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Kerala State Drug Formulary.pdf

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Antipsychotic <strong>Drug</strong>s<br />

Fluphenazine Hydrochloride<br />

I: Schizhophrenia and other psychoses, mania, short<br />

term adjunctive management of severe anxiety,<br />

psychomotor agitation, excitement and violent,<br />

dangerously impulsive behaviour.<br />

C/l, P/C, A/E, D/I: Same as for chlorpromazine.<br />

P/A: Tablet 1 mg, 2.5 mg, 5 mg, Injection 25 mg /mL contain<br />

oily solution of fluphenazine decanoate for depot use.<br />

Dose: Schizophrenia and other psychoses Oral : 2.5 -10 mg<br />

od in 2-3 divided doses; adjusted according to<br />

response to 20 mg od; doses above 20 mg (10 mg in<br />

elderly) should be given cautiously. Parenteral: 25 mg<br />

as deep IM injection once in 2 - 4 weeks. Anxiety,<br />

agitation and excitement Oral: initially 1 mg bd,<br />

increased as necessary to 2 mg bd.<br />

Cost : Inj 25 mg/ml. (1 mL) Rs. 26.90-29.90<br />

Prochlorperazine<br />

I: Schizophrenia and other psychoses, mania, severe<br />

anxiety, nausea, vomiting, vertigo, labyrinthine<br />

disorders.<br />

C/I, P/C, A/E, D/l: Same as for chlorpromazine.<br />

P/A: Tablets 5 mg, 25mg Injection 12.5 mg/mL.<br />

Dose: Schizophrenia and other psychosis<br />

Oral: Mania: start with 12.5 mg bd for 7 days and adjust at<br />

intervals of 4-7 days to reach the usual dose of 75-100<br />

mg od according to response;<br />

Anxiety: 15 to 20 mg od in divided doses upto a<br />

maximum of 40 mg.<br />

Parenteral: IM 12.5 mg initially and followed if<br />

necessary after 6 hours an oral dose. Labyrinthine<br />

disorders: 5 mg t.d.s., gradually increased upto 30 mg<br />

od and then reduced after several weeks to the<br />

maintenance dose of 5-10 mg od<br />

Cost: Tab 5 mg (10) Rs. 8.00 - 9.00 lnj 12.5 mg/mL (10 mL) Rs.<br />

40.00 - 43.00<br />

Haloperidol<br />

I: Schizophrenia and other psychoses, mania, short term<br />

adjunctive management of psychomotor agitation,<br />

309

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