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prochlorperazine

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Brand names: Compazine

Phenothiazine Antiemetic Rx

Prochlorperazine is a medicine that can help control severe nausea and vomiting. It can also treat schizophrenia and anxiety for a short time.

Drug Pricing (NADAC)

Generic Price

$0.19/unit

Generic Available

Yes (21 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

This medicine can help control severe nausea and vomiting.

Common side effects

Drowsiness, Dizziness, Missed menstrual periods

Key warnings

This medicine can cause serious side effects, including Neuroleptic Malignant Syndrome (NMS).

How It Works

Prochlorperazine belongs to a class of drugs called phenothiazines. It works by affecting the balance of certain chemicals in your brain. This can help reduce nausea, vomiting, and the symptoms of schizophrenia and anxiety.

How to Take It

Take this medicine exactly as your doctor tells you. For nausea and vomiting, you may take one 5mg or 10mg tablet 3 or 4 times a day. Do not take more than 40mg per day unless your doctor tells you to. For anxiety, the usual dose is 5mg, 3 or 4 times daily, but do not take more than 20mg per day or take it for longer than 12 weeks.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant or plan to become pregnant. It is not known if this medicine will harm your unborn baby. Talk to your doctor about the risks and benefits of taking this medicine while pregnant or breastfeeding.

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.

Storage

Store at room temperature away from moisture and heat.

Side Effects (from patient reports)

Based on 18,470 FDA adverse event reports.

Feeling sick to your stomach
3,262
Feeling very tired
2,706
Loose, watery stools
2,321
Throwing up
1,843
Fever with low white blood cell count
1,832
Death
1,703
Using the medicine for a purpose it was not approved for
1,299
Weakness
1,254
Lung infection
1,149
Difficulty breathing
1,101

FDA Adverse Event Report Analysis

Detailed analysis of 26,613 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 1999–2025.

Total Reports

26,613

Death-Related Reports

3,717

Hospitalization Reports

11,376

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 14,236 (58%)
Male 10,234 (42%)

Age Distribution

0–17 168
18–44 2,376
45–64 7,034
65–74 5,833
75+ 3,711

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 NAUSEA 3,261
2 FATIGUE 2,706
3 DIARRHOEA 2,321
4 VOMITING 1,842
5 FEBRILE NEUTROPENIA 1,832
6 DEATH 1,705
7 OFF LABEL USE 1,299
8 ASTHENIA 1,254
9 PNEUMONIA 1,149
10 DYSPNOEA 1,101
11 PYREXIA 1,021
12 DECREASED APPETITE 1,013
13 PAIN 1,010
14 HEADACHE 973
15 DIZZINESS 962

Reactions in Death Reports

DEATH 1,690
NAUSEA 237
PNEUMONIA 219
FATIGUE 209
OFF LABEL USE 194
DISEASE PROGRESSION 188
MALIGNANT NEOPLASM PROGRESSION 185
SEPSIS 181
DIARRHOEA 174
DYSPNOEA 166

Reactions in Hospitalization Reports

FEBRILE NEUTROPENIA 1,603
NAUSEA 1,332
VOMITING 1,067
PNEUMONIA 1,003
DIARRHOEA 985
FATIGUE 936
PYREXIA 825
ASTHENIA 729
DYSPNOEA 633
DEHYDRATION 606

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

This medicine can cause serious side effects, including Neuroleptic Malignant Syndrome (NMS). NMS can cause high fever, muscle stiffness, confusion, and changes in breathing, heart rate, and blood pressure. Tell your doctor right away if you have any of these symptoms. Long-term use or high doses may cause tardive dyskinesia, a condition with uncontrollable muscle movements that may not go away.

Common Questions

Can children take this medicine?
Prochlorperazine should not be used in children under 2 years old or weighing less than 20 pounds. It is also not for use in pediatric surgery.
Can I drink alcohol while taking this medicine?
You should not drink alcohol while taking this medicine, as it can increase the risk of side effects.
What should I do if I experience muscle stiffness or spasms?
Tell your doctor right away if you experience muscle stiffness, spasms, or uncontrollable movements.
How long does it take for this medicine to start working?
For psychiatric disorders, it may take a day or two to see a response, but it usually takes longer to see the full benefit.
Can I drive while taking this medicine?
This medicine can cause drowsiness and dizziness, so be careful driving or operating machinery until you know how it affects you.
What if I have a sore throat or signs of infection?
Tell your doctor right away if you have a sudden sore throat or other signs of infection.
Can I take this for other types of anxiety?
This medicine was studied for generalized anxiety disorder. It may not be helpful for other conditions with anxiety-like symptoms.
What should I do if I feel restless or agitated after taking this medicine?
If you feel restless or agitated, do not take another dose and talk to your doctor.
Is it okay to take this medication long term?
When used for anxiety, do not take for longer than 12 weeks.
What do the tablets look like?
The 5mg tablets are chartreuse and round, with "TL" and "113" on one side. The 10mg tablets are also chartreuse and round, with "TL" and "115" on one side.
What are the common side effects of prochlorperazine?
The most commonly reported side effects of prochlorperazine include Drowsiness, Dizziness, Missed menstrual periods, Blurred vision, Skin reactions. Based on 18,470 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
What drug class is prochlorperazine?
prochlorperazine belongs to the Phenothiazine Antiemetic drug class. It requires a prescription (Rx). This medicine can help control severe nausea and vomiting.
Is prochlorperazine safe during pregnancy?
Tell your doctor if you are pregnant or plan to become pregnant. It is not known if this medicine will harm your unborn baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Has prochlorperazine been recalled?
There is 1 recall associated with prochlorperazine products. CGMP Deviations. Check the recalls section below for full details and affected products.

Active Recalls

Class II March 13, 2025

CGMP Deviations

Glenmark Pharmaceuticals Inc., USA

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What the FDA Data Shows for prochlorperazine

The FDA label for prochlorperazine (sold under brand names such as Compazine) classifies it as a prescription-only medication in the Phenothiazine Antiemetic class. This medicine can help control severe nausea and vomiting. Official labeling lists 6 commonly reported side effects, including Drowsiness, Dizziness, Missed menstrual periods.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 18,470 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. NADAC pricing from CMS shows a generic unit cost of $0.19.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 1 recall record on file), and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: January 22, 2025

All federal data sources used on this page