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Drugs and Medicinal Substances

Chlorpromazine

Nervous System Agents

Chlorpromazine is an antipsychotic medication, generally regarded as the first of its class, used primarily to treat psychotic disorders such as schizophrenia. Its effects arise largely from its action as a dopamine antagonist, though it also blocks serotonin and histamine receptors and the full mechanism is not completely understood. The French company Laboratoires Rhone-Poulenc had been researching antihistamines since 1933 and synthesized promethazine in 1947; chemist Paul Charpentier produced chlorpromazine, compound RP4560, in December 1950, and surgeon Henri Laborit began championing its psychiatric use in 1951 after observing its calming effect in surgical patients. Psychiatrists Pierre Deniker and Jean Delay published influential clinical trials in 1952 showing its effect went well beyond simple sedation, and Rhone-Poulenc released the drug in 1953 under the name Largactil; by 1954 it was in wide use across the United States for schizophrenia and mania, a moment often credited with launching modern psychopharmacology.

Facts
Drug Class
Antipsychotic 1
Approved Use
Psychotic disorders such as schizophrenia 1
First Approved / Isolated Year
1953 1
Significant Risk
Tardive dyskinesia (potentially permanent movement disorder), neuroleptic malignant syndrome, severe lowering of the seizure threshold, low white blood cell levels; may increase the risk of death in older people with dementia related psychosis 1
Classification
Approval Status
Approved 1
ATC ClassSourced to the subject's own account
N: Nervous System 2
Route of Administration
Intravenous 1
Route of Administration
Intramuscular 1
WHO Essential Medicine
Core List 1
Partially Attested
Mechanism of Action
Believed to be related to its ability as a dopamine antagonist 1
The source states the mechanism of action is not entirely clear but is believed to be related to dopamine antagonism.
Sources
1. Wikipedia: Chlorpromazine
Wikipedia
  • Lead section, first sentence
    is an antipsychotic medication
  • Article body, sentence beginning 'Its mechanism of action is not entirely clear'
    Its mechanism of action is not entirely clear but is believed to be related to its ability as a dopamine antagonist.
  • Lead section, second sentence
    It is primarily used to treat psychotic disorders such as schizophrenia.
  • History, sentence beginning 'Known colloquially as Laborit's drug'
    chlorpromazine was released onto the market in 1953 by Rhône-Poulenc
  • Lead section, sentences beginning 'Serious side effects may include'
    Serious side effects may include the potentially permanent movement disorder tardive dyskinesia, neuroleptic malignant syndrome, severe lowering of the seizure threshold, and low white blood cell levels. In older people with psychosis as a result of dementia, it may increase the risk of death.
  • Lead section, route-of-administration statement
    It can be given orally (by mouth), by intramuscular injection (injection into a muscle), or intravenously (injection into a vein).
  • Lead section, route-of-administration statement (intramuscular)
    It can be given orally (by mouth), by intramuscular injection (injection into a muscle), or intravenously (injection into a vein).
  • Regulatory approval status
  • WHO Model List of Essential Medicines, core list
View the Source
2. Anatomical Therapeutic Chemical Classification System (Wikipedia)
WikipediaFirst-level anatomical group codes, Code N
Quote, First-level anatomical group codes, Code N
Nervous system
View the Source
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