| | Identification | More |  | [Name] 
 Chlorpromazine hydrochloride
 |  | [CAS] 
 69-09-0
 |  | [Synonyms] 
 2-CHLORO-10-(3-DIMETHYLAMINOPROPYL)PHENOTHIAZINE HCL
 2-CHLORO-10-[3'-(DIMETHYLAMINO)PROPYL]PHENOTHIAZINE, HCL
 2-CHLORO-10-(3-DIMETHYLAMINOPROPYL)PHENOTHIAZINE HYDROCHLORIDE
 2-CHLORO-N,N-DIMETHYL-10H-PHENOTHIAZINE-10-PROPANAMINE, HCL
 CHLOROPROMAZIN HYDROCHLORIDE
 CHLORPROMAZINE HCL
 CHLORPROMAZINE HYDROCHLORIDE
 HEBANIL
 KLORPROMEX
 LABOTEST-BB LT00452986
 LARGACTIL
 10-(3-dimethylaminopropyl)-2-chlorophenothiazinemonohydrochloride
 2-chloro-10-(3-(dimethylamino)propyl)-phenothiazinmonohydrochloride
 2-Chloro-10-(3-DimethyAminopropyl)PhenothiazineHydrochloride
 2-chloro-10-(3-dimethylaminopropyl)phenothiazinemonohydrochloride
 2-chloro-n,n-dimethyl-10h-phenothiazine-10-propanaminmonohydrochloride
 4560rphydrochloride
 aminazinhydrochloride
 aminazinmonohydrochloride
 ampliactilmonohydrochloride
 |  | [EINECS(EC#)] 
 200-701-3
 |  | [Molecular Formula] 
 C17H20Cl2N2S
 |  | [MDL Number] 
 MFCD00012654
 |  | [Molecular Weight] 
 355.33
 |  | [MOL File] 
 69-09-0.mol
 | 
 | Chemical Properties | Back Directory |  | [Appearance] 
 Crystalline Solid
 |  | [Melting point ] 
 192-196°C
 |  | [density ] 
 1.2221 (estimate)
 |  | [Fp ] 
 9℃
 |  | [storage temp. ] 
 2-8°C
 |  | [solubility ] 
 Very soluble in water, freely soluble in ethanol (96 per cent). It decomposes on exposure to air and light.
 |  | [form ] 
 Powder/Solution
 |  | [color ] 
 White to off-white or clear colorless
 |  | [PH] 
 pH (50g/L, 25℃) : 4.0~5.0
 |  | [Stability:] 
 Stable. Combustible. Incompatible with strong oxidizing agents. Air and light sesnsitive.
 |  | [biological source] 
 synthetic (organic)
 |  | [Water Solubility ] 
 >=10 g/100 mL at 24 ºC
 |  | [Usage] 
 Used as an Antiemetic, Antipsychotic
 |  | [Merck ] 
 13,2204
 |  | [BRN ] 
 3779989
 |  | [BCS Class] 
 3
 |  | [CAS DataBase Reference] 
 69-09-0(CAS DataBase Reference)
 |  | [EPA Substance Registry System] 
 69-09-0(EPA Substance)
 | 
 | Safety Data | Back Directory |  | [Hazard Codes ] 
 T+
 |  | [Risk Statements ] 
 R25:Toxic if swallowed.
 R26:Very Toxic by inhalation.
 |  | [Safety Statements ] 
 S28:After contact with skin, wash immediately with plenty of ... (to be specified by the manufacturer) .
 S36/37:Wear suitable protective clothing and gloves .
 S45:In case of accident or if you feel unwell, seek medical advice immediately (show label where possible) .
 |  | [RIDADR ] 
 UN 2811 6.1/PG 1
 
 |  | [WGK Germany ] 
 3
 
 |  | [RTECS ] 
 SO1750000
 
 |  | [F ] 
 3-10-21
 |  | [TSCA ] 
 Yes
 |  | [HazardClass ] 
 6.1(b)
 |  | [PackingGroup ] 
 III
 |  | [HS Code ] 
 29173980
 |  | [Safety Profile] 
 Poison by ingestion, 
intraperitoneal, intravenous, and 
subcutaneous routes. An experimentalteratogen. Experimental reproductive 
effects. An anti-emetic and antipsychotic 
drug. Human systemic effects: anorexia 
(human), excitement, gastrointestinal 
changes, irritability, pulse rate increase, 
respiratory stimulation, rigidity, somnolence, 
sweating. Mutation data reported. When 
heated to decomposition it emits very toxic 
fumes of Cl-, NOx, and SOx.
 |  | [Toxicity] 
 LD50 orally in rats:  225 mg/kg (Goldenthal)
 | 
 | Hazard Information | Back Directory |  | [General Description] 
 White or creamy-white odorless crystalline powder with very bitter taste.  pH (5% aqueous solution) 4.0-5.5.  pH (10% aqueous solution) 4-5.
 |  | [Reactivity Profile] 
 CHLORPROMAZINE HYDROCHLORIDE(69-09-0) is incompatible in aqueous solution with sodium salts of barbiturates and other alkaline solutions.  Solutions may be stabilized by addition of antioxidants and storing under nitrogen.
 |  | [Air & Water Reactions] 
 Decomposes on exposure to air and light. becoming yellow, pink and, finally, violet. Water soluble.
 |  | [Fire Hazard] 
 Flash point data for this chemical are not available; however, CHLORPROMAZINE HYDROCHLORIDE is probably combustible.
 |  | [Chemical Properties] 
 Crystalline Solid
 |  | [Originator] 
 Thorazine, SKF, US ,1954
 |  | [Uses] 
 Antiemetic;Dopamine antagonist
 |  | [Uses] 
 Chlorpromazine hydrochloride is used in the treatment of schizophrenia; anti-emetic; as an antipsychotic in pills, injections, and suppositories; to relieve nausea and
vomiting associated with malignant diseases. In veterinary medicine, it is used as an anti-emetic, tranquilizer and sedative. It has slight
antihistaminic and anti adrenaline actions. It is a peripheral vasodilator and adepressant that blocks dopamine receptors in the central
nervous system.
 |  | [Uses] 
 Used as an Antiemetic, Antipsychotic
 |  | [Definition] 
 ChEBI: The hydrochloride salt of chlorpromazine.
 |  | [Manufacturing Process] 
 To a boiling suspension of 11.6 g of chlorophenothiazine (consisting of a
mixture of two isomers melting at 196° to 198°C and 116° to 117°C,
respectively, the latter in minor proportion) and 2.4 g of sodium amide (80%)
in 60 cc of xylene, there are added over a period of one hour 7.5 g of 3-
 dimethylamino-1-chloropropane in solution in its own weight of xylene. At the
end of the addition, heating is continued for one hour under reflux. After
cooling, the contents are taken up in acidified water and the xylene separated.
The aqueous layer is made strongly alkaline by means of sodium hydroxide in
order to liberate the base and this is extracted with ether. On distillation of
the ethereal extract there is obtained 10-(3'-dimethylamino-propyl)-
chlorophenothiazine which distills at 200° to 205°C under a pressure of 0.8
mm Hg. Its hydrochloride, recrystallized from chlorobenzene, melts at 177° to
178°C. The chlorophenothiazine may be prepared by reacting mchlorodiphenylamine with sulfur in the presence of an iodine catalyst.
 |  | [Brand name] 
 Thorazine (GlaxoSmithKline).
 |  | [Therapeutic Function] 
 Tranquilizer
 |  | [Biological Activity] 
 dopamine receptors are a class of g protein-coupled receptors that are prominent in the central nervous system. dopamine receptors are implicated in many neurological processes. thus, dopamine receptors are common neurologic drug targets. antipsychotics are often dopamine receptor antagonists while typically psychostimulants are indirect agonists of dopamine receptors. chlorpromazine is a dopamine antagonist.
 |  | [Biochem/physiol Actions] 
 Chlorpromazine demonstrates cytotoxic and antiproliferative activity against leukemic cells, but does not affect the viability of normal lymphocytes.
 |  | [Clinical Use] 
 #N/A
 |  | [Veterinary Drugs and Treatments] 
 The clinical use of chlorpromazine as a neuroleptic agent has diminished,
but the drug is still used for its antiemetic effects in small
animals and occasionally as a preoperative medication
and tranquilizer.
As an antiemetic, chlorpromazine will inhibit apomorphineinduced
emesis in the dog but not the cat. It will also inhibit the
emetic effects of morphine in the dog. It does not inhibit emesis
caused by copper sulfate, or digitalis glycosides.
 Once the principle phenothiazine used in veterinary medicine,
chlorpromazine has been largely supplanted by acepromazine. It
has similar pharmacologic activities as acepromazine, but is less potent
and has a longer duration of action. For further information,
refer to the acepromazine
monograph.
 |  | [in vitro] 
 the antipsychotic activity of chlorpromazine has been associated with its ability to act as a dopamine-receptor antagonist. the manner in which chlorpromazine, with its phenothiazine ring structure, interacted with a receptor for dopamine. furthermore, chlorpromazine inhibited the binding of [3h]spiperone, and the inhibition curve was consistent with a single class of binding sites [1].
 |  | [in vivo] 
 daily administration of chlorpromazine to rats for 21 days induced catalepsy, tolerance to catalepsy and locomotor sensitization following pcp challenge. results suggest that daily chlorpromazine treatment induced da/nmda-receptor sensitization to total locomotor activity following pcp challenge [2].
 |  | [Drug interactions] 
 Potentially hazardous interactions with other drugs
 Anaesthetics: enhanced hypotensive effect.
 Analgesics: increased risk of convulsions with 
tramadol; enhanced hypotensive and sedative 
effects with opioids; increased risk of ventricular 
arrhythmias with methadone.
 Anti-arrhythmics: increased risk of ventricular 
arrhythmias with anti-arrhythmics that prolong 
the QT interval and disopyramide; avoid with 
amiodarone and dronedarone.
 Antibacterials: increased risk of ventricular 
arrhythmias with delamanid, moxifloxacin and 
telithromycin - avoid with moxifloxacin.
 Antidepressants: increased level of tricyclics, 
possibly increased risk of ventricular arrhythmias 
and antimuscarinic side effects; increased risk 
of ventricular arrhythmias with citalopram and 
escitalopram - avoid; increased risk of convulsions 
with vortioxetine.
 Anticonvulsants: antagonises anticonvulsant effect; 
concentration of fosphenytoin and phenytoin 
possibly increased or decreased; concentration of 
both drugs reduced with phenobarbital.
 Antimalarials: avoid with artemether/lumefantrine 
and piperaquine with artenimol.
 Antipsychotics: increased risk of ventricular 
arrhythmias with droperidol and pimozide - avoid; 
concentration of haloperidol possibly increased; 
possible increased risk of ventricular arrhythmias 
with risperidone.
 Antivirals: concentration possibly increased with 
ritonavir; increased risk of ventricular arrhythmias 
with saquinavir - avoid.
 Anxiolytics and hypnotics: increased sedative effects.
 Atomoxetine: increased risk of ventricular 
arrhythmias.Beta-blockers: enhanced hypotensive effect; 
concentration of both drugs may increase 
with propranolol; increased risk of ventricular 
arrhythmias with sotalol.
 Cytotoxics: increased risk of ventricular arrhythmias 
with vandetanib - avoid; increased risk of ventricular 
arrhythmias with arsenic trioxide.
 Diuretics: enhanced hypotensive effect.
 Lithium: increased risk of extrapyramidal side effects 
and possibly neurotoxicity.
 Pentamidine: increased risk of ventricular 
arrhythmias.
 Ulcer-healing drugs: effects enhanced by cimetidine.
 |  | [Metabolism] 
 Chlorpromazine is subject to considerable first-pass 
metabolism in the gut wall and is also extensively 
metabolised in the liver. Paths of metabolism of 
chlorpromazine include hydroxylation and conjugation 
with glucuronic acid, N-oxidation, oxidation of a sulfur 
atom, and dealkylation.
 Chlorpromazine is excreted in the urine and bile in the 
form of both active and inactive metabolites; there is some 
evidence of enterohepatic recycling.
 |  | [storage] 
 Store at RT,protect from light,unstable in solution, ready to use.
 |  | [References] 
 [1] harrold mw, chang ya, wallace ra, farooqui t, wallace lj, uretsky n, miller dd.  charged analogues of chlorpromazine as dopamine antagonists. j med chem. 1987 sep;30(9):1631-5.
 [2] nsimba se.  effects of daily chlorpromazine administration on behavioural and physiological parameters in the rat. indian j physiol pharmacol. 2009 jul-sep;53(3):209-18.
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