Buy Thorazine
Thorazine

$0.40
Active Ingredient
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Prescription
Issued on site / Included
Availability
In Stock
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Thorazine Properties

Active Ingredients
Primary Category
Pharmacological Class
Phenothiazine Antipsychotic
Dosage Forms
Tablets, Oral Solution, Injectable Solution
Administration Route
Oral
Mechanism of Action
Affects chemicals in the brain (like dopamine) that influence thoughts, moods, and behavior. It can help reduce symptoms of psychosis and also has anti-nausea and calming effects.
Prescription Status
Rx
Patient Summary
Used to treat mental health conditions like schizophrenia and manic depression, severe nausea and vomiting, and certain behavioral issues.
Onset Time
Hours to days for psychiatric effects; rapid for nausea
Duration
4 to 6 hours
Storage Instructions
Store at room temperature, away from light and moisture
Pregnancy Use
Consult doctor before use during pregnancy or breastfeeding

About Thorazine

Thorazine is a prescription medication commonly used to manage several psychiatric and gastrointestinal conditions. In Singapore, it is approved for the treatment of schizophrenia, other psychotic disorders, severe nausea and vomiting, and certain manic states. Its active ingredient, chlorpromazine, belongs to the phenothiazine class of typical antipsychotics, acting primarily as a dopamine-D2 receptor blocker while also affecting histamine, muscarinic, and adrenergic receptors. By modulating these pathways, Thorazine helps reduce hallucinations, agitation, and emesis, offering clinicians a versatile tool for both mental-health and anti-nausea therapy.

What is Thorazine?

Thorazine (chlorpromazine) is a first-generation, phenothiazine antipsychotic that has been on the market for more than seven decades. It received its initial approval from the U.S. Food and Drug Administration in 1954 and has subsequently been registered with Singapore’s Health Sciences Authority (HSA) as a prescription-only (Schedule 4) medication. Available as oral tablets in 50 mg and 100 mg strengths, Thorazine is indicated for schizophrenia, other psychotic disorders, severe nausea and vomiting (including chemotherapy-induced emesis), and acute manic episodes. Its broad receptor profile also confers sedative and anti-emetic properties, making it useful in a range of clinical scenarios beyond core psychiatric indications.

How Thorazine Works

Chlorpromazine exerts its therapeutic effects primarily through antagonism of dopamine D2 receptors in the mesolimbic pathway, which dampens the over-activity linked to psychotic symptoms such as delusions and hallucinations. At the same time, it blocks histamine-H1 receptors, contributing to its sedative action and making it effective against nausea. Muscarinic-M1 blockade adds anticholinergic effects that can reduce secretions and mitigate extrapyramidal symptoms, while α-adrenergic inhibition leads to vasodilation and may cause orthostatic hypotension. After oral administration, peak plasma concentrations are reached within 2-4 hours, and the drug’s half-life ranges from 30 to 50 hours, allowing once- or twice-daily dosing depending on the formulation and clinical response. Metabolism occurs mainly via hepatic CYP2D6, and metabolites are excreted renally, which underscores the need for dose adjustments in hepatic or renal impairment.

Why Thorazine is Used for Mental Health, Psychosis, Nausea Conditions

  • Schizophrenia and psychotic disorders - By blocking D2 receptors, Thorazine reduces positive symptoms (hallucinations, delusions) and, to a lesser extent, negative symptoms. Clinical guidelines in Singapore still list typical antipsychotics as second-line options after atypical agents, particularly when cost is a concern.
  • Acute manic episodes - Dopamine antagonism helps calm severe agitation and mood elevation; studies from the -s demonstrated comparable efficacy to lithium for rapid symptom control.
  • Severe nausea and vomiting - Histamine-H1 and dopamine antagonism in the chemoreceptor trigger zone makes Thorazine effective for chemotherapy-induced emesis and postoperative nausea, especially when newer anti-emetics are unavailable or contraindicated.
  • Adjunctive sedation - The pronounced antihistaminic effect can be leveraged to manage insomnia or agitation in hospitalized patients, reducing the need for separate hypnotics.

These uses align with Singapore’s national formulary, where Thorazine is positioned as a cost-effective alternative to newer atypical agents, particularly in public hospitals and community clinics.

Off-Label and Investigational Uses of Thorazine

Research has explored Thorazine’s role in treating refractory hiccups, migraine prophylaxis, and certain movement disorders, but evidence remains limited to small case series or open-label trials. None of these indications have received approval from the HSA, and robust randomized data are lacking. Off-label use should only be considered under the supervision of a qualified healthcare provider.

Is Thorazine Right for You?

Thorazine is typically prescribed for adults with established diagnoses of schizophrenia, severe psychosis, or persistent nausea unresponsive to first-line anti-emetics. It may be appropriate for patients who have not tolerated atypical antipsychotics or when cost constraints limit access to newer agents. Special considerations include:

  • Elderly patients - Increased sensitivity to sedation and orthostatic hypotension warrants lower starting doses (often 25 mg daily).
  • Pregnancy and lactation - Classified as pregnancy category C; potential neonatal withdrawal has been reported, so use only if benefits outweigh risks.
  • Renal or hepatic impairment - Dose reduction or extended dosing intervals are recommended due to reduced clearance.
  • History of cardiac arrhythmia - Thorazine can prolong QT interval; baseline ECG monitoring is advisable for at-risk individuals.

Patients should discuss any history of seizures, diabetes, or psychotropic polypharmacy with their prescriber, as these factors can influence safety and efficacy.

Taking Thorazine Effectively

  • Timing - Tablets can be taken with or without food; however, a light snack may lessen gastrointestinal upset.
  • Missed dose - If a dose is forgotten within 12 hours, take it as soon as remembered; skip it if it’s near the next scheduled dose to avoid double-dosing.
  • Travel - Carry a copy of the prescription and keep tablets in original packaging; temperature-stable storage (below 30 °C) is sufficient.
  • Alcohol - Concurrent alcohol use may exacerbate sedation and hypotension; avoid or limit intake.
  • Drug interactions - Caution with other CNS depressants, anticholinergics, and CYP2D6 inhibitors (e.g., fluoxetine), which can raise plasma levels and increase side-effect risk.

Adhering to the prescribed schedule and monitoring for early signs of adverse reactions improve therapeutic outcomes and minimize complications.

Understanding Side Effects and How to Manage Them

Thorazine’s broad receptor blockade explains most of its side-effect profile:

  • Sedation and drowsiness - Common during the first weeks; taking the dose in the evening can mitigate daytime sleepiness.
  • Orthostatic hypotension - Resulting from α-adrenergic antagonism; rise slowly from sitting or lying, and maintain adequate hydration.
  • Anticholinergic effects (dry mouth, constipation, blurred vision) - Chewing sugar-free gum, increasing dietary fiber, and staying hydrated can relieve discomfort.
  • Extrapyramidal symptoms (EPS) - Muscle stiffness, tremor, or restlessness may appear early; dose reduction or adjunctive anticholinergic agents (e.g., benztropine) are standard interventions.
  • Tardive dyskinesia - A potentially irreversible movement disorder associated with long-term use; regular movement assessments are essential, and clinicians may switch to an atypical antipsychotic if early signs emerge.
  • Neuroleptic malignant syndrome (NMS) - Rare but life-threatening; characterized by high fever, rigidity, autonomic instability. Immediate medical attention is required.

If side effects become severe or persistent, contact a healthcare professional promptly; many complications are manageable when identified early.

Buying Thorazine from Our Online Pharmacy

Why Choose Our Service?

Our online pharmacy connects Singapore residents with licensed international suppliers, ensuring that Thorazine is sourced from manufacturers that meet stringent quality standards. By streamlining the ordering process, we help patients overcome supply shortages or insurance barriers that can delay access to essential medication.

Quality & Safety

We partner with pharmacies that operate under the oversight of national regulatory bodies such as the HSA and the UK’s MHRA. All batches undergo third-party verification for authenticity, potency, and packaging integrity before shipment.

Pricing & Access

Because Thorazine is available as a generic in many markets, we can offer competitive pricing that is often 30-40 % lower than retail rates at local dispensaries. Regular customers enjoy a lifetime 10 % discount on all reorders, making long-term therapy more affordable.

Discreet Delivery

Orders are dispatched in unmarked packaging, with an estimated delivery window of 7 days for express shipping and up to 3 weeks for standard service. Tracking numbers are provided so you can monitor progress securely.

Frequently Asked Questions

  • What should I do if I feel overly drowsy after taking Thorazine? Try taking the medication in the evening and avoid operating heavy machinery until you know how it affects you. If sedation persists, inform your prescriber; a dose adjustment may be necessary.

  • Can Thorazine be taken with other antipsychotics? Combining typical antipsychotics is generally discouraged due to increased risk of extrapyramidal symptoms and cardiac effects. Any polypharmacy should be closely supervised by a psychiatrist.

  • How quickly can I expect relief from nausea after a dose? Onset of anti-emetic action typically occurs within 30-60 minutes, with maximal effect around 2 hours. It is most effective when taken at the first sign of nausea.

  • Is there a risk of weight gain with Thorazine? Some patients experience modest weight gain due to antihistaminic and metabolic effects. Monitoring diet and exercising regularly can help mitigate this side effect.

  • Why does my blood pressure drop after starting Thorazine? The drug’s α-adrenergic blockade can cause vasodilation, leading to orthostatic hypotension. Rise slowly from sitting, stay hydrated, and report persistent low readings to your clinician.

  • Can I stop Thorazine abruptly if I feel better? Abrupt discontinuation may precipitate withdrawal symptoms or relapse of psychosis. Tapering under medical guidance is recommended to minimize risks.

  • Is Thorazine safe for people with a history of heart arrhythmias? Caution is advised because Thorazine can prolong the QT interval. Baseline and periodic ECG monitoring are essential for patients with known cardiac conduction issues.

  • How does Thorazine differ from newer atypical antipsychotics? Thorazine has a stronger affinity for dopamine D2 receptors and a broader side-effect profile, including higher rates of EPS and sedation. Atypicals generally have lower EPS risk but may be more expensive.

  • What is the recommended dosage for nausea versus psychosis? For nausea, a single dose of 10-25 mg is common, whereas psychotic disorders often require 100-400 mg per day divided into multiple doses. Dosage is individualized based on response and tolerability.

  • Are there any dietary restrictions while on Thorazine? No strict restrictions, but avoid excessive alcohol and be mindful of caffeine, which may counteract the sedative effect.

  • Can I use Thorazine during pregnancy? It is classified as category C; it should only be prescribed if the therapeutic benefit justifies potential fetal risk, and the decision must involve a specialist obstetrician.

  • What monitoring is required while I’m on Thorazine? Routine blood counts, liver function tests, and metabolic panels are advisable every 3-6 months. For patients on high doses, periodic ECGs are also recommended.

Glossary

Dopamine-D2 receptor
A brain receptor that regulates mood, reward, and movement; blocking it reduces psychotic symptoms.
Extrapyramidal symptoms (EPS)
Drug-induced movement disorders including tremor, rigidity, and bradykinesia, often linked to dopamine blockade.
Neuroleptic malignant syndrome (NMS)
A rare, life-threatening reaction to antipsychotics characterized by fever, muscle rigidity, and autonomic instability.
QT prolongation
An extension of the heart’s electrical recharging period that can predispose to dangerous arrhythmias.
Tardive dyskinesia
A potentially irreversible, repetitive involuntary movement disorder that may develop after long-term antipsychotic use.

Disclaimer

The information provided about Thorazine is for general knowledge only and does not replace professional medical consultation. All treatment decisions, including those regarding off-label use, should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Thorazine for individuals who may have limited availability through traditional pharmacies, prescription-based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.

External Resources about Thorazine


Information Prepared By

Nawin Kittisak
Vikneswaran V Paranjothy