Chemical Name:        Thioxhixene hydrochloride

 Brand Name:              Navane

 Manufacturer:            Pfizer, Inc.

 Description:   Thioxanthene that probably blocks postsynaptic dopamine receptors in the brain.

 Indications and Use:  For the management of the manifestations of psychotic disorders.

 Contraindications, Warnings and Precautions:  Contraindicated in patients with circulatory collapse, comatose states, central nervous system depression and blood dyscrasias.  The potentially fatal symptom complex of Neuroleptic Malignant Syndrome (NMS) has been reported in association with this class of drugs.  Signs of NMS include muscle rigidity, altered mental status, high fever, increased blood pressure, increased heart rate and cardiac dysrhythmia.  Tardive Dyskinisia (TD) is a potentially irreversible, involuntary movement that may develop.  The highest prevalence of TD is in the elderly, particularly women.  Navane may mask signs of overdosage of toxic drugs and may obscure conditions such as intestinal obstruction and brain tumor because of its antiemetic effect.  Use with extreme caution in patients with a history of convulsive disorder, since Navane may lower the seizure threshold.  Use with caution in patients with cardiovascular disease.

 Adverse Reactions:  Possible common side effects may include extrapyramidal reactions, hypotension, blurred vision, dry mouth, constipation, urinary retention and mild photosensitivity. Other side effects may include drowsiness, restlessness, agitation, insomnia, dizziness, ECG changes, nasal congestion, menstrual irregularities and leukocytosis.

 Dosing Range:  Individually adjusted according to the chronicity and severity of the condition.  The usual optimal dose is 20 to 30mg per day.

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© 2000 Red Oak Psychiatry Associates, P.A.    Updated 11/26/2007