{"id":61084,"date":"2024-02-28T07:23:46","date_gmt":"2024-02-28T07:23:46","guid":{"rendered":"https:\/\/medsname.com\/thioril\/"},"modified":"2026-04-30T10:23:39","modified_gmt":"2026-04-30T10:23:39","slug":"thioril","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/thioril\/","title":{"rendered":"Thioril"},"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 Gyors v\u00e1lasz<\/h3>\n<p style=\"margin-bottom:0;\">Thioril (Thioridazine 10 \/ 25 \/ 100 mg) is a first-generation phenothiazine antipsychotic. Reserved as last-resort second-line because of the FDA black-box QT warning.<\/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>Mit kapsz a MedsBase-n\u00e1l:<\/strong> WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3 \u00b7 Diszkr\u00e9t csomagol\u00e1s \u00b7 Vil\u00e1gszerte sz\u00e1ll\u00edt\u00e1s \u00b7 1.400+ hiteles\u00edtett <a href=\"https:\/\/medsbase.com\/hu\/reviews\/\">v\u00e1s\u00e1rl\u00f3i v\u00e9lem\u00e9ny<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Minden rendel\u00e9st fedez a <a href=\"https:\/\/medsbase.com\/hu\/medsbase-re-shipment-assurance-policy\/\"><strong>\u00dajrak\u00fcld\u00e9si Garancia<\/strong><\/a> \u2014 ha a csomagod nem \u00e9rkezik meg 20 munkanapon bel\u00fcl, \u00fajrak\u00fcldj\u00fck.<\/p>\n<h3>Mi\u00e9rt rendelj a MedsBase-r\u00f3l<\/h3>\n<p>Thioril 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\/hu\/medsbase-re-shipment-assurance-policy\/\">\u00dajrak\u00fcld\u00e9si Garancia<\/a> \u2014 20 \u00fczleti napos \u00e9rkez\u00e9si ablak vagy ingyenes \u00fajrasz\u00e1ll\u00edt\u00e1s \u2014 \u00e9s jogosult a mi <a href=\"https:\/\/medsbase.com\/hu\/loyalty-points\/\">h\u0171s\u00e9gprogramunkra<\/a>. .<\/p>\n<h2>What Thioril is and how it works<\/h2>\n<p>Thioril is a Thioridazine tablet supplied by Sun Pharma. Available strengths: <strong>10 \/ 25 \/ 100 mg<\/strong>.<\/p>\n<p>Thioridazine is a piperidine phenothiazine. <strong>It carries an FDA black-box warning for fatal QT prolongation and torsades de pointes<\/strong> and is now reserved as a last-resort second-line antipsychotic \u2014 it was withdrawn or restricted in many jurisdictions in 2000\u20132005. Atypical antipsychotics are preferred for nearly all current indications.<\/p>\n<h2>What Agoprex is and how it works<\/h2>\n<p>Reserved for treatment-refractory schizophrenia where atypicals and other typicals have failed. Adult: 50\u2013100 mg TID, max 800 mg\/day. Pre-treatment ECG and electrolyte correction required. Some jurisdictions now require continuous QT monitoring during the first weeks.<\/p>\n<h2>Fontos biztons\u00e1gi megfontol\u00e1sok<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>FDA black-box \u2014 fatal QT and torsades<\/strong><\/p>\n<p style=\"margin-bottom:0;\"><strong>Thioridazine carries an FDA black-box warning for dose-dependent QT prolongation and torsades de pointes.<\/strong> Reports of sudden cardiac death at therapeutic doses. <strong>Pre-treatment ECG mandatory.<\/strong> Contraindicated in known long QT, conduction abnormality, hypokalaemia, hypomagnesaemia, on other QT-prolonging therapy, in CYP2D6 poor metabolisers, and in concurrent strong CYP2D6 inhibitors (paroxetine, fluoxetine, bupropion, quinidine \u2014 all dramatically raise thioridazine levels). Many regulatory agencies have withdrawn thioridazine from the market or restricted to last-resort use; <strong>switch to a safer atypical wherever clinically possible<\/strong>.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Anticholinerg terhel\u00e9s, nyugtat\u00e1s, ortosztatikus hypot\u00f3nia<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Minden fenotiazin jelent\u0151s anticholinerg, antihisztamin \u00e9s \u03b11-blokkol\u00f3 hat\u00e1ssal rendelkezik. K\u00fcl\u00f6n\u00f6sen probl\u00e9m\u00e1s id\u0151sebbekn\u00e9l \u2014 es\u00e9sek, delirium, vizeletretenci\u00f3 \u00e9s sz\u00e9kreked\u00e9s gyakori. Ker\u00fclend\u0151 demenci\u00e1ban, BPH-ben, sz\u0171k sz\u00f6g\u0171 glauk\u00f3m\u00e1ban, s\u00falyos m\u00e1jbetegs\u00e9gben.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>F\u00e9ny\u00e9rz\u00e9kenys\u00e9g \u00e9s b\u0151rpigment\u00e1ci\u00f3<\/strong><\/p>\n<p style=\"margin-bottom:0;\">A fenotiazinok f\u00e9ny\u00e9rz\u00e9kenys\u00e9get okoznak (s\u00falyos nap\u00e9g\u00e9s) \u00e9s hossz\u00fa t\u00e1v\u00fa haszn\u00e1lat sor\u00e1n k\u00e9kes-sz\u00fcrke b\u0151rpigment\u00e1ci\u00f3t, valamint ritka lencse\/szaruh\u00e1rtya pigment\u00e1ci\u00f3t (k\u00fcl\u00f6n\u00f6sen klorpromazin). Napv\u00e9delem k\u00f6telez\u0151.<\/p>\n<\/div>\n<h2>Gyakori mell\u00e9khat\u00e1sok<\/h2>\n<ul>\n<li><strong>Sedation<\/strong> \u2014 univerz\u00e1lis.<\/li>\n<li><strong>Ortosztatikus hypot\u00f3nia<\/strong> \u2014 er\u0151s \u03b11-blokkol\u00e1s.<\/li>\n<li><strong>Anticholinerg<\/strong> \u2014 sz\u00e1jsz\u00e1razs\u00e1g, sz\u00e9kreked\u00e9s, vizelet\u00fcr\u00edt\u00e9si neh\u00e9zs\u00e9g, l\u00e1t\u00e1scs\u00f6kken\u00e9s.<\/li>\n<li><strong>EPS \/ tardive dyskinesia<\/strong> \u2014 jelent\u0151s.<\/li>\n<li><strong>Hyperprolaktinaemia<\/strong> \u2014 er\u0151s.<\/li>\n<li><strong>S\u00falygyarapod\u00e1s<\/strong> \u2014 m\u00e9rs\u00e9kelt.<\/li>\n<li><strong>QT-intervallum meghosszabbod\u00e1s<\/strong> \u2014 jelen van mindkett\u0151ben, s\u00falyos a tioridazin eset\u00e9ben.<\/li>\n<li><strong>F\u00e9ny\u00e9rz\u00e9kenys\u00e9g<\/strong> \u2014 univerz\u00e1lis.<\/li>\n<li><strong>Kolesztatikus hepatitis (ritka, idioszinkratikus)<\/strong> \u2014 k\u00fcl\u00f6n\u00f6sen klorpromazin.<\/li>\n<\/ul>\n<h2>Gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1sok<\/h2>\n<ul>\n<li><strong>Egy\u00e9b QT-idej\u00e9t meghosszabb\u00edt\u00f3 gy\u00f3gyszerek<\/strong> \u2014 addit\u00edv kock\u00e1zat; ker\u00fclje a kombin\u00e1l\u00e1st.<\/li>\n<li><strong>Er\u0151s CYP2D6 g\u00e1tl\u00f3k<\/strong> (paroxetin, fluoxetin, bupropion, kinidin) \u2014 jelent\u0151sen n\u00f6veli a szintet; abszol\u00fat kontraindik\u00e1ci\u00f3 a tioridazin eset\u00e9ben.<\/li>\n<li><strong>Antihipertenz\u00edv szerek<\/strong> \u2014 er\u0151s addit\u00edv hypot\u00f3nia.<\/li>\n<li><strong>Anticholinerg szerek<\/strong> \u2014 addit\u00edv terhel\u00e9s.<\/li>\n<li><strong>KNS depressz\u00e1nsok<\/strong> \u2014 addit\u00edv nyugtat\u00e1s.<\/li>\n<li><strong>Levodopa<\/strong> \u2013 antagonizmus; ker\u00fclend\u0151 Parkinson-k\u00f3rban.<\/li>\n<\/ul>\n<h2>Terhess\u00e9g, szoptat\u00e1s, gyermekkori kor<\/h2>\n<p>Terhess\u00e9g: korl\u00e1tozott adatok; a klorpromazint t\u00f6rt\u00e9nelmileg \u00f3vatosan alkalmazt\u00e1k hyperemesis eset\u00e9n. Szoptat\u00e1s: \u00e1tjut a tejbe; \u00e1ltal\u00e1ban ker\u00fclik. Gyermekkor: nem els\u0151 vonalbeli; a klorpromazint n\u00e9ha alacsony d\u00f3zisban alkalmazz\u00e1k s\u00falyos gyermekkori agit\u00e1ci\u00f3 eset\u00e9n szak\u00e9rt\u0151i fel\u00fcgyelet mellett.<\/p>\n<h2>T\u00e1rol\u00e1s<\/h2>\n<p>15\u201330 \u00b0C k\u00f6z\u00f6tt, f\u00e9nyt\u0151l v\u00e9dve, eredeti csomagol\u00e1sban t\u00e1roljuk.<\/p>\n<h2 id=\"faqs\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/h2>\n<h3>Why is thioridazine considered second-line now?<\/h3>\n<p>Thioridazine carries an FDA black-box warning for dose-dependent fatal QT prolongation. Atypical antipsychotics achieve similar antipsychotic effect with much less cardiac risk, less anticholinergic burden, and lower TD rates. Thioridazine is therefore reserved for treatment-refractory schizophrenia where atypicals and other typicals have failed.<\/p>\n<h3>Is thioridazine safe in older adults?<\/h3>\n<p>\u00c1ltal\u00e1ban nem el\u0151ny\u00f6s \u2013 az antikolinerg terhel\u00e9s, az es\u00e9sek, az ortoszt\u00e1zis \u00e9s a TD kock\u00e1zata mind n\u00f6vekszik az \u00e9letkorral. A Beers-krit\u00e9riumok mindkett\u0151t potenci\u00e1lisan nem megfelel\u0151 gy\u00f3gyszernek jel\u00f6lik id\u0151sebb feln\u0151ttekn\u00e9l. Ha haszn\u00e1lj\u00e1k, alacsony d\u00f3zisban kezdj\u00e9k \u00e9s hetente \u00e9rt\u00e9kelj\u00e9k.<\/p>\n<h3>Will thioridazine cause tardive dyskinesia?<\/h3>\n<p>A tipikus antipszichotikumok kumulat\u00edv TD kock\u00e1zata k\u00f6r\u00fclbel\u00fcl 5%\/\u00e9v kitetts\u00e9g eset\u00e9n (at\u00edpusosokn\u00e1l kb. 1%\/\u00e9v). 5 \u00e9v tipikus antipszichotikum-kitetts\u00e9g ut\u00e1n a betegek kb. 25%-\u00e1n\u00e1l megjelennek valamilyen TD jelek. A kock\u00e1zat magasabb az \u00e9letkor \u00e9s a n\u0151i nem eset\u00e9n. A TD visszaford\u00edthatatlan lehet \u2013 v\u00e1ltson klozapinra vagy alacsony EPS-sel j\u00e1r\u00f3 at\u00edpusosra az els\u0151 jelek megjelen\u00e9sekor.<\/p>\n<h3>Why does thioridazine cause sun sensitivity?<\/h3>\n<p>A fenotiazinek a b\u0151rben lerak\u00f3dnak \u00e9s fotok\u00e9miai k\u00e1rosod\u00e1st szenvednek UV-sug\u00e1rz\u00e1s hat\u00e1s\u00e1ra \u2013 s\u00falyos nap\u00e9g\u00e9seket \u00e9s hossz\u00fa t\u00e1v\u00fa haszn\u00e1lat eset\u00e9n k\u00e9kes-sz\u00fcrke pigment\u00e1ci\u00f3t okozva. A naps\u00fct\u00e9s elker\u00fcl\u00e9se, v\u00e9d\u0151ruh\u00e1zat \u00e9s korl\u00e1tozott UV-kitetts\u00e9g k\u00f6telez\u0151.<\/p>\n<h3>Can thioridazine be stopped abruptly?<\/h3>\n<p>Fokozatosan cs\u00f6kkentend\u0151 2\u20134 h\u00e9t alatt. A hirtelen abbahagy\u00e1s kolinerg reboundot okozhat (h\u00e1nyinger, izzad\u00e1s, \u00e1lmatlans\u00e1g) \u00e9s antipszichotikus relapszust. A visszah\u00faz\u00f3d\u00e1si diszkin\u00e9zia felfedheti a gy\u00f3gyszer \u00e1ltal elnyomott TD-t is.<\/p>\n<h3>Will thioridazine interact with my other medications?<\/h3>\n<p>T\u00f6bb fontos k\u00f6lcs\u00f6nhat\u00e1s: (1) m\u00e1s QT-hosszabb\u00edt\u00f3 gy\u00f3gyszerek (addit\u00edv); (2) er\u0151s CYP2D6 g\u00e1tl\u00f3k, mint a paroxetin \u00e9s fluoxetin (jelent\u0151sen n\u00f6velik a szintet); (3) antihipertenz\u00edv szerek (addit\u00edv ortoszt\u00e1zis). Mindig ellen\u0151rizze a teljes gy\u00f3gyszerlist\u00e1t a fel\u00edr\u00f3val.<\/p>\n<h3>Why thioridazine for hiccups?<\/h3>\n<p>Not commonly used for hiccups \u2014 chlorpromazine is the phenothiazine of choice for that off-label indication.<\/p>\n<h3>How long until thioridazine works?<\/h3>\n<p>Nyugtat\u00f3 \u00e9s altat\u00f3 hat\u00e1s \u00f3r\u00e1kon bel\u00fcl. Antipszichotikus hat\u00e1s 1\u20132 h\u00e9t alatt a pozit\u00edv t\u00fcnetekre. Teljes hat\u00e1s 4\u20136 h\u00e9t m\u00falva.<\/p>\n<h3>Can thioridazine be used for short-term severe agitation?<\/h3>\n<p>No \u2014 thioridazine is not used for acute agitation. The QT risk and slower onset make it unsuitable.<\/p>\n<h3>Will thioridazine affect my driving?<\/h3>\n<p>Er\u0151s nyugtat\u00e1s az els\u0151 1\u20132 h\u00e9tben. A stabil d\u00f3zison l\u00e9v\u0151 betegek t\u00f6bbs\u00e9ge norm\u00e1lisan vezet, de az ortosztatikus hypot\u00f3nia \u00e9s a nyugtat\u00e1s tov\u00e1bbra is fennmaradhat.<\/p>\n<h2>Egy\u00e9b Pszich\u00e9s Eg\u00e9szs\u00e9g\u00fcgyi Gy\u00f3gyszerek<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/aripicon\/\">Aripicon (Aripiprazol \u2014 at\u00edpusos, alacsony EPS)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/risdone\/\">Risdone (Risperidon)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/olanzap\/\">Olanzap (Olanzapin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/sulpitac\/\">Sulpitac (Amiszulprid)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/skizoril\/\">Skizoril (Klozapin \u2014 ter\u00e1piarezisztens betegs\u00e9g)<\/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>Orvosi nyilatkozat.<\/strong> Ez az oldal t\u00e1j\u00e9koztat\u00f3 jelleg\u0171, \u00e9s nem helyettes\u00edti az egy\u00e9ni orvosi tan\u00e1csad\u00e1st. A pszich\u00e9s eg\u00e9szs\u00e9g\u00fcgyi gy\u00f3gyszeres kezel\u00e9st k\u00e9pzett szakorvosnak kell kezdem\u00e9nyeznie, monitoroznia \u00e9s m\u00f3dos\u00edtania. Ha \u00d6n vagy valaki, akit ismer, \u00f6ngyilkoss\u00e1gi v\u00e1ls\u00e1gban van, azonnal l\u00e9pjen kapcsolatba a helyi v\u00e9szhelyzeti szolg\u00e1latokkal, vagy h\u00edvja az orsz\u00e1g \u00f6ngyilkoss\u00e1g-megel\u0151z\u0151 seg\u00e9lyvonal\u00e1t (USA\/Kanada: 988; UK: Samaritans 116 123; nemzetk\u00f6zi lista: <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Thioril (Thioridazine 10\/25\/100 mg) \u2014 piperidine phenothiazine for treatment-refractory schizophrenia. last-resort second-line \u2014 FDA black-box for fatal QT prolongation.<\/p>","protected":false},"featured_media":61085,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[4974,4975,4976],"class_list":{"0":"post-61084","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-thioridazine","10":"product_tag-thioridazine-hydrochloride","11":"product_tag-thioril","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product\/61084","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/comments?post=61084"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/61085"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=61084"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=61084"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=61084"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=61084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}