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 presented as an oral formulation for systemic use. It is employed to manage schizophrenia, acute psychotic episodes, manic phases of bipolar disorder, severe nausea and vomiting, and as a pre‑operative sedative.

GNH India supplies Largactil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution. Clients benefit from regulatory support and consistent product availability across multiple markets.

Manufacturer / TM Owner

Faes Farma Portugal, S.A.

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Indications & Clinical Uses

Chlorpromazine is used to treat psychiatric and related conditions by modulating dopaminergic pathways.

  • Schizophrenia: reduces hallucinations, delusions and thought disorder, helping patients achieve symptom control.
  • Acute psychotic episodes: rapidly diminishes agitation and psychotic symptoms, facilitating stabilization.
  • Manic episodes of bipolar disorder: lessens elevated mood, hyperactivity and irritability during mania.
  • Severe nausea and vomiting: controls emesis when other anti‑emetics are insufficient.
  • Preoperative sedation: provides calming effect and reduces anxiety before surgical procedures.

How It Works

  • Chlorpromazine exerts its therapeutic effect primarily by antagonising dopamine D2 receptors in the central nervous system, decreasing dopaminergic neurotransmission that underlies psychotic symptoms. It also blocks histamine H1, muscarinic acetylcholine and alpha‑adrenergic receptors, contributing to its sedative, anti‑emetic and hypotensive properties. These actions collectively reduce psychomotor agitation and improve patient comfort.

Side Effects

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

Common Side Effects

  • Drowsiness or sedation
  • Dry mouth
  • Constipation
  • Blurred vision
  • Weight gain
  • Orthostatic hypotension

Serious or Rare Side Effects

  • Extrapyramidal symptoms such as dystonia or parkinsonism
  • Neuroleptic malignant syndrome
  • Severe hypotension or cardiac arrhythmias
  • Agranulocytosis
  • Hepatotoxicity
  • Tardive dyskinesia

Precautions & Warnings

When prescribing chlorpromazine, clinicians should consider several safety precautions to minimise risks.

  • Assess cardiovascular status: monitor blood pressure and heart rate for orthostatic changes.
  • Evaluate hepatic function: adjust use in patients with liver impairment.
  • Screen for movement disorders: watch for early signs of extrapyramidal symptoms.
  • Caution in elderly: increased sensitivity to sedation and anticholinergic effects.
  • Pregnancy and lactation: use only if benefits outweigh potential risks.
  • Store at ambient temperature: keep below 25 °C in original packaging, protect from moisture.

Avoid Interactions

Chlorpromazine interacts with several medicines; understanding the interaction level helps guide safe co‑administration.

Major Interactions (Avoid)

  • CNS depressants (e.g., benzodiazepines, opioids): may cause profound sedation or respiratory depression.
  • Antihypertensive agents: additive hypotensive effect leading to severe blood pressure drops.
  • Drugs that prolong QT interval: increased risk of cardiac arrhythmias.

Moderate Interactions (Monitor Closely)

  • Anticholinergic drugs: heightened anticholinergic burden causing confusion or constipation.
  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may raise chlorpromazine plasma levels.
  • Lithium: combined use can enhance neurotoxic effects.
  • MAO inhibitors: risk of hypertensive crisis if used concurrently.

Frequently Asked Questions

Largactil, containing chlorpromazine, is prescribed for schizophrenia, acute psychotic episodes, manic phases of bipolar disorder, severe nausea and vomiting, and as a pre‑operative sedative. It helps control psychotic symptoms, reduces agitation, and provides anti‑emetic and calming effects in the indicated clinical situations.

Chlorpromazine works mainly by blocking dopamine D2 receptors in the brain, which reduces dopaminergic activity linked to psychosis. It also antagonises histamine H1, muscarinic, and alpha‑adrenergic receptors, producing sedation, anti‑emetic action, and blood‑pressure lowering effects that together contribute to its therapeutic profile.

The dosage of Largactil is individualized by the prescribing clinician based on the patient’s condition, age, response, and tolerability. Physicians determine the appropriate strength, frequency, and duration, and patients should follow the prescribed regimen without self‑adjusting the dose.

Chlorpromazine is classified as a pregnancy‑category drug with limited data; it should only be used when the potential benefit justifies any possible risk to the fetus. Likewise, it passes into breast milk, so breastfeeding mothers should discuss risks and alternatives with their healthcare provider.

To order 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 typical, phenothiazine class of antipsychotics, which are generally less selective than newer atypical agents. It is effective for acute psychosis and agitation but may have a higher incidence of extrapyramidal side effects. Choice of therapy depends on clinical response, side‑effect profile, and individual patient factors.

Largactil should be stored at ambient temperature, preferably below 25 °C, in its original container to protect it from moisture and light. Keep the product out of reach of children and avoid storing it in bathrooms or other humid environments.

Largactil is administered orally, typically as a tablet or liquid taken with water. The exact route (with or without food) and timing are determined by the prescriber. Patients should swallow the medication whole and not crush or chew tablets unless specifically instructed.

Serious risks include extrapyramidal symptoms such as dystonia or parkinsonism, neuroleptic malignant syndrome, severe hypotension, cardiac arrhythmias (especially QT prolongation), agranulocytosis, and liver toxicity. Any sudden changes in movement, temperature, blood pressure, or signs of infection should prompt immediate medical evaluation.

Largactil is contraindicated in patients with known hypersensitivity to chlorpromazine or other phenothiazines, those with severe cardiovascular disease prone to hypotension, and individuals with a history of neuroleptic malignant syndrome. Caution is also advised for patients with uncontrolled epilepsy, severe liver impairment, or those taking interacting medications listed under major interactions.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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