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Clozapine

Updated on : January - 2012
Latest prescription information about Clozapine. Learn how to pronounce the drug’s name, its indications, dosage, how to take, when to take, when not to take, side effects, special precautions, its storage instructions and warnings if any when taken during pregnancy. Also listed are the International and Indian trade name(s) of the drug and its price list.
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Generic Name : Clozapine
Pronunciation : kloe' za peen
Therapeutic Classification : Psychotherapeutics
ICD Code : Y49.5
Trade Name(s): 
India- Chrozap Tab, Clomach Tab, Clopaz Tab, Clopin Tab, Cozacin Tab, Lozapin Tab, Lozaril Tab, Refract Tab, Sizopin Tab, Skizoril Tab, Sloza Tab, Syclop Tab, Syzopin Tab, Zopin Tab.
International- Clozaril , FazaClo.
Why it is prescribed (Indications) : 
This medication is an antipsychotic, prescribed for schizophrenia.  It changes the activity of certain natural substances in the brain.
When it is not to be taken (Contraindications): 
Contraindicated in patients with myeloproliferative disorders (abnormal growth of blood cells), uncontrolled epilepsy, intestinal obstruction, drug-induced agranulocytosis, co-adminisered with drugs that are causing agranulocytosis and hypersensitivity.

Pregnancy Category :

A B C D X
Category B : Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women OR Animal studies have shown an adverse effect, but adequate and well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus in any trimester.

Dosage & When it is to be taken : 
The initial dose is 12.5 mg two times/day, and the dose is increased by 25–50 mg each day, until the dose reaches 300–450 mg per day.
The usual dosage range is 300–600 mg per day. Maximum: 900mg/day.
How it should be taken : 
It comes as a tablet to take by mouth, with or without food.
Warnings and Precautions : 
* Caution should be exercised in patients with history of intestinal obstruction, increased eye pressure, irregular heartbeat, QT prolongation, heart arrest, enlarged prostate, high or low blood pressure, heart, kidney, lung or liver disease, any allergy, who are taking this medications, during pregnancy and breast feeding.
* Avoid alcohol consumption.
* It may cause drowsiness, dizziness or lightheadedness, do not drive a car or operate machinery and get up slowly from bed while taking this medication.
* Patient may develop with increased risk of agranulocytosis, high blood pressure, diabetes, monitor blood counts, blood pressure and sugar level regularly while taking this medication.
* It may cause neuroleptic malignant syndrome (NMS) with the following symptoms: fever, stiff muscles, confusion, abnormal thinking, fast or irregular heartbeat, and sweating. If it so consult with your doctor.
Side Effects : 
Central Nervous System- Drowsiness, seizures, dizziness and fainting.
Heart - Fast heart rate, low blood pressure, heart arrest, and ECG changes.
Gastrointestinal - Nausea and vomiting.
Blood - Decrease in blood cell counts and fever.
Central Nervous System - Headache, tremor, disturbed sleep, nightmares, restlessness, muscle weakness, agitation, rigidity, movement disorder, confusion, fatigue, sleeplessness, weakness, lethargy, incoordination, slurred speech, depression, jerks and anxiety.
Heart - Fast heart rate, low/high blood pressure, chest pain an ECG changes.
Gastrointestinal - Constipation, nausea, abdominal discomfort, heartburn, vomiting, diarrhea, liver test abnormality and loss of appetite.
Genitourinary - Urinary abnormalities, incontinence, abnormal ejaculation, urinary urgency/frequency and urinary retention.
Skin - Rash.
Musculoskeletal - Muscle weakness/pain, muscle spasm and muscle pain.
Respiratory - Throat discomfort, difficulty in breathing, shortness of breath and nasal congestion.
Blood - Decrease in white blood cells and eosinophilia.
Miscellaneous - Weight gain, tongue numbness, salivation, sweating, dry mouth and visual disturbances.
Other Precautions : 
* Avoid drinking caffeinated beverages.
Storage Conditions : 
Keep this medication in the container it came in and out of the reach of children.
♦ Safety Labeling Changes Approved By FDA

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Posted by:  arunpatel, N/A  Posted on: 5/3/2011
sir;my sister suffered schizophrenia.taking sizopin75at night and Uvox 100 mg twise.27years,53kg weight.now filling better butt here is wickness,drinks much water filling loss of energy,main problem is due to deepsleeping like unconsious urin in bed 2-3times at night.so we canchange tab sizopin? by skizoril,if so what can occour.please suggest.
Posted by:  genglob, China  Posted on: 11/15/2009
You can purchase sizopine from the following link if you are outside India.
Please check the details on how to get sizopine in India and abroad.
Posted by:  murali_kgf, India  Posted on: 3/20/2009
I have been taking Sizopin from past 7yrs under the supervision of my doctor. The dosage has been diminishing from 100mg to 25mg currently. Now i am pregnet and would like your advice whether to continue the course or to stop it?? Will it have any affects on the child about to born. Whether the new born child will also be affected like me.I have consulted my doctor but i am not convinced in her reply. Kindly suggest whether to continue the dosage or it has to be stopped.
Posted by:  SR Padmashri, India  Posted on: 12/3/2008
Sir,

I have been taking Sizopin since 4 years along with Lithium. However, I have discontinued Lithium under the supervision of a doctor who had suggested. However, I go for regular check up once in three months and reports are normal. I want to discontinue the drug on the advise. My doctor is a neuropsychiatrist. Kindly suggest.

Thanks and regards,
SR Padmashri
Posted by:  sherry, United Kingdom  Posted on: 10/14/2008
I want clozapine from India Punjab. Can I get this medicine from bathida or patiala Punjab India. Coz my husband taking it from London. But here rules is they just giving 6 weeks medicine, we are living in London. Now he will be thinking of coming to India for 8 weeks we don't have medicine for 2 weeks that is why we searching for clozapine from Punjab India
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Reference  

  • Food and Drug Administration (FDA)
  • National Institutes of Health (NIH)
  • PubMed
  • CIMS
  • Indian Pharma Reference Guide 2012
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