西藥品
用藥查詢
西藥品查詢
外觀圖示:
外觀圖示

外觀描述:
白色圓形錠劑,6.5mm,JCP,G3

醫令代碼:
23525

商品名:
PROCHLORPERAZINE MALEATE 5MG

中文名:
蘋果酸丙氯陪拉辛錠

學名:
Prochlorperazine

劑型:
TAB

孕婦用藥分級:
C 級

健保碼:
NC05040100

藥品許可證:
內衛藥製字第005040號

仿單下載:

用藥指導單張:

ATC7藥理類別:

結構式 :

2-chloro-10-[3-(4-methyl-1-piperazinyl)propyl]-10H-phenothiazine


UpToDate:

藥理作用 :

1.止吐作用-由抑制骨髓之化學接收器引發區而產生。

2.抗精神病作用-一般認為由阻斷在大腦之包突後多巴胺(dopamine)接受器而改善精神病狀態,也可產生alpha-腎上腺素激導性阻斷作用,而抑制下視丘及垂體之激素釋出。

3.鎮靜作用-一般認為導致間接降低腦幹網狀系統之興奮而產生。


適應症:

精神病狀態、噁心、嘔吐。


用法用量:
每日服用3~4次,每次1錠。

副作用:
臉部、頸、身體或手腳肌肉痙攣、咀嚼動作失調、視力模糊、色彩視覺改變或夜視困難、疲倦感、口渴。

藥物動力學:

Absorption
May be erratic. C max shows large interindividual differences. Food slows the absorption and decreases C max 23% and AUC 13%.

Distribution
Large volume of distribution; crosses the placenta and is distributed into breast milk. Protein binding is at least 90%.

Metabolism
Hepatic to active and inactive metabolites.

Elimination
Renal and biliary, with some enterohepatic recycling.

Onset
10 to 20 min (IM).

Peak
4 to 7 days (antipsychotic effect).

Duration
3 to 4 h (IM).


交互作用:

Alcohol or other CNS depressants
May result in increased CNS depression and may precipitate dystonic reactions.

Anticholinergics
May reduce therapeutic effects of prochlorperazine and worsen anticholinergic effects.

Barbiturate anesthetics
Frequency and severity of neuromuscular excitation and hypotension may be increased.

Beta-blockers
May result in increased plasma levels of beta-blocker and prochlorperazine.

Cisapride, sparfloxacin
The risk of life-threatening cardiac arrhythmias, including torsades de pointes, may be increased.

Guanethidine
Hypotensive action of guanethidine may be inhibited.

Metrizamide
Possibility of seizure may be increased when subarachnoid metrizamide injection is used.

Paroxetine
Plasma levels of prochlorperazine may be elevated, increasing the risk of adverse reactions.


禁忌:
病人曾對任何一種phenothiazine過敏者,對本藥亦會產生過敏,應慎用。

注意事項:
1.嚴重心臟病患者、老人均需依照醫師指示,謹慎服藥。
2.勿飲酒或與中樞神經抑制劑併服。
3.可能引起嗜睡。

藥品保存方式:
藥品應置於攝氏 15 ~ 25 度乾燥處所;如發生變質或過期,不可再食用。

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