Drug Notebook

FDA Alerts

Special Alerts:

[Posted 06/16/2008] FDA notified healthcare professionals that both conventional and atypical antipsychotics are associated with an increased risk of mortality in elderly patients treated for dementia-related psychosis. In April 2005, FDA notified healthcare professionals that patients with dementia-related psychosis treated with atypical antipsychotic drugs are at an increased risk of death. Since issuing that notification, FDA has reviewed additional information that indicates the risk is also associated with conventional antipsychotics. Antipsychotics are not indicated for the treatment of dementia-related psychosis. The prescribing information for all antipsychotic drugs will now include the same information about this risk in a BOXED WARNING and the WARNINGS section. For more information visit the FDA website at: http://www.fda.gov/medwatch/safety/2008/safety08.htm#Antipsychotics, http://www.fda.gov/cder/drug/InfoSheets/HCP/antipsychotics_conventional.htm and http://www.fda.gov/bbs/topics/NEWS/2008/NEW01851.html.

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chlorproMAZINE
(klor PROE ma zeen)

Before taking this medication, tell your doctor if you are taking any of the following drugs:

  • antacids. Take antacids at least 2 hours before or 2 hours after taking a dose of chlorpromazine. They will decrease the effectiveness of chlorpromazine.

  • alcohol; over-the-counter cough, cold, or allergy medications; sleep aids; antidepressants; muscle relaxants; barbiturates; and seizure medications. All of these medications will increase the side of effects of chlorpromazine-- especially drowsiness and dizziness.

  • blood pressure medications such as propranolol (Inderal), methyldopa (Aldomet), and clonidine (Catapres). These drugs may cause dizziness and fainting if used with chlorpromazine.

  • anticoagulants such as warfarin (Coumadin). Chlorpromazine may decrease the effectiveness of these medications, and blood clotting could result.

  • phenytoin (Dilantin). Chlorpromazine may increase the effectiveness of phenytoin and cause side effects. You may need smaller doses of phenytoin.

Drugs other than those listed here may also interact with chlorpromazine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

If you experience any of the following serious side effects, stop taking chlorpromazine and seek emergency medical treatment:

  • an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);

  • uncontrollable movements of the tongue, face, lips, arms, or legs;

  • muscle spasms of the face or neck;

  • severe restlessness or tremor;

  • severe drowsiness or fainting;

  • a rash; or

  • jaundice (yellowing of the skin or eyes).

Other, less serious side effects may be more likely to occur. Continue to take chlorpromazine and talk to your doctor if you experience:

  • decreased sweating;

  • dry mouth or stuffy nose

  • constipation;

  • blurred vision

  • mild restlessness, drowsiness, or tremor;

  • difficult urination or dark urine;

  • decreased sex drive;

  • dizziness;

  • increased appetite; or

  • menstrual irregularities or swollen breasts.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

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