Clopixol Acuphase (100Mg/2Ml) (Zuclopenthixol) – Lundbeck

Mechanism of Action

Zuclopenthixol works primarily by blocking dopamine D1 and D2 receptors in the brain. It also has a high affinity for alpha₁-adrenergic and 5-HT₂ (serotonin) receptors, helping to reduce psychotic symptoms and stabilize mood.

Active Ingredient

Zuclopenthixol

Drug Class

Antipsychotic

Dosage Form

Injection

Uses

Zuclopenthixol Injection is commonly used for:

  • Treatment of schizophrenia and other psychotic disorders.
  • Relief of symptoms such as hallucinations, delusions, and disturbed thinking.
  • Management of acute manic episodes associated with bipolar disorder.
  • Treatment of severe behavioral disturbances, including aggression, agitation, and disruptive behavior in selected pediatric patients, as prescribed by a physician.

Dosage

Use only as directed by your physician. The dosage and duration of treatment depend on your medical condition and response to therapy.

Overdose

In case of an overdose, seek immediate medical attention or contact your nearest emergency medical facility.

Missed Dose

If you miss a scheduled dose, take it as soon as possible on the same day. If it is almost time for your next dose, skip the missed dose and continue your regular schedule. Do not take a double dose to make up for the missed one.

How to Use

This medicine should be administered exactly as prescribed by your healthcare professional. Do not change the dose or discontinue treatment without medical advice.

When Not to Use

Do not use this medicine if you are allergic to zuclopenthixol or any of its ingredients.

Side Effects

Common side effects may include:

  • Drowsiness or sedation
  • Weakness or fatigue
  • Constipation
  • Increased triglyceride levels
  • Enlarged prostate
  • Parkinson-like symptoms (muscle stiffness, tremors, or slowed movement)
  • Low platelet count (thrombocytopenia)
  • Increased risk of pneumonia
  • Seizures

Precautions & Warnings

Use this medicine with caution in patients with cardiovascular disease, seizure disorders, Parkinson's disease, or liver impairment. Seek immediate medical attention if you experience signs of an allergic reaction, severe muscle stiffness, irregular heartbeat, or unusual involuntary movements. Regular medical monitoring may be required during treatment.

Drug Interactions

Zuclopenthixol may interact with:

  • Antidepressants
  • Other antipsychotic medicines
  • Beta-blockers
  • Central nervous system (CNS) depressants
  • Lithium

Inform your doctor about all medicines, vitamins, and herbal supplements you are taking before starting treatment.

Storage

Store at room temperature, away from heat, moisture, and direct sunlight. Keep out of the reach of children. Dispose of unused or expired medicine according to local regulations.

Controlled Drug

No

Clopixol Depot Injection 200mg/ml (Zuclopenthixol Acetate) – lundbeck pakistan (pvt) ltd

Used For Schizophrenia How It Works Zuclopenthixol is an antipsychotic medicine (also known as a neuroleptic). It works by affecting certain chemical messengers in the brain, helping to restore their balance and reduce symptoms associated with schizophrenia and other psychotic disorders. Usage & Safety Dosage Adults: Zuclopenthixol Acetate: 50–150 mg by deep intramuscular (IM) injection into the gluteal muscle or lateral thigh. If required, the dose may be repeated after 2–3 days. In some cases, one additional injection may be given 1–2 days after the first dose. The maximum cumulative dose is 400 mg per treatment course, with a maximum of 4 injections. Treatment should not continue for more than 2 weeks. If ongoing treatment is required, patients should be switched to oral therapy or a long-acting depot injection after the final acetate dose. Zuclopenthixol Decanoate: Administered by deep IM injection into the gluteal muscle. A test dose of 100 mg is recommended, followed after at least 7 days by 200–500 mg or more every 1–4 weeks, depending on the patient's response. Maximum recommended dose: 600 mg per week. Elderly: Lower starting doses are recommended (approximately one-quarter to one-half of the usual adult dose). Children: Not recommended. Or use as directed by your physician. Side Effects
  • Low platelet count and other blood cell disorders
  • Drowsiness or excessive sleepiness
  • Poor coordination or abnormal muscle movements (including involuntary movements of the mouth, tongue, or eyes)
  • Tremors
  • Muscle stiffness or weakness, including stiff jaw or neck
  • Dizziness or vertigo
  • Headache or migraine
  • Numbness or tingling in the arms or legs
  • Difficulty concentrating, memory problems, or confusion
  • Changes in walking pattern or abnormal reflexes
  • General body rigidity
  • Fainting
  • Speech difficulties
  • Seizures (fits)
  • Enlarged pupils, blurred vision, or other vision changes
  • Ringing in the ears (tinnitus) or hearing sensitivity
  • Nasal congestion
  • Shortness of breath
  • Dry mouth or increased saliva production
  • Nausea, vomiting, indigestion, or stomach pain
Drug Interactions Zuclopenthixol may interact with:
  • Tricyclic antidepressants
  • Barbiturates
  • Anticoagulants (e.g., warfarin)
  • Anticholinergic medicines (including some allergy, cold, and motion sickness medications)
  • Metoclopramide
  • Piperazine
  • Levodopa and other Parkinson's disease medicines
  • Sibutramine
  • Digoxin
  • Corticosteroids (e.g., prednisolone)
  • Blood pressure-lowering medicines such as hydralazine, alpha-blockers (e.g., doxazosin), beta-blockers, methyldopa, clonidine, and guanethidine
Indications Used for the treatment of schizophrenia and other psychotic disorders. When Not to Use Do not use this medicine if you are allergic to zuclopenthixol, other thioxanthene medicines, antipsychotic drugs, or any of its ingredients. It should also be avoided in patients who have severe circulatory problems or are unusually drowsy, unconscious, or have significantly reduced alertness. Precautions Use with caution in patients with Parkinson's disease, as dopamine-blocking medicines such as zuclopenthixol may worsen Parkinsonian symptoms. Warnings
  • Zuclopenthixol may prolong the QT interval, increasing the risk of serious heart rhythm disorders. Use with caution in patients with heart disease, low potassium (hypokalemia), low magnesium (hypomagnesemia), or a family history of QT prolongation.
  • Cases of venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, have been reported with antipsychotic medicines. Patients should be assessed for VTE risk factors before and during treatment.
  • Use cautiously in patients with a history of seizures or epilepsy, as zuclopenthixol may lower the seizure threshold and increase the risk of convulsions.
Pregnancy Always consult your physician before using this medicine during pregnancy or while breastfeeding. Storage Store at room temperature, away from direct heat, sunlight, and moisture. Keep out of the reach of children.