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
Approved UsePsychotic disorders such as schizophrenia 1 First Approved / Isolated Year Significant RiskTardive 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 ATC ClassSourced to the subject's own account Route of Administration Route of Administration WHO Essential Medicine Partially Attested
Mechanism of ActionBelieved 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
WikipediaLead 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 NQuote, First-level anatomical group codes, Code N
Nervous system
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