Fluanxol 20 mg/ml (Injection)

1 ml ampoule: ৳ 304.55 (10's pack: ৳ 3,045.50)

Medicine Details

Indications

  • Psychoses
  • Depression with or without anxiety

Pharmacology

  • Thioxanthene antipsychotic
  • Inhibits dopamine-mediated effects
  • Blocks postsynaptic dopamine receptors in the CNS

Dosage

  • Oral administration available
  • Different dosage for adults and elderly
  • Intramuscular administration available for psychoses
  • Specific initial and maximum dosage for different conditions and age groups

Administration

  • May be taken with or without food

Interaction

  • May potentiate adverse effects of drugs with antimuscarinic effects
  • Reduced efficacy of levodopa
  • Increases adverse extrapyramidal symptoms with dopamine antagonists

Contraindications

  • Hypersensitivity
  • Extremely excitable and overactive patients
  • Contraindicated in mania, porphyria, coma, preexisting CNS depression, bone-marrow suppression, and phaeochromocytoma
  • Not to be used during lactation

Side Effects

  • Rigidity
  • Tremors
  • Restlessness
  • Tardive dyskinesia
  • Insomnia
  • Dryness of mouth
  • Weight gain
  • Sexual dysfunction
  • Galactorrhoea
  • Menstrual disturbances
  • Potential fatal effect: Neuroleptic malignant syndrome

Pregnancy & Lactation

  • Category C drug
  • Potential risk to the foetus
  • Benefit justifies the risk

Precautions & Warnings

  • Patients with convulsive disorders
  • Advanced hepatic, renal, cardiovascular or respiratory disease
  • Tasks requiring mental alertness
  • Elderly patients with dementia
  • Neuroleptics with sedative effect should be withdrawn gradually
  • Avoid in history of angle-closure glaucoma, urinary retention, prostatic hyperplasia, breast cancer, prolactin dependent tumours, parkinsonism, myasthenia gravis, and pregnancy
  • Avoid direct sunlight

Therapeutic Class

  • SSRIs & related anti-depressant drugs

Storage Conditions

  • Store below 25°C

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