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 and intravenous use. It is employed to manage schizophrenia, acute psychotic episodes, severe agitation, and manic episodes in adult patients.
GNH India supplies Largactil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Neuraxpharm Spain, S.L.U.

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Indications & Clinical Uses

  • Chlorpromazine acts on central dopamine pathways and is indicated for several severe psychiatric conditions.
  • Schizophrenia: reduces psychotic symptoms and stabilises mood.
  • Acute psychotic episodes: rapidly controls hallucinations and delusions.
  • Severe agitation: calms extreme restlessness and aggression.
  • Manic episodes: diminishes elevated mood and hyperactivity.

How It Works

  • Chlorpromazine hydrochloride blocks dopamine D2 receptors and also antagonises histamine H1, muscarinic, and alpha‑adrenergic receptors. This broad receptor blockade reduces dopaminergic neurotransmission in mesolimbic pathways, leading to antipsychotic effects, while the additional antihistaminic, anticholinergic and vasodilatory actions contribute to its sedative and anti‑emetic properties.

Side Effects

Chlorpromazine may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Sedation or drowsiness.
  • Orthostatic hypotension.
  • Dry mouth and blurred vision due to anticholinergic activity.
  • Constipation.

Serious or Rare Side Effects

  • Neuroleptic malignant syndrome.
  • Tardive dyskinesia or other movement disorders.
  • Severe cardiac arrhythmias or QT prolongation.
  • Agranulocytosis or other blood dyscrasias.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Blood pressure monitoring: watch for orthostatic drops.
  • Cardiac assessment: evaluate for pre‑existing heart disease.
  • Movement disorder surveillance: monitor for early signs of tardive dyskinesia.
  • Hepatic and renal function: adjust use in impairment.
  • Discontinuation: taper gradually to avoid withdrawal effects.
  • Store at below 25°C: keep in original container, protect from light and moisture.

Avoid Interactions

Chlorpromazine can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • CNS depressants (e.g., barbiturates): may enhance sedation and respiratory depression.
  • Drugs that prolong QT interval (e.g., haloperidol): increase risk of cardiac arrhythmias.
  • MAO inhibitors: can cause hypertensive crises.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents: additive blood‑pressure lowering effect.
  • Antidiabetic drugs: may mask hypoglycaemia symptoms.
  • Other antipsychotics: risk of cumulative side‑effects such as extrapyramidal symptoms.

Frequently Asked Questions

Largactil, containing chlorpromazine hydrochloride, is prescribed for schizophrenia, acute psychotic episodes, severe agitation, and manic episodes. It helps control hallucinations, delusions, extreme restlessness, and mood elevation in adult patients under medical supervision.

Chlorpromazine blocks dopamine D2 receptors and also antagonises histamine, muscarinic, and alpha‑adrenergic receptors. This reduces dopaminergic activity in brain pathways responsible for psychosis while providing sedative, anti‑emetic, and vasodilatory effects that contribute to symptom control.

The dosage of Largactil is individualized by the prescribing clinician based on the patient’s condition, severity, and response. Dosing regimens are determined by the treating physician and may be adjusted over time.

Safety data for chlorpromazine in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. Use only if the potential benefit justifies the potential risk, and discuss with a healthcare professional before starting therapy.

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 and any necessary import documentation.

Largactil belongs to the phenothiazine class, offering broad receptor antagonism that provides strong sedative and anti‑emetic effects. Compared with newer atypical antipsychotics, it may have a higher incidence of movement‑related side effects but can be useful when rapid calming is needed or when cost considerations are paramount.

Largactil should be stored at temperatures below 25 °C, in its original packaging, protected from light and moisture. Maintaining these conditions helps preserve the stability and potency of the injectable solution.

Largactil is supplied as an injectable solution for intramuscular or intravenous administration. The route, injection site, and rate of infusion are determined by the prescribing clinician and should be performed by qualified healthcare personnel.

Serious risks include neuroleptic malignant syndrome, tardive dyskinesia, severe cardiac arrhythmias (including QT prolongation), and agranulocytosis. Patients should be monitored closely for signs such as high fever, muscle rigidity, irregular heartbeats, or unexplained infections.

Largactil is contraindicated in patients with known hypersensitivity to chlorpromazine or any phenothiazine component, those with severe cardiovascular disease, uncontrolled narrow‑angle glaucoma, and individuals who are currently taking MAO inhibitors. Clinical judgment is required for other special populations.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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