Product image of Moditen Depo (Fluphenazine Decanoate) supplied by GNH India

Moditen Depo

Active Ingredient:
Fluphenazine Decanoate
Origin:
EU

Moditen Depo (Fluphenazine Decanoate)

Fluphenazine Decanoate, the active ingredient in Moditen Depo, is a phenothiazine antipsychotic presented as an unspecified strength injectable for intravenous use. It is employed to manage schizophrenia and acute psychotic episodes in adult patients.

GNH India supplies Moditen Depo as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Fluphenazine Decanoate is used within the antipsychotic drug class to treat disorders characterized by dopamine dysregulation.

  • Schizophrenia: reduces positive and negative psychotic symptoms in adult patients.
  • Acute psychotic episodes: helps control severe agitation, hallucinations, and delusions.
  • Schizoaffective disorder: manages psychotic features alongside mood symptoms.

How It Works

  • Fluphenazine Decanoate exerts its therapeutic effect by antagonizing dopamine D2 receptors in the central nervous system, thereby diminishing dopaminergic neurotransmission that underlies psychotic symptomatology. The decanoate ester provides a prolonged release, maintaining steady plasma concentrations after a single intramuscular or intravenous administration.

Side Effects

Fluphenazine Decanoate may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Sedation or drowsiness
  • Extrapyramidal symptoms such as rigidity or tremor
  • Dry mouth and reduced salivation
  • Constipation
  • Blurred vision
  • Weight gain

Serious or Rare Side Effects

  • Neuroleptic malignant syndrome
  • Tardive dyskinesia
  • Severe hypotension or orthostatic collapse
  • Agranulocytosis or severe leukopenia
  • Seizures
  • Cardiac arrhythmias, including QT prolongation

Precautions & Warnings

Before initiating therapy with Fluphenazine Decanoate, clinicians should consider several safety measures.

  • Monitor extrapyramidal symptoms: assess for rigidity, tremor, or abnormal movements regularly.
  • Assess cardiovascular status: watch for hypotension, especially after the first dose.
  • Evaluate metabolic parameters: track weight, glucose, and lipid changes.
  • Use caution in hepatic impairment: dose adjustments may be required.
  • Avoid abrupt discontinuation: taper to reduce withdrawal risk.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Fluphenazine Decanoate can interact with other medications, altering efficacy or safety.

Major Interactions (Avoid)

  • CNS depressants (e.g., benzodiazepines, opioids): increased sedation.
  • Anticholinergic agents: heightened anticholinergic burden.
  • QT‑prolonging drugs (e.g., certain antiarrhythmics): risk of cardiac arrhythmia.
  • CYP2D6 inhibitors (e.g., fluoxetine): elevated fluphenazine levels.
  • Lithium: enhanced neurotoxic potential.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: additive hypotensive effect.
  • Antidiabetic agents: possible alteration of glucose control.
  • Other antipsychotics: cumulative extrapyramidal risk.

Frequently Asked Questions

Moditen Depo, containing fluphenazine decanoate, is indicated for the treatment of schizophrenia and acute psychotic episodes in adult patients. It may also be used to manage psychotic features of schizoaffective disorder when prescribed by a qualified clinician.

Fluphenazine decanoate blocks dopamine D2 receptors, reducing excessive dopaminergic activity that contributes to psychotic symptoms. The decanoate ester creates a depot effect, allowing slow, sustained release of the drug after a single injection, which maintains therapeutic levels over weeks.

The specific dose of Moditen Depo is determined by the prescribing clinician based on the patient’s clinical condition, prior response to therapy, and other individual factors. Dosage adjustments are made according to therapeutic response and tolerability.

Safety data for fluphenazine decanoate in pregnancy and lactation are limited. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by the treating physician in consultation with the patient.

To order Moditen Depo, 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.

Moditen Depo offers a long‑acting injectable formulation of a phenothiazine, providing extended coverage after a single dose, which can improve adherence compared with daily oral antipsychotics. Compared with newer atypical agents, it may have a higher propensity for extrapyramidal side effects but remains effective for patients who respond well to typical antipsychotics.

Moditen Depo should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the product from moisture, direct sunlight, and extreme temperature fluctuations to maintain stability.

Moditen Depo is administered by a healthcare professional via intravenous injection. The injection site and technique follow standard aseptic procedures, and the dosing interval is determined by the prescriber based on the patient’s clinical response.

Serious risks include neuroleptic malignant syndrome, tardive dyskinesia, severe hypotension, agranulocytosis, seizures, and cardiac arrhythmias such as QT prolongation. Patients should be monitored closely for early signs of these conditions, and treatment should be discontinued if they occur.

Moditen Depo is contraindicated in patients with known hypersensitivity to fluphenazine, other phenothiazines, or any component of the formulation. Caution is also advised for individuals with severe cardiovascular disease, uncontrolled epilepsy, or a history of neuroleptic malignant syndrome.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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