Largactil (Chlorpromazine Hydrochloride)

Complete patient guide for uses, dosage, side effects, and safety information

Prescription Required

Quick Facts

Generic Name
chlorpromazine hydrochloride
Drug Class
phenothiazine antipsychotic
Used For
severe depression, behavioral disturbances, nausea, vomiting, severe pain, and unstoppable hiccups
How Taken
oral tablets or syrup as prescribed by doctor, or injection by healthcare professional

What Is Largactil Used For?

Largactil contains chlorpromazine hydrochloride, which belongs to a group of medicines called phenothiazines. It can be used for short-term or long-term treatment depending on your condition.

Primary Uses

Largactil is used to treat severe depression, behavioral disturbances, nausea, vomiting, severe pain, and unstoppable hiccups. Your doctor may prescribe it for other conditions as well.

How to Take Largactil

Your doctor or pharmacist will determine the right dose for you based on your condition and other medicines you may be taking. Take Largactil at the same time each day for best results.

Dosage Instructions

Swallow tablets whole with a full glass of water – do not chew them. For syrup, swallow the prescribed dose and follow with a glass of water. Injections are only given by healthcare professionals. Continue taking until your doctor tells you to stop, even if you feel better.

What If You Miss a Dose?

If you miss a dose, simply continue taking Largactil as advised by your doctor. You do not need to make up for the missed dose.

Important: Never take a double dose to make up for a missed dose as this may increase your chance of side effects.

Available Tablet Strengths

25mg
25mg Tablet White, Film coated tablet • LG / 25
100mg
100mg Tablet White, Film coated tablet • LG / 100

Side Effects

Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.

Common Side Effects

These side effects occur relatively frequently and usually don’t require emergency care:

  • Dizziness or light-headedness
  • Headache
  • Nausea
  • Dry mouth
  • Drowsiness or tiredness
  • Weight gain
  • Constipation
  • Nasal congestion
  • Weakness
  • Agitation
  • Confusion
  • Skin discoloration
  • Blurred vision
  • Difficulty urinating
  • Impotence

Seek immediate medical attention if you experience:

  • Sore throat, fever, or signs of infection
  • Breathing difficulty
  • Seizures or fits
  • Unwanted muscle movements of mouth, tongue, jaw, cheeks, arms, or legs
  • Muscle hardness or rigidity
  • High fever with muscle cramps, severe headache, fast heartbeat, hallucinations, excessive sweating
  • Fast or irregular heartbeat
  • Uncontrolled bleeding or easy bruising
  • Yellowing of skin or eyes (jaundice)
  • Allergic reactions with rash, swelling, breathing problems

Important Warnings

There are several important conditions and situations where Largactil should not be used or requires special caution.

Who Should Not Take Largactil

Do not use if you have ever had an allergic reaction to Largactil or other phenothiazine medicines, or if you have circulatory problems, blood or bone marrow problems, high blood pressure, liver problems, depression of the central nervous system, or phaeochromocytoma (a rare adrenal gland tumor).

Medical Conditions to Discuss

Tell your doctor if you have asthma, chronic respiratory disorders, kidney or liver disease, heart disease, blood clots, decreased parathyroid activity, low blood calcium levels, Parkinson’s disease, prostate problems, epilepsy, glaucoma, muscle weakness (myasthenia gravis), diabetes, or dementia.

Pregnancy and Breastfeeding

Largactil is not recommended during pregnancy or breastfeeding. Babies exposed to antipsychotic medicines during the third trimester may experience breathing problems, feeding difficulties, spasms, restlessness, and withdrawal symptoms after delivery.

Drug Interactions

Many medicines can interfere with Largactil and affect how it works. Always tell your doctor about all medicines, vitamins, and supplements you are taking.

  • Parkinson’s disease medicines (benztropine, levodopa)
  • Antimicrobials for infections
  • Antacids for stomach upset
  • Lithium for mood disorders
  • Barbiturates (sedatives)
  • Tricyclic antidepressants
  • Benzodiazepines for anxiety
  • Other antipsychotics
  • Heart rhythm medicines (amiodarone, quinidine, disopyramide)
  • Heart rate medicines (diltiazem, verapamil, propranolol)
  • Diuretics and laxatives
  • Pain medicines (opioids)
  • Diabetes medicines
  • Blood thinners (anticoagulants)
  • Epilepsy medicines (phenytoin, valproic acid)

Alcohol & Driving

Largactil can affect your ability to drive safely and may interact dangerously with alcohol. It can also affect your body’s ability to regulate temperature.

Alcohol

Be very careful when drinking alcohol while taking Largactil. The combination can make you more sleepy, dizzy, or light-headed. Your doctor may suggest avoiding alcohol completely during treatment.

Driving and Operating Machinery

Largactil may cause drowsiness, dizziness, and blurred vision. Do not drive or operate machinery until you know how the medicine affects you. Get up slowly from sitting or lying positions to prevent dizziness.

Temperature Regulation

Avoid very cold or very hot environments as Largactil may make it difficult for your body to regulate its temperature. Also avoid strong sunlight, sunlamps, or tanning beds as your skin may become much more sensitive to sunlight, causing severe sunburn.

Storage

Store tablets below 30°C. Store syrup and ampoules below 25°C and protect from light. Keep in a cool, dry place away from moisture, heat, and sunlight. Do not store in bathrooms, cars, or on window sills. Keep out of reach of children.

Overdose Information

If you think you have taken too much Largactil, seek immediate medical attention even if you feel fine. Call the Poisons Information Centre at 13 11 26, contact your doctor, or go to the nearest hospital emergency department. Overdose symptoms may include drowsiness, low body temperature, low blood pressure, muscle stiffness, unusual heart beats, difficulty swallowing or breathing, convulsions, or loss of consciousness.

Frequently Asked Questions

The medication guide doesn’t specify food restrictions. Take tablets with a full glass of water and syrup followed by water as directed by your doctor.

If you miss a dose, simply continue taking Largactil as advised by your doctor. Do not take a double dose to make up for the missed dose as this may increase side effects.

Be very careful with alcohol while taking Largactil. The combination can make you more sleepy, dizzy, or light-headed. Your doctor may suggest avoiding alcohol completely during treatment.

Yes, weight gain is listed as a common side effect of Largactil. Speak to your doctor if this side effect worries you.

Continue taking Largactil until your doctor tells you to stop. Do not stop using it unless your doctor tells you to, even if you feel better.

If you are over 65 years of age, you may have an increased chance of getting side effects. Your doctor will monitor you carefully.

Avoid very cold or hot environments, strong sunlight, sunlamps, and tanning beds. Largactil makes your skin much more sensitive to sunlight and affects your body’s temperature regulation.

Important Disclaimer

This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.

If you think you may have a medical emergency, call your doctor or emergency services immediately.