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Compazine

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Compazine (Prochlorperazine) is an antiemetic medication used to treat severe nausea, vomiting, and certain vestibular issues. It helps adults restore digestive comfort during periods of illness. The medication works by blocking specific signals in the nervous system that trigger the urge to vomit.


Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Prochlorperazine
Reference Brand
Stemetil
Manufacturer
GlaxoSmithKline
Product Form
Tablet, Injection, Suppository, Buccal tablet
Regulatory Classification
Rx
Primary Category
Anti-Sickness, Mental Health Support
Product Category
Antiemetics, Antipsychotics, Phenothiazines
Pharmacological Class
Dopamine D2 receptor antagonist
Manufacturer Description
Commonly used to control severe nausea and vomiting or to manage balance disorders and certain mental health conditions.
Mechanism of Action
It blocks dopamine receptors in the brain. For sickness, it acts on the 'vomiting centre' of the brain to stop nausea messages. For mental health, it regulates mood by balancing dopamine levels.
Route of Administration
Oral
Onset Time
30-60 minutes
Duration
6-8 hours
Contraindications
Hypersensitivity to phenothiazines, Bone marrow depression, Closed-angle glaucoma, Parkinson’s disease
Severe Adverse Events
Tardive dyskinesia, Neuroleptic malignant syndrome, Jaundice, Irregular heartbeat
Common Side Effects
Drowsiness, Dry mouth, Blurred vision
Uncommon Side Effects
Headache, Constipation, Stuffy nose
Drug Interactions
Lithium, Antacids, Propranolol, Alcohol, Levodopa
Pregnancy Safety Warnings
Avoid during pregnancy unless symptoms are severe and no alternative exists.
Age Restrictions
Not recommended for children under 10kg or very young children.
Storage Guidelines
Store below 25°C, protected from light.
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Compazine FAQ

Can I take Compazine if I am pregnant?

Prochlorperazine is classified as a Category C drug in the UK, meaning it should only be used during pregnancy if the potential benefit justifies the possible risk to the fetus. Discuss your individual situation with a healthcare professional before deciding.

Will Compazine cause weight gain?

Weight changes are not a common side effect of prochlorperazine. However, some patients report increased appetite or mild weight fluctuations, usually related to changes in nausea control rather than a direct drug effect.

How does Compazine differ from metoclopramide?

Both drugs are dopamine antagonists used for nausea, but prochlorperazine (Compazine) generally has a stronger antipsychotic profile and may cause more extrapyramidal side effects. Metoclopramide also promotes gastric emptying, which prochlorperazine does not.

What should I do if I experience severe dizziness while taking Compazine?

Severe dizziness may indicate excessive sedation or a drop in blood pressure. Sit or lie down immediately, avoid standing quickly, and contact your prescriber to review the dose or consider an alternative therapy.

Is it safe to drink alcohol while on Compazine?

Alcohol can enhance the sedative effects of prochlorperazine, increasing the risk of drowsiness and impaired judgment. It is advisable to limit or avoid alcohol until you understand how the medication affects you.

Can Compazine be taken with other anti-nausea medications?

Concurrent use of multiple anti-emetics should be coordinated by a clinician, as combined dopamine blockade can raise the risk of side effects such as extrapyramidal symptoms or excessive sedation.

What are the inert ingredients in the Compazine tablet?

Typical inactive components include lactose, microcrystalline cellulose, and magnesium stearate. Patients with lactose intolerance should verify the exact formulation with their pharmacist.

Does Compazine show up on drug tests for pilots or athletes?

Prochlorperazine is not listed as a prohibited substance by the World Anti-Doping Agency (WADA). However, pilots may be subject to specific aviation medical regulations; they should disclose all medications to the licensing authority.

How long can I store Compazine after opening the bottle?

The tablet remains stable as long as it is kept in its original container, tightly sealed, and stored at room temperature. Once past the printed expiry date, the medication should be disposed of safely.

Are there any cost-saving options for Compazine in the UK?

When a brand name becomes expensive, physicians may consider prescribing the generic form (prochlorperazine 5 mg tablets), which is typically less costly. Discuss pricing options with your pharmacist or GP.

What is Compazine?

Compazine is a brand-name medication that contains prochlorperazine as its active ingredient. It is formulated as a 5 mg oral pill and is classified in the United Kingdom as a medication for digestive health, primarily used to treat nausea and vomiting. Compazine is a prescription-only product (POM) regulated by the Medicines and Healthcare products Regulatory Agency (MHRA).

How Compazine Works in the Body

Prochlorperazine belongs to the phenothiazine class of drugs. Its anti-nausea effect comes from:

  • Dopamine D₂ receptor blockade in the chemoreceptor trigger zone of the brain, reducing the signal that triggers vomiting.
  • Anticholinergic activity, which can further dampen nausea pathways.
  • Onset of action typically occurs within 30 minutes after ingestion, with peak effect at about 2 hours, and a duration of roughly 4-6 hours per dose.

These actions help control nausea caused by surgery, chemotherapy, migraine, or other gastrointestinal disturbances.

Conditions Treated by Compazine

Compazine is approved by the MHRA for the following indications:

  • Nausea and vomiting associated with surgery, chemotherapy, radiation therapy, or gastro-intestinal disorders.
  • Vertigo-related nausea when other treatments are ineffective.
  • Acute migraine with associated vomiting, as an adjunct to other migraine therapies.

The medication is intended for adult patients; use in children is limited and requires specialist supervision.

Evidence-Based Off-Label Uses

Some clinicians prescribe prochlorperazine for conditions that lie outside its official label, such as:

  • Psychotic agitation or severe anxiety when rapid tranquilization is needed.
  • Severe hiccups that do not respond to standard treatments.

These uses are not approved by the MHRA and should only be undertaken under the direct supervision of a qualified healthcare professional. Off-label prescribing requires an individualized risk-benefit assessment.

Who Should Not Use Compazine?

Absolute Contraindications

  • Known hypersensitivity to prochlorperazine or any phenothiazine component.
  • Severe central nervous system depression (e.g., coma).
  • Bone-marrow suppression or a history of agranulocytosis.

Relative Contraindications

  • Pregnancy: prochlorperazine is classified as a Category C drug; it should be used only if the potential benefit justifies the potential risk to the fetus.
  • Breast-feeding: caution is advised because the drug passes into breast milk.
  • Elderly patients: increased susceptibility to sedation and extrapyramidal symptoms; dose may need reduction.
  • Renal or hepatic impairment: dose adjustments may be required based on clinical judgment.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Dry mouth - often mild and improves with hydration.
  • Drowsiness or mild sedation - avoid operating heavy machinery until you know how the medication affects you.
  • Constipation - increase fluid intake and dietary fiber.
  • Blurred vision - report persistent visual changes to a clinician.

Serious Adverse Events

  • Extrapyramidal symptoms (EPS) such as tremor, rigidity, or uncontrollable muscle movements.
  • Neuroleptic malignant syndrome (NMS) - rare but life-threatening; symptoms include high fever, muscle rigidity, and autonomic instability.
  • QT-interval prolongation - may increase the risk of serious cardiac arrhythmias, especially in patients taking other QT-prolonging drugs.
  • Severe hypotension - can cause dizziness or fainting.

If any of these serious reactions occur, seek urgent medical attention.

Drug Interactions

  • CNS depressants (e.g., opioids, benzodiazepines) - additive sedation.
  • Anticholinergic agents - may worsen dry mouth and constipation.
  • Drugs that prolong the QT interval (e.g., certain antiarrhythmics, macrolide antibiotics) - heightened cardiac risk.
  • CYP2D6 inhibitors (e.g., fluoxetine, quinidine) - may increase prochlorperazine plasma levels.

Patients should disclose all current medications, over-the-counter products, and herbal supplements to their prescriber.

Food and Lifestyle Interactions

  • Alcohol can amplify drowsiness and should be limited while taking Compazine.
  • Driving or operating machinery: avoid until you know how the drug affects your alertness.
  • No specific dietary restrictions are required, but a balanced diet can help mitigate constipation.

How to Take Compazine

  • Standard dosing: The tablet is supplied as 5 mg. For acute nausea, an adult may be instructed to take 5 mg up to three or four times daily, not exceeding 40 mg per day. The exact regimen must be individualized by a healthcare professional.
  • Special populations:
  • Elderly - lower initial doses (e.g., 5 mg once or twice daily) are often preferred.
  • Renal or hepatic impairment - dose may be reduced; clinicians will adjust based on laboratory results.
  • Administration: Swallow the pill whole with a full glass of water. It can be taken with or without food; taking it with food may reduce stomach irritation.
  • Missed dose: If you miss a dose and it is less than 6 hours until the next scheduled dose, skip the missed tablet; do not double up.
  • Overdose: Symptoms may include severe drowsiness, low blood pressure, and cardiac arrhythmias. Call emergency services (999 in the UK) and provide the tablet strength (5 mg).
  • Discontinuation: Abrupt stopping is generally safe, but patients experiencing prolonged nausea should discuss tapering with a clinician to avoid rebound symptoms.

Monitoring and Follow-Up

  • Clinical monitoring for signs of EPS, NMS, or excessive sedation during the first few days of therapy.
  • Blood pressure and heart rate checks at baseline and periodically, especially in patients with cardiovascular disease.
  • Electrocardiogram (ECG) may be warranted for patients on multiple QT-prolonging agents.
  • Laboratory tests: routine blood counts are advisable for patients with a history of bone-marrow suppression.

Regular follow-up appointments allow the prescriber to assess effectiveness and adjust the dose as needed.

Storage and Handling

  • Store Compazine tablets at room temperature (15-25 °C), away from excess heat, moisture, and direct sunlight.
  • Keep the container tightly closed and out of reach of children.
  • Do not use the medication after the expiry date printed on the packaging.
  • Dispose of unused tablets according to local pharmacy take-back programs or the NHS Medicines Disposal guidelines.

Medication-Specific Glossary

Extrapyramidal Symptoms (EPS)
Involuntary muscle movements such as tremor, rigidity, or dystonia that can occur with dopamine-blocking agents like prochlorperazine.
Neuroleptic Malignant Syndrome (NMS)
A rare, potentially fatal reaction characterized by high fever, muscle rigidity, autonomic instability, and altered mental status, linked to antipsychotic medications.
QT Prolongation
Lengthening of the heart’s electrical repolarization period, which can predispose to dangerous arrhythmias; certain drugs, including prochlorperazine, may cause this effect.
Anticholinergic Activity
Blockade of the neurotransmitter acetylcholine, leading to side effects such as dry mouth, constipation, and blurred vision.
Phenothiazine
A chemical class of medications that includes prochlorperazine; they typically act as dopamine antagonists and have antipsychotic and antiemetic properties.

Medical Disclaimer

This article provides educational information about Compazine and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Compazine is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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