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Molecule

Fluphenazine

Also known as fluphenazine hydrochloride
Available on requestPsychiatry
Presentations
11
Brands
1
Manufacturers
1
Available from stock
0

Fluphenazine is a phenothiazine indicated in the management of manifestations of psychotic disorders. It is available as tablets, elixir and injection for oral and intramuscular use. MedsAcross supplies Fluphenazine for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Phenothiazine
ATC classification
N05AB02 Fluphenazine · Antipsychotics, subgroup N05AB
US FDA first approval
9 September 1959
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral, Intramuscular
Dosage forms
Tablet, Elixir, Injection, Oral concentrate
Identifiers
UNII S79426A41ZRxCUI 4496CAS 69-23-8DrugBank DB00623Q58376

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Fluphenazine hydrochloride tablets are indicated in the management of manifestations of psychotic disorders. Fluphenazine hydrochloride has not been shown effective in the management of behavioral complications in patients with mental retardation.

Source: US FDA prescribing information

Dosing overview

Depending on the severity and duration of symptoms, total daily dosage for adult psychotic patients may range initially from 2.5 mg to 10 mg and should be divided and given at 6 to 8 hour intervals. The smallest amount that will produce the desired results must be carefully determined for each individual, since optimal dosage levels of this potent drug vary from patient to patient. In general, the oral dose has been found to be approximately 2 to 3 times the parenteral dose of fluphenazine. Treatment is best instituted with a low initial dosage, which may be increased, if necessary, until the desired clinical effects are achieved. Therapeutic effect is often achieved with doses under 20 mg daily. Patients remaining severely disturbed or inadequately controlled may require upward titration of dosage.

Source: US FDA prescribing information

Contraindications

Phenothiazines are contraindicated in patients with suspected or established subcortical brain damage, in patients receiving large doses of hypnotics, and in comatose or severely depressed states. The presence of blood dyscrasia or liver damage precludes the use of fluphenazine hydrochloride. Fluphenazine hydrochloride tablets are contraindicated in patients who have shown hypersensitivity to fluphenazine, cross-sensitivity to phenothiazine derivatives may occur.

Source: US FDA prescribing information

Warnings and precautions

WARNING Increased Mortality in Elderly Patients with Dementia-Related Psychosis Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Analyses of seventeen placebo-controlled trials (modal duration of 10 weeks), largely in patients taking atypical antipsychotic drugs, revealed a risk of death in drug-treated patients of between 1.6 to 1.7 times the risk of death in placebo-treated patients. Increased Mortality in Elderly Patients with Dementia-Related Psychosis Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Fluphenazine hydrochloride is not approved for the treatment of patients with dementia-related psychosis.

Source: US FDA prescribing information

Side effects

Central Nervous System The side effects most frequently reported with phenothiazine compounds are extrapyramidal symptoms including pseudoparkinsonism, dystonia, dyskinesia, akathisia, oculogyric crises, opisthotonos, and hyperreflexia. Most often these extrapyramidal symptoms are reversible, however, they may be persistent. With any given phenothiazine derivative, the incidence and severity of such reactions depend more on individual patient sensitivity than on other factors, but dosage level and patient age are also determinants. Extrapyramidal reactions may be alarming, and the patient should be forewarned and reassured. These reactions can usually be controlled by administration of antiparkinsonian drugs such as benztropine mesylate or intravenous caffeine and sodium benzoate injection, and by subsequent reduction in dosage.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

11 presentations of Fluphenazine, sorted by availability.

MedicineManufacturerRegisterAvailability
Fluphenazine 5 mg tabletOralGeneric name—US FDAAvailable on request
Fluphenazine 10 mg tabletOralGeneric name—US FDAAvailable on request
Fluphenazine 1 mg tabletOralGeneric name—US FDAAvailable on request
Fluphenazine 2.5 mg tabletOralGeneric name—US FDAAvailable on request
Fluphenazine Hydrochoride 10 mg tabletOralRising Pharma HoldingsUS FDAAvailable on request
Fluphenazine 0.5 mg/mL elixirOralGeneric name—US FDAAvailable on request
Fluphenazine Hydrochoride 1 mg tabletOralRising Pharma HoldingsUS FDAAvailable on request
Fluphenazine Hydrochoride 2.5 mg tabletOralRising Pharma HoldingsUS FDAAvailable on request
Fluphenazine Hydrochoride 5 mg tabletOralRising Pharma HoldingsUS FDAAvailable on request
Fluphenazine 25 mg/10 mL injectionIntramuscularGeneric name—US FDAAvailable on request
Fluphenazine 5 mg/mL oral concentrateOralGeneric name—US FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 9 September 1959Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Fluphenazine in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Fluphenazine available for export from India?

Yes, on request. MedsAcross lists 11 presentations of Fluphenazine and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Fluphenazine have?

The catalogue lists 1 brand names for Fluphenazine, including Fluphenazine Hydrochoride.

Is Fluphenazine approved by the US FDA?

Yes. The US FDA first approved Fluphenazine on 9 September 1959, according to Drugs@FDA.

Does Fluphenazine need cold chain shipping?

No listed presentation of Fluphenazine is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Fluphenazine in?

Fluphenazine is classified under ATC code N05AB02 (Fluphenazine).

References

  1. fluphenazine hydrochloride prescribing information (Amneal Pharmaceuticals NY). U.S. National Library of Medicine, DailyMed. Retrieved 14 April 2026

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