Fluanxol 0.5mg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- High fever with severe muscle stiffness, confusion, or irregular heartbeat
- Unusual movements of the face, tongue, or limbs that you cannot control
- Swelling of the face, lips, tongue, or throat, or difficulty breathing
- Severe dizziness or fainting
- Chest pain, palpitations, or irregular heartbeat
- Yellowing of the skin or eyes, dark urine, or severe abdominal pain
- Prolonged and painful erection
- Thoughts of harming yourself or others
If experiencing severe symptoms, call emergency services immediately.
What is pnxol 0.5mg tablet used for?
This medicine is an antipsychotic tablet containing flupenthixol 0.5 mg. It is used to treat schizophrenia and other psychotic disorders by blocking dopamine receptors in the brain. It is taken by mouth, usually once daily, and must be prescribed and monitored by a psychiatrist.
- Generic Name: Flupenthixol (0.5mg)
- Manufacturer: Psycormedies
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 pnxol 0.5mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा फ्लूपेंथिक्सोल 0.5 मिलीग्राम की एक गोली है, जिसका उपयोग मुख्य रूप से सिज़ोफ्रेनिया और अन्य मानसिक विकारों के इलाज के लिए किया जाता है। यह मस्तिष्क में डोपामाइन नामक रसायन को संतुलित करके मतिभ्रम, भ्रम और अत्यधिक बेचैनी जैसे लक्षणों को कम करने में मदद करती है। यह दवा केवल मनोचिकित्सक की सलाह और निगरानी में ही लेनी चाहिए। इसे अचानक बंद नहीं करना चाहिए, क्योंकि इससे लक्षण वापस आ सकते हैं।
साइड इफेक्ट्स: इस दवा के कुछ सामान्य दुष्प्रभाव हो सकते हैं, जैसे नींद आना, चक्कर आना, मुँह सूखना, धुंधली दृष्टि, कब्ज और पेशाब करने में कठिनाई। कुछ लोगों में मांसपेशियों में अकड़न, कंपन या चेहरे और जीभ की अनैच्छिक हरकतें हो सकती हैं। दुर्लभ मामलों में यह गंभीर स्थिति पैदा कर सकती है जैसे न्यूरोलेप्टिक मैलिग्नेंट सिंड्रोम, जिसमें तेज बुखार, मांसपेशियों में गंभीर अकड़न और भ्रम शामिल है। अगर आपको कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं के बारे में बताएं, खासकर हृदय, यकृत, गुर्दे, मिर्गी, ग्लूकोमा या प्रोस्टेट की समस्या। यह दवा नींद और चक्कर ला सकती है, इसलिए वाहन चलाने या मशीनरी चलाने से बचें। शराब न पिएं। अचानक दवा बंद न करें। नियमित रूप से डॉक्टर से मिलते रहें और जरूरी जांच कराएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।
💊 pnxol 0.5mg tablet Uses & Benefits
- [{"condition":"Schizophrenia","description":"This medicine helps reduce hallucinations, delusions, disorganized thinking, and agitation in people with schizophrenia.
- It is used as part of a comprehensive treatment plan that may include therapy and social support.","evidence":"Well-established"},{"condition":"Other psychotic disorders","description":"It may be used to treat psychosis associated with other conditions, such as severe depression with psychotic features or mania, when other treatments are not suitable.","evidence":"Moderate"},{"condition":"Severe anxiety or agitation","description":"In some cases, this medicine may be used for short-term management of severe anxiety or agitation, especially when other treatments have not worked.
- It is not a first-line treatment for these conditions.","evidence":"Limited"}]
Off-label uses: [{"condition":"Treatment-resistant depression","description":"Sometimes used as an add-on treatment for depression that has not responded to standard antidepressants, but this is not a common practice and should only be done by a specialist.","evidence":"Limited"},{"condition":"Severe behavioral problems in dementia","description":"Occasionally used for severe agitation or aggression in people with dementia, but this is generally avoided due to increased risk of serious side effects, including stroke and death.","evidence":"Limited"}]
Primary treatment for: Schizophrenia
Also treats: Other psychotic disorders, Severe anxiety, Agitation
📋 Drug Information
| Generic Name(s) | Flupenthixol (0.5mg) |
| Brand Name | pnxol 0.5mg tablet |
| Manufacturer | Psycormedies |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Typical Antipsychotics |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature, between 15°C and 30°C (59°F and 86°F). Keep it in its original container, tightly closed, and protect it from light and moisture. Do not store it in the bathroom. Keep out of reach of children and pets. |
| Shelf Life | The shelf life of this medicine is typically 2 to 3 years from the date of manufacture. Check the expiry date on the packaging before use. Do not use it after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by blocking dopamine receptors in the brain, particularly the D1 and D2 subtypes. Dopamine is a chemical messenger that is involved in many brain functions, including mood, movement, and perception. In conditions like schizophrenia, there is thought to be too much dopamine activity in certain parts of the brain, which contributes to symptoms such as hallucinations and delusions. By blocking these receptors, this medicine helps to reduce these symptoms. It also has some effect on other receptors, such as serotonin and alpha-adrenergic receptors, which may contribute to its overall effects and side effects.
Mechanism Steps
💡 How to Take pnxol 0.5mg tablet
Strength: This medicine is available as a 0.5 mg immediate-release tablet for oral administration.
Dosage Information
| Adult Dosage | The usual starting dose of this medicine for adults is 0.5 mg to 1 mg taken by mouth once daily, but the exact dose depends on the condition being treated and your individual response. For schizophrenia, the dose may be gradually increased up to 3 mg to 6 mg daily, divided into two or three doses. For severe anxiety or agitation, lower doses are often used. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not change your dose without consulting your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients are more sensitive to the effects of this medicine, especially drowsiness, dizziness, and low blood pressure. A lower starting dose is usually recommended, and the dose should be increased slowly. Regular monitoring for side effects is important. |
| Renal Impairment | This medicine should be used with caution in patients with kidney disease. Dose adjustments may be necessary, and regular monitoring of kidney function is recommended. Consult your doctor for specific dosing guidance. |
| Hepatic Impairment | This medicine should be used with caution in patients with liver disease. Dose adjustments may be necessary, and regular monitoring of liver function is recommended. Consult your doctor for specific dosing guidance. |
| Maximum Daily Dose | The maximum daily dose of this medicine is not firmly established and depends on the condition being treated and individual response. In general, doses above 6 mg per day are not recommended for oral use. Dose must be individualized by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of pnxol 0.5mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Alcohol | Major | |
| Benzodiazepines | Major | |
| Opioids | Major | |
| Levodopa | Major | |
| QT-prolonging drugs | Major | |
| Antihypertensives | Moderate | |
| Metoclopramide | Moderate | |
| Lithium | Moderate | |
| Antacids | Minor | |
| Caffeine | Minor |
🚨 Major Interactions
- Other central nervous system depressants (e.g., alcohol, benzodiazepines, opioids)
- Drugs that prolong the QT interval (e.g., certain antiarrhythmics, antibiotics, antipsychotics)
- Levodopa and other dopamine agonists
⚡ Moderate Interactions
- Antihypertensive drugs
- Metoclopramide
- Lithium
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and other central nervous system effects. It can also worsen the sedative effects and impair your ability to drive or operate machinery.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe central nervous system depression or coma","Known hypersensitivity to flupenthixol or any component of the tablet","Untreated narrow-angle glaucoma","Parkinson's disease or Lewy body dementia","Certain heart rhythm problems, such as QT prolongation","Severe liver or kidney disease","Blood disorders with low white blood cell count","Pheochromocytoma"]
⚠️ Warnings & Precautions
["This medicine may cause drowsiness and dizziness. Avoid driving or operating machinery until you know how it affects you.","Do not drink alcohol while taking this medicine.","This medicine can cause a serious condition called neuroleptic malignant syndrome. Seek immediate medical help if you develop high fever, severe muscle stiffness, confusion, or irregular heartbeat.","This medicine can cause tardive dyskinesia, which may be irreversible. Report any unusual movements to your doctor immediately.","This medicine may increase the risk of falls, especially in elderly patients.","Use with caution in people with heart disease, liver disease, kidney disease, epilepsy, or glaucoma.","This medicine may affect your blood sugar and cholesterol levels. Regular monitoring is recommended.","Do not stop this medicine suddenly without consulting your doctor, as this can cause withdrawal symptoms.","This medicine may increase sensitivity to sunlight. Use sunscreen and protective clothing when outdoors.","Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding."]
🤱 Lactation Safety
This medicine may pass into breast milk and could affect the nursing infant. It is generally not recommended during breastfeeding unless the benefits outweigh the risks. Consult your doctor to discuss the best feeding options.
💊 Overdose Management
If you suspect an overdose of this medicine, seek emergency medical help immediately. Symptoms of overdose may include severe drowsiness, coma, low blood pressure, fast or irregular heartbeat, and muscle stiffness. Treatment is supportive and may include activated charcoal, intravenous fluids, and medications to control symptoms. There is no specific antidote for this medicine.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Before you start this medicine, tell your doctor about all your medical conditions, especially heart problems, liver or kidney disease, epilepsy, glaucoma, prostate problems, or any history of blood clots. Also inform your doctor if you have ever had an allergic reaction to flupenthixol or similar medicines. This medicine can make you feel drowsy or dizzy, so avoid driving or operating heavy machinery until you know how it affects you. Do not drink alcohol while taking this medicine, as it can increase drowsiness and other side effects. Stand up slowly from a sitting or lying position to avoid feeling faint. Keep all your appointments with your doctor, as regular check-ups and blood tests may be needed. Do not stop taking this medicine suddenly without talking to your doctor first, even if you feel better. If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits with your doctor. Store this medicine in its original container, away from moisture and heat, and keep it out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the side effects of this medicine, especially drowsiness, dizziness, low blood pressure, and movement disorders. They may also be at higher risk of falls. A lower starting dose and careful monitoring are recommended. This medicine should be used with caution in elderly patients with dementia due to an increased risk of stroke and death.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before starting or continuing this medicine. The risks and benefits should be carefully weighed. Effective contraception may be recommended while taking this medicine. If you become pregnant while taking this medicine, contact your doctor immediately.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may interact with anesthetic agents and other medications used during surgery. Your doctor may recommend adjusting or temporarily stopping the medicine before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may cause dry mouth, which can increase the risk of dental problems. Good oral hygiene and regular dental check-ups are important.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness, dizziness, and low blood pressure, which may increase the risk of falls during exercise. Start with gentle exercises and avoid strenuous activities until you know how the medicine affects you. Stay hydrated and avoid exercising in extreme heat.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, dizziness, and difficulty concentrating, which may affect your ability to work or perform daily tasks. Avoid driving or operating heavy machinery until you know how it affects you. You may need to adjust your work schedule or tasks temporarily. Discuss any work-related concerns with your doctor.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Your doctor will decide when and how to stop it, usually by gradually reducing the dose to avoid withdrawal symptoms or relapse. If you experience severe side effects, contact your doctor immediately for guidance.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of tardive dyskinesia, a condition characterized by involuntary movements of the face, tongue, or limbs. It can also lead to weight gain, metabolic changes such as high blood sugar and cholesterol, and hormonal effects like increased prolactin levels. Regular monitoring of weight, blood sugar, lipids, and movement disorders is recommended. The benefits of long-term use should be weighed against these risks by your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Cognitive behavioral therapy and other forms of psychotherapy can complement medicine in managing schizophrenia and other psychotic disorders.
Evidence: Well-establishedHelps improve social interactions and daily functioning.
Evidence: ModerateInvolves family members in the treatment plan to provide support and reduce relapse risk.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions known with this medicine. However, if you are due for any vaccinations, inform your healthcare provider that you are taking this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. If you are crossing time zones, consult your doctor about how to adjust your dosing schedule. Store it at room temperature and avoid exposing it to extreme heat or cold. Check the customs regulations of your destination country regarding prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Some effects, such as sedation, may be noticed within a few hours, but the full antipsychotic effect may take several days to weeks. It is important to take it regularly as prescribed.
A: No, you should not stop this medicine suddenly even if you feel better. Stopping abruptly can cause withdrawal symptoms or a relapse. Always consult your doctor before making any changes.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: No, alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and other central nervous system effects.
A: This medicine can cause drowsiness and dizziness. Avoid driving or operating heavy machinery until you know how it affects you.
🤔 Common Patient Concerns
🔄 Substitutes for pnxol 0.5mg tablet
View AllAlternative brands with exact same active ingredient:
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Sanxit 0.5mg TabletSparkle Life Sciences Pvt Ltd ₹5.16 75% CHEAPER
-
flupen 0.5mg tabletLifecare Innovations Pvt Ltd ₹17.55 14.9% CHEAPER
-
Traxit 0.5mg TabletRyon Pharma ₹28.00 35.7% COSTLIER
-
noanxium-fp 0.5mg tabletShirr Pharmaceuticals Pvt Ltd ₹28.13 36.4% COSTLIER
-
Fpt 0.5 TabletMegnesia Neurocare ₹30.47 47.7% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is addictive.
Fact: This medicine is not addictive in the way that opioids or benzodiazepines can be. However, it should not be stopped suddenly without medical supervision. - Myth: This medicine can cure schizophrenia.
Fact: This medicine does not cure schizophrenia, but it can effectively control symptoms and improve quality of life when used as part of a comprehensive treatment plan. - Myth: You can stop taking this medicine as soon as you feel better.
Fact: You should never stop this medicine suddenly, even if you feel better. Stopping abruptly can cause withdrawal symptoms or a relapse of your condition. Always consult your doctor first. - Myth: This medicine is only for severe mental illness.
Fact: While it is primarily used for schizophrenia and other psychotic disorders, it may also be used for severe anxiety or agitation in some cases, as determined by a doctor.
🔄 Alternative Options
Generic Alternatives
- Flupenthixol 0.5 mg tablet
Brand Alternatives
- Fluanxol 0.5 mg tablet