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Prochlorperazine Coupon - Prochlorperazine 10mg tablet

prochlorperazine

Generic Compazine
Used for Anxiety, Nausea, Schizophrenia
Used for Anxiety, Nausea, Schizophrenia

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.

Last reviewed on June 28, 2023
basics-icon

What is Prochlorperazine?

What is Prochlorperazine used for?

  • Severe nausea and vomiting

  • Schizophrenia

  • Generalized anxiety disorder (GAD)

How Prochlorperazine works

Prochlorperazine a typical antipsychotic and an antiemetic (anti-nausea) medication. It mainly works by blocking dopamine, a chemical made by your brain that affects many parts of the body. When prochlorperazine blocks dopamine in the brain, it not only controls nausea and vomiting, but also lowers your anxiety and helps with symptoms of schizophrenia, such as hallucinations and delusions.

Are you looking for information on prochlorperazine suppository (Compro) instead?

Drug Facts

Common BrandsCompazine (brand no longer available)
Drug ClassPhenothiazine
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only
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What are the side effects of Prochlorperazine?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

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

Other Side Effects

  • Low white blood cell count
  • Liver problems

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Uncontrolled muscle movements (tardive dyskinesia): sticking out your tongue, puffing out your cheeks, puckering your mouth, lip smacking, chewing, shaking in your arms and legs
  • Neuroleptic malignant syndrome (NMS): very high fever, stiff muscles, problem thinking clearly, very fast or uneven heartbeat, sweating
  • Seizures

Source: DailyMed

The following side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Phenothiazines can sometimes cause serious unwanted effects. Tardive dyskinesia or tardive dystonia (muscle movement disorders) may occur and may not go away after you stop using the medicine. Signs of tardive dyskinesia or tardive dystonia include worm-like movements of the tongue, or other uncontrolled movements of the mouth, tongue, cheeks, jaw, body, arms, or legs. Another possible serious unwanted effect is the neuroleptic malignant syndrome (NMS). Signs and symptoms of NMS include severe muscle stiffness, fever, fast heartbeat, difficult breathing, increased sweating, and loss of bladder control. You and your doctor should discuss the good this medicine will do as well as the risks of taking it.

Stop taking this medicine and get emergency help immediately if any of the following effects occur:

Rare

Symptoms of neuroleptic malignant syndrome

Confusion (severe) or coma

difficult or fast breathing

drooling

fast heartbeat

high or low (irregular) blood pressure

increased sweating

loss of bladder control

muscle stiffness (severe)

trembling or shaking

trouble in speaking or swallowing

Check with your doctor immediately if any of the following side effects occur:

More common

Inability to move eyes

increased blinking or spasms of eyelid

lip smacking or puckering

muscle spasms of face, neck, body, arms, or legs causing unusual postures or unusual expressions on face

puffing of cheeks

rapid or worm-like movements of tongue

sticking out of tongue

tic-like or twitching movements

trouble in breathing, speaking, or swallowing

uncontrolled chewing movements

uncontrolled movements of arms or legs

uncontrolled twisting movements of neck, trunk, arms, or leg

Rare

Irregular or slow heart rate

recurrent fainting

Check with your doctor as soon as possible if any of the following side effects occur:

More common

Blurred vision, change in color vision, or difficulty in seeing at night

fainting

loss of balance control

mask-like face

restlessness or need to keep moving

shuffling walk

stiffness of arms or legs

trembling and shaking of hands and fingers

Less common

Difficulty in urinating

skin rash

sunburn (severe)

Rare

Abdominal or stomach pains

aching muscles and joints

agitation, bizarre dreams, excitement, or trouble in sleeping

bleeding or bruising (unusual

chest pain

clumsiness

confusion (mild)

constipation (severe)

convulsions (seizures)

dark urine

fever and chills

hair loss

headaches

hot, dry skin or lack of sweating

itchy skin (severe)

muscle weakness

nausea, vomiting, or diarrhea

pain in joints

prolonged, painful, inappropriate erection of the penis

redness of hands

shivering

skin discoloration (tan or blue-gray)

sore throat and fever

sores in mouth

unusual bleeding or bruising

unusual tiredness or weakness

yellow eyes or skin

Phenothiazines may cause your urine to be dark. In most cases, this is not a sign of a serious problem. However, if your urine does become dark, discuss it with your doctor.

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Constipation (mild)

decreased sweating

dizziness

drowsiness

dryness of mouth

nasal congestion

Less common

Changes in menstrual period

decreased sexual ability

increased sensitivity of eyes to light

rough or “fuzzy” tongue

secretion of milk (unusual)

swelling or pain in breasts

watering of mouth

weight gain (unusual)

After you stop using this medicine, your body may need time to adjust. The length of time this takes depends on the amount of medicine you were using and how long you used it. During this time, check with your doctor if you notice dizziness, nausea and vomiting, stomach pain, trembling of the fingers and hands, or any of the following signs of tardive dyskinesia or tardive dystonia:

Inability to move eyes

lip smacking or puckering

muscle spasms of face, neck, body, arms, or legs, causing unusual body positions or unusual expressions on face

puffing of cheeks

rapid or worm-like movements of tongue

sticking out of tongue

tic-like or twitching movements

trouble in breathing, speaking, or swallowing

uncontrolled chewing movements

uncontrolled twisting or other movements of neck, trunk, arms, or legs

Although not all of the side effects listed above have been reported for all of the phenothiazines, they have been reported for at least one of them. However, since all of the phenothiazines are very similar, any of the above side effects may occur with any of these medicines.

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

pros-and-cons

Pros and cons of Prochlorperazine

thumbs-up

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

thumbs-down

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

pharmacist-tips

Pharmacist tips for Prochlorperazine

pharmacist
  • Prochlorperazine can make you drowsy and affect your ability to focus and concentrate. Avoid driving or performing any activity that requires a lot of attention until you know how this medication affects you. Let your provider know if this medication makes you too sleepy.

    • Prochlorperazine can make you feel dizzy, which can raise your risk for falls. If you need to sit up or stand up, hold on to something stable so that you don't fall. Make sure to remove any clutter or tripping hazards at home so it's safer for you to walk around. Let your provider know if you feel very dizzy from this medication and they can talk with you about other alternatives that might work well for you.

      • Discuss with your healthcare provider if you want to stop taking prochlorperazine. Don't suddenly stop this medication, especially if you have been on it for a long time. If you do, you might experience symptoms such as nausea, vomiting, dizziness, and tremors.

        • Let your provider know if you have glaucoma, a condition where the pressure inside the eye is high. Prochlorperazine might widen your pupils and raise the pressure inside your eyes, which can lead to blindness.

          faqs

          Frequently asked questions about Prochlorperazine

          How long does prochlorperazine take to work?
          If you're taking prochlorperazine for nausea or vomiting, you'll typically notice this medication working 30 or 40 minutes after you take your dose.
          Can you take ondansetron (Zofran) and prochlorperazine together for nausea and vomiting?
          Ask your provider if you can take both ondansetron (Zofran) and prochlorperazine together for nausea and vomiting. These two medications work differently to ease nausea and vomiting. Depending on your condition, your provider might prescribe both medications to you. But your provider might ask you to alternate between the two medications, for example, in easing nausea and vomiting caused by anticancer medications.
          How long can I take prochlorperazine?
          Ask your provider how long you can take prochlorperazine because the length of time can depend on what medical conditions you have. But in general, you should only take prochlorperazine for a short period of time. For example, it's recommended for a maximum of 3 months in people who have anxiety. This is because taking prochlorperazine long-term or for longer than recommended by your provider can raise your risk of some permanent and serious side effects, such as uncontrolled muscle movements.
          Does prochlorperazine make you sleepy?
          Yes, drowsiness is one of the more common side effects of prochlorperazine. If you're starting prochlorperazine for the first time, don't drive or do anything that needs a lot of focus until you know how this medication makes you feel. Be careful if you're also taking prochlorperazine with other medications that can cause sleepiness, such as blood pressure or certain pain medications. If you feel very sleepy and are having a hard time going about your day, let your provider know and they can talk with you about other options to treat your condition.
          Can I take prochlorperazine during pregnancy?
          Prochlorperazine hasn't been well-studied during human pregnancy, so we don't know for certain how it'll affect you or your developing baby. But babies born to mothers who took similar medications during the third trimester of pregnancy have developed uncontrolled muscle movement or withdrawal symptoms at birth, such as vomiting, diarrhea, and difficulty sleeping. If you experience nausea or vomiting while pregnant, talk with your provider. They can recommend safer options to ease your symptoms.
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          warings-icon

          What are the risks and warnings for Prochlorperazine?

          Prochlorperazine can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

          risk-warning

          Higher risk of death in older adults with dementia-related psychosis

          • Risk factors: Older adults with dementia-related psychosis

            People over the age of 65 who also have dementia sometimes have some of the symptoms of schizophrenia, like hallucinations and delusions. This is called dementia-related psychosis, and it should not be treated with prochlorperazine. If prochlorperazine is used for dementia-related psychosis, it can cause death. Let your provider know if you or your loved one has dementia before starting prochlorperazine.

            risk-warning

            Difficulty controlling muscle movements (tardive dyskinesia)

            • Risk factors: Older adults | Female and 65 years or older | Higher than recommended doses of prochlorperazine | Taking prochlorperazine for a long time

              Prochlorperazine can cause uncontrolled and possibly permanent muscle movements in the tongue, face, mouth, lips, neck, hands, arms, legs, and feet (tardive dyskinesia). To lower your risk of tardive dyskinesia, take the lowest dose possible for the shortest period of time for your symptoms. Stop taking prochlorperazine and talk to your provider right away if you notice any unusual movements you can't control.

              risk-warning

              Other conditions with uncontrolled muscle movements (dystonia, Parkinsonian symptoms, and restlessness)

              • Risk factors: Younger adults | Children who have an active infection or are dehydrated | Males | Higher than recommended doses of prochlorperazine

                Prochlorperazine can cause other uncontrolled muscle movements in addition to tardive dyskinesia, such as repeated stiffening and twisting of muscles, tremors, jitteriness, pacing, and foot tapping. Symptoms might occur as early as within the first 24 to 48 hours of taking prochlorperazine and they typically go away when you stop the medication. Talk with your healthcare provider right away if you experience these symptoms, you might need to lower your dose of prochlorperazine or switch to a different medication. Children should only use prochlorperazine if they are being watched by adults who can recognize these side effects.

                risk-warning

                Neuroleptic malignant syndrome (NMS)

                • Risk factors: Taking antipsychotic medications | Higher than recommended doses of prochlorperazine | Taking lithium (Lithobid)

                  Prochlorperazine can cause neuroleptic malignant syndrome (NMS), which is a rare but serious condition that can lead to death. Symptoms include a very high fever, stiff muscles, problems thinking clearly, very fast or uneven heartbeat, and sweating. People who take this medication and lithium (Lithobid) might be at higher risk for this side effect. Stop taking prochlorperazine and get medical attention right away if you experience these symptoms. Be careful using prochlorperazine if you're also on other medications that might cause NMS, such as antipsychotics.

                  risk-warning

                  Cover up more serious health problems

                  Prochlorperazine can cover up more serious health problems. It eases nausea and vomiting, which covers up conditions such as drug overdose or poisoning. It might cause side effects such as sleepiness, confusion, and difficulty controlling muscle movements, which can be confused with conditions such as brain damage, brain tumor, or Reye's syndrome (a rare but serious condition seen in children and teens recovering from viral infections). Children and teenagers who might have Reye’s syndrome should not use this medication.

                  risk-warning

                  Higher risk of infections

                  • Risk factors: History of low white blood cell (WBC) counts | Older adults | Taking other medications that lower WBC counts

                    Prochlorperazine can cause low WBC counts, which might lead to serious infection and in some cases, death. You might need to get lab work done regularly to make sure your white blood cell count is healthy. Talk to your healthcare provider right away if you experience symptoms of an infection, such as fever, weakness, or sore throat, while you're taking this medication.

                    risk-warning

                    Higher risk of falls

                    • Risk factors: History of low blood pressure | Taking medications that lower blood pressure

                      Prochlorperazine can cause low blood pressure, which might lead to fainting and falling. If you need to stand up or sit up, do so slowly. Talk to your healthcare provider if you continue to experience dizziness while taking prochlorperazine.

                      risk-warning

                      Liver problems

                      Prochlorperazine might cause serious liver problems. Talk to your healthcare provider right away if you experience symptoms such as fever, chills, yellowing of the skin or whites of the eyes, clay-colored stool, and dark urine.

                      risk-warning

                      Seizures

                      • Risk factors: History of seizures

                        Taking prochlorperazine puts you at higher risk for seizures. Talk to your healthcare provider if you have a history of seizures, your dose of seizure medications might need to be adjusted. Be careful driving, swimming, or participating in other potentially dangerous activities in which sudden loss of consciousness could cause serious harm.

                        risk-warning

                        High prolactin levels

                        Prochlorperazine can cause prolactin hormone levels in your blood to go up. High prolactin levels can lead to symptoms such as milky substances being released from the nipple, enlarged breasts, and absent or irregular menstrual periods. Talk to your healthcare provider if you experience or have any concerns about these symptoms.

                        risk-warning

                        Difficulty maintaining normal body temperature

                        • Risk factors: Extreme heat

                          Prochlorperazine might make it hard for your body to maintain a normal body temperature. Be careful if you are traveling to a place that is very hot.

                          dosage

                          Prochlorperazine dosage forms

                          The average cost for 30 tablets of 10mg of Prochlorperazine is $16.00 with a free GoodRx coupon. This is 32.09% off the average retail price of $23.56.
                          tablet
                          Tablet
                          DosageQuantityPrice as low asPrice per unit
                          5mg30 tablets$9.05$0.30
                          10mg30 tablets$16.00$0.53

                          Typical dosing for Prochlorperazine

                          Your provider will work with you to prescribe the right dose of prochlorperazine for your individual needs.

                          Your dose might be lower if you are an older adult or if your body weight is too low.

                          Severe nausea and vomiting:

                          • Adults: The typical dose is 5 mg to 10 mg by mouth 3 to 4 times daily. The maximum dose is 40 mg a day. Daily doses higher than 40 mg are only used in very severe cases.

                          • Children (age 2 years and older weight 20 lbs or more): Your child's provider will determine the dose based on your child’s body weight. The typical dose is 2.5 mg by mouth ranging from 1 to 3 times daily. The maximum daily dose ranges from 7.5 mg to 15 mg, depending on body weight.

                          Schizophrenia:

                          • Adults: The typical starting dose is 5 mg to 10 mg by mouth 3 to 4 times daily. Your provider might gradually raise your dose until symptoms are controlled.

                          • Children (ages 2 to 12 years old): The typical starting dose is 2.5 mg by mouth 2 to 3 times daily. Your child's provider might gradually raise the dose until symptoms are controlled. The maximum dose is 20 mg to 25 mg a day.

                          Generalized anxiety disorder (GAD):

                          • Adults: The typical dose is 5 mg by mouth 3 to 4 times daily. The maximum dose is 20 mg a day. Don't take for longer than 3 months.

                          For severe nausea and vomiting and schizophrenia, this medication is also available as an injection that's administered by a healthcare provider.

                          interactions

                          Interactions between Prochlorperazine and other drugs

                          Prochlorperazine may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Prochlorperazine. Please note that only the generic name of each medication is listed below.

                          Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking any of these medicines, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

                          Using medicines in this class with any of the following medicines is not recommended. Your doctor may decide not to treat you with a medication in this class or change some of the other medicines you take.

                          Using medicines in this class with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                          drug-cost

                          How much does Prochlorperazine cost?

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                          contraindications-icon

                          Prochlorperazine contraindications

                          Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Prochlorperazine will not be safe for you to take.
                          • Coma

                          • Drinking large amounts alcohol

                          • Taking high doses of medications that can cause extreme sleepiness, such as opioids and seizure medications

                          • Surgery (for children)

                          • Children under 2 years old or under 20 pounds

                          alternatives

                          What are alternatives to Prochlorperazine?

                          There are a number of medications that your doctor can prescribe in place of Prochlorperazine. Compare a few possible alternatives below.
                          Prochlorperazine
                          Used for:
                          • Severe nausea and vomiting

                          • Schizophrenia

                          • Generalized anxiety disorder (GAD)

                          $9.05 Lowest GoodRx priceView Prices
                          Used for:
                          $3.00 Lowest GoodRx priceView Prices
                          Used for:
                          $11.66 Lowest GoodRx priceView Prices
                          latest news

                          What is the latest news about Prochlorperazine?

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                          References

                          Best studies we found

                          Amneal Pharmaceuticals NY LLC. (2023). Prochlorperazine maleate tablet, film coated [package insert]. DailyMed.

                          Caplin Steriles Limited. (2021). Prochlorperazine edisylate injection [package insert]. DailyMed.

                          Chokhawala, K., et al. (2023). Antipsychotic medications. StatPearls.

                          View All References (5)

                          Galbally, M., et al. (2014). Antipsychotic drugs in pregnancy: A review of their maternal and fetal effects. Therapeutic Advances in Drug Safety.

                          Loeser, E. A. et al. (1979). Comparison of droperidol, haloperidol, and prochlorperazine as postoperative anti-emetics. Canadian Journal of Anesthesia.

                          Smith, H. S., et al. (2012). Dopamine receptor antagonists. Annals of Palliative Medicine.

                          University of Washington Medical Center. (2017). Managing nausea and vomiting.

                          GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.
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