Stela 5mg Tablet 10pcs

Quick Suggestions:

• You have been prescribed Stela 5mg Tablet for the treatment of schizophrenia.
• It may cause less weight gain as compared to other similar medicines.
• Take it at bedtime to avoid feeling sleepy during the day.
• Use caution while driving or doing anything that requires concentration as Stela 5mg Tablet can cause dizziness and sleepiness.
• To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
• Avoid drinking alcohol while taking this medicine as it can cause increased sedation.
• Inform your doctor if you experience abnormal movements, particularly of the face, lips, jaw, and tongue, while taking this medicine.
• It may increase your blood sugar and cholesterol levels. Eat healthy, exercise regularly, and monitor your blood levels regularly.
• Don't stop taking Stela 5mg Tablet without talking to your doctor first as it may cause worsening of symptoms.

Quick Suggestions:

• Trifluoperazine belongs to the phenothiazine class, which primarily acts by antagonizing dopamine receptors in the central nervous system (CNS). This action is believed to provide its antipsychotic effects by affecting the limbic system and related cerebral cortex areas. Its antiemetic properties are due to its action on the medullary chemoreceptor trigger zone.

Side Effects:

• Sleepiness
• Dryness in mouth
• Abnormality of voluntary movements
• Weight gain
• Increased prolactin level in blood
• Urinary retention
• Constipation
• Muscle stiffness

Schizophrenia and Other Psychoses:

• Adults and Children Over 12 Years: Start with 2-5 mg twice daily, increasing by 5 mg daily after one week, then every three days based on response.
• Children (6-12 Years): Start with 1 mg twice daily, adjusting according to weight and symptom severity. Usually, not exceeding 15 mg daily.
• Elderly: Start with at least half the usual dose.

Short-Term Management of Severe Anxiety:

• Adults and Children Over 12 Years: 1-2 mg twice daily, with a maximum of 6 mg daily if needed.
• Children (3-5 Years): 1 mg daily.
• Children (6-12 Years): Up to 4 mg daily in divided doses.
• Elderly: Start with at least half the usual dose.

Antiemetic:

• Adults: 2-4 mg daily in divided doses, with a maximum of 6 mg daily.
• Children (3-5 Years): Up to 1 mg daily.
• Children (6-12 Years): Up to 4 mg daily.

Interactions:

• May reduce the effectiveness of oral anticoagulants.
• Propranolol and trifluoperazine taken together can increase plasma levels of both drugs.
• Phenothiazines may counteract the effects of guanethidine and related compounds.
• Can potentiate CNS depressants like alcohol, hypnotics, and anticonvulsants.

Contraindications:

• Not to be used in comatose patients, those with blood dyscrasias, liver damage, or hypersensitivity to phenothiazines.

Overdose Effects:

• Symptoms include predominantly extrapyramidal effects and hypotension. Treatment involves gastric lavage, supportive care, and symptomatic management. Do not induce vomiting. Extrapyramidal symptoms can be treated with anticholinergic or anti parkinsonism drugs. Treat hypotension with fluid replacement, and consider noradrenaline if severe. Avoid adrenaline.

Pregnancy & Lactation:

• Pregnancy: Safety during pregnancy is not established. Use only if benefits outweigh risks.
• Lactation: Insufficient data on safety during breastfeeding.

Precautions & Warnings:

• Use caution in elderly patients, starting with a lower dose due to sensitivity, particularly to extrapyramidal and hypotensive effects.
• Patients with cardiovascular disease, including arrhythmias, and angina pectoris should be treated cautiously.

Storage Conditions:

Store at room temperature between 15-30°C, away from light and moisture.