Brand name:
Trilafon
Pronounced: TRILL-ah-fon
Generic name:
Perphenazine
Why is Trilafon prescribed?
Trilafon is used to treat schizophrenia and to control severe
nausea and vomiting in adults. It is a member of the phenothiazine
family of antipsychotic medications, which includes such drugs as
Mellaril, Stelazine, and Thorazine.
Most important fact about Trilafon
Trilafon can cause tardive dyskinesia, a condition marked by
involuntary muscle spasms and twitches in the face and body,
including chewing movements, puckering, puffing the cheeks, and
sticking out the tongue. This condition may be permanent and appears
to be most common among older adults, especially older women. Ask
your doctor for more information about this possible risk.
How should you take Trilafon?
Trilafon should be taken exactly according to physician
instructions and for no longer than necessary.
--If you miss a dose...
If it is within an hour or so after the scheduled time, take the
forgotten dose as soon as you remember. If you do not remember until
later, skip the dose and go back to your regular schedule. Never
take 2 doses at once.
--Storage instructions...
Trilafon should be stored at room temperature.
Trilafon side effects
Side effects cannot be anticipated. If any develop or change in
intensity, inform your doctor as soon as possible. Only your doctor
can determine if it is safe to continue taking Trilafon.
- Side effects may include:
Aching or numbness of the limbs,
brain swelling,
breast milk production,
diarrhea,
drowsiness,
dry mouth,
low blood pressure upon standing,
nausea,
rapid or irregular heartbeat,
restlessness,
salivation,
seizures,
vomiting
Why should Trilafon not be prescribed?
People who are comatose or who are at reduced levels of
consciousness or alertness should not take Trilafon. Nor should
those who are taking large amounts of any substance that slows brain
function, including barbiturates, alcohol, narcotics, pain killers,
and antihistamines.
Trilafon should also be avoided by people who have blood
disorders, liver problems, or brain damage It cannot be taken by
anyone who is hypersensitive to its ingredients or to related drugs.
Special warnings about Trilafon
Use Trilafon with caution if you have any of the following:
glaucoma (high pressure in the eye); difficulty urinating; breast
cancer; breathing problems; or heart, liver, kidney, or thyroid
disease. Caution is also advised if you are exposed to extreme heat
or pesticides. Be aware that Trilafon may mask signs of brain tumor,
intestinal blockage, and overdose of other drugs.
Drugs such as Trilafon can trigger a potentially fatal condition
known as Neuroleptic Malignant Syndrome (NMS). Symptoms include high
fever, muscle rigidity, unstable blood pressure, rapid or irregular
heartbeat, and excessive sweating. If any of these symptoms develop,
see your doctor immediately.
Trilafon should be used cautiously in people who are severely
depressed and may be at risk for suicide. These patients should be
watched closely for signs of suicidal thoughts and behavior. The
doctor will prescribe the lowest amount of drug possible to avoid
the risk of overdose.
While taking Trilafon, you may feel dizzy or light-headed
or actually faint when getting up from a lying or sitting position.
If getting up more slowly doesn't help or if the problem continues,
contact your doctor.
Also report any significant increase in body temperature to the
doctor. It could be an early warning that you cannot tolerate the
drug.
Alert your physician before taking Trilafon if you are going
through alcohol withdrawal, suffer from convulsions or seizures, or
have a depressive disorder. You'll have to use the drug with
caution.
Trilafon could make you more sensitive to sunlight. Be sure to
stay out of the sun, wear protective clothing, and use sunblock.
Tell the doctor or dentist you're taking Trilafon before having
any surgery, dental work, or diagnostic procedure. Trilafon could
interact with anesthetics, muscle relaxants, and other drugs used
during surgical procedures.
Be aware that Trilafon may impair the mental or physical
abilities needed to drive a car or operate heavy machinery. Avoid
activities that require full alertness until you know how the drug
affects you.
Stomach inflammation, dizziness, nausea, vomiting, and tremors
may result if Trilafon is stopped suddenly. Therapy should be
discontinued only under a doctor's supervision.
Trilafon is not recommended for children under the age of 12
years.
Possible food and drug interactions when taking Trilafon
If Trilafon is taken with certain other drugs, the effects of
either could be increased, decreased, or altered. It is especially
important to check with your doctor before combining Trilafon with
the following:
Antidepressants such as Elavil, Nardil, Prozac, and Triavil
Antihistamines such as Benadryl and Tavist
Antipsychotic medications such as Mellaril and chlorpromazine
Antiseizure drugs such as Dilantin
Atropine (Donnatal)
Barbiturates such as Nembutal and Seconal
Blood pressure medications
Drugs that quell spasms, such as Levsin
Narcotic painkillers such as Percodan and Vicodin
Phosphorus insecticides
Tranquilizers and sleep aids such as Halcion, Valium, and Xanax
Extreme drowsiness and other potentially serious effects can
result if Trilafon is combined with alcohol or other central nervous
system depressants such as narcotics, painkillers, and sleep
medications.
Special information if you are pregnant or breastfeeding
Trilafon may cause false-positive results on pregnancy tests. If
you are pregnant or plan to become pregnant, tell your doctor
immediately. The safe use of Trilafon during pregnancy has not been
established. The benefits of using Trilafon must be weighed
against the possible hazards to the mother and child.
Drugs similar to Trilafon appear in breast milk. If this
medication is essential to your health, the doctor may advise you to
avoid breastfeeding until your treatment is finished.
Recommended dosage for Trilafon
The dosage of Trilafon is adjusted according to the severity of
the condition and the drug's effect. Doctors aim for the lowest
effective dose.
SCHIZOPHRENIA
Overdosage
Anyone suspected of overdosing on Trilafon should be hospitalized
immediately for emergency treatment.
- Usual symptoms of Trilafon overdose include:
Stupor,
coma,
convulsions (in children)
Victims may also exhibit symptoms such as rigid muscles, twitches
and involuntary movements, hair-trigger reflexes, loss of
coordination, rolling eyeballs, and slurred speech.
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