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Compazine vs. Thorazine

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Prochlorperazine and chlorpromazine are both antipsychotic medications used for nausea and vomiting and schizophrenia, but they have different uses and side effects. Prochlorperazine is also used to treat generalized anxiety disorder (GAD), while chlorpromazine is used for a wider range of conditions, including pre-surgery anxiety, bipolar disorder, and severe behavioral issues in children. Chlorpromazine is available in more forms (oral, intramuscular, and intravenous) compared to prochlorperazine, which is available as an oral tablet, injection, and suppository. Prochlorperazine is typically taken 3 to 4 times daily, while chlorpromazine's dosing varies from 2 to 4 times a day depending on the condition being treated. Both medications can cause serious side effects like neuroleptic malignant syndrome and should be avoided in older adults with dementia-related psychosis due to a higher risk of death.

Prochlorperazine

 

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Chlorpromazine

 

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Summary for Compazine

Prescription only

Prochlorperazine is used to treat severe nausea and vomiting. It's also used to improve mood, thoughts, and behaviors for people with schizophrenia and anxiety. It's not a first-choice medication because it can cause serious side effects, such as extreme sleepiness, falls, and uncontrolled muscle movements. Prochlorperazine comes as a tablet that's taken by mouth, typically 3 to 4 times daily. The brand name version of prochlorperazine (Compazine) is no longer available.

Indications for Compazine

  • Severe nausea and vomiting
  • Schizophrenia
  • Generalized anxiety disorder (GAD)

Pros and Cons for Compazine

Pros

  • Available as a generic medication
  • Available as an oral tablet or suppository for treating nausea and vomiting
  • Typically starts working in 30 minutes and effects last up to 4 hours

Cons

  • Many serious and sometimes possibly permanent side effects, such as uncontrolled muscle movements
  • Can't be used in children under 2 years old or under 20 pounds due to higher risk of serious side effects
  • Not recommended for use in pregnancy or during breastfeeding

Common Side Effects for Compazine

  • Drowsiness
  • Dizziness
  • Absent menstrual periods
  • Blurry vision
  • Low blood pressure

Warnings for Compazine

  • Higher risk of death in older adults with dementia-related psychosis
  • Difficulty controlling muscle movements (tardive dyskinesia)
  • Other conditions with uncontrolled muscle movements (dystonia, Parkinsonian symptoms, and restlessness)
  • Neuroleptic malignant syndrome (NMS)
  • Cover up more serious health problems
  • Higher risk of infections
  • Higher risk of falls
  • Liver problems
  • Seizures
  • High prolactin levels
  • Difficulty maintaining normal body temperature

Summary for Thorazine

Prescription only

Chlorpromazine is an antipsychotic medication used to treat many conditions that affect the brain and nervous system, including schizophrenia, bipolar disorder, and ongoing hiccups. It works by blocking certain chemicals in the body, like histamine and dopamine. Your dose depends on why you’re taking it and how severe your symptoms are, but it’s usually taken three or four times a day. Common side effects include drowsiness and movement problems.

Indications for Thorazine

Pros and Cons for Thorazine

Pros

  • Approved to treat several conditions
  • Starts working quickly
  • Available as a tablet, liquid, and injection
  • Dose can be easily adjusted based on your symptoms

Cons

  • Needs to be taken multiple times a day
  • Commonly causes drowsiness
  • Risk of uncontrolled muscle movements
  • Not recommended for use in pregnancy

Common Side Effects for Thorazine

  • Drowsiness
  • Dry mouth
  • Blurred vision
  • Constipation
  • Urination problems

Warnings for Thorazine

  • Higher risk of death in older adults with dementia
  • Uncontrolled muscle movements
  • Neuroleptic malignant syndrome
  • Changes in blood cell counts
  • High prolactin levels
  • Falls and fractures

Prices with our coupons for Compazine vs. Thorazine

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Prochlorperazine30 tablets / 10mg
$16.03$17.06
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Chlorpromazine30 tablets / 25mg
$18.58$304.93
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