Andep 100mg/2mg Tablet: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- High fever with severe muscle rigidity, confusion, or irregular pulse (possible neuroleptic malignant syndrome).
- Involuntary repetitive movements of the face, tongue, or limbs (possible tardive dyskinesia).
- Fever, sore throat, or mouth ulcers (possible agranulocytosis).
- Yellowing of skin or eyes, dark urine, or severe abdominal pain (possible liver toxicity).
- Severe dizziness, fainting, or irregular heartbeat (possible severe hypotension or arrhythmia).
- Difficulty breathing, swelling of face, lips, or throat (possible allergic reaction).
- New or worsening depression or suicidal thoughts.
- Severe constipation or inability to urinate.
If experiencing severe symptoms, call emergency services immediately.
What is quietal plus 100 mg/2 mg tablet used for?
This medicine is a combination of chlorpromazine (an antipsychotic) and trihexyphenidyl (an anticholinergic) used to treat schizophrenia and severe agitation. It works by blocking dopamine receptors in the brain and reducing drug-induced movement side effects. It is a prescription-only medicine and must be taken under psychiatric supervision.
- Generic Name: Chlorpromazine (100mg) + Trihexyphenidyl (2mg)
- Manufacturer: Consern Pharma Limited
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 quietal plus 100 mg/2 mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा क्लोरप्रोमाज़ीन और ट्राइहेक्सीफेनिडाइल का संयोजन है, जिसका उपयोग सिज़ोफ्रेनिया और गंभीर मानसिक उत्तेजना के इलाज के लिए किया जाता है। क्लोरप्रोमाज़ीन मस्तिष्क में डोपामिन रिसेप्टर्स को ब्लॉक करके मतिभ्रम और भ्रम को कम करता है, जबकि ट्राइहेक्सीफेनिडाइल क्लोरप्रोमाज़ीन के कारण होने वाली मांसपेशियों की अकड़न, कंपन और असामान्य हरकतों को रोकता है। यह दवा केवल मनोचिकित्सक की सलाह पर ही लेनी चाहिए। इसे अचानक बंद नहीं करना चाहिए। शराब और अन्य नींद लाने वाली दवाओं के साथ इसका सेवन न करें। ग्लूकोमा, पेशाब रुकावट, गंभीर जिगर की बीमारी या बुजुर्गों में डिमेंशिया से जुड़े मनोविकार वाले रोगियों को यह दवा नहीं दी जानी चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, मुँह सूखना, धुंधली दृष्टि, कब्ज और पेशाब में कठिनाई शामिल हैं। गंभीर दुष्प्रभावों में मांसपेशियों में अकड़न, कंपन, चलने में कठिनाई, टार्डिव डिस्किनेसिया (चेहरे, जीभ या अंगों में अनैच्छिक हरकतें), न्यूरोलेप्टिक मैलिग्नेंट सिंड्रोम (तेज बुखार, मांसपेशियों में अकड़न, भ्रम) और रक्त विकार जैसे एग्रानुलोसाइटोसिस शामिल हैं। अगर आपको असामान्य हरकतें, बुखार, गले में खराश या आँखों का पीलापन दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को अपने मनोचिकित्सक द्वारा बताई गई सटीक खुराक में ही लें। इसे अचानक बंद न करें, क्योंकि इससे वापसी के लक्षण या बीमारी का दोबारा होना हो सकता है। शराब और अन्य नींद लाने वाली दवाओं से बचें क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन न चलाएँ और मशीनरी न चलाएँ। चक्कर से बचने के लिए धीरे-धीरे उठें। कब्ज से बचने के लिए भरपूर पानी पिएँ और फाइबर युक्त भोजन करें। अगर आपको ग्लूकोमा, प्रोस्टेट की समस्या या जिगर की बीमारी है तो अपने डॉक्टर को बताएँ। नियमित रक्त जांच और आंदोलन मूल्यांकन आवश्यक है।
💊 quietal plus 100 mg/2 mg tablet Uses & Benefits
[{"condition":"Schizophrenia","description":"Used to manage positive symptoms such as hallucinations, delusions, and disorganized thinking, especially in chronic cases.","evidence":"Well-established"},{"condition":"Acute psychosis and agitation","description":"Helps control severe agitation, aggression, and psychotic episodes in emergency or inpatient settings.","evidence":"Well-established"},{"condition":"Bipolar disorder (manic phase)","description":"May be used as an adjunct to mood stabilizers to control manic symptoms and agitation.","evidence":"Moderate"},{"condition":"Nausea and vomiting (severe)","description":"Chlorpromazine has antiemetic properties, but this combination is not typically used for this purpose due to side effects.","evidence":"Limited"},{"condition":"Intractable hiccups","description":"Chlorpromazine may be used off-label for severe, persistent hiccups when other treatments fail.","evidence":"Limited"}]
Off-label uses: [{"condition":"Porphyria","description":"Chlorpromazine has been used off-label to treat acute intermittent porphyria attacks, but this is not a standard use.","evidence":"Limited"},{"condition":"Tetanus","description":"Chlorpromazine may be used as an adjunct for muscle spasms in tetanus, but this is not a primary use.","evidence":"Limited"}]
Primary treatment for: Schizophrenia
Also treats: Bipolar disorder (manic phase), Acute psychosis, Agitation in psychiatric disorders
📋 Drug Information
| Generic Name(s) | Chlorpromazine (100mg) + Trihexyphenidyl (2mg) |
| Brand Name | quietal plus 100 mg/2 mg tablet |
| Manufacturer | Consern Pharma Limited |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container, tightly closed. Do not refrigerate. Keep out of reach of children and pets. |
| Shelf Life | 24 months from the date of manufacture. |
| 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
Chlorpromazine blocks dopamine D2 receptors in the mesolimbic and mesocortical pathways, reducing psychotic symptoms. It also blocks serotonin, histamine, muscarinic, and alpha-adrenergic receptors, contributing to its sedative and autonomic effects. Trihexyphenidyl is a centrally acting anticholinergic that restores the balance between dopamine and acetylcholine in the basal ganglia, thereby reducing drug-induced extrapyramidal symptoms.
Mechanism Steps
💡 How to Take quietal plus 100 mg/2 mg tablet
Strength: Tablet containing chlorpromazine 100 mg and trihexyphenidyl 2 mg.
Dosage Information
| Adult Dosage | The dosage of this medicine must be individualized by a qualified clinician based on the indication, severity of symptoms, age, weight, and renal and hepatic function. For schizophrenia, a typical starting dose of chlorpromazine is 25-50 mg two to three times daily, gradually increased to a maintenance dose of 200-800 mg per day in divided doses. Trihexyphenidyl is usually given at 2-5 mg per day in divided doses to manage extrapyramidal symptoms. This fixed-dose combination provides 100 mg chlorpromazine and 2 mg trihexyphenidyl per tablet. The frequency and number of tablets per day must be determined by your psychiatrist. Do not adjust the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients are more sensitive to the effects of chlorpromazine and trihexyphenidyl. Use with extreme caution. Start with the lowest possible dose and titrate slowly. Avoid use in elderly patients with dementia-related psychosis due to increased risk of stroke and death. Monitor closely for confusion, falls, and anticholinergic effects. |
| Renal Impairment | Use with caution in patients with renal impairment. No specific dose adjustments are established, but monitor closely for side effects and consider dose reduction. Consult a nephrologist or clinical pharmacist. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Chlorpromazine is extensively metabolized in the liver; dose reduction may be necessary. Avoid in severe liver disease. Monitor liver function tests regularly. |
| Maximum Daily Dose | The maximum daily dose must be determined by a qualified clinician. For chlorpromazine, the maximum recommended daily dose is generally 1000 mg per day in severe cases, but this combination is not intended for high-dose therapy. Trihexyphenidyl maximum daily dose is typically 15 mg per day. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of quietal plus 100 mg/2 mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| CNS depressants | Major | |
| Anticholinergics | Major | |
| MAOIs | Major | |
| Levodopa | Major | |
| QT-prolonging drugs | Major | |
| Antihypertensives | Moderate | |
| Metoclopramide | Moderate | |
| Lithium | Moderate | |
| Tricyclic antidepressants | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- CNS depressants (e.g., alcohol, benzodiazepines, opioids)
- Anticholinergic drugs (e.g., atropine, benztropine)
- Monoamine oxidase inhibitors (MAOIs)
- Levodopa
- QT-prolonging drugs (e.g., amiodarone, sotalol, haloperidol)
⚡ Moderate Interactions
- Antihypertensives
- Metoclopramide
- Lithium
- Tricyclic antidepressants
🍷 Alcohol Interaction
Alcohol should be strictly avoided while taking this medicine. It can significantly increase drowsiness, dizziness, and the risk of respiratory depression. It may also worsen mental health symptoms and increase the risk of liver damage.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to chlorpromazine, trihexyphenidyl, or any component of the formulation","Glaucoma (narrow-angle)","Urinary retention or prostatic hypertrophy","Severe liver disease","Severe cardiovascular disease","Parkinson's disease (trihexyphenidyl may worsen) but combination is used to treat drug-induced parkinsonism; however, contraindicated in idiopathic Parkinson's disease","Blood dyscrasias or bone marrow depression","Coma or severe CNS depression","Elderly patients with dementia-related psychosis (increased risk of stroke and death)"]
⚠️ Warnings & Precautions
["May cause severe drowsiness; avoid driving or operating machinery until effects are known.","Risk of neuroleptic malignant syndrome; monitor for fever, rigidity, and altered mental status.","Risk of tardive dyskinesia; monitor for involuntary movements.","May cause orthostatic hypotension; advise slow position changes.","Anticholinergic effects may worsen in hot weather; risk of heat stroke.","May lower seizure threshold; use with caution in patients with epilepsy.","Avoid in patients with glaucoma or urinary retention.","Use with caution in elderly patients; increased risk of falls, confusion, and cognitive decline.","Do not stop abruptly; taper gradually under medical supervision.","May impair temperature regulation; avoid extreme heat or cold."]
🤱 Lactation Safety
Chlorpromazine is excreted in breast milk and may cause drowsiness and developmental effects in the infant. Trihexyphenidyl may also pass into breast milk. Breastfeeding is not recommended while taking this medicine. Consult your doctor for alternative feeding options.
💊 Overdose Management
Overdose can cause severe drowsiness, coma, hypotension, tachycardia, arrhythmias, and extrapyramidal symptoms. There is no specific antidote. Treatment is supportive and symptomatic, including gastric lavage if within 1-2 hours, activated charcoal, intravenous fluids, and management of arrhythmias. Monitor vital signs and ECG closely. Contact a poison control center immediately.
⏰ Missed Dose
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 the dose to catch up. If you miss multiple doses, contact your doctor for guidance.
Additional Safety Advice
Take this medicine exactly as prescribed by your psychiatrist. Do not stop it suddenly, as this can cause withdrawal symptoms or a relapse of your condition. Avoid alcohol and other sedatives because they can increase drowsiness and dizziness. Do not drive or operate machinery until you know how this medicine affects you. Stand up slowly to avoid dizziness from low blood pressure. Drink plenty of water and eat high-fiber foods to prevent constipation. Tell your doctor if you have glaucoma, prostate problems, or liver disease. Regular blood tests and movement assessments are necessary. Keep all appointments with your mental health team. Store this medicine in a cool, dry place away from children. If you miss a dose, follow the missed dose instructions provided by your doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the sedative, anticholinergic, and cardiovascular effects of this medicine. It should be avoided in elderly patients with dementia-related psychosis due to increased risk of stroke and death. If used, start with the lowest possible dose and monitor closely for confusion, falls, urinary retention, and orthostatic hypotension. Regular assessment of cognitive function and movement disorders is essential.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before conception. This medicine is FDA pregnancy category C. It may cause extrapyramidal symptoms or withdrawal symptoms in the newborn if used during the third trimester. Your doctor may adjust or switch your treatment to a safer alternative. Use effective contraception while taking this medicine unless otherwise advised.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It can interact with anesthetic agents and increase the risk of hypotension, arrhythmias, and prolonged sedation. Your doctor may advise you to stop the medicine temporarily before surgery. Do not stop without medical advice.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It can cause dry mouth, which may increase the risk of dental caries and gum disease. It may also interact with local anesthetics containing epinephrine, causing severe hypotension or arrhythmias. Your dentist may take precautions and monitor your blood pressure.
💚 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. Avoid strenuous exercise until you know how the medicine affects you. Stay hydrated and avoid extreme heat, as anticholinergic effects can impair sweating and lead to heat stroke. Consult your doctor before starting any new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause significant drowsiness, dizziness, and blurred vision, which may affect your ability to work, drive, or operate machinery. It may also cause difficulty concentrating. Discuss with your doctor about workplace accommodations if needed. Avoid tasks requiring alertness until you know how the medicine affects you. Long-term use may affect cognitive function and social interactions.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects such as neuroleptic malignant syndrome, tardive dyskinesia, or agranulocytosis, seek immediate medical attention. Your doctor may decide to stop the medicine or switch to an alternative. Gradual tapering is usually necessary to avoid withdrawal symptoms and relapse.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to tardive dyskinesia, a potentially irreversible movement disorder. It can also cause weight gain, diabetes, high cholesterol, and cardiovascular complications. Regular monitoring of weight, blood glucose, lipids, and movement disorders is essential. Periodic assessment of the need for continued treatment is recommended. Do not stop the medicine without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medication in managing psychotic symptoms and improving coping skills.
Evidence: Well-establishedHelps family members support the patient and reduce relapse risk.
Evidence: Well-establishedImproves social functioning and daily living skills.
Evidence: ModerateProvides intensive community-based support for severe mental illness.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions with this medicine. However, patients with mental illness may be at higher risk for certain infections, so ensure routine vaccinations are up to date. Consult your doctor before receiving any live vaccines.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss or temperature extremes. If crossing time zones, adjust dosing times gradually under medical advice. Store at room temperature and protect from light and moisture. Check customs regulations for controlled substances before traveling internationally. Carry enough supply for your entire trip and a few extra days in case of delays.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Sedative effects may begin within 30-60 minutes, but antipsychotic effects may take several days to weeks to fully develop. Continue taking it as prescribed.
A: No, do not stop suddenly. Stopping abruptly can cause withdrawal symptoms and relapse. Consult your doctor before making any changes.
A: Take it as soon as you remember if it is less than half the dosing interval. If more than half has passed, skip the missed dose and continue with your regular schedule. Do not double dose.
A: This medicine can cause significant drowsiness and dizziness. Do not drive or operate machinery until you know how it affects you.
A: No, alcohol should be strictly avoided as it can increase drowsiness, dizziness, and the risk of respiratory depression.
A: Chlorpromazine can cause weight gain and metabolic changes. Monitor your weight, blood sugar, and cholesterol regularly.
A: It is FDA pregnancy category C. Use only if the potential benefit justifies the potential risk to the fetus. Consult your doctor.
A: Chlorpromazine passes into breast milk and may cause drowsiness in the infant. Breastfeeding is not recommended. Consult your doctor for alternatives.
🤔 Common Patient Concerns
🔄 Substitutes for quietal plus 100 mg/2 mg tablet
View AllAlternative brands with exact same active ingredient:
-
chlordyl 100 mg/2 mg tabletD D Pharmaceuticals ₹7.61 65% CHEAPER
-
electril plus 100mg/2mg tabletElite Pharma Pvt Ltd ₹11.72 46.1% CHEAPER
-
chlorectil plus 100mg/2mg tabletSaga Laboratories ₹12.75 41.4% CHEAPER
-
prozine plus 100 mg/2 mg tabletShine Pharmaceuticals Ltd ₹13.97 35.8% CHEAPER
-
talentil t 100 mg/2 mg tabletTalent India ₹14.06 35.4% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a sleeping pill.
Fact: This medicine is an antipsychotic combination, not a sleeping pill. It may cause drowsiness as a side effect, but it is used for serious mental health conditions. - Myth: You can stop this medicine once you feel better.
Fact: Stopping suddenly can cause withdrawal symptoms and relapse of your condition. Always consult your doctor before stopping. - Myth: This medicine is safe for everyone.
Fact: It is not safe for people with glaucoma, urinary retention, severe liver disease, or elderly patients with dementia. It requires a prescription and close monitoring. - Myth: This medicine is addictive.
Fact: It is not considered addictive in the traditional sense, but it can cause dependence and withdrawal symptoms if stopped abruptly.
🔄 Alternative Options
Generic Alternatives
- Chlorpromazine + Trihexyphenidyl (generic)
Brand Alternatives
- Andep 100mg/2mg Tablet