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At a glance

Prochlorperazine Mesilate is a dopamine antagonist used for nausea, vomiting, Meniere's disease vertigo, and schizophrenia. It blocks dopamine receptors in the chemoreceptor trigger zone for antiemetic effects and mesolimbic dopamine receptors for antipsychotic effects.

Indications
  • Nausea
  • Vomiting
  • Vertigo
  • Meniere's disease
  • Schizophrenia
Pharmacology

Prochlorperazine blocks dopamine receptors in the chemoreceptor trigger zone for antiemetic effects and mesolimbic dopamine receptors for antipsychotic effects. It also blocks α-adrenergic receptors in the brain.

Dosage

Adult Dose (Oral):

  • Antiemetic prophylaxis: 5-10 mg 2-3 times daily
  • Nausea/vomiting: 20 mg, repeat if needed
  • Psychosis: 12.5 mg twice daily for 7 days, gradually increase to 75-100 mg/day; maintenance 25-50 mg/day
  • Severe anxiety: 5-10 mg up to 3-4 times daily
  • Vertigo: 15-30 mg/day in divided doses; reduce to 5-10 mg/day

Parenteral (IV/IM):

  • Nausea/vomiting: 12.5 mg deep IM; oral doses if needed
  • Psychosis: 12.5-25 mg deep IM 2-3 times daily

Pediatric Dose (Oral):

  • Psychosis (1-5 years): 1.25-2.5 mg; (5-12 years): 2.5-5 mg; up to 3 times daily if needed
Side effects

Common Side Effects:

  • Drowsiness
  • Orthostatic hypotension
  • Muscle spasms
  • Tongue movements
  • Restlessness
  • Tremors
  • Skin rash
Use in pregnancy

Use in Pregnancy: Information regarding use during pregnancy is not available; consult your doctor.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • May affect driving ability; do not drive if drowsy or dizzy
  • Avoid alcohol (excessive drowsiness)
  • May increase sensitivity to sunlight; avoid prolonged sun exposure
  • May reduce sweating (risk of heatstroke)
Overdose effects

Overdose: Deep sleep, coma, extrapyramidal symptoms, abnormal involuntary muscle movements, hypotension.

Storage conditions

Store in a cool and dry place; keep out of reach of children.

Prochlorperazine Mesilate — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.