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prochlorperazine maleate
generic
Black Box Warnings .
Dementia-Related Psychosis
not approved for dementia-related psychosis; incr. mortality risk in elderly patients on antipsychotic tx for dementia-related psychosis; most deaths due to cardiovascular or infectious events
Adult Dosing .
Dosage forms: TAB: 5 mg, 10 mg
nausea/vomiting, severe
- [5-10 mg PO q6-8h]
 - Max: 10 mg/dose, 40 mg/day; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
anxiety, non-psychotic
- [5 mg PO q6-8h]
 - Max: 20 mg/day, x12wk; Info: not drug of choice; D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
schizophrenia
- [5-10 mg PO q6-8h]
 - Max: 150 mg/day; Info: may incr. 5-10 mg q2-3 days; D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
nausea/vomiting, migraine-associated (off-label)
- [5-10 mg PO q6-8h prn]
 - Max: 40 mg/day; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
nausea/vomiting prevention, chemo-related (off-label)
- [low-emetogenic parenteral chemo]
 - Dose: 10 mg PO x1 before chemo; Info: may repeat 10 mg PO qd for multi-day chemo; D/C if ANC <1000; consider D/C if unexplained decr. in WBC; search 'CINV' for epocrates Chemo-Induced Nausea & Vomiting in Adults decision tool
 
- [oral chemo]
 - Dose: 10 mg PO x1 on day 1 before chemo, then 10 mg PO q6h prn; Max: 40 mg/day; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC; search 'CINV' for epocrates Chemo-Induced Nausea & Vomiting in Adults decision tool
 
refractory nausea/vomiting, chemo-related (off-label)
- [10 mg PO q6h]
 - Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC; search 'CINV' for epocrates Chemo-Induced Nausea & Vomiting in Adults decision tool
 
renal dosing
- [not defined]
 - renal impairment: not defined
 
- HD/PD: not defined
 
hepatic dosing
- [not defined]
 
Peds Dosing .
- Dosage forms: TAB: 5 mg, 10 mg
 
nausea/vomiting, severe
- [2 yo and older, 9-14 kg]
 - Dose: 2.5 mg PO q12-24h; Max: 7.5 mg/day; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
- [2 yo and older, 14-18 kg]
 - Dose: 2.5 mg PO q8-12h; Max: 10 mg/day; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
- [2 yo and older, 18-39 kg]
 - Dose: 2.5 mg PO q8h; Max: 15 mg/day; Alt: 5 mg PO q12h; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
- [2 yo and older, >39 kg]
 - Dose: 5 mg PO q6-8h; Max: 20 mg/day; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
schizophrenia
- [2-5 yo]
 - Dose: 2.5-5 mg PO q6-8h; Start: 2.5 mg PO q8-12h; Max: 20 mg/day; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
- [6-12 yo]
 - Dose: 2.5-5 mg PO q6-8h; Start: 2.5 mg PO q8-12h; Max: 25 mg/day; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
- [>12 yo]
 - see Adult Dosing
 
nausea/vomiting, migraine-associated (off-label)
- [2 yo and older, 9-14 kg]
 - Dose: 2.5 mg PO q12-24h prn; Max: 7.5 mg/day; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
- [2 yo and older, 14-18 kg]
 - Dose: 2.5 mg PO q8-12h prn; Max: 10 mg/day; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
- [2 yo and older, 18-39 kg]
 - Dose: 2.5 mg PO q8h prn; Max: 15 mg/day; Alt: 5 mg PO q12h prn; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
- [2 yo and older, >39 kg]
 - Dose: 5 mg PO q6-8h prn; Max: 20 mg/day; Info: D/C if ANC <1000; consider D/C if unexplained decr. in WBC
 
renal dosing
- [not defined]
 - renal impairment: not defined
 
- HD/PD: not defined
 
hepatic dosing
- [not defined]