{"id":56116,"date":"2024-02-07T05:53:44","date_gmt":"2024-02-07T05:53:44","guid":{"rendered":"https:\/\/medsname.com\/orzine\/"},"modified":"2026-04-30T10:24:40","modified_gmt":"2026-04-30T10:24:40","slug":"orzine","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/orzine\/","title":{"rendered":"Orzine"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8d6;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p style=\"margin-bottom:0;\">Orzine (Chlorpromazine 10 \/ 100 mg) is a first-generation phenothiazine antipsychotic. Used for schizophrenia, severe agitation, intractable hiccups, severe nausea\/vomiting, and pre-anaesthetic sedation. Typicals (FGAs) are now generally second-line behind atypicals.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Orzine at MedsBase is supplied directly from a WHO-GMP certified manufacturer in plain, discreet packaging. Every order is covered by our <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a> \u2014 20pracovn\u00edchdenn\u00ed lh\u016fta pro doru\u010den\u00ed, nebo v\u00e1m z\u00e1silku zdarma p\u0159epo\u0161leme \u2014 a oprav\u0148uje v\u00e1s k \u00fa\u010dasti v na\u0161em <a href=\"https:\/\/medsbase.com\/cs\/loyalty-points\/\">v\u011brnostn\u00edm programu<\/a>. Dod\u00e1v\u00e1me do v\u011bt\u0161iny zem\u00ed po cel\u00e9m sv\u011bt\u011b.<\/p>\n<h2>What Orzine is and how it works<\/h2>\n<p>Orzine is a Chlorpromazine tablet supplied by Sun Pharma. Available strengths: <strong>10 \/ 100 mg<\/strong>.<\/p>\n<p>Chlorpromazine was the first antipsychotic (1952) and remains useful for severe agitation, intractable hiccups, and acute psychosis. The original phenothiazine \u2014 strong sedation, strong anticholinergic action, strong \u03b11 blockade, and meaningful EPS \/ tardive dyskinesia risk.<\/p>\n<h2>Indikace a d\u00e1vkov\u00e1n\u00ed<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indikace<\/th>\n<th>Po\u010d\u00e1te\u010dn\u00ed d\u00e1vka<\/th>\n<th>C\u00edlov\u00e1 d\u00e1vka<\/th>\n<th>Maxim\u00e1ln\u00ed d\u00e1vka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Schizophrenia (adult)<\/td>\n<td>25\u201350 mg TID<\/td>\n<td>200\u2013800 mg\/day<\/td>\n<td>1000 mg<\/td>\n<\/tr>\n<tr>\n<td>Severe agitation (IM)<\/td>\n<td>25\u201350 mg IM<\/td>\n<td>\u2014<\/td>\n<td>3 doses\/24h<\/td>\n<\/tr>\n<tr>\n<td>Intractable hiccups<\/td>\n<td>25\u201350 mg TID\u2013QID PO<\/td>\n<td>\u2014<\/td>\n<td>50 mg QID<\/td>\n<\/tr>\n<tr>\n<td>Severe nausea\/vomiting<\/td>\n<td>10\u201325 mg q4\u20136h PO<\/td>\n<td>\u2014<\/td>\n<td>\u2014<\/td>\n<\/tr>\n<tr>\n<td>Older adults \/ dementia (off-label, last-resort)<\/td>\n<td>10 mg HS<\/td>\n<td>10\u201325 mg\/day<\/td>\n<td>by tolerability<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>D\u016fle\u017eit\u00e9 bezpe\u010dnostn\u00ed aspekty<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>FDA dementia black-box<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Like atypicals, all antipsychotics carry the dementia-related psychosis mortality warning.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>QT prolongation, EPS, tardive dyskinesia<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Chlorpromazine prolongs QT (less than thioridazine). EPS and tardive dyskinesia are more common than with atypicals. Cumulative TD risk is approximately 5%\/year of exposure.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Anticholinergic burden, sedation, orthostatic hypotension<\/strong><\/p>\n<p style=\"margin-bottom:0;\">All phenothiazines have meaningful anticholinergic, antihistamine, and \u03b11-blocking activity. Particularly problematic in older adults \u2014 falls, delirium, urinary retention, and constipation are common. Avoid in dementia, BPH, narrow-angle glaucoma, severe hepatic disease.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Photosensitivity and skin pigmentation<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Phenothiazines cause photosensitivity (severe sunburns) and, with long-term use, blue-grey skin pigmentation, and rare lens \/ corneal pigmentation (chlorpromazine particularly). Sun protection mandatory.<\/p>\n<\/div>\n<h2>\u010cast\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>Sedation<\/strong> \u2014 universal.<\/li>\n<li><strong>Orthostatic hypotension<\/strong> \u2014 strong \u03b11 blockade.<\/li>\n<li><strong>Anticholinergic<\/strong> \u2014 dry mouth, constipation, urinary hesitancy, blurred vision.<\/li>\n<li><strong>EPS \/ tardive dyskinesia<\/strong> \u2014 meaningful.<\/li>\n<li><strong>Hyperprolaktin\u00e9mie<\/strong> \u2014 strong.<\/li>\n<li><strong>P\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze<\/strong> \u2014 moderate.<\/li>\n<li><strong>Prodlou\u017een\u00ed QT intervalu<\/strong> \u2014 present in both, severe in thioridazine.<\/li>\n<li><strong>Fotosensitivita<\/strong> \u2014 universal.<\/li>\n<li><strong>Cholestatic hepatitis (rare, idiosyncratic)<\/strong> \u2014 chlorpromazine particularly.<\/li>\n<\/ul>\n<h2>Interakce l\u00e9k\u016f<\/h2>\n<ul>\n<li><strong>Dal\u0161\u00ed l\u00e9ky prodlu\u017euj\u00edc\u00ed QT interval<\/strong> \u2014 additive risk; avoid combinations.<\/li>\n<li><strong>Strong CYP2D6 inhibitors<\/strong> (paroxetine, fluoxetine, bupropion, quinidine) \u2014 raise levels substantially; absolute contraindication for thioridazine.<\/li>\n<li><strong>Antihypertenziva<\/strong> \u2014 strong additive hypotension.<\/li>\n<li><strong>Anticholinergika<\/strong> \u2014 additive burden.<\/li>\n<li><strong>CNS depressants<\/strong> \u2014 additive sedation.<\/li>\n<li><strong>Levodopa<\/strong> \u2014 antagonism; avoid in Parkinson&rsquo;s.<\/li>\n<\/ul>\n<h2>T\u011bhotenstv\u00ed, kojen\u00ed, pediatrie<\/h2>\n<p>Pregnancy: limited data; chlorpromazine has historically been used in hyperemesis with caution. Breastfeeding: passes into milk; usually avoided. Paediatric: not first-line; chlorpromazine occasionally used at low doses for severe paediatric agitation under specialist input.<\/p>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Store at 15\u201330 \u00b0C, away from light, in original packaging.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Why is chlorpromazine considered second-line now?<\/h3>\n<p>Chlorpromazine was the first effective antipsychotic and remains useful, but atypicals (olanzapine, risperidone, aripiprazole, lurasidone, quetiapine) generally have lower EPS \/ TD rates and similar efficacy for positive symptoms. Chlorpromazine retains a clinical niche in severe acute agitation, intractable hiccups, and severe nausea\/vomiting.<\/p>\n<h3>Is chlorpromazine safe in older adults?<\/h3>\n<p>Generally not preferred \u2014 anticholinergic burden, falls, orthostasis, and TD risk all rise with age. The Beers Criteria flag both as potentially inappropriate medications in older adults. If used, start at a low dose and review weekly.<\/p>\n<h3>Will chlorpromazine cause tardive dyskinesia?<\/h3>\n<p>Cumulative TD risk for typical antipsychotics is approximately 5%\/year of exposure (atypicals approximately 1%\/year). After 5 years of typical antipsychotic exposure, roughly 25% of patients develop some TD signs. Risk is higher with age and female sex. TD can be irreversible \u2014 switch to clozapine or a low-EPS atypical at the first signs.<\/p>\n<h3>Why does chlorpromazine cause sun sensitivity?<\/h3>\n<p>Phenothiazines deposit in skin and undergo photochemical damage on UV exposure \u2014 producing severe sunburns and, with long-term use, blue-grey pigmentation. Sunscreen, protective clothing, and limited UV exposure are mandatory.<\/p>\n<h3>Can chlorpromazine be stopped abruptly?<\/h3>\n<p>Taper over 2\u20134 weeks. Abrupt cessation produces cholinergic rebound (nausea, sweating, insomnia) and antipsychotic relapse. Withdrawal dyskinesia can also unmask TD that was suppressed by the medication.<\/p>\n<h3>Will chlorpromazine interact with my other medications?<\/h3>\n<p>Several important interactions: (1) other QT-prolonging drugs (additive); (2) strong CYP2D6 inhibitors like paroxetine and fluoxetine (raise levels substantially); (3) antihypertensives (additive orthostasis). Always review the full medication list with the prescriber.<\/p>\n<h3>Why chlorpromazine for hiccups?<\/h3>\n<p>Chlorpromazine is the only FDA-approved drug for intractable hiccups. The mechanism is uncertain \u2014 likely a combination of central anticholinergic and dopamine-blocking action on the hiccup reflex arc. 25\u201350 mg TID\u2013QID PO is the typical dose; usually time-limited.<\/p>\n<h3>How long until chlorpromazine works?<\/h3>\n<p>Calming and sedating effect within hours. Antipsychotic effect over 1\u20132 weeks for positive symptoms. Full effect at 4\u20136 weeks.<\/p>\n<h3>Can chlorpromazine be used for short-term severe agitation?<\/h3>\n<p>Yes \u2014 IM chlorpromazine is sometimes used for severe acute agitation in psychiatric emergencies. Newer atypicals (IM olanzapine, IM ziprasidone, IM aripiprazole) and IM benzodiazepines have largely replaced chlorpromazine for this indication in modern practice.<\/p>\n<h3>Will chlorpromazine affect my driving?<\/h3>\n<p>Strong sedation in the first 1\u20132 weeks. Most patients on stable doses drive normally but the orthostatic hypotension and sedation can persist.<\/p>\n<h2>Dal\u0161\u00ed l\u00e9ky na du\u0161evn\u00ed zdrav\u00ed<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aripicon\/\">Aripicon (Aripiprazole \u2014 atypical, low EPS)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/risdone\/\">Risdone (Risperidone)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/olanzap\/\">Olanzap (Olanzapine)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/sulpitac\/\">Sulpitac (Amisulpride)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/skizoril\/\">Skizoril (Clozapine \u2014 refractory disease)<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:0.9em;\">\n<strong>Zdravotn\u00ed prohl\u00e1\u0161en\u00ed.<\/strong> Tato str\u00e1nka m\u00e1 vzd\u011bl\u00e1vac\u00ed charakter a nenahrazuje individu\u00e1ln\u00ed l\u00e9ka\u0159skou radu. Farmakoterapie du\u0161evn\u00edho zdrav\u00ed by m\u011bla b\u00fdt zah\u00e1jena, monitorov\u00e1na a upravov\u00e1na pod dohledem kvalifikovan\u00e9ho l\u00e9ka\u0159e. Pokud vy nebo n\u011bkdo, koho zn\u00e1te, pro\u017e\u00edv\u00e1 sebevra\u017eednou krizi, okam\u017eit\u011b kontaktujte m\u00edstn\u00ed z\u00e1chrann\u00e9 slu\u017eby nebo volejte linku prevence sebevra\u017ed ve va\u0161\u00ed zemi (USA\/Kanada: 988; UK: Samaritans 116 123; mezin\u00e1rodn\u00ed seznam: <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Orzine (Chlorpromazine 10\/100 mg) \u2014 first-generation phenothiazine for schizophrenia, severe agitation, intractable hiccups. first antipsychotic ever (1952) \u2014 useful niche FGA.<\/p>","protected":false},"featured_media":56117,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[4056,4057],"class_list":{"0":"post-56116","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-mental-health-and-psychiatric-medications","9":"product_tag-chlorpromazine","10":"product_tag-orzine","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/56116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=56116"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56117"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56116"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56116"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56116"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}