Brand names: Mellaril
Mellaril combats the crippling mental disorder known as schizophrenia (a severe loss of contact with reality). Because Mellaril has been known to cause dangerous heartbeat irregularities, it is usually prescribed only when at least two other medications have failed.
The danger of potentially fatal cardiac irregularities increases when Mellaril is combined with any medication that prolongs a part of the heartbeat known as the QTc interval. Many of the drugs prescribed for heartbeat irregularities (including amiodarone, propafenone, propranolol, and quinidine) prolong the QTc interval and should never be combined with Mellaril. Other drugs to avoid when taking Mellaril include cimetidine, delavirdine,fluoxetine, fluvoxamine, paroxetine, pindolol, and ritonavir. Make sure the doctor knows you are taking Mellaril whenever a new drug is prescribed.
If you are taking Mellaril in a liquid concentrate form, you can dilute it with a liquid such as distilled water, soft tap water, or juice just before taking it.
Do not change from one brand of thioridazine to another without consulting your doctor.
If you take more than 1 dose a day and remember the forgotten dose within an hour or so after its scheduled time, take it immediately. If you don't remember until later, skip the dose and go back to your regular schedule.
Never try to "catch up" by doubling a dose.
Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Mellaril.
Due to the danger of cardiac irregularities, Mellaril must never be combined with drugs that increase its effects or prolong the part of the heartbeat known as the QTc interval. (See "Most important fact about Thioridazine hydrochloride.") It is also important to avoid combining Mellaril with excessive amounts of central nervous system depressants such as alcohol, barbiturates, or narcotics. Do not take Mellaril if you have heart disease accompanied by severe high or low blood pressure.
Mellaril may cause tardive dyskinesia—a condition marked by involuntary muscle spasms and twitches in the face and body. This condition may be permanent, and appears to be most common among the elderly, especially women. Ask your doctor for information about this possible risk.
Drugs such as Mellaril are also known to cause a potentially fatal condition known as Neuroleptic Malignant Syndrome. Symptoms of this problem include high fever, rigid muscles, altered mental status, sweating, fast or irregular heartbeat, and changes in blood pressure. If you develop these symptoms, see your doctor immediately. Mellaril therapy may have to be permanently discontinued.
Animal studies suggest that antipsychotics such as Mellaril may increase the risk of breast cancer, although human studies have not confirmed such a risk. If you have a history of breast cancer, be sure to see your doctor regularly for checkups.
In rare cases, Mellaril has been known to trigger blood disorders and seizures. It can cause dizziness or faintness when you first stand up. High doses can also cause vision problems, including blurring, brownish coloring of vision, and poor night vision.
This drug may impair your ability to drive a car or operate potentially dangerous machinery. Do not participate in any activities that require full alertness until you are certain the drug will not interfere.
Remember that combining Mellaril with certain drugs can increase the danger of potentially fatal heartbeat irregularities. Among the drugs to avoid are the following:AmiodaroneCimetidineDelavirdineFluoxetineFluvoxamineParoxetinePindololPropafenonePropranololQuinidineRitonavir
Check with your doctor before adding any new drug to your regimen. Remember, too, that extreme drowsiness and other potentially serious effects can result if Mellaril is combined with alcohol or other central nervous system depressants such as narcotics, painkillers, and sleeping medications.
Pregnant women should use Mellaril only if clearly needed. If you are pregnant or plan to become pregnant, inform your doctor immediately.
There is no information on the effects of Mellaril during breastfeeding. The doctor may advise you to stop nursing until your treatment with Thioridazine hydrochloride is finished.
Your doctor will tailor your dose to your needs, using the smallest effective amount.
The starting dose ranges from 50 to 100 milligrams 3 times a day. Your doctor may gradually increase your dosage to as much as 800 milligrams a day, taken in 2 to 4 small doses. Once your symptoms improve, your doctor will decrease the dosage to the lowest effective amount.
The usual starting dose for schizophrenic children is 0.5 milligrams per 2.2 pounds of body weight per day, divided into smaller doses. The dose may be gradually increased to a maximum of 3 milligrams per 2.2 pounds per day.
Any medication taken in excess can have serious consequences. An overdose of Mellaril can be fatal. If you suspect an overdose, seek medical help immediately.