chlorectil plus 200mg/2mg tablet - Chlorpromazine (200mg) + Trihexyphenidyl (2mg) medicine

chlorectil plus 200mg/2mg tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Saga Laboratories ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 30, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jun 30, 2026

What is chlorectil plus 200mg/2mg tablet used for?

Clozine Forte (Chlorpromazine + Trihexyphenidyl) is used to treat NEURO CNS. It contains Chlorpromazine (200mg) + Trihexyphenidyl (2mg), which Chlorpromazine blocks dopamine D2 receptors in the brain; trihexyphenidyl blocks. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Chlorpromazine + Trihexyphenidyl
  • Manufacturer: Saga Laboratories
  • Form: Allopathy
  • Pregnancy Category: C
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

๐Ÿ’Š chlorectil plus 200mg/2mg tablet Uses & Benefits

Schizophrenia, bipolar disorder, severe anxiety, nausea/vomiting, intractable hiccups

Off-label uses: Agitation in dementia, Tourette syndrome, obsessive-compulsive disorder

๐Ÿ“‹ Drug Information

Generic Name(s)Chlorpromazine + Trihexyphenidyl
Brand NameClozine Forte
ManufacturerSaga Laboratories
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassAntipsychotic + Anticholinergic
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from light and moisture
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionWell absorbed orally; peak plasma concentration in 2-4 hours
DistributionWidely distributed; crosses blood-brain barrier; high volume of distribution
Protein Binding90-99% (chlorpromazine); trihexyphenidyl ~50%
MetabolismHepatic via CYP2D6 and other CYP450 enzymes; active metabolites
Half-LifeChlorpromazine: 20-40 hours; Trihexyphenidyl: 5-10 hours
ExcretionUrine (metabolites) and feces
BioavailabilityOral: 30-50% (first-pass metabolism)
Onset of Action30-60 minutes
Peak Plasma Time2-4 hours
Duration of Action4-6 hours (chlorpromazine); up to 12 hours (trihexyphenidyl)

How It Works

Chlorpromazine blocks dopamine D2 receptors in the brain; trihexyphenidyl blocks muscarinic acetylcholine receptors to reduce extrapyramidal side effects

Mechanism Steps

1Chlorpromazine blocks dopamine D2 receptors in mesolimbic pathway, reducing positive symptoms of psychosis
2Also blocks D1, 5-HT2, H1, and alpha-1 receptors, contributing to sedation and side effects
3Trihexyphenidyl blocks muscarinic acetylcholine receptors in the striatum, reducing extrapyramidal symptoms caused by dopamine blockade

๐Ÿ’ก How to Take chlorectil plus 200mg/2mg tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of chlorectil plus 200mg/2mg tablet

โœ… Common Side Effects

  • Drowsiness
  • dry mouth
  • blurred vision
  • constipation
  • urinary retention
  • weight gain
  • orthostatic hypotension

๐Ÿšจ Serious Side Effects

  • Tardive dyskinesia
  • neuroleptic malignant syndrome
  • seizures
  • QT prolongation
  • agranulocytosis
  • jaundice

โš ๏ธ Rare Side Effects

  • Photosensitivity
  • lupus-like syndrome
  • galactorrhea
  • gynecomastia
  • impotence

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
CNS depressants Major Enhanced sedation and respiratory depression
Antihypertensives Major Additive hypotensive effect
Levodopa Major Antagonism of levodopa effect
Lithium Major Increased risk of neurotoxicity
MAO inhibitors Major Hypertensive crisis
Anticholinergics Moderate Additive anticholinergic effects
Antidiabetics Moderate Altered blood glucose control
Antiepileptics Moderate Lowered seizure threshold
Anticoagulants Moderate Increased anticoagulant effect
Beta-blockers Moderate Additive hypotension
Antacids Minor Decreased absorption of chlorpromazine
Cimetidine Minor Increased chlorpromazine levels
Smoking Minor Decreased chlorpromazine levels

๐Ÿšจ Major Interactions

  • CNS depressants
  • Antihypertensives
  • Levodopa
  • Lithium
  • MAO inhibitors

โšก Moderate Interactions

  • Anticholinergics
  • Antidiabetics
  • Antiepileptics
  • Anticoagulants
  • Beta-blockers

โ„น๏ธ Minor Interactions

  • Antacids
  • Cimetidine
  • Smoking

๐Ÿฝ๏ธ Food Interactions

Grapefruit juice may increase chlorpromazine levels; food may delay absorption

๐Ÿท Alcohol Interaction

Increased CNS depression; avoid alcohol

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity, coma, bone marrow depression, severe hepatic or renal impairment, narrow-angle glaucoma, prostatic hypertrophy

๐Ÿ“Š Monitoring Parameters

Blood pressure, heart rate, ECG, liver function, renal function, blood counts, extrapyramidal symptoms, tardive dyskinesia

๐Ÿคฑ Lactation Safety

Not recommended; excreted in breast milk

๐Ÿ’Š Overdose Management

Supportive care; activated charcoal, gastric lavage; treat hypotension with IV fluids and vasopressors; avoid epinephrine; monitor ECG

โฐ Missed Dose

Take as soon as remembered unless near next dose; skip if close to next dose; do not double dose

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 30, 2026

๐Ÿ”— View Profile

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