{"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\/ro\/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 R\u0103spuns rapid<\/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>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>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\/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>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>Indica\u021bii \u0219i dozaj<\/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>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 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>\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>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>\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>Will thioridazine cause tardive dyskinesia?<\/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>Why does thioridazine cause sun sensitivity?<\/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>Can thioridazine be stopped abruptly?<\/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>Will thioridazine interact with my other medications?<\/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>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>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>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>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>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\/ro\/wp-json\/wp\/v2\/product\/61084","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=61084"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/61085"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=61084"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=61084"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=61084"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=61084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}