thioridazine (Mellaril is a discontinued brand)

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jay W. Marks, MD
    Jay W. Marks, MD

    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

What is the dosage for thioridazine- oral?

  • The recommended starting dose of thioridazine for treating schizophrenia is 50 to 100 mg every 8 hours.
  • Maintenance is recommended with doses every 6-12 hours with a total daily dose of 200 to 800 mg.
  • The dose for treating depressive disorders is 25 mg every 8 hours. The dose may be increased slowly to 20 to 200 mg daily.

Which drugs or supplements interact with thioridazine- oral?

Combining thioridazine with medications such as procainamide (Pronestyl), sotalol (Betapace), amiodarone (Cordarone), and dofetilide (Tikosyn) that affect heart rate and rhythm can cause abnormal heart beats.

Antidepressants such as fluoxetine (Prozac), sertraline (Zoloft) and tricyclic antidepressants may reduce the breakdown of thioridazine, leading to increased blood levels and side effects of thioridazine.

Thioridazine should be used with caution with medications that depress the central nervous system and cause sedation or drowsiness. Examples include alprazolam (Xanax), clonazepam (Klonopin), zolpidem (Ambien), codeine, morphine, and alcohol. Such combinations can cause excessive sedation, drowsiness, weakness, confusion, speech impairment, and in severe cases coma or death. Combining alcohol with thioridazine also increases the risk of low blood pressure.

Medically Reviewed by a Doctor on 11/6/2015

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Schizophrenia: Symptoms, Types, Causes, Treatment
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