Product image of Largactil (Chlorpromazine Hydrochloride) supplied by GNH India

Largactil

Active Ingredient:
Chlorpromazine Hydrochloride
Origin:
EU

Largactil (Chlorpromazine Hydrochloride)

Chlorpromazine Hydrochloride, the active ingredient in Largactil, is a phenothiazine presented as an injectable solution for intramuscular or intravenous use. It is employed in the management of schizophrenia, acute psychosis and severe agitation, primarily in adult patients requiring rapid control of symptoms.

GNH India supplies Largactil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Neuraxpharm France

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Indications & Clinical Uses

Largactil, a phenothiazine antipsychotic, is used to treat disorders involving dopaminergic overactivity.

  • Schizophrenia: reduces psychotic symptoms such as delusions, hallucinations and thought disorder.
  • Acute psychosis: provides rapid symptom control during severe episodes.
  • Severe agitation: calms extreme restlessness and aggression in psychiatric emergencies.

How It Works

  • Chlorpromazine hydrochloride acts as a dopamine D2 receptor antagonist, diminishing dopaminergic neurotransmission in the central nervous system. It also blocks histamine H1, muscarinic acetylcholine, and alpha‑adrenergic receptors, contributing to its sedative, anticholinergic, and hypotensive effects, which together help control psychotic and agitation states.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Drowsiness: feeling unusually sleepy or fatigued.
  • Dry mouth: reduced salivation leading to discomfort.
  • Constipation: slowed gastrointestinal motility.
  • Orthostatic hypotension: dizziness upon standing.
  • Weight gain: increased appetite and body weight.
  • Blurred vision: temporary visual disturbances.

Serious or Rare Side Effects

  • Extrapyramidal symptoms: muscle rigidity, tremor, or abnormal movements.
  • Neuroleptic malignant syndrome: high fever, muscle rigidity, autonomic instability.
  • Tardive dyskinesia: persistent involuntary facial movements.
  • Severe hypotension: sudden drop in blood pressure.
  • Agranulocytosis: markedly reduced white blood cell count.
  • Cardiac arrhythmias: irregular heart rhythms.

Precautions & Warnings

Before initiating therapy, consider patient‑specific factors and monitor for adverse events.

  • Cardiac assessment: evaluate for pre‑existing heart disease or conduction abnormalities.
  • Metabolic monitoring: watch for weight gain, glucose intolerance and lipid changes.
  • CNS depression: avoid concurrent sedatives that may enhance drowsiness.
  • Elderly patients: start with lower doses and monitor for falls.
  • Pregnancy and lactation: use only if benefits outweigh potential risks.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Chlorpromazine may interact with several drug classes, altering efficacy or safety.

Major Interactions (Avoid)

  • CNS depressants (e.g., benzodiazepines, opioids): risk of profound sedation and respiratory depression.
  • Antihypertensives (e.g., alpha‑blockers): additive hypotensive effect.
  • QT‑prolonging agents (e.g., certain antiarrhythmics): increased risk of cardiac arrhythmias.

Moderate Interactions (Monitor Closely)

  • Anticholinergic drugs (e.g., antihistamines): heightened anticholinergic burden.
  • CYP2D6 inhibitors (e.g., fluoxetine): may raise chlorpromazine plasma levels.
  • Lithium: potential for neurotoxic effects.

Frequently Asked Questions

Largactil, containing chlorpromazine hydrochloride, is indicated for the management of schizophrenia, acute psychotic episodes, and severe agitation. It helps control hallucinations, delusions, and extreme restlessness, providing symptom relief in adult patients who require rapid therapeutic effect.

Chlorpromazine hydrochloride blocks dopamine D2 receptors, reducing dopaminergic activity that contributes to psychosis. It also antagonizes histamine, muscarinic, and alpha‑adrenergic receptors, which adds sedative, anticholinergic, and blood‑pressure‑lowering properties, collectively helping to calm severe psychiatric symptoms.

The specific dose of Largactil is determined by the prescribing clinician based on the individual’s clinical condition, severity of symptoms, and response to therapy. Healthcare professionals adjust the amount and frequency to achieve optimal therapeutic benefit while minimizing adverse effects.

Safety of Largactil in pregnancy or while nursing has not been definitively established. It should be used only if the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare provider after careful assessment.

To request Largactil, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Largactil belongs to the phenothiazine class, a typical antipsychotic, and differs from atypical agents by primarily blocking dopamine D2 receptors. It often provides rapid sedation, which can be advantageous in acute agitation, but may have a higher incidence of extrapyramidal side effects compared with newer atypical antipsychotics.

Largactil should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the product from moisture and direct light to maintain stability. Do not freeze or expose it to extreme temperatures.

Largactil is supplied as an injectable solution for intramuscular or intravenous administration. The route, injection site, and infusion rate are selected by the treating clinician according to the clinical situation and patient tolerance.

Serious risks include extrapyramidal symptoms such as severe muscle rigidity, neuroleptic malignant syndrome, tardive dyskinesia, significant hypotension, agranulocytosis, and cardiac arrhythmias. Prompt medical attention is required if any of these events are suspected.

Largactil is contraindicated in patients with known hypersensitivity to chlorpromazine or any phenothiazine component, those with severe cardiovascular disease that could be worsened by hypotension, and individuals with a history of malignant hyperthermia. Caution is also advised for patients with existing neurological disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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