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

Largactil

Active Ingredient:
Chlorpromazine Hydrochloride
Origin:
EU

Largactil (Chlorpromazine Hydrochloride)

Chlorpromazine, the active ingredient in Largactil, is a phenothiazine antipsychotic presented as an injectable formulation for intramuscular and intravenous use. It is employed to manage schizophrenia, acute psychosis, severe agitation, and nausea or vomiting in adult patients.

GNH India supplies Largactil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to EU quality standards and providing reliable logistics for bulk and individual orders, with regulatory compliance, temperature‑controlled shipping where required, and responsive customer support throughout the supply chain.

Manufacturer / TM Owner

Teofarma S.R.L.

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Indications & Clinical Uses

Chlorpromazine is a phenothiazine antipsychotic used to treat several psychiatric and gastrointestinal conditions.

  • Schizophrenia: reduces psychotic symptoms such as delusions, hallucinations and thought disorder.
  • Acute psychosis: provides rapid calming and symptom control during severe episodes.
  • Severe agitation: calms intense restlessness and aggressive behavior.
  • Nausea and vomiting: blocks central pathways to alleviate refractory emesis.

How It Works

  • Chlorpromazine blocks dopamine D2 receptors in the mesolimbic pathway, diminishing dopaminergic neurotransmission that underlies psychotic symptoms. It also antagonizes histamine H1, muscarinic, and alpha‑adrenergic receptors, contributing to its sedative, anti‑emetic, and anticholinergic effects.

Side Effects

Adverse reactions may occur with chlorpromazine therapy.

Common Side Effects

  • Drowsiness: feeling unusually sleepy or fatigued.
  • Dry mouth: reduced salivation leading to oral discomfort.
  • Orthostatic hypotension: dizziness upon standing due to blood pressure drop.
  • Weight gain: increase in body weight over time.
  • Constipation: slowed gastrointestinal motility.
  • Blurred vision: temporary visual disturbances.

Serious or Rare Side Effects

  • Extrapyramidal symptoms: muscle rigidity, tremor, or involuntary movements.
  • Neuroleptic malignant syndrome: life‑threatening fever, rigidity and autonomic instability.
  • Tardive dyskinesia: persistent involuntary facial or limb movements.
  • Severe hypotension: marked drop in blood pressure causing fainting.
  • Agranulocytosis: dangerous reduction in white blood cells.
  • Cardiac arrhythmias: irregular heart rhythms, especially with pre‑existing heart disease.

Precautions & Warnings

Chlorpromazine requires careful monitoring in several clinical situations.

  • Cardiac monitoring: observe for QT prolongation and arrhythmias.
  • CNS depression: avoid concurrent sedatives that may enhance drowsiness.
  • Elderly patients: start low and watch for confusion or falls.
  • Liver impairment: adjust dose if hepatic function is reduced.
  • Store at ambient temperature: keep below 25°C in the original container, protect from moisture and light.

Avoid Interactions

Chlorpromazine can interact with a range of medicines.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors: risk of hypertensive crisis.
  • Anticholinergic drugs: may exacerbate dry mouth and constipation.
  • QT‑prolonging agents: increase chance of serious cardiac arrhythmias.

Moderate Interactions (Monitor Closely)

  • CNS depressants (benzodiazepines, opioids): enhanced sedation.
  • CYP2D6 inhibitors (e.g., fluoxetine): may raise chlorpromazine levels.
  • Antihypertensives: additive blood pressure lowering effect.

Frequently Asked Questions

Largactil, containing chlorpromazine, is prescribed for schizophrenia, acute psychotic episodes, severe agitation, and for controlling nausea or vomiting that does not respond to other therapies. It is used in adult patients when a phenothiazine antipsychotic is indicated.

Chlorpromazine blocks dopamine D2 receptors in the brain, reducing excess dopaminergic activity that contributes to psychosis. It also antagonizes histamine, muscarinic, and alpha‑adrenergic receptors, which adds sedative, anti‑emetic, and blood‑pressure‑lowering effects.

The appropriate dose of Largactil is determined by the prescribing clinician based on the patient’s condition, severity, age, weight, and response to therapy. Dosage adjustments may be needed for renal or hepatic impairment, and the prescriber will provide specific instructions.

Chlorpromazine is classified as Pregnancy Category B, indicating no proven risk in animal studies but limited human data. It should be used only if the potential benefit justifies any potential risk to the fetus. Breastfeeding mothers should consult their physician, as the drug can pass into milk.

To place an order, 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 and any necessary import documentation.

Largactil (chlorpromazine) is a first‑generation, phenothiazine antipsychotic. Compared with newer atypical agents, it has a broader receptor profile, leading to more pronounced sedation, anticholinergic effects, and risk of extrapyramidal symptoms, but it remains effective for acute agitation and refractory nausea.

Largactil should be stored at ambient temperature, preferably below 25 °C, in its original packaging. Keep it away from moisture, direct sunlight, and sources of heat. Do not freeze the product, and ensure the container is tightly closed when not in use.

Largactil is supplied as an injectable solution for intramuscular or intravenous administration. The healthcare professional selects the route based on clinical need, injects the appropriate volume into a muscle or vein, and monitors the patient for therapeutic response and any adverse reactions.

Serious risks include extrapyramidal symptoms such as severe muscle rigidity, neuroleptic malignant syndrome—a rare but life‑threatening reaction with fever and autonomic instability—and cardiac arrhythmias, especially QT prolongation. Prompt medical attention is required if any of these occur.

Largactil is contraindicated in patients with known hypersensitivity to chlorpromazine or any phenothiazine, those with severe central nervous system depression, and individuals with a history of malignant hyperthermia. Caution is also advised for patients with uncontrolled cardiovascular disease, glaucoma, or significant hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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