugs. Hypotension, which is typically orthostatic, may occur especially in elderly and in alcoholic patients. This effect may be additive with other agents that cause a lowering of blood pressure. If chlorpromazine should cause severe hypotension, most patients will respond to cautious expansion of the intravascular volume with sodium chloride. If vasopressor drugs are needed, the drugs of choice are alpha-receptor agonists such as phenylephrine or methoxamine. Chlorpromazine has direct negative inotropic action. It prolongs PR and QT intervals, blunts the T wave and depresses the S-T segment. These changes appear to be reversible and related to disturbance in repolarization. Give phenothiazines cautiously to
patients with heart disease. Most reported cases of agranulocytosis associated with the administration of phenothiazine derivatives have occurred between the fourth and tenth week of treatment. Therefore observe patients on prolonged therapy with particular care during that time for the appearance of such signs as sore throat, fever and weakness. If these symptoms appear, discontinue the drug and perform WBC and differential counts. Chlorpromazine should be used with caution in patients who have impaired liver function or alcoholic liver disease. CNS depression may be potentiated."
http://www.mentalhealth.com/drug/p30-c01.html
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Chlorpromazine, (Thorazine), Say No To Psychiatry:"Thorazine has been called a "chemical lobotomy" because of the similar effects it creates. Briefly, a lobotomy destroys partially or completely all functioning of the frontal lobes. The frontal lobes are unique to human beings and are the seat of the higher functions such as love, concern for others, empathy, self-insight, creativity, initiative, autonomy, rationality, abstract reasoning, judgment, future planning, foresight, will-power, determination and concentration. Without the frontal lobes it is impossible to be "human" in the fullest sense of the word; they are required for a civilized, effective, mature life. Without this "human" aspect a person is incapable of living a rewarding, happy and responsible life. While the neuroleptics are toxic to most brain functions, disrupting nearly all of them, they have an especially well-documented impact on the dopamine neurotransmitter system. As any psychiatric textbook explains, dopamine neurotransmitters
provide the major nerve pathways from the deeper brain to the frontal lobes and limbic system - the very same area attacked by surgical lobotomy. The disruption in the functioning of the frontal lobes results in the same effect - a greatly reduced person with dementia and reduction of awareness of self and the environment. They become "vegetables" - a body with very little mind or personality left."
http://www.sntp.net/drugs/thorazine.htm
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Chlorpromazine, (Thorazine), HealthSquare:"You should use Thorazine cautiously if you have ever had: asthma; a brain tumor; breast cancer; intestinal blockage; emphysema; the eye condition known as glaucoma; heart, kidney, or liver disease; respiratory infections; seizures; or an abnormal bone marrow or blood condition; or if you are exposed to pesticides or extreme heat. Be aware that Thorazine can mask symptoms of brain tumor, intestinal blockage, and the neurological condition called Reye's syndrome. Stomach inflammation, dizziness, nausea, vomiting, and tremors may result if you suddenly stop taking Thorazine. Follow your doctor's instructions closely when discontinuing Thorazine. Thorazine can suppress the cough reflex; you may have trouble vomiting. This drug may impair your ability to drive a car or operate potentially dangerous machinery. Do not participate in any activities that require full alertness if you are unsure about your ability. This drug can increase your sensitivity to
light. Avoid being out in the sun too long."
http://www.healthsquare.com/newrx/tho1441.htm
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Chlorpromazine, (Thorazine), PDR's Getting Well Network:"The effects of Thorazine during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, notify your doctor. Pregnant women should use Thorazine only if clearly needed. Thorazine appears in breast milk and may affect a nursing infant. If this medication is essential to your health, your doctor may advise you not to breastfeed until your treatment is finished."
http://www.pdrhealth.com/drug_info/rxdrugprofiles/drugs/tho1441.shtml
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Chlorpromazine, (Thorazine), Public Television:"In 1952, Henri Laborit, a surgeon in Paris, was looking for a way to reduce surgical shock in his patients. Much of the shock came from the anaesthesia, and if he could find a way to use less, his patients could recover quicker. He knew that shock was the result of certain brain chemicals and looked for a chemical that might counteract these. He tried antihistamines, usually used to fight allergies. He noticed when he gave a strong dose to his patients, their mental state changed. They didn't seem anxious about their upcoming surgery, in fact, they were rather indifferent. Laborit was able to operate using much less anaesthetic. He was so struck by the effect on his patients, especially with a drug called chlorpromazine (trade name Thorazine) he thought the drug must have some use in psychiatry. But at that time, "no one in his right mind in psychiatry was working with drugs. You used shock or various psychotherapies," said Canadian psychiatrist
Heinz Lehmann. Laborit kept pressing his point, however. A fellow surgeon passed the word to his brother-in-law, the psychiatrist Pierre Deniker. Deniker's interest was piqued and he ordered some chlorpromazine to try on his most agitated, uncontrollable patients."
http://www.pbs.org/wgbh/aso/databank/entries/dh52dr.html
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Chlorpromazine, (Thorazine), Red Oak Psychiatry Associates, P.A.:"Contraindications, Warnings and Precautions: Contraindicated in patients in comatose states or in the presence of large amounts of central nervous system depressants. The extrapyramidal symptoms that can occur secondary to Thorazine may be confused with the signs of an undiagnosed primary disease responsible for the vomiting such as Reye’s Syndrome or other encephalopathy. Thorazine and other potential hepatotoxins should be avoided in children and adolescents whose signs and symptoms suggest Reye’s Syndrome. The potentially fatal symptom complex of Neuroleptic Malignant Syndrome (NMS) has been reported in association with this class of drugs. Signs of NMS include muscle rigidity, altered mental status, high fever, increased blood pressure, increased heart rate and cardiac dysrhythmia. Tardive Dyskinisia (TD) is a potentially irreversible, involuntary movement that may develop. The highest prevalence of TD is in the elderly,
particularly women. Safety for use during pregnancy has not been established. Use cautiously in persons with cardiovascular, liver or renal disease as well as persons with chronic respiratory disorders. Thorazine can suppress the cough reflex; therefore, aspiration of vomitus possible."
http://www.redoakpsychiatry.com/medications/thorazine.html
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Chlorpromazine, (Thorazine), Health-Center.com:"This medication acts on the portion of the brain called the hypothalamus. It affects parts of the hypothalamus that controls metabolism, body temperature, alertness, muscle tone, hormone balance and vomiting. It may be used to treat problems related to any of these functions."
http://www2.health-center.com/pharmacy/antipsychotics/other_antipsyc/thorazine.htm
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Chlorpromazine, (Thorazine), Support4Hope Inc.:"Brand names are capitalized and generic names are not. The information you will find here is meant as a guide to better inform you. Most medications have side effects, and if any of these concern you please talk this over with your doctor. Many times people let the fear of side effects keep them from taking medications they need that will help them. We want to note that you should discuss this with your Dr before deciding to discontinue your medications. In any circumstance you should discuss it with your Doctor before discontinuing them on your own. Some medications can have withdrawals and should only be discontinued under a Doctors care."
http://support4hope.com/medications/index.htm
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Chlorpromazine, (Thorazine), Healthyplace Inc.:"Interference with cognitive and motor performance: Where patients are participating in activities requiring complete mental alertness such as driving an automobile or operating machinery, administer the phenothiazine cautiously, forewarn the patient and increase the dosage gradually. Photosensitivity may occur. Patients should utilize sunscreens when exposed to sunlight for significant lengths of time."
http://www.healthyplace.com/medications/chlorpromazine.htm
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