User:Mr. Ibrahem/Zuclopenthixol

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Mr. Ibrahem/Zuclopenthixol
Clinical data
Trade namesClopixol, Cisordinol, others
Other namesZuclopentixol
AHFS/Drugs.comInternational Drug Names
Pregnancy
category
  • AU: C
Routes of
administration
By mouth, IM[1]
Drug classTypical antipsychotic[1]
Legal status
Legal status
  • AU: S4 (Prescription only)[2]
  • BR: Class C1 (Other controlled substances)[3]
  • UK: POM (Prescription only)
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability49% (by mouth)
Protein binding98%
MetabolismLiver (CYP2D6 and CYP3A4-mediated)
Elimination half-life20 hours (by mouth), 19 days (IM)
ExcretionFeces
Identifiers
  • cis-(Z)-2-(4-(3-(2-chloro-9H-thioxanthen-9-ylidene)propyl)piperazin-1-yl)ethanol
Chemical and physical data
FormulaC22H25ClN2OS
Molar mass400.97 g·mol−1
3D model (JSmol)
  • Clc2cc1C(\c3c(Sc1cc2)cccc3)=C/CCN4CCN(CCO)CC4
  • InChI=1S/C22H25ClN2OS/c23-17-7-8-22-20(16-17)18(19-4-1-2-6-21(19)27-22)5-3-9-24-10-12-25(13-11-24)14-15-26/h1-2,4-8,16,26H,3,9-15H2/b18-5- checkY
  • Key:WFPIAZLQTJBIFN-DVZOWYKESA-N checkY
 ☒NcheckY (what is this?)  (verify)

Zuclopenthixol , sold under the brand names Clopixol among others, is a medication used to treat schizophrenia and other psychoses.[1] Depending on the formulation it may be taken by mouth or by injection into a muscle.[1]

Side effects may include anxiety, depression, high blood sugar, liver problems, sexual dysfunction, and trouble sleeping.[1] Lower doses should be used in those with liver or kidney problems.[1] It is a typical antipsychotic.[1] It may be possible to use the medication while breastfeeding.[4]

Zuclopenthixol was isolated in 1962 and came into medical use in 1978.[5][6] It is approved for use in Australia, Canada, New Zealand, and the UK; though not the United States.[5][7][8] Some forms are available as a generic medication.[1] The long acting decanoate formulation is on the World Health Organization's List of Essential Medicines as an alternative to fluphenazine.[9] In the United Kingdom it is relatively inexpensive as of 2022.[1]

References[edit]

  1. ^ a b c d e f g h i j k BNF 83 (British National Formulary) March 2022 (83 ed.). Pharmaceutical Press. Aug 13 2022. p. 421. ISBN 9780857114341. {{cite book}}: Check date values in: |date= (help)
  2. ^ "Clopixol (Zuclopenthixol Hydrochloride) Film-coated tablets". Australian Product Information. Australia: The Therapeutics Goods Administration. Archived from the original on 2018-06-15. Retrieved 2013-08-08.
  3. ^ Anvisa (2023-03-31). "RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial" [Collegiate Board Resolution No. 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control] (in Brazilian Portuguese). Diário Oficial da União (published 2023-04-04). Archived from the original on 2023-08-03. Retrieved 2023-08-16.
  4. ^ "Zuclopenthixol use while Breastfeeding". Drugs.com. Archived from the original on 24 September 2022. Retrieved 8 September 2023.
  5. ^ a b Meyer, Jonathan M.; Stahl, Stephen M. (2 September 2021). The Clinical Use of Antipsychotic Plasma Levels: Stahl's Handbooks. Cambridge University Press. p. 201. ISBN 978-1-009-00989-8. Archived from the original on 10 September 2023. Retrieved 8 September 2023.
  6. ^ Riederer, Peter; Laux, Gerd; Nagatsu, Toshiharu; Le, Weidong; Riederer, Christian (4 November 2022). NeuroPsychopharmacotherapy. Springer Nature. p. 636. ISBN 978-3-030-62059-2. Archived from the original on 10 September 2023. Retrieved 8 September 2023.
  7. ^ Green AI, Noordsy DL, Brunette MF, O'Keefe C (January 2008). "Substance abuse and schizophrenia: pharmacotherapeutic intervention". Journal of Substance Abuse Treatment. 34 (1): 61–71. doi:10.1016/j.jsat.2007.01.008. PMC 2930488. PMID 17574793.
  8. ^ Sweetman, Sean C., ed. (2009). "Anxiolytic Sedatives Hypnotics and Antipsychotics". Martindale: The complete drug reference (36th ed.). London: Pharmaceutical Press. pp. 1040–1. ISBN 978-0-85369-840-1.
  9. ^ World Health Organization (2023). The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023). Geneva: World Health Organization. hdl:10665/371090. WHO/MHP/HPS/EML/2023.02.