Chlorprotine: Instructions for use. Chlorprotic use in pregnancy and in breastfeeding period

23.07.2020 Glucometers

This article allows you to familiarize yourself with the instructions for use. medicinal preparation Chloroprietic. The reviews of the site visitors - consumers of this medicine are presented, as well as the opinions of doctors of specialists in the use of chlorprichient in their practice. A big request to more actively add your reviews about the preparation: helped or did not help the medicine to get rid of the disease, which complications were observed and side effectsmay not be stated by the manufacturer in annotations. Analogues of the neuroleptic chlorprotine in the presence of available structural analogues. Use for the treatment of schizophrenia, neurosis and depression in adults, children, as well as in pregnancy and breastfeeding. The composition and interaction of the drug with alcohol.

Chloroprietic - Antipsychotic effect is associated with its blocking effect on dopamine receptors. The blockade of these receptors also associated with anti-metic and analgesic properties of the drug. Chlorprotine is capable of blocking 5-HT2 - receptors, alpha1 - adrenoreceptors, as well as H1 - histamine receptors, which are determined by its adrenoblocking hypotensive and antihistamine properties.

Structure

Chlorprotine hydrochloride + excipients.

Pharmacokinetics

The bioavailability of chlorprotine during oral administration is about 12%. Chlorprotine is quickly absorbed from the intestine. Chlorproticisen penetrates a placental barrier and stands out in small quantities breast milk. Metabolites do not have neuroleptic activity, stand out with feces and urine.

Indications

Chlorproticis is a sedative neuroleptic with wide spectrum Indications in which include:

  • psychosis, including schizophrenia and maniacal states, flowing with psychomotor excitation, arrangement and anxiety;
  • "Thymelle" abstinence syndrome with alcoholism and drug addiction;
  • hyperactivity, irritability, excitation, confusion of consciousness in elderly patients;
  • violation of behavior in children;
  • depressive states, neurosis, psychosomatic disorders;
  • insomnia;
  • pain (in combination with analgesics).

Forms of release

Tablets covered with a shell of 15 mg and 50 mg.

Instructions for use and dosage

Psychoses, including schizophrenia and manic states

Treatment starts from 50-100 mg per day, gradually increasing the dose until the optimal effect is achieved, usually up to 300 mg per day. In some cases, the dose can be increased to 1200 mg per day. Supporting dose is usually 100-200 mg per day. The daily dose of chlorproticsena is usually divided into 2-3 receptions, given the pronounced sedative effect of chlorproticisy, it is recommended to prescribe a smaller part of the daily dose during the daytime, and most of the evening.

Thumpling abstinence syndrome with alcoholism and drug addiction

The daily dose, divided by 2-3 reception, is 500 mg. The course of treatment usually lasts 7 days. After the disappearance of manifestations of abstinence, the dose is gradually decreasing. Supporting dose of 15-45 mg per day allows you to stabilize the state, reduces the risk of developing the next binge.

Depressive states, neurosis, psychosomatic disorders

Chlorprotine can be used in depressions, especially combined with anxiety, voltage, as an addition to antidepressants or independent therapy. Chlorproticsene can be prescribed for neurosis and psychosomatic disorders accompanied by anxiety and depressive disorders up to 90 mg per day. The daily dose is usually divided into 2-3 receptions. Since the intake of chlorproticsena does not cause the development of addiction or drug addiction It can be applied for a long time.

Insomnia

15 - 30 mg in the evening 1 hour before sleep.

Pain

The ability of chlorprotine can potentiate the effect of analgesics can be used in the treatment of patients with pain. In these cases, chlorproticsene is prescribed together with analgesics in doses from 15 to 300 mg.

Side effect

  • psychomotor braking;
  • low-expanded extrapyramidal syndrome;
  • increased fatigue;
  • dizziness;
  • paradoxical amplification of anxiety, especially in patients with mania or schizophrenia;
  • cholestatic jaundice;
  • tachycardia;
  • changes to ECG;
  • ortostatic hypotension;
  • clouding the cornea and lens with violation;
  • agranulocytosis, leukocytosis, leukopenia;
  • hemolytic anemia;
  • frequent tides;
  • amenorrhea;
  • galactere;
  • gynecomastia;
  • weakening potency and libido;
  • strengthening;
  • violation carbohydrate exchange;
  • an increase in appetite with an increase in body weight;
  • photosensibilization;
  • photodermatitis;
  • dry mouth;
  • constipation;
  • accommodation violations;
  • dysuria.

Contraindications

  • oppression of the central nervous system of any origin (incl. caused by alcohol, barbiturates or opiates);
  • comatous states;
  • vascular collapse;
  • blood formation organs;
  • feochromocytoma;
  • increased sensitivity to the components of the drug.

Application in pregnancy and breastfeeding

Chlorproticsene should not, if possible, apply to pregnant women and in the period breastfeeding.

Application in elderly patients

In the elderly patients, in the presence of hyperactivity, irritability, excitement, 15-90 mg per day is prescribed. The daily dose is usually divided into 3 receptions.

Application in children

In children, for the correction of violations of the behavior, chlorproticsene is prescribed at the rate of 0.5-2 mg / kg body weight.

special instructions

Chloroprietary should be appointed with patients suffering from epilepsy, Parkinsonism, with expressed atherosclerosis of the brain vessels, with a tendency to collaps, with pronounced cardiovascular and respiratory failure, with severe violations of liver and kidney function, diabetes, prostate hypertrophy.

The use of chlorproticsena can lead to a false positive result when conducting an immunobiological urine test for pregnancy, false increase The level of bilirubin in the blood, the change in the Qt interval on the electrocardiogram.

Impact on the ability to driving vehicles and control mechanisms

Reception chlorproticsena renders bad influence on activities requiring high speed of mental and physical reactions (for example, management vehicles, maintenance of cars, work at height, etc.).

Medicinal interaction

The inhibitory effect of chlorprotine on the central nervous system may increase with ethanol (alcohol) and ethanol-containing drugs, anesthetics, opioid analgesics, sedative, sleeping bags, neuroleptics.

The anticholinergic effect of chlorprotic is intensified by simultaneously use of anticholinergic, antgistamine and anti-parkinsonic drugs.

The drug enhances the effect of antihypertensive agents.

The simultaneous use of chlorprichient and adrenaline can lead to arterial hypotension and tachycardia.

The use of chlorproticisen leads to a decrease in the threshold of convulsive activity, which requires additional correction of the dose of anti-epileptic drugs in patients with epilepsy.

The ability of chlorprotic is to block dopamine receptors reduces the effectiveness of Leveodop.

An extrapyramidal disorders are possible with the simultaneous use of phenothiazines, methoclopramide, haloperidol, reserpine.

Analogs of the drug chlorprotine

Structural analogues of PO active substance:

  • Trucasal;
  • Chlorprotine 15 treatments;
  • Chlorprotine 50 treaty.

Analogs of PO pharmacological group (Neuroleptics):

  • Azleptin;
  • Aminazine;
  • Arhipiprazole;
  • Barneal;
  • Betamax;
  • Victael;
  • Galoveer;
  • Haloperidol;
  • Hedonin;
  • Droperidol;
  • Zalast;
  • ZELDOKS;
  • Zylaxer;
  • Ziprasidon;
  • Zipseil;
  • Invest;
  • Carbidin;
  • Quentiacs;
  • Keetilet;
  • Clozapine;
  • Closasten;
  • Klopixol;
  • KSEPLion;
  • CutiPin;
  • Lacwell;
  • Leponex;
  • Mieragel;
  • Depot model;
  • Nantaride;
  • Normon;
  • Orangex;
  • Olanzapine;
  • Prolinate;
  • Suspension;
  • Sulpin;
  • Reserved;
  • Ridonex;
  • Rippt;
  • Ripotid;
  • Dardonal;
  • Rispisal;
  • Risperidone;
  • Rispolept;
  • Rispolyx;
  • Risset;
  • SENORM;
  • Servant;
  • Cheroolek;
  • Serokvel;
  • Sonpax;
  • Speedan;
  • Sulpirid;
  • Teraulidgen;
  • Thiaprid;
  • Tizercin;
  • Thiodesine;
  • TopRal;
  • Toredo;
  • Trazine;
  • Triftatazine;
  • Trucasal;
  • Fluanxol;
  • Chlorpromazine;
  • Egleg;
  • Eglonil;
  • Escazin;
  • Etperazin.

In the absence of analogues of drugs on the active substance, you can follow the links below on the disease, which helps the appropriate drug, and see the analogues on therapeutic effects.

1 tablet covered with a shell contains chlorprotine 15 or 50 mg; In a blister 10 pcs., in a box of 3 blisters.

pharmachologic effect

pharmachologic effect - analgesic, antiwhel, antidepressant, sedative, neuroleptic.

Blocks dopamine, histamine, serotonin, alpha-adreno- and cholinoreceptors in the central nervous system.

The testimony of the drug chlorprotine 15 treatments

Psychosis, incl. schizophrenia, depressive states during the period of the climax, the state of excitation associated with fear and voltage, discirculatory encephalopathy, brain injuries, alcoholic delirium, sleep disorders at alarming state; psychosomatic, neurotic disorders in children; in patients with burns; Dermatosis with a stubborn itch.

Contraindications

Absolute: Hypersensitivity, poisoning drugs, inhibiting CNS (including alcohol), the comatose states of any etiology.

Relative: Epilepsy, Parkinsonism, tendency to collapsam, pronounced disorders of the kidney function, liver, heart and breathing, closed-coronal glaucoma, myasthenia, pregnancy, lactation (should be abandoned with breastfeeding), elderly age.

Side effects

Extrapyramidal disorders, increased fatigue, headache, dry mouth, orthostatic hypertension, tachycardia, acceleration disorders, violation, constipation, urination disorders, jaundice, amenorrhea, galathery, gynecomastia, change of libido, violations of carbohydrate exchange, increase in appetite, increase body weight, agranulocytosis, leukopenimat , cancellation syndrome (with sudden cessation of treatment).

Interaction

Enhances the effect of drugs depressing the CNS, incl. alcohol.

Method of application and dose

Inside, during or after eating, not chewing, drinking water. Dosing mode is determined individually. Usually adults: 30-50 mg 3-4 times a day. Treatment starts with low doses, then the dose is gradually raised to the disappearance of signs of the disease. Most dose, as a rule, are prescribed for the night. The daily dose for adults should not exceed 600 mg.

Children: 15-30 mg 3-4 times a day.

Precautions

It is recommended to stop treatment, gradually reducing the dosage. At the time of therapy, taking alcohol, the effects of extreme temperatures, insolation, potentially hazardous activities that require increased attention and speed of psychomotor reactions should be avoided.

Conditions for the storage of the drug chlorprotine 15 treatments

In a dry place, at a temperature of 10-25 ° C.

Keep out of the reach of children.

The shelf life of the drug chlorprotine 15 treatments

3 years.

Do not apply after the expiration date indicated on the package.

Synonyms of nosological groups

Rubric ICB-10Synonyms for diseases of the ICD-10
F20 SchizophreniaDementia Praecox.
Blakeler disease
Sliding schizophrenia
Sluggish schizophrenia with apatoabultic disorders
Exacerbation of schizophrenia
Acute shape of schizophrenia
Acute schizophrenia
Acute schizophrenic violation
Acute attack of schizophrenia
Psychosis discordant
Schizophrenic psychosis
The dementia is early
Frebel form schizophrenia
Chronic schizophrenia
Chronic schizophrenic violation
Cerebral Organic Insufficiency in Schizophrenia
Schizophrenic states
Schizophrenic psychosis
Schizophrenia
F29 Inorganic Psychosis UncomfortableHallucinatorial-delusional disorders
Hallucinatorium-delusional syndrome
Inxication psychosis
Manico-delusional disorders
Manic chronic psychosis
Manic psychosis
Acute psychosis
paranoid psychosis
Paranoid psychosis
Subighteous psychosis
Prespenile psychosis
Psychosis
Psychosis intoxication
Pararanoid psychosis
Psychosis in children
Children's psychoses
Jet psychosis
Chronic psychosis
Chronic hallucinatory psychosis
Chronic psychosis
Chronic psychotic disorder
Schizophrenic psychosis
F41 Other Alarm DisordersCutting anxiety
Non-psychotic disturbing disorders
Alarm state
Anxiety
Disturbing
Chronic anxiety
Sense of anxiety
F91 Behavior DisorderDestructive behavior
Violation of behavior
Violations in behavior
Violations of behavior
Behavioral disorders in children
Behantic disorder
Behavioral disorder in adolescents from 15 years and adults
Breather Age Disorders
Behavior disorders in old age
Children's behavior disorders
Disorder of behavior
Mixed violations of behavior
Juvenile and other violations of behavior
G47.0 Sleeping and maintaining sleep [insomnia]Insomnia
Insomnia, especially difficulty falling asleep
Desynchronoz
Long breakdown of sleep
Difficult to fall asleep
Difficult to fall asleep
Difficult falling asleep
Insomney
Short-term and transient sleep disorders
Short-term I. chronic disorders sleep
Short-term or shallow sleep
Disturbance
Sleep impairment, especially in the fallout phase
Disturbance
Violations of sleep
Neurotic violation of sleep
Shallow surface Son.
Shallow Son.
Unsatisfactory quality sleep
Night awakening
Night awakening
Pathology sleep
Post-school violation
Transient insomnia
Problems when popping up
Early awakening
Early morning awakening
Early awakening
Floor disorder
Sleep disorder
Resistant insomnia
Hard fall asleep
Fucking difficulties
Difficulties of falling asleep in children
Difficulties when falling asleep
Failure difficulty
Stubborn insomnia
Worsening sleep
Chronic insomnia
Frequent night and / or early morning awakening
Frequent night awakening and a feeling of a shallow sleep
L20 Atopic dermatitisAllergic skin diseases
Allergic skin diseases of noncommunicable etiology
Allergic diseases of the skin of non-microbial etiology
Allergic skin diseases
Allergic skin lesions
Allergic manifestations
Allergic dermatitis
Allergic dermatosis
Allergic diathesis
Allergic itching dermatosis
Allergic skin disease
Allergic skin irritation
Dermatitis allergic
Dermatitis atopic
Dermatosis allergic
Diathesis exudative
Itchy atopic eczema
Skin allergic disease
Skin allergic reaction for medicinal and chemicals
Skin reaction to medication
Skin-allergic disease
Acute eczema
Common neurodermit
Chronic atopic dermatitis
Exudative diathesis
L29 itchDermatitis itch
Dermatosis with a stubborn itch
Other sodes dermatoses
Sow
Itching skin
Itching with partial obstruction of the biliary tract
Itchy eczema
Itchy dermatoses
Itching allergic dermatosis
Itching dermatitis
Itching dermatosis
Skin itch
Skin itch during dermatosis
Tormenting itch
Limited itching dermatitis
Strong itch
Endogenous skin itch
N95.1 Menopausite and menopausal condition in womenAtrophy of the mucous membrane of the lower departments of the urinary tract due to estrogenic failure
Vaginal dryness
Vegetative disorders in women
Gypoestrogenous states
Estrogen deficiency in women in menopause
Dystrophic change of mucous membrane in menopause
Natural menopause
Intact uterus
Climax
Climax women's
Climax in women
Climacteric depression
Climetheque dysfunction of ovarian
Menopause
Climacteric neurosis
Menopause
Climacteric period complicated by psychegetative symptoms
Climacteric symptom complex
Climetable vegetative violation
Pressure psychosomatic disorder
Climetheque disorder
Climacteric disorder in women
Pressure Condition
Pressure vascular violation
Menopause
Menopause premature
Menopause vasomotor symptoms
Menopausen period
Insufficiency of estrogen
Sensation of the heat
Pathological Climax
Perimenopausa
Menopause period
Postmenopause period
Postclimacterial period
Postmenopausal period
Postmenopausal period
Premature climax
Premenopausa
Premenopausal period
Riding
Fear of heat
Blood tides to face in Meno- and Postmenopausal
Tilt / Feeling of heat in menopause
Hardness attack during menopause
Early Climax in women
Climacteric Disorders
Climacteric syndrome
Vascular complications of the menopausal period
Physiological menopausa
Estrogenerate states
R45.1 Anxiety and excitementAgitation
Anxiety
Explosive excitability
Interior arousal
Excitability
Excitation
The excitation of acute
Callomotor excitation
Hyperoportability
Motive excitement
Psychomotor excitation relief
Nervous excitement
Ensure
Night anxiety
Acute stage of schizophrenia with excitation
Acute mental arousal
Paroxysm excitation
Overexcitation
Elevated excitability
Elevated nervous excitability
Elevated emotional and cardiac excitability
Increased arousal
Mental arousal
Psychomotor Ageting
Psychomotor Activation
Psychomotor arousal
Psychomotor excitation with psychosis
Psychomotor excitation of epileptic character
Psychomotor paroxysm
Psychomotor Flower
Symptoms of excitation
Symptoms of psychomotor excitation
State of Agenation
Condition of anxiety
Condition of excitation
State of elevated concern
State of psychomotor excitation
Worry states
Status of excitation
Conditions of excitement somatic diseases
Ceing excitation
Feeling anxiety
Emotional arousal
R45.6 Physical aggressivenessAggressive behavior
Aggressive condition
Aggressiveness
Aggressive states
Aggression
Autoagression
R45.7 The state of emotional shock and stress unspecifiedImpact of stress factors
Impact of extreme situations
Long emotional loads
Neuropsychiatric stress
Professional stress
Psychological stress under airlines
Psycho-emotional overload and stress
Psycho-emotional stress in stressful situations
Psycho-emotional stress
Stress status
Stress
Stressful condition
Stressful situations
Stressful states
Stresses of everyday life
Chronic stress
Chronic stress
T90.5 Consequences of intracranial injuryResidual phenomena of cranial injuries
Recognitiveness after accelery injuries
Status after traumatic brain damage
States after the cranial injury
States after cranial injuries
Traumatic encephalopathy
Outdated name shopping preparation: Chlorprotine Zentiva Dosage form: & nbsp.tablets covered with film shell Structure:

One tablet covered with film shell, 15 mg contains:

active substance: chlorprotine hydrochloride - 15 mg;

corn starch - 10 mg, monohydrate lactose - 92 mg, sucrose - 10 mg, calcium stearate - 1.5 mg, talc - 1.5 mg; film sheath: Hyprocellose 2910/5 - 2.011 mg, macrogol 6000 - 0.069 mg, macrogol 300 - 0.49 mg, talc - 1.43 mg, aluminum varnish based on the yellow sunset (E 110) dye - 1 mg.

One tablet covered with film shell, 50 mg contains :

active substance: chloroprotic hydrochloride - 50 mg;

auxiliary substances: kernel: Corn starch - 37.5 mg, monohydrate lactose - 135 mg, sucrose - 20 mg, calcium stearate - 3.75 mg, talc - 3.75 mg; film sheath: Hyprocellose 2910/5 - 3,6594 mg, macrogol 6000 - 0.1333 mg, macrogol 300 - 0.9166 mg, Talc - 2,4194 mg, titanium dioxide - 0.3423 mg, iron dye yellow - 0,0290 mg .

Description:

Tablets 15 mg: Round, double-screw tablets covered with a film shell of orange. Flaw view: core from white to almost white.

Tablets 50 mg: Round, double-screw tablets covered with film shell from light brown to light yellow. Flaw view: core from white to almost white.

Pharmacotherapeutic Group:Antipsychotic means (neuroleptic) ATH: & NBSP

N.05.a.f.03 chloroprietary

Pharmacodynamics:

Chloroprietic is a neuroleptic, Tioksanten derivative. It has an antipsychotic, pronounced sedative and moderate antidepressive effect.

Pharmacodynamics

The antipsychotic effect of chloroprotine is associated with its blocking effect on dopamine receptors.

Unlike other thiocantennes, it has a pronounced sedative effect, since it suppresses the stimulation of the reticular formation of the brain barrel, and also acts as a controversial means by inhibiting chemoreceptors in spinal cord. Analgesic effect of the drug is also associated with the blockade of these receptors.

In rare cases, the development of malignant neuroleptic syndrome (hyperthermia, rigidity, akinesia, coma) is possible, in this situation it is necessary to immediately stop taking chlorproticsena and begin symptomatic treatment in the intensive care unit or branch of anesthesiology and resuscitation.

The so-called late (chronic - late) dyskinesia may occur during long-term intake of the drug (especially in patients over 65 years old) as a symptom of increased sensitivity of the dopaminergic system (unconscious choreoathyoid movements are prognostically unfavorable). An additional reception of neuroleptic drugs masks symptoms, so it is necessary to closely monitor patients.

There is also a fairly high risk of epileptiform seizures.

In rare cases, it is possible to observe anxiety, especially in patients with manic and schizoaffective disorders (in these cases it is better to go to treatment with neuroleptics from fast developing effect, for example, haloperidol).

Frequency adverse Reactionsshown below was determined according to the classification of the World Health Organization: very often (≥ 1/10); Often (≥ 1/100 and< 1/10); нечасто (≥ 1/1000 и < 1/100); редко (≥ 1/10000 и < 1/1000); очень редко (< 1/10000), частота неизвестна (не может быть подсчитана на основании имеющихся данных).

Violations from the nervous system: Very often - drowsiness, dizziness; often - headache, dystonia; Infrequently - acatisia, late dyskinesia, Parkinsonism, convulsions; rarely - epileptic seizures; Very rarely - malignant neuroleptic syndrome (hyperthermia, rigidity, akinesia, coma).

Psyche violations: often - insomnia, nervousness, assessment, decline in libido.

Disorders of the respiratory system, organs chest and mediastinum: rarely - nasal congestion, shortness of breath; rarely - bronchial asthma, Maudan's swelling.

Heart disorders: Often - tachycardia (especially after sudden cessation of treatment), heartbeat; Rarely - the elongation of the Qt interval on the ECG, ventricular arrhythmia (including ventricular fibrillation, ventricular tachycardia, pyruette ventricular tachycardia ( torsade de Pointes.) I. sudden death); Very rarely - bradycardia, heart stop.

Vessel violations: often - orthostatic hypotension; Infrequently - decline arterial pressure (Blood pressure), "tides" blood to skin cover; very rare - venous thromboembolism; Frequency of unknown - thromboembolism pulmonary artery, deep veins thrombosis.

Disorders from the gastrointestinal tract: very often - dryness of the oral mucosa, increased salivation; Often - constipation, dyspepsia, nausea; Infrequently - vomiting, diarrhea.

Violations by the liver and biliary tract: Very rarely - jaundice, cholestatic jaundice (based on an immunopathological reaction).

Disorders from the skin and subcutaneous fabrics: Often - increased sweating, infrequently - skin rash, skin itching, dermatitis, photosensitivity reactions; Rarely erythema, eczema.

Disorders of the skeletal muscular and connective tissue : often - Malgy; infrequently muscular rigidity; Very rarely - a lupus-like syndrome.

Kidney violations and urinary tract: Infrequently - impaired urination, urine delay; Very rarely - hyperikozuria.

Pregnancy, postpartum and perinatal states: The frequency is unknown - the "cancel" syndrome in newborns (see section "Application during pregnancy and in breastfeeding period").

Disorders from the genital organs and breasts: infrequently - ejaculation disorder, erectile dysfunction; rarely - gynecomastia, galathery, amenorrhea; The frequency is unknown - Priapism.

Violations from endocrine system: rarely hyperprolactinemia.

Disturbance of metabolism and nutrition: often - elevated appetite, increasing body weight; infrequently - decreased appetite, decrease in body weight; Rarely - hyperglycemia, violation of glucose tolerance.

Violations of the organ of vision: Often - violation of accommodation, violation of vision; Infrequently - Okulo-boil crisis (seizures of the gaze); Very rarely (after long-term treatment with high doses) - pigment retinit, clouding of lens, corneal deposits (precipitates).

Blood violations and lymphatic system: rarely - thrombocytopenia, leukopenia, neutropenia, agranulocytosis; Very rarely - hemolytic anemia, thrombocytopenic purpura, pancytopenia, eosinophilia.

Violations from immune system : rarely - hypersensitivity reactions, anaphylactic reactions.

General disorders and disorders at the injection site: often - asthenia, increased fatigue; Rarely - violation of thermoregulation.

Laboratory and instrumental data: Infrequently - deviation from the normlaboratory liver function indicators.

Syndrome "Cancellation": A sharp cessation of treatment with chlorproticine may be accompanied by the "cancellation" syndrome. The most common symptoms are nausea, vomiting, anorexia, diarrhea, rhinora, sweating, Malgy, parrestzia, insomnia, anxiety, anxiety and excitement. Patients may also be observed vertigo, changing the sensations of heat and cold, tremor limbs. Symptoms usually occur within 1-4 days after cancellation and decrease after 7-14 days.

Overdose:

Symptoms : drowsiness, coma, cramps, shock, extrapyramidal disorders, hyperthermia / hypothermia, inhibition of breathing, resistant decrease in blood pressure (may occur in a few hours and continue 2-3 days), tachycardia, myiosis. In severe cases - a violation of the kidney function. Changes in the ECG parameters, the lengthening of the Qt interval, the pyruette ventricular tachycardia (Torsade de Pointes), the stop of the heart and ventricular arrhythmias were observed while simultaneously overdose with drugs affecting the heart.

Treatment : symptomatic and supportive. As early after the reception, stomach washed must be made, the use of activated carbon is recommended. Measures should be taken aimed at maintaining the activities of respiratory and cardiovascular systems. Do not use (adrenaline), because This may lead to a subsequent decrease in blood pressure. Corps can be stopped with diazepam, and extrapyramidal disorders bieperid.

Dose from 2.5 to 4 g can be lethal (in infants approximately 4 mg / kg). Some adults survived after receiving 10 g, a three-year-old child survived after receiving 1 g.

Interaction:

Combinations requiring compliance with precautions

Chloroprietary can enhance the sedative effect of alcohol and the effects of barbiturates and other substances depressing the CNS (such as antidepressants, anti-epileptic preparations, analgesics, muscle relaxants, neuroleptics, antihistamines of the first generations, etc.).

Neuroleptics can increase or reduce the effect of antihypertensive drugs; The anti-hypertensive effect of guanetidine and is similar to the acting drugs.

The simultaneous use of neuroleptics and lithium preparations increases the risk of neurotoxicity.

Tricyclic antidepressants and neuroleptics mutually inhibit each other's metabolism.

Chloroprietary can reduce the effect of levodopes and adrenergic drugs and enhance the effect of anticholinergic agents.

With the simultaneous use of metoclopramid, piperazine, phenothiazines, haloperidol and reserpine increases the risk of extrapyramidal symptoms.

The antihistamine effect of chlorprotine can reduce or eliminate the symptoms of disulfiram-ethanol reaction.

The increase in the Qt interval to the ECG associated with the treatment of neuroleptics may be exacerbated by simultaneously receiving other drugs that significantly increase the Qt interval.

The simultaneous use of chlorprotine is contraindicated with next drugs (See "Contraindications" section):

Antiarrhythmic agents I and III class (for example, dfethylide)

Some antipsychotic drugs (for example,)

Some antibiotics from the group of macrolides (for example,)

Some antihistamines (for example, terphelanadine,)

Some antibiotics from the quinolon group (for example,)

Cypris and drugs lithium

Also should not use drugs that cause electrolytic violations, such as thiazide diuretics (hypokalemia), and preparations that increase the concentration of chlorprotine in the blood plasma, as this may increase the risk of elongation of the Qt interval and the occurrence of malignant arrhythmias (see the "Contraindications" section).

Neuroleptics are metabolized by the isoenzymes of the cytochrome R450 system in the liver. Preparations that inhibit CYP 2D 6 isoenzymes (for example, Mao inhibitors, oral contraceptives, to a lesser extent, or), can increase the concentration of chlorprotine in the blood plasma.

The simultaneous use of chlorofriter with cholin bockers enhances the anticholinergic effect.

Chloroprietary can block α -adrenergic effects of epinephrine (adrenaline), which can lead to a decrease in blood pressure and tachycardia during co-use.

Chloroprietary also reduces the threshold of convulsive readiness, which may cause the need to correct the dose of anti-epileptic drugs.

In the treatment of chlorproticsene, the concentration of prolactin in the blood plasma can increase - when applied, a dose correction may be needed in combination with bromocriptine.

Thioxanthenes can mask the isotoxic effect of other drugs (noise in the ears, Vertigo TP).

Special instructions:

Patients receiving long-term therapy by the drug, especially in high doses, should be carefully observed by a specialist, while periodically it is necessary to assess the possibility of reducing the maintenance dose.

Malignant neuroleptic syndrome

The possibility of the development of malignant neuroleptic syndrome (hyperthermia, muscle rigidity, an unstable level of consciousness, instability of the vegetative nervous system) exists when using any neuroleptics. In patients with already existing syndrome organic lesion The brain, mental retardation, abuse of opiates and alcohol, are more commonly observed.

Treatment : Termination of treatment with neuroleptics. Symptomatic treatment and conduct of general supporting activities. May be useful application Danterlena and bromocriptine.

Symptoms can be maintained during the week and more after taking neuroleptics.

Glaucoma

The sharp seizures of glaucoma due to the expansion of the pupil can occur in patients with rare fine-chamber syndrome and in patients with a narrow corner of the chamber.

Interlining intervalQt.

Due to the risk of the emergence of malignant arrhythmias, the drug should be used in patients with cardiovascular diseases in history or with cases of elongation of the Qt interval in a family history.

Before the start of treatment, an ECG study should be carried out.

The use of the drug is contraindicated in case the QTC interval exceeds 450 ms in men or 470 ms in women at the beginning of treatment (see Contraindications section). During treatment, the need for ECG monitoring should be assessed on an individual basis. During the treatment period, a dose should be reduced if the Qt interval will increase, and should stop therapy if the QTC interval is\u003e 500 ms.

Like other psychotropic drugs, the drug may influence PA indicators of glycemia in patients with diabetesthat may require the correction of antidiabetic therapy (insulin or hypoglycemic drugs for intake).

Increased sensitivity to phenothiazins can mean the presence of high sensitivity to thiocaanthen.

Venous thromboembolia

When applying antipsychotic drugs, cases of venous thromboembolism (VTE) were noted. Since patients gaining treatment for neuroleptics often have acquired risk factors for the development of venous thromboembolism, all possible RISE risk factors must be identified before and during treatment, as well as carrying out preventive measures.

Patients older than 65 years

According to randomized placebo-controlled studies in the population of patients with dementia, the purpose of some atypical neuroleptics was accompanied by approximately 3-fold increase in the risk of cerebrovascular undesirable phenomena.

The risk increase mechanism is unknown. Such risk increase cannot be excluded for other neuroleptics and other groups of patients. In patients with risk factors, a stroke drug should be used with caution.

The use of the drug can lead to a false-positive result during the immunobiological dough urine for pregnancy, false hyperbilirubinemia indicators, as well as a change in the Qt interval on an electrocardiogram.

Priapism

With the use of antipsychotic drugs that block α-adrenoreceptors, cases of prioxy were observed, and this phenomenon is possible when applying the drug. Heavy cases of priapism may require medical intervention. Patients need to inform about the need to apply for medical help In case of signs and symptoms of priapism.

During treatment, it is necessary to refrain from the reception of substances containing, the effects of extremely high temperatures (risk of development heat strike), excess insolation.

In order to avoid the development of the "Cancellation" syndrome, cease treatment with the drug must be gradually.

Lactose and Sakhares

Tablets of the drug chloroprotic Sanofi contain lactose and sucrose. Patients with rare hereditary lactose intolerance or fructose, lactase deficiency or glucose-galactose malabsorption, a deficiency of sacrase / isomaltase Reception of the drug is contraindicated.

The drug chlorophoticine sanofi in 15 mg dosage contains aluminum varnish based on the yellow sunset yellow (E 110) dye, which can cause allergic reactions.

Impact on the ability to control the transc. cf. And Meh.:

Chlorproticsene has a sedative effect, so during treatment, caution should be taken when driving and occupying other potentially hazardous species Activities requiring increased concentration of attention and speed of psychomotor reactions. Patients should be warned in advance about possible violation The ability to manage vehicles and working with mechanisms.

Release form / Dosage:

Tablets coated with film shell, 15 mg and 50 mg.

Packaging:

10 tablets in a PVC blister / AL.

3 or 5 blisters along with instructions for use in a cardboard pack.

Storage conditions:

At a temperature not higher than 25 ° C.

Keep out of the reach of children.

Shelf life:

Do not apply after the expiration date indicated on the package.

Conditions of vacation from pharmacies:On prescription Outdated TRADE NAME: & NBSPChlorprotine Zentiva Rename Date: & NBSP18.06.2018 Registration number:N012015 / 01 Registration date:06/21/2010 / 06/18/2018 Close instructions

Composition and form of release of the drug

Tablets covered with film shell from light brown to light yellow color, round, double-screw; View of a break - the core from white to almost white.

Auxiliary substances: Corn starch - 37.5 mg, lactose monohydrate - 135 mg, sucrose - 20 mg, calcium stearate - 3.75 mg, Talc - 3.75 mg.

Film shell composition: HalpRodelloose 2910/5 - 3.6594 mg, macrogol 6000 - 0.1333 mg, macrogol 300 - 0.9166 mg, Talc - 2.4194 mg, titanium Dioxide - 0.3423 mg, yellow oxide dye - 0.029 mg.

10 pieces. - Blister (3) - Cardboard packs.
10 pieces. - Blister (5) - Cardboard packs.

pharmachologic effect

Antipsychotic means (neuroleptic), Tioxanthen derivative. It has antipsychotic, antidepressive, sedative, action, has an alpha-adrenoblocking activity.

It is believed that the antipsychotic effect is related to the blockade of postsynaptic dopamine receptors in the brain. Antiwheat action is associated with the blockade of the chemoreceptor trigger zone oblong brain. A sedative effect is due to an indirect weakening of the activity of the reticular system of the brain barrel. Suppresses the release of most hypothalamus hormones and pituitary glands. However, as a result of the blockade of the inhibitory prolactin of the factor, which inhibits the release of prolactin from the pituitary, the concentration of prolactin increases.

By chemical structure and pharmacological properties Tioxanens are similar to piperazine derivatives of phenothiazine.

Pharmacokinetics

Metabolized in the liver. Available mainly by the kidneys.

Indications

Psychosis and psychotic states, accompanied by anxiety, fear, psychomotor excitation, aggressiveness, incl. with depressive-paranoid, circular, with simple sluggish schizophrenia with psychopathoid and neurosis-like symptoms and other mental illness; Discirculatory encephalopathy, cranial and brain injuries (as part of combined therapy), alcoholic delirium; sleep disorders in somatic diseases; the need for long-term therapy of the state of arousal and anxiety, psychosomatic, neurotic and behavioral disorders in children; convulsive, spastic states in the gastrointestinal tract; Premedication; dermatoses accompanied by a stubborn itch; Allergic reactions.

Contraindications

Depression of the CNS, incl. With alcohol intoxication, barbiturates and other drugs that are inhibitory influence on the CNS, pathological changes in blood pattern, myelodepression, lactation, increased sensitivity to chlorproticsene.

Dosage

Individual. For adults daily dose Various from 10 mg to 600 mg, for children - from 5 mg to 200 mg. The reception frequency and the duration of treatment are determined by the testimony.

Side effects

From the CNS: Psychomotor braking, a weakly expressed extrapyramidal syndrome, increased fatigue, dizziness; In isolated cases, paradoxical enhancement of anxiety is possible, especially in patients with mania or schizophrenia.

From side digestive system: Possible cholestatic jaundice.

From the side of the cardiovascular system: Tachycardia is possible, changes to ECG, orthostatic hypotension.

From the body of the vision: It is possible to clouding the cornea and lens with impaired vision.

From the hematopopitation system: Agranulocytosis, leukocytosis, leukopenia, hemolytic anemia are possible.

From the endocrine system: Possible frequent tides, amenorrhea, galathery, gynecomastia, weakening potency and libido.

From the metabolism: Possible strengthening, impaired carbohydrate exchange, increase the appetite with increasing body weight.

Dermatological reactions: Photosensibination, photodermatitis are possible.

Effects caused by anticholinergic effects: Dry mouth, constipation, accommodation disorders, dysuria.

Medicinal interaction

With simultaneous use with anesthetics, opioid, sedatives, sleeping equipment, antipsychotic drugs, with ethanol, ethanol-containing drugs intensify an inhibitory effect on the CNS.

With simultaneous use with antihypertensive agents, hypotensive effect is enhanced.

With simultaneous use with antiholinergic, antihistamine, anti-playing agents are enhanced anticholinergic effect.

With simultaneous use with the means causing extrapyramidal reactions, it is possible to increase the frequency and severity of extrapyramidal reactions; with levodopoy - possibly the oppression of anti-parkinsonic action of Levodopa; With lithium carbonate - pronounced extrapyramidal symptoms are possible, neurotoxic effect.

With simultaneous use with epinephrine, the alpha-adrenergic effects of epinephrine and the development of this severe arterial hypotension and tachycardia are possible.

With simultaneous use with phenothiazines, metoclopramide, haloperidol, the reserp is the development of extrapyramidal disorders; With quinidine - it is possible to strengthen the oppressive action on the heart.

special instructions

It should not be used in epilepsy, tendency to collapse, parkinsonism, heart defects in the stage of decompensation, tachycardia, atherosclerosis of brain vessels, pronounced violations of the liver and kidney function, violations of blood formation, cachexia, in old age.

If necessary, the use of chlorproticsena should compare the risk and benefit of treatment in patients with chronic alcoholism, diseases of the cardiovascular system (increased risk of transient arterial hypotension), Reee syndrome, as well as when glauer or predisposition to it, peptic disease Stomach I. duodenal gut, urine delay, epileptic seizures, increased sensitivity to other thiochantes or phenothiazins.

When applying chlorprotine is possible, false positive results of the immunological test for pregnancy using urine, as well as false-positive results of urine study on bilirubin.

During the treatment period, not to use alcohol.

Impact on the ability to driving vehicles and control mechanisms

Do not apply in old age.

Tablets "Chlorprotine" (or "Kentiv chlorprichient") - a drug that has an anticonvulsant, antipsychotic, neuroleptic, analgesic effect. It can be appointed by doctors with a combination of problems, ranging from depression and ending with a brain injury. This article contains detailed information on the chloroprotine medicine: from which it is prescribed, which contraindications have, which side effects cause. You will also learn how doctors and patients themselves respond about him.

Indications for use

Medicine "Chlorprotic", the instruction to which is always included in the package, can be assigned with such health problems:

Violation of behavioral reactions in children.

Psychosites, including schizophrenia and manic syndrome, accompanied by fear, aggression, anxiety.

Neurosis, depression.

Confusion of consciousness, excitement in the elderly.

Tachycardia is an increase in heart rate.

Problems with accommodation - eye ability to consider objects at different distances.

Dizziness.

Strong sweating.

Increase body weight.

Dysmenorrhea is a symptom characteristic of women who use the chloroprotine medicine. The effect of these tablets is such that when they receive a fair sex in the days of menstruation, severe pain appear in the lower abdomen.

Skin rashes.

Reduced potency.

Raising appetite.

Galactere - isolation from nipples of liquid non-breast milk.

The emergence of benign leukopenia.

Gynecomastia is an increase in breast glands in men.

Overdose

If the patient randomly or deliberately accepted in a high dose, the chloroprietary medicine, the consequences of such an inattentive attitude to themselves may be sad. Symptoms of overdose is: drowsiness, comatose state, tachycardia, hot, tumping consciousness, respiratory failure, convulsions.

Treatment in this case should be operational. Be sure to call the doctor, and before it arrives it is necessary to rinse the stomach, to give a patient an activated carbon or "enterosgel". It is important to remember that it is impossible to cause vomiting, because it can lead to inhalation by a person's own vomit. Before the emergency arrival, it is necessary to provide a patient bedding, control the temperature of its body, as well as blood pressure.

Pros of drug

Medicine "chlorprotic" is effective tool In the fight against panic and maniacal states at the initial stage.

Side effects are much smaller than other similar medicines.

Cons of drug

It causes a strong dependence, so the patient is hard to go to another tool.

With severe mental disorders, the medicine may not help to fully.

Individual hypersensitivity to the medicine.

Opinions of patients

The drug "Chloroprietary" Reviews from people have ambiguous: someone praises this medication, and some of his zealo criticize. They have a positively responding to those patients who have helped to cope with depressions, neurosis, psychosis. The patients themselves note the fact that after the treatment of "chloroprotic", their condition improved significantly, they truly began to relax and be content with the life of which it is. If earlier these patients could not sleep normally, then after the treatment with this medicine, they cease to complain about sleep problems.

However, the means of "chlorprotic" reviews have not only flattering, but also negative. Some patients say that after treatment, this medicine has deteriorated a state of health. However, the situation with the psyche was normal. But at the same time, such people are unhappy with this medicine, since after therapy they feel bad: they have a head of her head, in front of them, there is lethargy, fatigue, there is no desire to work.

Opinions of doctors

Psychotherapists also recommend their patients with chlorprichient medicine. Reviews from doctors such tablets are only positive. Experts really prove that the effect of this drug is, and it is visible. Therefore, their patients coming to them on the reception, they prescribe this medication.

Psychotherapists also explain why some people do not like this drug and why they have such side effects. The fact is that if a person is independently treated with chloroprotic pills without appointments of a doctor, the effect of them can really be negative. To read the instructions are not enough, since each patient is individual and the same dosage is suitable for him, which is indicated in the liner. Yes, and diagnoses of people are different. Therefore, you need to make a consultation to the specialists, follow their recommendations on how to take pills, in what quantity and how long. Among patients who comply with the appointments of the doctor, the drug "Chlorproticss" reviews have only positive.

According to the composition and form of release, the medication described in this article has similar means. It is the "TrukroCal" pills, "Chloroprtexen Lechiva". They contain the same acting component - chlorprotine hydrochloride. But for the reachable effect, the tool has more analogues. So, replace the pills, which the article is devoted to the pills of "Clopixol", "Phluuhanxol", solutions for the injection of Klopixlo Depot, "Phluuanxol Depot", "Amyizepin". The drug "Chloroprietary", the analogues of which are also very effective, can be purchased in any pharmacy.

Special instructions and contraindications

It is forbidden to take this medicine in epilepsy, problems with a heart, with violations of the liver, kidney, bloodstream.

If a woman is treated with the drug "Chloroprietary", she can have incorrect results of pregnancy test, in connection with which it should know this feature of the medication. The same applies to the results of the study of urine on bilirubin. The "chlorproticsene" means in this case can also show a false positive result.

At the time of therapy, this medicine is prohibited to use any alcoholic beverages.

During the treatment period, it is necessary to refrain from dangerous work, as well as from such activities that requires increased attention.

If the patient has diseases of the heart and vessels, glaucoma or predisposition to it, the ulcer of the stomach, then before treatment, you need to compare the risk and benefit for such categories of patients.

With increased sensitivity to the constituent drugs, during a comatose state, in the vascular collapse, it is impossible to use "chlorprichny".

Reception and at a peochromocytoma - hormonal tumor of chromaffine cells of the adrenaline system of adrenal or non-propellant localization is prohibited.

Cost

The tool "chloroprotine", the price of which depends on the dosage of the produced tablets, the location of the pharmacy (if you buy in the capital, then the medicine will be more expensive than to acquire it in other cities), as well as from the cheating of the very trading point itself, is not expensive. On average, the cost of pill (15 mg) in the amount of 30 pieces varies within 220-260 rubles. And for tablets, 50 mg dosage will have to give from 330 to 370 rubles per pack.

Storage conditions, shelf life, manufacturer

To save the medicine "Chlorprotic" should be in the place inaccessible for kids. The optimal storage temperature should be at least 10 and no more than 25 degrees. The shelf life of the drug is 3 years, after which it is necessary to get rid of the pills.

Application during pregnancy

The safety of medication "Chlorprotic" during the location of a woman in an interesting position has not been studied. Therefore, it is possible to use this tool during pregnancy in the case when the benefits of this therapy for the future mother exceeds the risk for the fetus.

In persons who took these tablets during the third trimester of pregnancy, children were born with extrapyramidal disorders, as well as with the abolition syndrome, which is characterized by such negative manifestations as drowsiness, respiratory disruption, hypertension, hypotension, tremor. And all this can be observed in newborns, whose moms were treated with the help of the "chlorprotic network". Although many kids have the above-described symptoms disappeared by themselves within a few days without special treatment. But there were such cases when it had to lie in a hospital for monitoring and therapy. Therefore, in order to protect your future kid from such problems, you should not use these pills during pregnancy.

Interaction with other drugs of chlorprotic tablets

The use of this medication together with drugs containing ethanol, as well as with sleeping pills, sedatives, drugs can enhance the oppressive effect of the product, to which the article is devoted to the central nervous system. With the simultaneous admission of these tablets with adrenaline, tachycardia and arterial hypotension may be observed in patients. Also, this means is able to reduce the threshold of convulsive activity, therefore, with patients suffering from epilepsy, additional correction of the dosage of anti-epileptic medicines is required. And the simultaneous reception of drugs with Tablets "Haloperidol", "Replanted", "Metoklopramid" can cause extrapyramidal disorders.

Now you know a lot about the "chlorprotic network". Analogs of this drug are also known. We told, in what cases do the doctor prescribe a medicine and which dosage. It was determined that this is a serious medicine, with the improper use of which the patients may have negative effects. Doctors are positively responding about chloroprotine tablets, but at the same time they strongly recommend their patients to comply with the dosing regime. After all, with improper therapy, humans may have health problems.