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Fluphenazine vs. Trifluoperazine

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

Key takeaways

Fluphenazine (generic, formerly known as Prolixin) and trifluoperazine (generic, formerly known as Stelazine) are both typical antipsychotics, but they have some differences. Fluphenazine is mainly used to treat psychotic disorders and is available in both short-acting and long-acting forms, which can be taken orally or by injection. In contrast, trifluoperazine is used to manage schizophrenia and anxiety, and it is only available in oral form. Fluphenazine is typically taken multiple times a day, while trifluoperazine is usually taken twice daily. Both medications can cause movement problems, including tardive dyskinesia, a condition that causes uncontrollable movements. Additionally, fluphenazine is not safe for older adults with dementia-related psychosis, and trifluoperazine carries a similar risk for this population. Both medications can cause drowsiness and other side effects, but trifluoperazine can also lead to liver damage.

Fluphenazine

 

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Trifluoperazine

 

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Summary for Fluphenazine

Prescription only

Fluphenazine is a typical antipsychotic and is used to treat conditions that cause psychosis. It's available as short-acting fluphenazine hydrochloride (tablets, liquid, injection) that's typically taken by mouth or injected 3 to 4 times a day. It also comes as long-acting fluphenazine decanoate (injection) that's usually given every 4 to 6 weeks. Side effects of this medication include drowsiness and movement problems. Brand name Prolixin is no longer available.

Indications for Fluphenazine

  • Psychotic disorders

Pros and Cons for Fluphenazine

Pros

  • Available as a lower-cost generic medication
  • Comes as a tablet, liquid, or injection (both short- and long-acting)
  • Dose can be easily adjusted based on individual needs

Cons

Common Side Effects for Fluphenazine

  • Dystonia (uncontrollable muscle contractions): neck spasms, difficulty swallowing and breathing, sticking your tongue out
  • Involuntary movements (especially of the face or mouth)
  • Changes in blood pressure
  • Weight changes
  • Fluid retention (holding onto fluid)
  • Nausea
  • Constipation
  • Loss of appetite
  • Dry mouth
  • Headache
  • Salivation, drooling
  • More sweating
  • Frequent urination

Warnings for Fluphenazine

  • Higher risk of death in older people with dementia-related psychosis
  • Difficulty controlling movements
  • Neuroleptic malignant syndrome
  • Low white blood cell counts
  • High prolactin levels
  • Harm to unborn babies

Summary for Trifluoperazine

Prescription only

Trifluoperazine is mainly used to manage schizophrenia. It's available as a lower-cost generic medication but it isn't meant for long-term use because it can cause you to have trouble controlling your movements.

Indications for Trifluoperazine

  • Schizophrenia
  • Anxiety

Pros and Cons for Trifluoperazine

Pros

  • Can be used for schizophrenia or anxiety
  • Can be used in children age 6 and older
  • Available as a lower-cost generic medication
  • Available in 4 different strengths

Cons

  • High doses and long-term use can make you lose control of your movements.
  • Can cause agitation, jitteriness, and trouble sleeping
  • Not safe for use in severe liver disease
  • Usually taken twice a day

Common Side Effects for Trifluoperazine

  • Drowsiness
  • Dizziness
  • Skin reactions
  • Rash
  • Dry mouth
  • Trouble falling asleep
  • Missing one or more menstrual periods
  • Lack of energy

Warnings for Trifluoperazine

  • Death in people age 65 and older with dementia
  • Difficulty controlling movements
  • Neuroleptic malignant syndrome
  • Changes in blood cell counts
  • Liver damage
  • Low blood pressure and falls
  • Vision changes
  • High prolactin levels

Prices with our coupons for Fluphenazine vs. Trifluoperazine

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Fluphenazine30 tablets / 5mg
$25.03$238.73
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Trifluoperazine30 tablets / 1mg
$11.42$29.53
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