II. Mechanism

  1. Phenothiazine
  2. Potent Dopamine D2 Receptor Antagonist

III. Dosing: Schizophrenia

  1. Adult IM or Oral Immediate Formulation
    1. Start 2.5 mg IM or orally twice daily
    2. Titrate to 10 mg/day IM or 20 mg/day orally divided every 6 to 8 hours
    3. Maximum Dose: 40 mg
  2. Depot IM/SC Long Acting Formulation (Fluphenazine enanthate, Fluphenazine decanoate)
    1. Stabilize on oral dose before initiating depot dose
    2. Start 12.5 to 25 mg IM or SQ every 4 to 6 weeks (equivalent to 10 to 20 mg/day of oral dose)

V. Safety

  1. Unknown safety in pregnancy
  2. Unknown safety in Lactation

VII. References

  1. (2016) Med Lett Drugs Ther 58(1510): 160-5
  2. Olson (2020) Clinical Pharmacology, Medmaster Miami, p. 42-3
  3. Hamilton (2020) Tarascon Pocket Pharmacopoeia

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Cost: Medications

fluphenazine (on 12/21/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
FLUPHENAZINE 1 MG TABLET Generic $0.85 each
FLUPHENAZINE 10 MG TABLET Generic $2.05 each
FLUPHENAZINE 2.5 MG TABLET Generic $1.27 each
FLUPHENAZINE 5 MG TABLET Generic $1.86 each
FLUPHENAZINE DEC 125 MG/5 ML Generic $13.70 per ml