Brand name: Emetil - EMETIL (Chlorpromazine, Thorazine)

Why is Emetil prescribed?

Emetil is used for the treatment of schizophrenia (severe disruptions in thought and perception). It is also prescribed for the short-term treatment of severe behavioral disorders in children, including explosive hyperactivity and combativeness; and for the manic phase of bipolar disorder.

Emetil is also used to control nausea and vomiting, and to relieve restlessness and apprehension before surgery. It is used as an aid in the treatment of tetanus, and is prescribed for uncontrollable hiccups and acute intermittent porphyria (attacks of severe abdominal pain sometimes accompanied by psychiatric disturbances, cramps in the arms and legs, and muscle weakness).
Most important fact about EMETIL (Chlorpromazine, Thorazine)

Emetil may cause tardive dyskinesia--a condition marked by involuntary muscle spasms and twitches in the face and body. This condition may be permanent, and appears to be most common among the elderly, especially women. Ask your doctor for information about this possible risk.
How should you take Emetil without prescriptions?

If taking Emetil in a liquid concentrate form, you will need to dilute it with a liquid such as a carbonated beverage, coffee, fruit juice, milk, tea, tomato juice, or water. Puddings, soups, and other semisolid foods may also be used. Emetil will taste best if it is diluted immediately prior to use. You should not take Emetil with alcohol.

Do not take antacids such as Gelusil at the same time as Emetil. Leave at least 1 to 2 hours between doses of the two drugs.

If you miss a dose...

If you take Emetil once a day, take the dose you missed as soon as you remember. If you do not remember until the next day, skip the dose, then go back to your regular schedule.

If you take more than 1 dose a day, take the one you missed as soon as you remember if it is within an hour or so of the scheduled time. If you do not remember until later, skip the dose, then go back to your regular schedule.

Never take 2 doses at once.

Storage instructions...

Store away from heat, light, and moisture. Do not freeze the liquid. Since the liquid concentrate form of Emetil is light-sensitive, it should be stored in a dark place, but it does not need to be refrigerated.
Emetil side effects

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Emetil.

* Side effects may include:
Constipation, drowsiness, dry mouth, involuntary muscle spasms and twitches (tardive dyskinesia), jaundice, low blood pressure, low white blood cell count, movements similar to Parkinson's disease, neuroleptic malignant syndrome (see "Special warnings about this medication"), rapid heartbeat, restlessness, vision problems

Why should Emetil not be prescribed?

You should not be using Emetil if you are taking substances that slow down mental function such as alcohol, barbiturates, or narcotics.

You should not take Emetil if you have ever had an allergic reaction to any major tranquilizer containing phenothiazine.
Special warnings about Emetil

You should use Emetil cautiously if you have ever had: asthma; a brain tumor; breast cancer; intestinal blockage; emphysema; the eye condition known as glaucoma; heart, kidney, or liver disease; respiratory infections; seizures; or an abnormal bone marrow or blood condition; or if you are exposed to pesticides or extreme heat. Be aware that Emetil can mask symptoms of brain tumor, intestinal blockage, and the neurological condition called Reye's syndrome.

Stomach inflammation, dizziness, nausea, vomiting, and tremors may result if you suddenly stop taking Emetil. Follow your doctor's instructions closely when discontinuing Emetil.

Emetil can suppress the cough reflex; you may have trouble vomiting.

This drug may impair your ability to drive a car or operate potentially dangerous machinery. Do not participate in any activities that require full alertness if you are unsure about your ability.

This drug can increase your sensitivity to light. Avoid being out in the sun too long.

Emetil can cause a group of symptoms called Neuroleptic Malignant Syndrome, which can be fatal. Seek medical help immediately if you develop any of the following symptoms: extremely high body temperature, rigid muscles, mental changes, irregular pulse or blood pressure, rapid or irregular heartbeat, excessive sweating, and high fever.

If you are on Emetil for prolonged therapy, you should see your doctor for regular evaluations, since side effects can get worse over time.
Possible food and drug interactions when taking Emetil

If Emetil is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Emetil with the following:

Anesthetics
Antacids such as Gelusil
Antiseizure drugs such as Dilantin
Antispasmodic drugs such as Cogentin
Atropine (Donnatal)
Barbiturates such as phenobarbital
Blood-thinning drugs such as Coumadin
Captopril (Capoten)
Cimetidine (Tagamet)
Diuretics such as Dyazide
Epinephrine (EpiPen)
Guanethidine
Lithium (Lithobid, Eskalith)
MAO inhibitors (antidepressants such as Nardil and Parnate)
Narcotics such as Percocet
Propranolol (Inderal)

Extreme drowsiness and other potentially serious effects can result if Emetil is combined with alcohol and other mental depressants such as narcotic painkillers like Demerol.

Because Emetil prevents vomiting, it can hide the signs and symptoms of overdose of other drugs.
Special information if you are pregnant or breastfeeding

The effects of Emetil during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, notify your doctor. Pregnant women should use Emetil only if clearly needed.

Emetil appears in breast milk and may affect a nursing infant. If Emetil is essential to your health, your doctor may advise you not to breastfeed until your treatment is finished.
Recommended dosage for Emetil

Dosage recommendations shown here are for the oral and rectal forms of the drug. For certain problems, Emetil is also given by injection.

ADULTS
Overdosage

Any medication taken in excess can have serious consequences. An overdose of Emetil can be fatal. If you suspect an overdose, seek medical help immediately.

* Symptoms of Emetil overdose may include:
Agitation, coma, convulsions, difficulty breathing, difficulty swallowing, dry mouth, extreme sleepiness, fever, intestinal blockage, irregular heart rate, low blood pressure, restlessness