{"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\/ro\/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 R\u0103spuns rapid<\/h3>\n<p style=\"margin-bottom:0;\">Orzine (Clorpromazin\u0103 10 \/ 100 mg) este un antipsihotic fenotiazinic de prim\u0103 genera\u021bie. Utilizat pentru schizofrenie, agita\u021bie sever\u0103, sughituri refractare, grea\u021b\u0103\/v\u0103rs\u0103turi severe \u0219i sedare pre-anestezie. Tipicele (FGA) sunt acum \u00een general pe locul doi \u00een spatele atipicelor.<\/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>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Orzine la MedsBase este furnizat direct de la un produc\u0103tor certificat WHO-GMP \u00een ambalaj simplu, discret. Fiecare comand\u0103 este acoperit\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> \u2014 perioad\u0103 de livrare de 20 de zile lucr\u0103toare sau retrimitem f\u0103r\u0103 costuri suplimentare \u2014 \u0219i se calific\u0103 pentru <a href=\"https:\/\/medsbase.com\/ro\/loyalty-points\/\">programul nostru de loialitate pentru clien\u021bi<\/a>. Livr\u0103rile sunt disponibile \u00een majoritatea destina\u021biilor la nivel mondial.<\/p>\n<h2>Ce este Orzine \u0219i cum func\u021bioneaz\u0103<\/h2>\n<p>Orzine este un comprimat de Clorpromazin\u0103 furnizat de Sun Pharma. Concentra\u021bii disponibile: <strong>10 \/ 100 mg<\/strong>.<\/p>\n<p>Clorpromazina a fost primul antipsihotic (1952) \u0219i r\u0103m\u00e2ne util\u0103 pentru agita\u021bie sever\u0103, sughituri refractare \u0219i psihoz\u0103 acut\u0103. Fenotiazina original\u0103 \u2014 sedare puternic\u0103, ac\u021biune anticolinergic\u0103 puternic\u0103, blocaj \u03b11 puternic \u0219i risc semnificativ de EPS \/ discinez\u0103 tardiv\u0103.<\/p>\n<h2>Indica\u021bii \u0219i dozaj<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indica\u021bie<\/th>\n<th>Doza ini\u021bial\u0103<\/th>\n<th>\u021aint\u0103<\/th>\n<th>Maxim<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Schizofrenie (adul\u021bi)<\/td>\n<td>25\u201350 mg de 3 ori pe zi<\/td>\n<td>200\u2013800 mg\/zi<\/td>\n<td>1000 mg<\/td>\n<\/tr>\n<tr>\n<td>Agita\u021bie sever\u0103 (IM)<\/td>\n<td>25\u201350 mg IM<\/td>\n<td>\u2014<\/td>\n<td>3 doze\/24h<\/td>\n<\/tr>\n<tr>\n<td>Hipc persistent<\/td>\n<td>25\u201350 mg de 3-4 ori\/zi pe cale oral\u0103<\/td>\n<td>\u2014<\/td>\n<td>50 mg de 4 ori\/zi<\/td>\n<\/tr>\n<tr>\n<td>Grea\u021b\u0103\/v\u0103rs\u0103turi severe<\/td>\n<td>10\u201325 mg la fiecare 4-6 ore pe cale oral\u0103<\/td>\n<td>\u2014<\/td>\n<td>\u2014<\/td>\n<\/tr>\n<tr>\n<td>Pacien\u021bi v\u00e2rstnici\/demen\u021b\u0103 (off-label, ultim\u0103 solu\u021bie)<\/td>\n<td>10 mg HS<\/td>\n<td>10\u201325 mg\/zi<\/td>\n<td>\u00een func\u021bie de tolerabilitate<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Considera\u021bii importante de siguran\u021b\u0103<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>FDA avertizare cutie neagr\u0103 pentru demen\u021b\u0103<\/strong><\/p>\n<p style=\"margin-bottom:0;\">La fel ca atipicele, toate antipsihoticele poart\u0103 avertizarea privind mortalitatea \u00een psihoza asociat\u0103 demen\u021bei.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Prelungire QT, EPS, discinezie tardiv\u0103<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Clorpromazina prelunge\u0219te QT (mai pu\u021bin dec\u00e2t tioridazina). EPS \u0219i discinezia tardiv\u0103 sunt mai frecvente dec\u00e2t la atipice. Riscul cumulativ de DT este de aproximativ 5%\/an de expunere.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>\u00cenc\u0103rc\u0103tur\u0103 anticolinergic\u0103, sedare, hipotensiune ortostatic\u0103<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Toate fenotiazinele au activitate anticolinergic\u0103, antihistaminic\u0103 \u0219i de blocare \u03b11 semnificativ\u0103. Deosebit de problematice la adul\u021bii \u00een v\u00e2rst\u0103 \u2014 c\u0103deri, delir, reten\u021bie urinar\u0103 \u0219i constipa\u021bie sunt frecvente. Evita\u021bi \u00een demen\u021b\u0103, HBP, glaucom cu unghi \u00eengust, afec\u021biuni hepatice severe.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Fotosensibilitate \u0219i pigmentare cutanat\u0103<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Fenotiazinele cauzeaz\u0103 fotosensibilitate (arsuri solare severe) \u0219i, la utilizarea pe termen lung, pigmentare cutanat\u0103 alb\u0103strui-gri, precum \u0219i pigmentare rar\u0103 a cristalinului\/corneei (clorpromazina \u00een special). Protec\u021bia solar\u0103 este obligatorie.<\/p>\n<\/div>\n<h2>Efecte secundare frecvente<\/h2>\n<ul>\n<li><strong>Sedare<\/strong> \u2014 universal.<\/li>\n<li><strong>Hipotensiune ortostatic\u0103<\/strong> \u2014 blocare puternic\u0103 \u03b11.<\/li>\n<li><strong>Anticolinergic<\/strong> \u2014 gur\u0103 uscat\u0103, constipa\u021bie, dificultate la urinare, vedere \u00eence\u021bo\u0219at\u0103.<\/li>\n<li><strong>EPS\/tardive dyskinezie<\/strong> \u2014 semnificativ.<\/li>\n<li><strong>Hiperprolactinemie<\/strong> \u2014 puternic.<\/li>\n<li><strong>Cre\u0219terea \u00een greutate<\/strong> \u2014 moderat.<\/li>\n<li><strong>Prelungirea intervalului QT<\/strong> \u2014 prezent la ambele, sever la tioridazin\u0103.<\/li>\n<li><strong>Fotosensibilitate<\/strong> \u2014 universal.<\/li>\n<li><strong>Hepatit\u0103 colestatic\u0103 (rar\u0103, idiosincratic\u0103)<\/strong> \u2014 \u00een special clorpromazin\u0103.<\/li>\n<\/ul>\n<h2>Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>Alte medicamente care prelungesc intervalul QT<\/strong> \u2014 risc aditiv; evita\u021bi combina\u021biile.<\/li>\n<li><strong>Inhibitori puternici ai CYP2D6<\/strong> (paroxetin\u0103, fluoxetin\u0103, bupropion, chinidin\u0103) \u2014 cresc nivelurile substan\u021bial; contraindica\u021bie absolut\u0103 pentru tioridazin\u0103.<\/li>\n<li><strong>Antihipertensive<\/strong> \u2014 hipotensiune aditiv\u0103 puternic\u0103.<\/li>\n<li><strong>Anticolinergice<\/strong> \u2014 povar\u0103 aditiv\u0103.<\/li>\n<li><strong>Depresante ale SNC<\/strong> \u2014 sedare aditiv\u0103.<\/li>\n<li><strong>Levodopa<\/strong> \u2014 antagonism; evita\u021bi \u00een boala Parkinson.<\/li>\n<\/ul>\n<h2>Sarcina, al\u0103ptare, pediatric<\/h2>\n<p>Sarcina: date limitate; clorpromazina a fost utilizat\u0103 istoric \u00een hiperemez\u0103 cu precau\u021bie. Al\u0103ptare: trece \u00een lapte; de obicei evitat\u0103. Pediatric: nu de prim\u0103 inten\u021b\u0103; clorpromazina folosit\u0103 ocazional la doze mici pentru agita\u021bie pediatric\u0103 sever\u0103 sub supraveghere specializat\u0103.<\/p>\n<h2>Depozitare<\/h2>\n<p>P\u0103stra\u021bi la 15\u201330 \u00b0C, departe de lumin\u0103, \u00een ambalajul original.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>De ce este clorpromazina considerat\u0103 acum de a doua inten\u021b\u0103?<\/h3>\n<p>Clorpromazina a fost primul antipsihotic eficient \u0219i r\u0103m\u00e2ne util\u0103, dar atipicele (olanzapin\u0103, risperidon\u0103, aripiprazol, lurasidon\u0103, quetiapin\u0103) au \u00een general rate mai mici de EPS\/TD \u0219i eficacitate similar\u0103 pentru simptomele pozitive. Clorpromazina p\u0103streaz\u0103 o ni\u0219\u0103 clinic\u0103 \u00een agita\u021bia acut\u0103 sever\u0103, sughi\u021burile refractare \u0219i greata\/v\u0103rs\u0103turile severe.<\/p>\n<h3>Este clorpromazina sigur\u0103 pentru adul\u021bii \u00een v\u00e2rst\u0103?<\/h3>\n<p>\u00cen general, nu este preferat\u0103 \u2014 riscul anticolinergic, c\u0103derile, ortostaza \u0219i riscul de discinez\u0103 tardiv\u0103 cresc cu v\u00e2rsta. Criteriile Beers le clasific\u0103 pe ambele ca medicamente poten\u021bial inadecvate pentru adul\u021bii \u00een v\u00e2rst\u0103. Dac\u0103 este utilizat\u0103, \u00eencepe\u021bi cu o doz\u0103 mic\u0103 \u0219i evalua\u021bi s\u0103pt\u0103m\u00e2nal.<\/p>\n<h3>Poate clorpromazina provoca discinez\u0103 tardiv\u0103?<\/h3>\n<p>Riscul cumulativ de discinez\u0103 tardiv\u0103 pentru antipsihoticele tipice este de aproximativ 5%\/an de expunere (la cele atipice aproximativ 1%\/an). Dup\u0103 5 ani de expunere la antipsihotice tipice, aproximativ 25% dintre pacien\u021bi dezvolt\u0103 semne de discinez\u0103 tardiv\u0103. Riscul este mai mare cu v\u00e2rsta \u0219i la sexul feminin. Discinezia tardiv\u0103 poate fi ireversibil\u0103 \u2014 trece\u021bi la clozapin\u0103 sau un antipsihotic atipic cu risc sc\u0103zut de efecte extrapiramidale la primele semne.<\/p>\n<h3>De ce provoac\u0103 clorpromazina sensibilitate la soare?<\/h3>\n<p>Fenotiazinele se depun \u00een piele \u0219i sufer\u0103 deteriorare foto-chimic\u0103 la expunerea la UV \u2014 produc\u00e2nd arsuri solare severe \u0219i, pe termen lung, pigmenta\u021bie albastru-gri. Protec\u021bia solar\u0103, \u00eembr\u0103c\u0103mintea protectoare \u0219i expunerea limitat\u0103 la UV sunt obligatorii.<\/p>\n<h3>Poate fi oprit\u0103 brusc clorpromazina?<\/h3>\n<p>Reduce\u021bi treptat pe parcursul a 2\u20134 s\u0103pt\u0103m\u00e2ni. \u00centreruperea brusc\u0103 poate provoca rebound colinergic (gre\u021buri, transpira\u021bii, insomnie) \u0219i recidiv\u0103 antipsihotic\u0103. Discinezia de sevrare poate de asemenea dezv\u0103lui discinez\u0103 tardiv\u0103 care era suprimat\u0103 de medicament.<\/p>\n<h3>Va interac\u021biona clorpromazina cu alte medicamente ale mele?<\/h3>\n<p>Mai multe interac\u021biuni importante: (1) alte medicamente care prelunge\u0219te intervalul QT (efect aditiv); (2) inhibitori puternici ai CYP2D6, cum ar fi paroxetina \u0219i fluoxetina (cresc nivelurile substan\u021bial); (3) antihpertensive (efect aditiv de ortostaz\u0103). Examina\u021bi \u00eentotdeauna lista complet\u0103 de medicamente cu prescriptorul.<\/p>\n<h3>De ce clorpromazina pentru sughi\u021b?<\/h3>\n<p>Clorpromazina este singurul medicament aprobat de FDA pentru sughi\u021bul refractar. Mecanismul este incert \u2014 probabil o combina\u021bie \u00eentre ac\u021biunea anticolinergic\u0103 central\u0103 \u0219i blocarea dopaminei pe arcul reflex al sughi\u021bului. Doza tipic\u0103 este de 25\u201350 mg de 3\u20134 ori pe zi pe cale oral\u0103; de obicei cu durat\u0103 limitat\u0103.<\/p>\n<h3>C\u00e2t dureaz\u0103 p\u00e2n\u0103 \u00eencepe s\u0103 ac\u021bioneze clorpromazina?<\/h3>\n<p>Efect calmant \u0219i sedativ \u00een c\u00e2teva ore. Efect antipsihotic \u00een 1\u20132 s\u0103pt\u0103m\u00e2ni pentru simptomele pozitive. Efect complet la 4\u20136 s\u0103pt\u0103m\u00e2ni.<\/p>\n<h3>Poate fi folosit\u0103 clorpromazina pentru agita\u021bie sever\u0103 pe termen scurt?<\/h3>\n<p>Da \u2014 clorpromazina IM este uneori utilizat\u0103 pentru agita\u021bia acut\u0103 sever\u0103 \u00een urgen\u021be psihiatrice. Atipicele mai noi (olanzapina IM, ziprasidona IM, aripiprazolul IM) \u0219i benzodiazepinele IM au \u00eenlocuit \u00een mare m\u0103sur\u0103 clorpromazina pentru aceast\u0103 indica\u021bie \u00een practica modern\u0103.<\/p>\n<h3>Va afecta clorpromazina capacitatea mea de a conduce?<\/h3>\n<p>Sedare puternic\u0103 \u00een primele 1\u20132 s\u0103pt\u0103m\u00e2ni. Majoritatea pacien\u021bilor la doze stabile conduc normal, dar hipotensiunea ortostatic\u0103 \u0219i sedarea pot persista.<\/p>\n<h2>Alte Medicamente pentru S\u0103n\u0103tatea Mintal\u0103<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/aripicon\/\">Aripicon (Aripiprazol \u2014 atipic, efecte extrapiramidale reduse)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/risdone\/\">Risdone (Risperidon\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/olanzap\/\">Olanzap (Olanzapin\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/sulpitac\/\">Sulpitac (Amisulprid\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/skizoril\/\">Skizoril (Clozapin\u0103 \u2014 boal\u0103 refractar\u0103)<\/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>Not\u0103 medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are scop educa\u021bional \u0219i nu \u00eenlocuie\u0219te sfatul medical personalizat. Farmacoterapia pentru s\u0103n\u0103tatea mintal\u0103 ar trebui ini\u021biat\u0103, monitorizat\u0103 \u0219i ajustat\u0103 de c\u0103tre un clinician calificat. Dac\u0103 tu sau cineva cunoscut se afl\u0103 \u00eentr-o criz\u0103 suicidal\u0103, contacteaz\u0103 imediat serviciile de urgen\u021b\u0103 locale sau sun\u0103 la linia de preven\u021bie a suicidului din \u021bara ta (SUA\/Canada: 988; UK: Samaritans 116 123; list\u0103 interna\u021bional\u0103: <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Orzine (Clorpromazin\u0103 10\/100 mg) \u2014 fenotiazin\u0103 de prim\u0103 genera\u021bie pentru schizofrenie, agita\u021bie sever\u0103, sughituri refractare. primul antipsihotic vreodat\u0103 (1952) \u2014 FGA de ni\u0219\u0103 util.<\/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\/ro\/wp-json\/wp\/v2\/product\/56116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=56116"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/56117"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=56116"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=56116"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=56116"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=56116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}