Psychoses
Adult: 50-600 mg daily. Resistant cases: Up to 1,000 mg daily. May also be given intramuscularly.
Indications and Dosage
Oral
Psychoses Adult: 50-600 mg daily. Resistant cases: Up to 1,000 mg daily. May also be given intramuscularly.
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Hepatic Impairment
Dose reduction may be required.
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Contraindications
Coma, CNS depression.
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Special Precautions
Severe liver and kidney dysfunction, phaeochromocytoma, breast cancer, Parkinson's disease, depression, pronounced changes in BP, orthostatic dysregulation, glaucoma, urinary retention, enlarged prostate, intestinal obstruction, history of convulsions, chronic respiratory symptoms, asthma, leukopenia, coronary heart disease, excitation conduction disorders or arrhythmias, blood dyscrasias. Monitor haematological parameters on prolonged use. May impair ability to drive or operate machinery. Pregnancy and lactation.
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Adverse Reactions
Acute neuropathy of the superficial nerve fibres after exposure to the sun. Fatigue, haematological disturbances, mood disorders, breast tenderness, galactorrhoea, amenorrhoea, circulatory failure, nosebleeds, photosensitivity, rash, sleep disturbances, anxiety, oedema of the legs, intestinal inflammation.
Potentially Fatal: Severe hepatic impairment (high doses). |
Drug Interactions
Additive CNS depression with sedatives, tranquillisers, alcohol and other CNS depressants. May increase the effects of antihypertensive agents and epinephrine. May reduce effects of guanethidine, clonidine, levodopa. May potentiate the adverse effects of other anticholinergic drugs e.g. TCAs. Extrapyramidal symptoms may be increased.
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Action
Description: Perazine is a phenothiazine antipsychotic agent.
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MIMS Class
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