Head-to-head comparisons of medication uses, side effects, warnings, and more.
Loxapine
Trifluoperazine
Loxapine
Trifluoperazine
Summary of Loxapine vs. Trifluoperazine
Summary for First-generation (typical) antipsychotic
Prescription only
Loxapine is a typical antipsychotic used to treat schizophrenia. Loxapine is taken by mouth, typically once or twice daily. It can cause more movement-related side effects compared with atypical antipsychotics, such as aripiprazole (Abilify). It used to be sold under the brand name Loxitane, which is no longer available. Oral loxapine is now only available as generic capsules.
Summary for First generation (typical) antipsychotic
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 of Loxapine vs. Trifluoperazine
Indications for
•Schizophrenia
Indications for
•Schizophrenia
•Anxiety
Pros and Cons of Loxapine vs. Trifluoperazine
Pros and Const for First-generation (typical) antipsychotic
Pros
•A good option if other schizophrenia medications haven't worked or have caused bothersome side effects
•Dose can be adjusted by your provider based on your response
•Available as a lower-cost generic medication
Cons
•More likely to cause trouble controlling movements compared to other treatment options
•Can raise your heart rate and lower your blood pressure
•Risk of developing abnormal muscle movements that might not go away after you stop taking loxapine
Pros and Const for First generation (typical) antipsychotic
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 of Loxapine vs. Trifluoperazine
Common Side Effects for
•Drowsiness
•Extrapyramidal symptoms (movement problems, such as shakiness, stiffness, excess saliva, and loss of facial expression)
•Restless muscles (akathisia)
Common Side Effects for
•Drowsiness
•Dizziness
•Skin reactions
•Rash
•Dry mouth
•Trouble falling asleep
•Missing one or more menstrual periods
•Lack of energy
Warnings of Loxapine vs. Trifluoperazine
Common Side Effects for
•Higher risk of death in older adults
•Uncontrollable body movements (tardive dyskinesia)
•Neuroleptic malignant syndrome
•Falls
•Low white blood cell count
•Seizures
•Vision changes
•High prolactin levels
Common Side Effects for
•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
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