Sulpiride

Sulpiride is antipsychotic agent with similar action and uses as for chlopromazine. Sulpiride is used in the treatment of schizophrenia, also given for the management of anxiety, vertigo and peptic ulceration.


Adult Dose
Dose: 200 to 400 mg
Single Dose: 300 (300)
Frequency: 12 hourly
Route: PO
Instructions: Max.800 mg daily.
Neonatal
Dose: Not indicated in this age group
Single Dose:
Frequency:
Route:
Instructions:
Paedriatic
Characteristics
. It is of Synthetic origin and belongs to Benzamide. It belongs to D2 antagonist pharmacological group on the basis of mechanism of action and also classified in Psychotherapeutic Drugs pharmacological group.The Molecular Weight of Sulpiride is 341.40. Its pKa is 8.9.
Contraindications
Sulpiride is contraindicated in conditions like Epilepsy,Phaeochromocytoma,Porphyria.
Effects
The severe or irreversible adverse effects of Sulpiride, which give rise to further complications include Tardive dyskinesia.Sulpiride produces potentially life-threatening effects which include Hepatitis, Malignant neuroplastic syndrome, Hypertensive crises. which are responsible for the discontinuation of Sulpiride therapy.The signs and symptoms that are produced after the acute overdosage of Sulpiride include Hypotension, Confusion, Agitation, Restlessness, Extrapyramidal effects.The symptomatic adverse reactions produced by Sulpiride are more or less tolerable and if they become severe, they can be treated symptomatically, these include Irritability, Excitement, Anxiety, Parkinsonism, Akathisia, Acute dystonia, Elevated alkaline phosphatase, Mood swings, Leukopenia, Elevated aminotransferase.
Indications
Sulpiride is primarily indicated in conditions like Control of muscarinic side-effects of neostigmine, Depression, Psychosis, Schizophrenia.
Interactions
Sulpiride is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAlcoholAmitriptyline (HCl)Buspirone (HCl)Cimetidine (HCl)Clomipramine (HCl)CocainedeferoxamineDisulfiramNaltrexonePiperazineSucralfate These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Test for Estimating Glucose and Cholestrole Conc. in Serum
Risks
Drug should not be given to Paediatrics, Pregnant Mothers, patients suffering from Kidney dysfunction, Geriatrics, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Tab Store Below 25°C.
Warnings
Sulpiride should be given with care to manic or hypomanic patients in whom it may exacerbate symptoms. It should be used with care during pregnancy, avoid use during lactation. It should be used with caution in patients with impaired renal function.
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