{"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\/nb\/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 Raskt svar<\/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>Hva du f\u00e5r med MedsBase:<\/strong> WHO-GMP-sertifisert produsent \u00b7 Diskret emballasje \u00b7 Verdensomspennende levering \u00b7 1 400+ verifiserte <a href=\"https:\/\/medsbase.com\/nb\/reviews\/\">kundeanmeldelser<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Hver ordre er dekket av v\u00e5r <a href=\"https:\/\/medsbase.com\/nb\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 hvis pakken din ikke ankommer innen 20 virkedager, sender vi ny.<\/p>\n<h3>Hvorfor bestille fra MedsBase<\/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\/nb\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a> \u2014 20 virkedagers leveringsvindu eller vi sender p\u00e5 nytt uten ekstra kostnad \u2014 og kvalifiserer for v\u00e5rt <a href=\"https:\/\/medsbase.com\/nb\/loyalty-points\/\">kundelojalitetsprogram<\/a>. Verdensomspennende shipping er tilgjengelig til de fleste destinasjoner.<\/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>Indikasjoner og dosering<\/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>Viktige sikkerhetshensyn<\/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>Antikolinerg byrde, sedering, ortostatisk hypotensjon<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Alle fenotiaziner har betydelig antikolinerg, antihistamin og \u03b11-blokkerende aktivitet. Spesielt problematisk hos eldre \u2014 fall, delirium, urinretensjon og forstoppelse er vanlig. Unng\u00e5 ved demens, BPH, smalkvinkelglaukom og alvorlig leversykdom.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Fotosensitivitet og hudpigmentering<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Fenotiaziner for\u00e5rsaker fotosensitivitet (alvorlige solbrenninger) og ved langtidsbruk bl\u00e5gr\u00e5 hudpigmentering, samt sjelden linse-\/hornhinnepigmentering (spesielt klorpromazin). Solbeskyttelse er obligatorisk.<\/p>\n<\/div>\n<h2>Vanlige bivirkninger<\/h2>\n<ul>\n<li><strong>Sedering<\/strong> \u2014 universell.<\/li>\n<li><strong>Orthostatisk hypotensjon<\/strong> \u2014 sterk \u03b11-blokkering.<\/li>\n<li><strong>Antikolinerg<\/strong> \u2014 t\u00f8rr munn, forstoppelse, vansker med \u00e5 urinere, synsforstyrrelser.<\/li>\n<li><strong>EPS \/ tardiv dyskinesi<\/strong> \u2014 betydelig.<\/li>\n<li><strong>Hyperprolaktinemi<\/strong> \u2014 sterk.<\/li>\n<li><strong>Vekt\u00f8kning<\/strong> \u2014 moderat.<\/li>\n<li><strong>QT-forlengelse<\/strong> \u2014 forekommer hos begge, alvorlig ved tioridazin.<\/li>\n<li><strong>Fotosensitivitet<\/strong> \u2014 universell.<\/li>\n<li><strong>Kolestatisk hepatitt (sjelden, idiosynkratisk)<\/strong> \u2014 spesielt klorpromazin.<\/li>\n<\/ul>\n<h2>Legemiddelinteraksjoner<\/h2>\n<ul>\n<li><strong>Andre QT-forlengende legemidler<\/strong> \u2014 additiv risiko; unng\u00e5 kombinasjoner.<\/li>\n<li><strong>Sterke CYP2D6-hemmere<\/strong> (paroksetin, fluoksetin, bupropion, kinidin) \u2014 \u00f8ker niv\u00e5ene betydelig; absolutt kontraindikasjon for tioridazin.<\/li>\n<li><strong>Antihypertensiva<\/strong> \u2014 sterk additiv hypotensjon.<\/li>\n<li><strong>Antikolinergika<\/strong> \u2014 additiv belastning.<\/li>\n<li><strong>CNS-depressiva<\/strong> \u2014 additiv sedering.<\/li>\n<li><strong>Levodopa<\/strong> \u2014 antagonisme; unng\u00e5 ved Parkinsons.<\/li>\n<\/ul>\n<h2>Graviditet, amming, pediatri<\/h2>\n<p>Graviditet: begrenset data; klorpromazin har historisk blitt brukt ved hyperemesis med forsiktighet. Amming: g\u00e5r over i morsmelk; vanligvis unng\u00e5tt. Pediatri: ikke f\u00f8rstevalg; klorpromazin brukes av og til i lave doser ved alvorlig pediatrisk agitasjon under spesialistveiledning.<\/p>\n<h2>Oppbevaring<\/h2>\n<p>Oppbevares ved 15\u201330 \u00b0C, beskyttet mot lys, i originalemballasje.<\/p>\n<h2 id=\"faqs\">Vanlige sp\u00f8rsm\u00e5l<\/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>Generelt ikke foretrukket \u2014 antikolinerg belastning, fall, ortostase og TD-risiko \u00f8ker alle med alderen. Beers-kriteriene markerer begge som potensielt upassende legemidler for eldre. Hvis det brukes, start med lav dose og vurder ukentlig.<\/p>\n<h3>Will thioridazine cause tardive dyskinesia?<\/h3>\n<p>Kumulativ TD-risiko for typiske antipsykotika er omtrent 5% per eksponerings\u00e5r (atypiske omtrent 1% per \u00e5r). Etter 5 \u00e5r med eksponering for typiske antipsykotika, utvikler omtrent 25% av pasientene noen TD-tegn. Risikoen er h\u00f8yere med alder og kvinnelig kj\u00f8nn. TD kan v\u00e6re irreversibel \u2014 bytt til klozapin eller et lav-EPS atypisk middel ved de f\u00f8rste tegnene.<\/p>\n<h3>Why does thioridazine cause sun sensitivity?<\/h3>\n<p>Fenotiasiner avsettes i huden og gjennomg\u00e5r fotokjemisk skade ved UV-eksponering \u2014 noe som f\u00f8rer til alvorlige solbrenninger og, ved langtidsbruk, bl\u00e5-gr\u00e5 pigmentering. Solkrem, beskyttende kl\u00e6r og begrenset UV-eksponering er obligatorisk.<\/p>\n<h3>Can thioridazine be stopped abruptly?<\/h3>\n<p>Avtrapping over 2\u20134 uker. Plutselig opph\u00f8r kan gi kolinerge reboundeffekter (kvalme, svetting, s\u00f8vnl\u00f8shet) og tilbakefall av psykotiske symptomer. Opptredende dyskinesier kan ogs\u00e5 avdekke tardiv dyskinesi som ble dempet av medikamentet.<\/p>\n<h3>Will thioridazine interact with my other medications?<\/h3>\n<p>Flere viktige interaksjoner: (1) andre QT-forlengende legemidler (additiv effekt); (2) sterke CYP2D6-hemmere som paroksetin og fluoksetin (\u00f8ker niv\u00e5ene betydelig); (3) antihypertensiva (additiv ortostatisk effekt). Gjennomg\u00e5 alltid hele medikasjonslisten med legen.<\/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>Beroligende og sedativ effekt innen timer. Antipsykotisk effekt over 1\u20132 uker for positive symptomer. Full effekt etter 4\u20136 uker.<\/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>Kraftig sedering i de f\u00f8rste 1\u20132 ukene. De fleste pasienter med stabile doser kj\u00f8rer normalt, men ortostatisk hypotensi og sedering kan vedvare.<\/p>\n<h2>Andre psykofarmaka<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nb\/aripicon\/\">Aripicon (Aripiprazol \u2014 atypisk, lav EPS)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/risdone\/\">Risdone (Risperidon)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/olanzap\/\">Olanzap (Olanzapin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/sulpitac\/\">Sulpitac (Amisulprid)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/skizoril\/\">Skizoril (Klozapin \u2014 refrakt\u00e6r sykdom)<\/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>Medisinsk ansvarsfraskrivelse.<\/strong> Denne siden er kun til informasjon og er ikke erstatning for individuell medisinsk r\u00e5dgivning. Behandling med psykofarmaka b\u00f8r startes, overv\u00e5kes og justeres av en kvalifisert lege. Hvis du eller noen du kjenner er i selvmordskrise, kontakt lokal akuttmedisinsk tjeneste umiddelbart, eller ring landets selvmordsforebyggende hjelpelinje (USA\/Canada: 988; Storbritannia: Samaritans 116 123; internasjonal liste: <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\/nb\/wp-json\/wp\/v2\/product\/61084","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/comments?post=61084"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/media\/61085"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/media?parent=61084"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_brand?post=61084"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_cat?post=61084"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_tag?post=61084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}