What is Perazine?
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Perazine is a moderate-potency, typical antipsychotic medication belonging to the phenothiazine class. It was first introduced in the 1950s and is primarily used for the treatment of schizophrenia and severe nausea and vomiting.
- Mechanism of Action: Acts as a dopamine antagonist, particularly blocking D2 receptors, which helps reduce psychotic symptoms.
- Key Characteristics:
- Suggested to have a lower risk of extrapyramidal side effects (movement disorders) compared to some other antipsychotics.
- Available in oral and intramuscular formulations for acute treatment.
- Used mainly in Germany, Poland, the Netherlands, and parts of the former Yugoslavia; not widely available globally.
- Drug Class: Antipsychotics, antiemetics, antivertigo agents, phenothiazines.
- Common Side Effects: Sedation, drowsiness, dry mouth, blurred vision, constipation, weight changes, and potential for neuroleptic malignant syndrome (NMS) or tardive dyskinesia with long-term use.
- Contraindications: Hypersensitivity, CNS depression, blood dyscrasias, hepatic disease, coma, and subcortical damage.
- Pregnancy & Lactation: Use during pregnancy or breastfeeding should be carefully considered due to potential risks to the fetus or infant; data is limited, and alternative agents may be preferred.
Note: Perazine is distinct from perphenazine, a closely related but different phenothiazine antipsychotic (brand name Trilafon), which is more widely available and used in many countries.
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Saturday, February 21, 2026 03:47PM
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