Product image of Nautisol (Prochlorperazine Maleate) supplied by GNH India

Nautisol

Active Ingredient:
Prochlorperazine Maleate
Origin:
EU

Nautisol (Prochlorperazine Maleate)

Prochlorperazine, the active ingredient in Nautisol, is a phenothiazine presented as an oral formulation for oral use. It is employed to control nausea, vomiting, vertigo, migraine‑associated nausea and psychotic disorders in adult patients.
GNH India supplies Nautisol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Medochemie Ltd.

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Indications & Clinical Uses

Prochlorperazine acts as an antiemetic and antipsychotic across several clinical pathways.

  • Nausea and vomiting: reduces acute and chemotherapy‑induced nausea and vomiting.
  • Vertigo and motion sickness: alleviates dizziness and associated nausea.
  • Migraine‑associated nausea: helps control nausea accompanying migraine attacks.
  • Schizophrenia and other psychotic disorders: mitigates psychotic symptoms such as hallucinations and delusions.

How It Works

  • Prochlorperazine blocks dopamine D2 receptors in the chemoreceptor trigger zone and central nervous system, diminishing the emetic signal. It also antagonizes histamine H1, muscarinic, and alpha‑adrenergic receptors, contributing to its anti‑nausea, anti‑vertigo, and antipsychotic effects while influencing sedation and autonomic responses.

Side Effects

Prochlorperazine may cause a range of adverse reactions.

Common Side Effects

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

Serious or Rare Side Effects

  • Extrapyramidal symptoms (e.g., dystonia, akathisia)
  • Tardive dyskinesia with long‑term use
  • Neuroleptic malignant syndrome
  • Severe hypotension or cardiac arrhythmia
  • Hematologic abnormalities such as leukopenia

Precautions & Warnings

Use of Prochlorperazine requires careful clinical monitoring.

  • Extrapyramidal monitoring: watch for muscle rigidity, tremor, or abnormal movements.
  • Cardiovascular assessment: evaluate blood pressure and heart rhythm, especially in patients with cardiac disease.
  • Elderly caution: dose may need adjustment due to increased sensitivity to sedation and hypotension.
  • Hypersensitivity: discontinue if rash, itching, or swelling occurs.
  • CNS depressants: avoid concurrent use with alcohol or other sedatives without supervision.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Prochlorperazine can interact with several drug classes.

Major Interactions (Avoid)

  • MAO inhibitors: risk of severe hypertension or serotonin syndrome.
  • Other dopamine antagonists: additive extrapyramidal effects.
  • QT‑prolonging agents: increased risk of cardiac arrhythmias.

Moderate Interactions (Monitor Closely)

  • Anticholinergic drugs: may exacerbate dry mouth and constipation.
  • CNS depressants (e.g., benzodiazepines, opioids): enhanced sedation and respiratory depression.
  • Antihypertensives: additive hypotensive effect.

Frequently Asked Questions

Nautisol contains prochlorperazine, which is prescribed to manage nausea and vomiting, vertigo and motion sickness, migraine‑associated nausea, and to treat schizophrenia or other psychotic disorders. It works by blocking dopamine receptors that trigger these symptoms.

Prochlorperazine blocks dopamine D2 receptors in the brain’s chemoreceptor trigger zone, reducing the signal that initiates vomiting. Its additional antagonism of histamine, muscarinic, and alpha‑adrenergic receptors contributes to its anti‑vertigo, anti‑nausea, and antipsychotic actions.

The appropriate dose of Nautisol is determined by the prescribing clinician based on the patient’s condition, age, weight, and response to therapy. Dosage regimens vary for antiemetic versus antipsychotic indications and should follow the prescriber’s instructions.

Safety data for prochlorperazine in pregnancy and lactation are limited. The prescriber should weigh potential benefits against possible risks and consider alternative therapies when possible. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss use with their healthcare provider.

To request Nautisol, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, confirming trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

Compared with other antiemetics such as ondansetron or metoclopramide, prochlorperazine offers a broader receptor profile, affecting dopamine, histamine, and muscarinic pathways. This can provide effective control of both nausea and vertigo, but it may also carry a higher risk of extrapyramidal side effects.

Nautisol should be stored at room temperature, below 25 °C, in its original packaging. Keep the product away from moisture, direct sunlight, and excessive heat to maintain its stability and potency throughout its shelf life.

Nautisol is taken orally, usually as a tablet or other oral formulation, with or without food as directed by the prescriber. The exact method of administration, including timing relative to meals, should follow the healthcare professional’s guidance.

Serious risks include extrapyramidal symptoms such as dystonia or tardive dyskinesia, neuroleptic malignant syndrome, severe hypotension, and cardiac arrhythmias like QT prolongation. Patients should be monitored closely for these events, and any concerning symptoms should prompt immediate medical evaluation.

Nautisol is contraindicated in individuals with known hypersensitivity to prochlorperazine or other phenothiazines, those taking monoamine oxidase inhibitors, and patients with severe cardiovascular disorders that could be worsened by hypotension. The prescriber should assess each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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