Flupenthixol 3mg 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 and confusion
- Involuntary movements of the face, tongue, or limbs
- Fainting or palpitations
- Severe allergic reaction with swelling of face, lips, or throat
- Yellowing of skin or eyes, or dark urine
- Unusual tiredness, fever, or sore throat
- Seizures
If experiencing severe symptoms, call emergency services immediately.
What is spenzo 3 tablet used for?
Flupenthixol 3 mg tablet is an antipsychotic medicine used to treat schizophrenia and other psychotic disorders. It works by blocking dopamine receptors in the brain, which helps reduce hallucinations, delusions, and agitation. It is taken by mouth, usually once or twice daily, and the dose is adjusted by a doctor. It can cause drowsiness, dizziness, and movement side effects, so regular monitoring is important.
- Generic Name: Flupenthixol (3mg)
- Manufacturer: Intas Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 spenzo 3 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा फ्लूपेंथिक्सोल नामक तत्व से बनी है और यह एक एंटीसाइकोटिक दवा है। इसका उपयोग मुख्य रूप से सिज़ोफ्रेनिया और अन्य मानसिक विकारों के इलाज के लिए किया जाता है, जिनमें मतिभ्रम, भ्रम, और बेचैनी जैसे लक्षण शामिल होते हैं। यह दवा मस्तिष्क में डोपामिन रिसेप्टर्स को ब्लॉक करके काम करती है, जिससे मानसिक लक्षण कम होते हैं। यह मुँह से ली जाती है और डॉक्टर की सलाह के अनुसार ही लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के कुछ सामान्य दुष्प्रभाव हो सकते हैं जैसे नींद आना, चक्कर आना, मुँह सूखना, कब्ज, और धुंधली दृष्टि। कुछ लोगों में मांसपेशियों में अकड़न, कंपन, या बेचैनी हो सकती है। दुर्लभ मामलों में तेज बुखार, मांसपेशियों में जकड़न, और भ्रम हो सकता है, जिसे तुरंत डॉक्टर को बताना चाहिए। लंबे समय तक उपयोग से चेहरे या जीभ में अनैच्छिक हरकतें हो सकती हैं।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे अचानक बंद न करें, क्योंकि इससे लक्षण वापस आ सकते हैं। यह दवा नींद ला सकती है, इसलिए गाड़ी चलाने या मशीन चलाने से बचें। शराब न पिएं। अगर आपको दिल, जिगर, गुर्दे, या मिर्गी की समस्या है, तो डॉक्टर को बताएं। नियमित जांच कराते रहें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।
💊 spenzo 3 tablet Uses & Benefits
- [{"condition":"Schizophrenia","description":"This medicine helps reduce hallucinations, delusions, disorganised thinking, and agitation in people with schizophrenia.
- It is used for both acute episodes and maintenance treatment to prevent relapse.","evidence":"Well-established"},{"condition":"Other psychotic disorders","description":"It may be used for psychotic symptoms occurring in other conditions, such as schizoaffective disorder or brief psychotic episodes, under specialist care.","evidence":"Established"},{"condition":"Depression with anxiety (adjunct)","description":"In some patients, low doses may be added to antidepressant treatment for depression with anxiety, but this is less common and must be supervised by a psychiatrist.","evidence":"Limited"}]
Off-label uses: [{"condition":"Severe agitation in dementia","description":"Sometimes used short-term for severe agitation in dementia when other measures have failed, but risks must be weighed carefully.","evidence":"Limited"},{"condition":"Tourette syndrome","description":"May be used off-label to reduce tics in some patients, but it is not a first-line treatment.","evidence":"Limited"}]
Primary treatment for: Schizophrenia
Also treats: Other psychotic disorders, Depression with anxiety (adjunct)
📋 Drug Information
| Generic Name(s) | Flupenthixol (3mg) |
| Brand Name | spenzo 3 tablet |
| Manufacturer | Intas Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Typical Antipsychotics |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container. |
| Shelf Life | Not established from the available information. Check the expiry date on the pack. |
| 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 D1 and D2 receptors. It also affects other receptors such as serotonin and alpha-adrenergic receptors to a lesser extent. By blocking dopamine, it reduces the overactive dopamine signalling that is believed to contribute to hallucinations, delusions, and disorganised thinking in schizophrenia. The blocking of D2 receptors in certain brain pathways also explains many of the movement-related side effects.
Mechanism Steps
💡 How to Take spenzo 3 tablet
Strength: Flupenthixol 3 mg immediate-release tablet.
Dosage Information
| Adult Dosage | The usual starting dose for adults is 1 mg to 3 mg per day, taken in divided doses or as a single dose, depending on the condition being treated. The dose may be gradually increased by the doctor up to a maximum of 6 mg to 12 mg per day for schizophrenia, but higher doses are rarely used. For maintenance, the lowest effective dose is used. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to treatment. Do not change the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine, especially drowsiness, dizziness, and movement disorders. A lower starting dose is recommended, and the dose should be increased slowly. Regular monitoring is advised. |
| Renal Impairment | Dose adjustment may be needed in patients with kidney disease. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Dose adjustment may be needed in patients with liver disease. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum daily dose is usually 12 mg, but this may vary depending on the indication and patient response. Dose must be individualized by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of spenzo 3 tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Moderate | |
| Fluoxetine | Moderate | |
| Carbamazepine | Moderate | |
| Levodopa | Major | |
| Metoclopramide | Major | |
| Amiodarone | Major | |
| Alcohol | Major | |
| Antacids | Minor | |
| Caffeine | Minor | |
| Antihypertensives | Moderate |
🚨 Major Interactions
- Other antipsychotics
- Central nervous system depressants (e.g., benzodiazepines, opioids, alcohol)
- Drugs that prolong QT interval (e.g., some antiarrhythmics, antibiotics, antihistamines)
⚡ Moderate Interactions
- Antihypertensives
- Levodopa and dopamine agonists
- Metoclopramide
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and the risk of falls. It may also worsen some side effects such as low blood pressure.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe drowsiness, unconsciousness, or coma","Known hypersensitivity to flupenthixol or other thioxanthenes","Certain heart rhythm problems such as QT prolongation","Low blood cell counts","Phaeochromocytoma","Severe liver disease","Parkinson's disease"]
⚠️ Warnings & Precautions
["This medicine may cause drowsiness. Avoid driving or operating machinery until you know how it affects you.","Do not stop this medicine suddenly without medical advice, as it can cause withdrawal symptoms or relapse.","Tell your doctor if you have heart, liver, kidney, or thyroid problems.","This medicine can increase blood sugar levels. Monitor if you have diabetes.","It can cause movement disorders. Report any unusual movements to your doctor.","Avoid alcohol while taking this medicine.","Elderly patients with dementia may have an increased risk of stroke and death when taking antipsychotics.","This medicine may affect your ability to regulate body temperature. Avoid extreme heat."]
🤱 Lactation Safety
This medicine passes into breast milk. It may cause side effects in the breastfed infant. Breastfeeding is not recommended while taking this medicine unless advised by a doctor.
💊 Overdose Management
Overdose of this medicine can cause severe drowsiness, low blood pressure, fast heartbeat, and movement problems. If you suspect an overdose, seek emergency medical help immediately. Treatment is supportive and may include activated charcoal, intravenous fluids, and monitoring of vital signs. There is no specific antidote.
⏰ 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 take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop it suddenly, because stopping abruptly can cause withdrawal symptoms or a return of psychosis. This medicine can make you drowsy, so avoid driving or operating heavy machinery until you know how it affects you. Alcohol can increase drowsiness and should be avoided. Tell your doctor if you have heart problems, liver problems, kidney problems, Parkinson's disease, epilepsy, glaucoma, or an enlarged prostate, as this medicine may not be suitable or may need extra monitoring. Regular blood tests, heart checks, and weight monitoring may be needed during treatment. If you are pregnant, planning pregnancy, or breastfeeding, discuss the risks and benefits with your doctor before taking this medicine. Keep all appointments with your healthcare team, and do not share this medicine with anyone else. Store it safely 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, and movement disorders. They may also have an increased risk of falls. A lower starting dose and close monitoring are recommended. Antipsychotics may increase the risk of stroke and death in elderly patients with dementia.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, discuss with your doctor before conceiving. This medicine may not be suitable during pregnancy, and alternative treatments may be considered. Do not stop the medicine without medical advice.
🏥 Post-Surgery Considerations
Inform your surgeon and anaesthetist that you are taking this medicine before any surgery. It may interact with anaesthetic agents and affect blood pressure and heart rate. Your doctor may advise temporary dose adjustments.
🦷 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 problems. Maintain good oral hygiene and stay hydrated.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness and dizziness, so avoid strenuous exercise or activities that require alertness until you know how it affects you. Stay hydrated during exercise, especially in hot weather, as this medicine can affect body temperature regulation.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness and dizziness, which may affect your ability to drive or operate machinery. It is important to avoid these activities until you know how the medicine affects you. Discuss any work-related concerns with your doctor. With proper management, many people can continue their normal daily activities.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects or wish to stop, your doctor will advise on gradual dose reduction to avoid withdrawal symptoms or relapse.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of tardive dyskinesia, weight gain, diabetes, and heart rhythm problems. Regular monitoring of weight, blood sugar, lipid profile, and heart function is recommended. The dose should be reviewed periodically to ensure it is the lowest effective dose. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine in managing psychotic symptoms.
Evidence: Well-establishedHelps improve outcomes and adherence.
Evidence: Well-establishedRegular exercise, healthy diet, and sleep hygiene can improve overall well-being.
Evidence: Established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions known with this medicine. However, consult your doctor before receiving any vaccine, especially live vaccines, while on antipsychotic treatment.
📦 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 travelling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss. Store it at room temperature and away from direct sunlight. If crossing time zones, adjust your dosing schedule gradually in consultation with your doctor. Check customs regulations for controlled medicines before travelling internationally.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Sedative effects may be noticed within a few hours, but the full antipsychotic effect usually takes several days to weeks.
A: No, do not stop suddenly. Consult your doctor first, as stopping abruptly can cause relapse or withdrawal symptoms.
A: 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 can increase drowsiness and dizziness. It is best to avoid alcohol.
🤔 Common Patient Concerns
🔄 Substitutes for spenzo 3 tablet
View AllAlternative brands with exact same active ingredient:
-
flupen 3mg tabletLifecare Innovations Pvt Ltd ₹65.33 56.2% CHEAPER
-
f thixol 3mg tabletD D Pharmaceuticals ₹67.97 54.4% CHEAPER
-
Flutrac 3mg TabletConsern Pharma Limited ₹100.00 32.9% CHEAPER
-
fluanxol 3mg tabletLundbeck India Pvt Ltd ₹193.55 29.8% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Antipsychotics are only for severe mental illness.
Fact: They are also used for other conditions and can help many people lead normal lives. - Myth: You can stop taking this medicine once you feel better.
Fact: Stopping suddenly can cause relapse. Always consult your doctor before stopping. - Myth: This medicine is addictive.
Fact: Flupenthixol is not addictive, but it should be taken as prescribed.
🔄 Alternative Options
Generic Alternatives
- Flupenthixol 3 mg tablet (generic)
Brand Alternatives
- Fluanxol 3 mg tablet