Traditional Culture Encyclopedia - Traditional stories - Introduction of Loxapine
Introduction of Loxapine
luò shā píng
2 English ReferenceLoxapine [Landau Chinese-English Dictionary]
3 Instruction Manual of Loxapine 3.1 Name of the DrugLoxapine
3.2 English NameLoxapine
3.3 SynonymsLoxapine Hydrochloride
3.4 Dosage and DosageLoxapine Hydrochloride
4. SynonymsLoxapine hydrochloride; Ketiazepine; Loxapine
3.4 Classification
Neurological Drugs > Antipsychotic, Antidepressant, Antianxiety Drugs > Others
3.5 Dosage forms1. 5mg, 10mg, 15mg, 20mg;
2. Injection: 500mg (10ml).
3.6 Pharmacological effects of loxapineLoxapine is a dibenzoxazepine antipsychotic, similar to chlorpromazine.
3.7 Pharmacokinetics of loxapineLoxapine is rapidly absorbed orally and undergoes rapid and extensive first-pass metabolism. The metabolites are excreted in the urine mainly in bound form, and a small amount is excreted in the feces as unconjugated metabolites. A large portion of the metabolite can be excreted within 24h after each administration. The major metabolite is the active 7- and 8-hydroxyloxapine, which can be bound to glucuronic acid or sulfuric acid. Loxapine is widely distributed in the body and can cross the placenta and enter breast milk.
3.8 Indications for loxapineTreatment of psychosis.
3.9 Contraindications to loxapineContraindicated in those who are allergic to loxapine, pregnant women, breastfeeding, the rest see clozapine.
3.10 Precautions(not known)
3.11 Adverse effects of loxapine1. Its incidence of extrapyramidal symptoms and sedation is intermediate between that of chlorpromazine and phenothiazine with a piperazine side chain.
2. Other adverse reactions are nausea, vomiting, seborrhea, dyspnea, ptosis, headache, abnormal sensation, flushing, weight gain or loss, and irritable thirst.
3.12 Dosage and administration of loxapine1. 20 to 50mg per day in 2 divided doses, after 1 week, the dose is gradually increased to 60 to 100mg per day or more on the 8th to 10th day in 2 to 4 divided doses, with a maximum dose of 250mg per day. the maintenance dose is usually 100mg per day.
2. In order to control the acute symptoms: intramuscular injections of 12.5-25mg at 4-6h (or longer) intervals.
3.13 Drug interactionsClozapine
3.14 Expert opinionThe clinical use of the synthesis of "atypical neuroleptics", represented by clozapine, has opened up a new field of psychiatric treatment. One such drug is loxapine. Lozapine has a similar chemical structure to clozapine, and its pharmacologic mechanism, clinical efficacy, and adverse effects are similar to those of the traditional antipsychotic chlorpromazine.
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