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Largactil (Chlorpromazine)

Jabberwocky

Frumious Bandersnatch
Joined
Nov 3, 1999
Messages
1,297
Location
Looking-Glass Land
just wondering if anyone has experience with this old school anti-psychotic?

i've just started a course for what is diagnosed as drug psychosis - cannabis being the main trigger. i've an umbrella of problems. OCD, depression, chronic anxiety, psychotic, sociopathic and psychopathic behaviour are just the tip of the iceberg to get an idea.
 
I was on it for a good few months, they put me on it whilst I was in secure care, I was on a fairly low dose, 50mgs a day. It served a purpose for a short while but I wouldn't recommend it long term, even at that dose it was a chemical lobotomy. I believe it was responsible for a massive decrease in the use of ECT as well as the emptying of many psychiatric wards.

What dose are you taking, I saw people on 100's of mgs and it wasn't a good look, there is a mask like face and shuffling walk that goes along with high dosage.
 
25mg morning, 100mg evening. sleep is still impossible - i've only felt sedative effects the first night on a 25mg dose. combined with gabapentin is the other exception.

positives so far - it's taken the edge of my anxiety and nervous ticks. increased appetite. elevated mood (maybe that was the DHC or my shift in attitude).
negatives - nothing to report yet.

the dead face and shuffle is nothing out of routine for me.
 
Welcome back Lefty.

Do the thorazine shuffle...

I'm on Chlorpromezine currently. At a lot higher dose though.

We have a similar psychiatric wrap sheet so it would seem.

I use it for mood instability and mania more so than psychosis however.
 
thanks, trip. i promise we'll be on my best behaviour;)

i was taking avanza (mirtazepine) prior to the switch. it didn't help too much from my perspective so i stopped taking it and what a great idea that was.

i'm being treated for a spectrum of problems at the moment but am yet to receive anything too official as i'm still using. smoking weed in particular which seems to be a root problem with some of my behavioural problems. i don't blame them for not giving too much away too me.

which ward has the best grub in your experience so far trip? ;)
 
I didn't find it in the least bit sedating although the apathy was there, but that was probably more down to me than the drugs at that time, it's a little subjective. I had horrible insomnia at the time and all they would give for it was Z drugs, which I found pretty useless.

I came off it myself in the end as I didn't think it was helping me anymore, my main issue was episodes of derealisation which were getting worse and worse, now I understand a little more about what I was going through I'm not convinced it was the right treatment, but I'm still here so I ain't complaining.

Personally I didn't like the effects in the end, but I think if you find yourself in that place it may be because you don't need it anymore, but it very much depends on your problems I guess, at least being old school there is plenty of information on side effects etc.

Mirtazepine made me feel like I was constantly coming up on acid in a bad way, it really set off my derealisation, exactly what I didn't need although that was quite sedating.
 
thanks, trip. i promise we'll be on my best behaviour;)

i was taking avanza (mirtazepine) prior to the switch. it didn't help too much from my perspective so i stopped taking it and what a great idea that was.

i'm being treated for a spectrum of problems at the moment but am yet to receive anything too official as i'm still using. smoking weed in particular which seems to be a root problem with some of my behavioural problems. i don't blame them for not giving too much away too me.

which ward has the best grub in your experience so far trip? ;)

Lets see here... Monash P-Ward was fucking repulsive, The Victoria Clinic was pretty decent, Melbourne Clinic was good when they had the buffet type meals - when it changed to delivered to your rooms it fucking sucked. The John Cade ward was fucking APALLING but then... Public ones generally are. St Helens (Tasmania) was really nice and The Hobart clinic sucked.

So basically go private. :D. Psych wards - Gotta catch 'em all.

Thorazine isn't particularly sedating for me - I'm hit with 200mg 3 x Daily. Yeah, I do the shuffle. :p
 
I was on 100 mg Thorazine (chlorpromazine) daily for maybe 4-ish weeks last summer. I cannot give the best of evaluations because of the plethora of other drugs I was on, but I have had experience with it other than those 4 weeks as a PRN, but again with other psych drugs in the mix. Also, it was when I was hospitalized, and then in rehab. I actually, think, though Thorazine is one of the better neuroleptics even against the second generation anti-psychotics. While I was on it daily, it made sleep easy, even though I was quickly detoxed off benzos, which was really irresponsible of the psych ward. But, sleep was easy, and my mind was rather "confined". What I mean by this is that it seemed to have a controlling effect which limited my thoughts and feelings to the immediate present, and I didn't seem to care much about anything. It definitely induced apathy, and wasn't like a fun drug, but it did not seem to worsen any of my feelings. If you would have asked me then I would have said I was feeling fine, now I say I felt like shit, but that summer was horrible itself, and so was the god-awful rehab. It made life then a little (or lot?) more bearable, but seemed to keep me "limited" in some way, short-sighted in the mind. I did have the classic Thorazine face, and did even shuffle a bit, drooled while I was asleep, and became very restless if I had to sit very long. My vision acutally became really fucked up, but I was also on Abilify (5 mg?) and Remeron at the time. The staff at the rehab actually said they were getting other patients saying they were concerned about my over-medicated appearance as well as the staff themselves. I would not take it daily now, surely, but if I hit a really deep, rough patch in my life, I would consider going back on it, probably over any other neuroleptic, with the exception of Compazine, which I hold in the same category due to its very close relation. As a PRN at 25 mg, the Thorazine was sedating, but not TOO sedating, and gave some relief from what I can remember. Now I have a script per my request of Compazine 5 mg as a PRN, which I have taken only a few times, but I feel it is good to have a neuroleptic on hand for those emergency times. According to charts 5 mg Compazine = 35 mg Thorazine, which seems about right. For me the 5 mg Compazine is not too much in the way of sedation, and does not feel over-powering, but I have not had a severe episode requiring it, only a few times I have not felt my best and wanted to try it out to know what to do if something worse were to come along. I think 10 mg Compazine would be better if I were off the rails, and 5 mg sufficient for an episode of moderate transient dysphoria or malaise. Other neuroleptics have just not been as good for my needs as Thorazine or Compazine as a PRN. A lot of the second-generations are just too long-acting, or have too mixed a mechanism of action, or are too sedating. Haldol and Reglan are devlish neuroleptics, which cause me severe restlessness and dysphoria. Seroquel is not terrible, but still not nearly as good for my purposes as Compazine or Thorazine. With either of those (Compazine/Thorazine) the dose can be adjusted pretty well to treat my symptoms. A low dose can take the edge of what benzos cannot, a moderate dose can slow me down and settle me with a bit more force, and a high dose, should it ever be needed, could knock me out. Compazine and Thorazine are more heavy on the serotonin blockade, whereas some of the others I had bad experiences with are heavier on the dopamine blockade, and that I just cannot tolerate.

I don't know what other psych drugs you are on, leftwing, but I might suggest dividing your daily dose of Thorazine a bit more equally for consistent relief of symptoms, because it does have a fairly short half-life and duration of action compared to some other neuroleptics.
 
the only other medication/s i take are a beta-blocker for high blood pressure and gabapentin.

and my mind was rather "confined". What I mean by this is that it seemed to have a controlling effect which limited my thoughts and feelings to the immediate present, and I didn't seem to care much about anything. It definitely induced apathy, and wasn't like a fun drug, but it did not seem to worsen any of my feelings.

that's a good summary of my current state. i've had a good couple fits and outbursts of rage and anger (i've got anger problems, though, you wouldn't know it unless you knew knew me) but they were limited in capacity to the previous fits over the past months.
 
I take (when I'm a cooperative patient) 200mg chlorpromazine, or a mg or two of haloperidol here and there when I sense triggers or feel like I'm going to do something stupid...
 
benzo's are out for my course, unfortunately. too liable for abuse at this point; my dosing is monitored as is.

can you sum up your experience with the medication, tricomb? what you're taking for, length, side effects, etc.

from the lowered blood pressure on top of my heart medication i've nearly blacked out a few times after standing up too quick and definitely have the cotton mouth from it. also i can be reading something, see something, hear something - all different types of "cues" to my psychotic behaviours - and my nervous ticks will start until i'm able to zone out and back into the previous thought loop or a totally different one altogether.

my marijuana use has dropped significantly in the last couple of days which has me experiencing the usual sleeplessness (short, easily interrupted sleep cycle), agitation, increased anxiety and anger fits.
 
I really can't, I've been on every medication under the sun for a long list of diagnoses, yet I've only recently been consistently taking thorazine or low dose haldol for a bit less than a month now.
 
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I've only taken it as an anti-emetic with 50 mg IV given to me with IV morphine when I was in the ER once. Even then, it hit pretty hard in terms of sedation. I found it to be unpleasant stuff and even at a (relatively) low dose, I had mild EPS and my cognition was noticeably slower. It actually overpowered the morphine to a considerable extent.

My exposure to typical antipsychotics has only been when I've been on the ward, and in both cases they IM'ed me with Clopixol Accuphase (zuclopenhixol), which is really nasty stuff. The first time I was shot up with this stuff was during my first stay on the ward when I was injected with it for flipping out on the attending psychiatrist for some random reason (I dunno what it was to this day; I was in a BAD manic episode). Long story short it turned me into a drooling, shuffling wreck. On my second stay in the ward a few years later, after going acutely psychotic and trying to kill myself and a few others in the ER, I was shot up with this stuff at my shrink's request and I got horrible EPS (swollen tongue, tremor, shortness of breath, weakness, dystonia, etc) not to mention it turned me into a zombie, albeit not nearly as badly as the first time I was exposed to it.

Why I'm bringing up Clopixol is because that's how I imagine a larger dose of Largactil to be like, only with its effects being shorter-lived due to the fact that Clopixol Accuphase is intended to last about 3-4 days injection. As an antiemetic, I think that Largactil is actually an excellent med, as an antipsychotic, I think that it's a med of last resort. I'm sticking with Invega; I haven't had a bit of trouble with it.
 
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thanks rorer. i'll absorb that more efficiently when i'm sobered and not drunk.

i suspect a lot of my problems stem from a lack of motivation and drive and discipline. attitude is 90% of it or something, too?;) marijuana and i just don't mix regularly on a recreational basis; simple really. plus a few drops from the rain that got through the seam of my umbrella.

i hope to hear more, from what seems little heard of in bluelight land.

i forgot the whole point of my deluded response before my computer froze - marilyn manson's - the low end of high (to my inattentive and learned eyes and ears mechanical animals in rewind - is my life in play;))
 
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My exposure to typical antipsychotics has only been when I've been on the ward, and in both cases they IM'ed me with Clopixol Accuphase (zuclopenhixol), which is really nasty stuff. The first time I was shot up with this stuff was during my first stay on the ward when I was injected with it for flipping out on the attending psychiatrist for some random reason (I dunno what it was to this day; I was in a BAD manic episode). Long story short it turned me into a drooling, shuffling wreck. On my second stay in the ward a few years later, after going acutely psychotic and trying to kill myself and a few others in the ER, I was shot up with this stuff at my shrink's request and I got horrible EPS (swollen tongue, tremor, shortness of breath, weakness, dystonia, etc) not to mention it turned me into a zombie, albeit not nearly as badly as the first time I was exposed to it.

Why I'm bringing up Clopixol is because that's how I imagine a larger dose of Largactil to be like, only with its effects being shorter-lived due to the fact that Clopixol Accuphase is intended to last about 3-4 days injection. As an antiemetic, I think that Largactil is actually an excellent med, as an antipsychotic, I think that it's a med of last resort. I'm sticking with Invega; I haven't had a bit of trouble with it.

Fuck yes dude, Accuphase is hardcore, fucking hated getting that. There's not really words to describe being IM'd against your will with typical antipsychotics, let alone Zuclo.

Melleril is also hardcore, as is haldol. They all produce similar, yet different effects, especially when administered at varying dosages against your will, so you never really know. In the ward they don't say "Okay now hold still we're going to administer XX milligrams of _________ to help calm you down". IME it's more just to shut you up, and it works. I think the risk for extrapyramidal effects is much higher in the ward where you aren't able to control your dosing.
 
........ i've just started a course for what is diagnosed as drug psychosis - cannabis being the main trigger. i've an umbrella of problems. OCD, depression, chronic anxiety, psychotic, sociopathic and psychopathic behaviour are just the tip of the iceberg to get an idea.

no offense intended what-so-ever, I'm sorry to hear the shit you've gotten ya self into, but was this the reason why you used to be a 'cunt' (you called me one once in a PM relating to an infraction so moderators, please dont ban me ;) ) to alot of BLers that posted in various sub-forums of BL?
 
no offense intended what-so-ever, I'm sorry to hear the shit you've gotten ya self into, but was this the reason why you used to be a 'cunt' (you called me one once in a PM relating to an infraction so moderators, please dont ban me ;) ) to alot of BLers that posted in various sub-forums of BL?

my apologies hold no ground anymore so i'll just say you probably upset the beat of my drum, prick;)

I take (when I'm a cooperative patient) 200mg chlorpromazine, or a mg or two of haloperidol here and there when I sense triggers or feel like I'm going to do something stupid...

i'm not exactly the most co-operative patient and with auditory distortions and (more often) visual hallucinations increasing, the week just passed i have stopped the chlorpromazine and will start risperidone this week - 4mg/night.

the risperidone shots seem like a promising option worth discussing with my gp.
 
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