How does it work?
Fluphenazine decanoate belongs to a group of medicines known as the phenothiazine antipsychotics. It is sometimes described as a 'major tranquilliser'.
It acts by blocking a variety of receptors in the brain, particularly dopamine receptors. Dopamine is involved in transmitting signals between brain cells. When there is an excess amount of dopamine in the brain it causes over-stimulation of dopamine receptors. These receptors normally act to modify behaviour and over-stimulation may result in psychotic illness. Fluphenazine decanoate blocks these receptors and stops them becoming over-stimulated, thereby helping to control psychotic illness.
Fluphenazine decanoate has been prepared as an oily injection which releases the medicine slowly over a period of 2-5 weeks. This is known as a "depot" injection.
What is it used for?
Psychotic illness
Schizophrenia
Warning!
Do not drink alcohol whilst taking this medicine.
Contains sesame oil, therefore persons with known allergy should avoid this medicine.
Use with caution in
Abnormal muscle weakness
Closed angle glaucoma
Disease involving the heart and blood vessels
Elderly people
Enlarged prostate gland
Epilepsy
Hypothyroidism
Irregular heart beats (arrhythmias)
Liver disease
Parkinson's disease
People with conditions that increase the risk of epilepsy or convulsions, eg brain damage
Pregnancy
Severe disease affecting the airways or lungs
Thyrotoxicosis
Not to be used in
Blood disorders
Children
Kidney failure
Liver failure
Severe depression
Severe disorder of blood flow to the brain (severe cerebral insufficiency)
Severe heart failure
Tumour of the adrenal gland (phaeochromocytoma)
Unresponsive unconscious states (comatose states)
This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.
If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.
Pregnancy and Breastfeeding
Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.
This medicine should be used with caution during pregnancy, and only if the expected benefit to the mother is greater than any possible risk to the foetus. Seek medical advice from your doctor.
This medicine passes into breast milk. It is recommended that mothers should avoid using this medicine while breastfeeding. Seek medical advice from your doctor.
Side effects
Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.
Constipation
Blurred vision
Dry mouth
A drop in blood pressure that occurs when going from lying down to sitting or standing, which results in dizziness and lightheadedness (postural hypotension)
Drowsiness
Rash (allergic reaction)
Difficulty in passing urine (urinary retention)
Abnormal movements of the hands, legs, face, neck and tongue, eg tremor, twitching, rigidity (extrapyramidal effects)
High blood prolactin (milk producing hormone) level (hyperprolactinaemia). Sometimes this can lead to symptoms such as breast enlargement, production of milk and stopping of menstrual periods.
Rhythmical involuntary movement of the tongue, face, mouth and jaw, which may sometimes be accompanied by involuntary movements of the arms and legs (tardive dyskinesia)
Sexual problems
Uncontrolled rolling of the eyes and neck (oculogyric crisis). Requires immediate treatment.
High temperature combined with falling levels of consciousness, paleness, sweating and a fast heart beat (neuroleptic malignant syndrome). Requires stopping the medicine and immediate medical treatment.
Blood disorders
The side effects listed above may not include all of the side effects reported by the drug's manufacturer.
For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.
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