Proklorperazin
Buccastem, Stemetil
Granskad av Sid DajaniSenast uppdaterad av Michael Stewart, MRPharmSSenast uppdaterad 29 mars 2023
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Prochlorperazine is prescribed for a number of different reasons. Ask your doctor if you are unsure why it has been prescribed for you.
It may slow your reactions and make you feel drowsy. If this happens, do not drive and do not use tools or machines.
Keep any regular appointments with your doctor. This is so your progress can be checked.
Överblick
Prochlorperazine is a medicine used to treat dizziness, nausea, vomiting, agitation, and schizophrenia.
It is available as tablets, buccal tablets (dissolves in the mouth), and injections.
Some conditions and medicines mean prochlorperazine may not be suitable for you.
Take prochlorperazine exactly as your doctor tells you, usually two or three times a day.
Common side-effects include dizziness, sleepiness, headache, and a dry mouth.
If you experience muscle stiffness, a high temperature, or confusion, tell your doctor immediately.
About prochlorperazine
Typ av medicin | A phenothiazine medicine |
Används för | The treatment of dizziness and problems with balance; the treatment of nausea and vomiting; to ease agitation and severe restlessness; schizophrenia |
Även kallad | Buccastem® M; Stemetil® |
Tillgänglig som | Tablet, buccal tablet (dissolves in the mouth)and injection |
Prochlorperazine belongs to a group of medicines called 'phenothiazines'. It is prescribed for a variety of unrelated conditions, including problems with balance and dizziness, sickness (nausea and vomiting), agitation and restlessness, and schizophrenia. Prochlorperazine is thought to work by blocking the action of a chemical called dopamine which acts on the nervous system in the brain.
Prochlorperazine is also available to buy over-the-counter from pharmacies. It comes as a buccal tablet (dissolves in the mouth) that is used to relieve sickness caused by migrän.
Before taking prochlorperazine
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking prochlorperazine it is important that your doctor knows:
Om du är gravid eller ammar.
If you have a heart condition or blood vessel disease.
If you have liver, kidney, or prostate problems.
If you have breathing problems.
If you have problems with your thyroid gland.
If you have any of the following: epilepsy, Parkinson's disease, depression, increased pressure in your eye (glaucoma), or myasthenia gravis, a condition which causes muscle weakness.
If you have ever had yellowing of your skin or the whites of your eyes (jaundice) or a blood disorder.
If you have a tumour on your adrenal gland, a condition called phaeochromocytoma.
Om du någonsin har haft en allergisk reaktion mot en medicin.
Om du tar eller använder några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.
How to take prochlorperazine
Before you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The manufacturer's leaflet will give you more information about prochlorperazine and a full list of the side-effects which you may experience from taking it.
Take prochlorperazine exactly as your doctor tells you to. Your dose will depend upon the reason you are taking it, but as a guide, it is often taken two or three times daily. If you are prescribed a regular dose, try to get into the habit of taking it at the same times each day to avoid missing any doses. Prochlorperazine can also be taken 'as required' when treating sickness.
If you have been supplied the standard 5 mg tablets - take these in the normal way by swallowing them with a glass of water. You can take prochlorperazine 5 mg tablets before or after meals.
If you have been supplied the 3 mg buccal tablets (Buccastem® M brand) - the tablets are designed to stick to the inside of your mouth and to dissolve there. Place the tablet in your mouth, high up between your top gum and upper lip. Leave it in place - the tablet will dissolve slowly over the following hour or so. It is best to take prochlorperazine buccal tablets after meals.
If you forget to take a dose, take it as soon as you remember unless it is nearly time for your next dose, in which case leave out the missed dose. Do not take two doses together to make up for a missed dose.
Få ut det mesta av din behandling
Keep your regular doctor's appointments so your progress can be checked. If you are taking prochlorperazine for a long-term condition, you may need to have some blood tests from time to time.
If you have been given prochlorperazine to relieve nausea, dizziness or agitation, it will be given to you for a short time until your symptoms have eased. If you have been prescribed prochlorperazine for schizophrenia, treatment is usually long-term. Keep taking prochlorperazine until your doctor tells you otherwise, as your doctor may want you to reduce your dose gradually if a change in your treatment becomes necessary.
Prochlorperazine may cause your skin to become more sensitive to sunlight than normal. Use a sunscreen that protects against UVA light and has a sun protection factor (SPF) of at least 15, especially in strong sunlight or until you know how your skin reacts. Do not use sunbeds.
If you are having an operation or any dental treatment, tell the person carrying out the treatment which medicines you are taking. This is important because prochlorperazine may interfere with any anaesthetic you receive.
If you buy or take any 'over-the-counter' medicines, check with a pharmacist that they are suitable to take with prochlorperazine. Antacid remedies should not be taken at the same time, as they reduce the amount of prochlorperazine absorbed by your body.
If you drink alcohol, ask your doctor for advice about drinking while you are on prochlorperazine. Alcohol will increase the chance that you experience side-effects and is unlikely to be recommended for you.
If you have diabetes, check your blood sugar (glucose) levels regularly, as prochlorperazine may affect the levels of sugar in your blood.
Can prochlorperazine cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with prochlorperazine. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common prochlorperazine side-effects | Vad kan jag göra om jag upplever detta? |
Feeling dizzy or sleepy, blurred vision, slowed reaction time | Om detta händer, kör inte och använd inte verktyg eller maskiner. Drick inte alkohol |
Huvudvärk | Drink plenty of water and ask a pharmacist to recommend a suitable painkiller. If the headaches continue, let your doctor know |
Torr mun | Försök tugga sockerfritt tuggummi eller suga på sockerfria karameller |
Feeling shaky or restless, unusual or uncontrollable muscle movements | Speak with your doctor as soon as possible about any of these. Your treatment may need adjusting |
Changes to the way your body regulates temperature | Take care in hot or cold weather to make sure that you do not get too hot or too cold |
Changes in weight, difficulty sleeping, mood changes, stuffy nose, changes in sexual function, breast enlargement, production of breast milk, menstrual problems, fast heartbeats, constipation, difficulty passing urine | Discuss these with your doctor if any become troublesome |
Viktigt: if you experience symptoms such as muscle stiffness, a very high temperature, confusion, a fast heartbeat and sweating, you must contact your doctor immediately. These may be signs of a rare but serious condition known as neuroleptic malignant syndrome.
Om du upplever några andra symtom som du tror kan bero på denna medicin, tala med din läkare eller apotekare.
How to store prochlorperazine
Förvara alla läkemedel utom räckhåll och synhåll för barn.
Förvara på en sval, torr plats, borta från direkt värme och ljus.
Viktig information om alla läkemedel
Viktig information om alla läkemedel
Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.
Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.
Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.
Om du har några frågor om denna medicin, fråga din apotekare.
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Vanliga frågor
Can I buy prochlorperazine over-the-counter for conditions other than migraine-related sickness?
Prochlorperazine is available over-the-counter in pharmacies as a buccal tablet specifically for relieving sickness caused by migraine. For other conditions like dizziness, balance problems, anxiety, or schizophrenia, it needs to be prescribed by a doctor.
How long does prochlorperazine take to start working?
The article does not specify an exact timeframe for when prochlorperazine starts to work. It mentions that if you are using it for nausea, dizziness, or agitation, it will be given for a short period until symptoms ease.
Can prochlorperazine help with anxiety?
The article mentions that prochlorperazine is used to ease agitation and severe restlessness, which can be associated with anxiety. However, it does not explicitly state that it treats anxiety as a primary condition.
Are there any specific foods or drinks I should avoid while taking prochlorperazine?
The article advises against taking antacid remedies at the same time as prochlorperazine, as they can reduce its absorption. It also recommends asking your doctor for advice about drinking alcohol, as it can increase side-effects.
What should I do if I experience muscle stiffness, high temperature, and confusion while taking prochlorperazine?
If you experience symptoms such as muscle stiffness, a very high temperature, confusion, a fast heartbeat, and sweating, you must contact your doctor immediately. These could be signs of a rare but serious condition called neuroleptic malignant syndrome.
Vidare läsning och referenser
- Manufacturer's PIL, Buccastem® M; Alliance Pharmaceuticals, The electronic Medicines Compendium. Dated February 2020.
- Manufacturer's PIL, Stemetil® Tablets 5 mg; Sanofi, The electronic Medicines Compendium. Dated January 2022.
Om författarenVisa fullständig biografi

Michael Stewart, MRPharmS
Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare
BPharm (Hons), MRPharmS
Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.
Om recensenten

Sid Dajani
Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.
Artikelhistorik
Informationen på denna sida är skriven och granskad av kvalificerade kliniker.
Artikeln finns också på Engelska, Tyska, Spanska, Franska, Italienska, Portugisiska, Hindi, Hebreiska, Arabiska, och Svenska.
Nästa granskning: 27 sept 2027
29 mars 2023 | Senaste versionen

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