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Prochlorperazine Rectal suppository

What is this medicine?

PROCHLORPERAZINE (proe klor PER a zeen) helps to control severe nausea and vomiting.

How should I use this medicine?

This medicine is for rectal use only. Do not take by mouth. Wash your hands before and after use. Take off the foil wrapping. Wet the tip of the suppository with cold tap water to make it easier to use. Lie on your side with your lower leg straightened out and your upper leg bent forward toward your stomach. Lift upper buttock to expose the rectal area. Apply gentle pressure to insert the suppository completely into the rectum, pointed end first. Hold buttocks together for a few seconds. Remain lying down for about 15 minutes to avoid having the suppository come out. Do not use more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed. While this medicine may be prescribed for children as young as 2 years for selected conditions, precautions do apply.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

  • blurred vision

  • breast enlargement in men or women

  • breast milk in women who are not breast-feeding

  • chest pain, fast or irregular heartbeat

  • confusion, restlessness

  • dark yellow or brown urine

  • difficulty breathing or swallowing

  • dizziness or fainting spells

  • drooling, shaking, movement difficulty (shuffling walk) or rigidity

  • fever, chills, sore throat

  • involuntary or uncontrollable movements of the eyes, mouth, head, arms, and legs

  • seizures

  • stomach area pain

  • unusually weak or tired

  • unusual bleeding or bruising

  • yellowing of skin or eyes

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • difficulty passing urine

  • difficulty sleeping

  • headache

  • sexual dysfunction

  • skin rash, or itching

What may interact with this medicine?

Do not take this medicine with any of the following medications:

  • amoxapine

  • antidepressants like citalopram, escitalopram, fluoxetine,paroxetine, and sertraline

  • deferoxamine

  • dofetilide

  • maprotiline

  • tricyclic antidepressants like amitriptyline, clomipramine, imipramine, nortiptyline and others

This medicine may also interact with the following medications:

  • lithium

  • medicines for pain

  • phenytoin

  • propranolol

  • warfarin

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

  • blood disorders or disease

  • dementia

  • liver disease or jaundice

  • Parkinson's disease

  • uncontrollable movement disorder

  • an unusual or allergic reaction to prochlorperazine, other medicines, foods, dyes, or preservatives

  • pregnant or trying to get pregnant

  • breast-feeding

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

This medicine can reduce the response of your body to heat or cold. Dress warm in cold weather and stay hydrated in hot weather. If possible, avoid extreme temperatures like saunas, hot tubs, very hot or cold showers, or activities that can cause dehydration such as vigorous exercise.

This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

Online Medical Reviewer: Louise Akin, RN, BSN
Online Medical Reviewer: Daphne Pierce-Smith, RN, MSN, FNP, CCRC
Date Last Reviewed: 5/7/2013
© 2000-2014 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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