Page last updated: 2024-11-03

prochlorperazine and Acathisia, Drug-Induced

prochlorperazine has been researched along with Acathisia, Drug-Induced in 23 studies

Prochlorperazine: A phenothiazine antipsychotic used principally in the treatment of NAUSEA; VOMITING; and VERTIGO. It is more likely than CHLORPROMAZINE to cause EXTRAPYRAMIDAL DISORDERS. (From Martindale, The Extra Pharmacopoeia, 30th ed, p612)
prochlorperazine : A member of the class of phenothiazines that is 10H-phenothiazine having a chloro substituent at the 2-position and a 3-(4-methylpiperazin-1-yl)propyl group at the N-10 position.

Research Excerpts

ExcerptRelevanceReference
"The utility of intravenous prochlorperazine as an antiemetic agent and abortive therapy for headache may be limited by the frequent occurrence of akathisia, the distressing effects of which have been shown to disrupt patient care."5.09Diphenhydramine for the prevention of akathisia induced by prochlorperazine: a randomized, controlled trial. ( Drotts, DL; Vinson, DR, 2001)
" Patients aged 18 years or older treated with prochlorperazine for headache, nausea, or vomiting were eligible for inclusion."5.09Intravenous administration of prochlorperazine by 15-minute infusion versus 2-minute bolus does not affect the incidence of akathisia: a prospective, randomized, controlled trial. ( Brizendine, EJ; Chisholm, CD; Collins, RW; Cordell, WH; Giles, BK; Jones, JB; Walthall, JD, 2001)
"We report on a case of a cancer patient taking prochlorperazine as an antiemetic drug who experienced dyspnea accompanied by severe restlessness associated with respiration."3.74A case of respiratory akathisia in a cancer patient: a case report. ( Araki, K; Endo, H; Ichikawa, W; Miya, T; Nagashima, F; Narabayashi, M; Nishida, T; Onishi, H; Sasaki, Y; Sunakawa, Y; Wada, M, 2008)
" These studies had used a conventional Long instrument in the prospective assessment of 360 adult ED patients aged 17-65 years who received intravenous prochlorperazine (10 mg) in the treatment of headache or nausea and vomiting."3.73Development of a simplified instrument for the diagnosis and grading of akathisia in a cohort of patients receiving prochlorperazine. ( Vinson, DR, 2006)
"Pediatric migraine is a common, chronic, and disabling neurological disorder in children and adolescents."2.66Intravenous Migraine Treatment in Children and Adolescents. ( Hershey, AD; Kabbouche, M; Maconochie, I; Murphy, B; Qaiser, S; Werner, K, 2020)
" The outcomes were the number of patients without headache or with reduced headache severity, the number of adverse events, and the need for rescue analgesia."2.61The Efficacy and Safety of Prochlorperazine in Patients With Acute Migraine: A Systematic Review and Meta-Analysis. ( Bozorgi, F; Cheraghmakani, H; Golikhatir, I; Jahanian, F; Montazer, SH; Sazgar, M, 2019)
"Akathisia and dystonia are known adverse reactions to the use of this medication, but their incidence in the ED has not been well studied."1.31Frequency of adverse reactions to prochlorperazine in the ED. ( Clark, JA; Keng, JA; Olsen, JC, 2000)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19902 (8.70)18.7374
1990's4 (17.39)18.2507
2000's13 (56.52)29.6817
2010's3 (13.04)24.3611
2020's1 (4.35)2.80

Authors

AuthorsStudies
Werner, K1
Qaiser, S1
Kabbouche, M1
Murphy, B1
Maconochie, I1
Hershey, AD1
Golikhatir, I1
Cheraghmakani, H1
Bozorgi, F1
Jahanian, F1
Sazgar, M1
Montazer, SH1
Kostic, MA1
Gutierrez, FJ1
Rieg, TS1
Moore, TS1
Gendron, RT1
Trottier, ED1
Bailey, B1
Lucas, N1
Lortie, A1
Gupta, R1
Weaver, CS1
Jones, JB2
Chisholm, CD2
Foley, MJ1
Giles, BK2
Somerville, GG1
Brizendine, EJ2
Cordell, WH2
Vinson, DR7
Baden, EY1
Prodany, K1
Wiener, SW1
Hoffman, RS1
Kawanishi, C1
Onishi, H2
Kato, D1
Kishida, I1
Furuno, T1
Wada, M3
Hirayasu, Y1
Sunakawa, Y1
Nishida, T1
Araki, K1
Endo, H1
Nagashima, F1
Ichikawa, W1
Miya, T1
Narabayashi, M1
Sasaki, Y1
Fleishman, SB1
Lavin, MR1
Sattler, M1
Szarka, H1
Dukoff, R1
Horak, ID1
Hassan, R1
Rosenstein, DL1
Drotts, DL2
Olsen, JC1
Keng, JA1
Clark, JA1
Migala, AF1
Quesenberry, CP1
Collins, RW1
Walthall, JD1
Rodgers, C1
Bateman, DN1
Darling, WM1
Boys, R1
Rawlins, MD1
Weiden, P1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Check Trial: A Comparison of Headache Treatment in the ED: Compazine Versus Ketamine. A Multi-Center, Randomized Double-Blind, Clinical Control Trial.[NCT02657031]Phase 454 participants (Actual)Interventional2016-03-17Completed
Intravenous Fluids in Benign Headaches Trail: A Randomized Single Blind Clinical Trial[NCT03185130]Phase 458 participants (Actual)Interventional2017-05-16Completed
A Randomized Double Blinded Study Comparing Use of Prochlorperazine Versus Prochlorperazine and Ketorolac in the Treatment of Pediatric Migraine in the Emergency Department[NCT01534806]Phase 40 participants (Actual)Interventional2012-01-31Withdrawn (stopped due to Drug is backordered;)
A Randomized Double-blind Comparative Efficacy Trial of IV Acetaminophen Versus IV Ketorolac for Emergency Department Treatment of Generalized Headache[NCT03472872]Phase 4500 participants (Actual)Interventional2017-09-05Terminated (stopped due to no longer recruiting or studying)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Anxiety

Reduction in 100 mm Visual Analog Scale (VAS) Score. The maximum possible change in VAS score is 100 mm, representing the complete relief of maximum anxiety. A change of 0 mm corresponds to no change in anxiety level, and a negative value indicates worsening of the anxiety after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm33.7
Study Arm21.2

Headache Following Intervention

Reduction in 100 mm Visual Analog Scale (VAS) Score. Positive values represent a reduction in headache severity. The maximum possible change in VAS score is 100 mm, representing the complete relief of a maximally severe headache. A change of 0 mm corresponds to no change in headache severity, and a negative value indicates worsening of the headache after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm63.5
Study Arm43.5

Nausea

Reduction in 100 mm Visual Analog Scale (VAS) Score. The maximum possible change in VAS score is 100 mm, representing the complete relief of maximum nausea. A change of 0 mm corresponds to no change in nausea level, and a negative value indicates worsening of the nausea after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm38.9
Study Arm22.9

The Number of Participants Experiencing Vomiting

Yes/No (NCT02657031)
Timeframe: 0-60 minutes

Interventionparticipants (Number)
Control Arm2
Study Arm3

The Number of Patients Experiencing Restlessness

Yes/No (NCT02657031)
Timeframe: 0-60 minutes

Interventionparticipants (Number)
Control Arm3
Study Arm3

Reviews

2 reviews available for prochlorperazine and Acathisia, Drug-Induced

ArticleYear
Intravenous Migraine Treatment in Children and Adolescents.
    Current pain and headache reports, 2020, Jul-08, Volume: 24, Issue:8

    Topics: Administration, Intravenous; Adolescent; Akathisia, Drug-Induced; Anesthetics, Local; Anti-Inflammat

2020
The Efficacy and Safety of Prochlorperazine in Patients With Acute Migraine: A Systematic Review and Meta-Analysis.
    Headache, 2019, Volume: 59, Issue:5

    Topics: Acute Disease; Akathisia, Drug-Induced; Dopamine Antagonists; Drug Therapy, Combination; Emergency S

2019

Trials

8 trials available for prochlorperazine and Acathisia, Drug-Induced

ArticleYear
A prospective, randomized trial of intravenous prochlorperazine versus subcutaneous sumatriptan in acute migraine therapy in the emergency department.
    Annals of emergency medicine, 2010, Volume: 56, Issue:1

    Topics: Adult; Akathisia, Drug-Induced; Analgesics; Conscious Sedation; Diphenhydramine; Double-Blind Method

2010
A prospective, randomized trial of intravenous prochlorperazine versus subcutaneous sumatriptan in acute migraine therapy in the emergency department.
    Annals of emergency medicine, 2010, Volume: 56, Issue:1

    Topics: Adult; Akathisia, Drug-Induced; Analgesics; Conscious Sedation; Diphenhydramine; Double-Blind Method

2010
A prospective, randomized trial of intravenous prochlorperazine versus subcutaneous sumatriptan in acute migraine therapy in the emergency department.
    Annals of emergency medicine, 2010, Volume: 56, Issue:1

    Topics: Adult; Akathisia, Drug-Induced; Analgesics; Conscious Sedation; Diphenhydramine; Double-Blind Method

2010
A prospective, randomized trial of intravenous prochlorperazine versus subcutaneous sumatriptan in acute migraine therapy in the emergency department.
    Annals of emergency medicine, 2010, Volume: 56, Issue:1

    Topics: Adult; Akathisia, Drug-Induced; Analgesics; Conscious Sedation; Diphenhydramine; Double-Blind Method

2010
Prochlorperazine in children with migraine: a look at its effectiveness and rate of akathisia.
    The American journal of emergency medicine, 2012, Volume: 30, Issue:3

    Topics: Adolescent; Akathisia, Drug-Induced; Child; Diphenhydramine; Dopamine Antagonists; Drug Therapy, Com

2012
Droperidol vs prochlorperazine for the treatment of acute headache.
    The Journal of emergency medicine, 2004, Volume: 26, Issue:2

    Topics: Acute Disease; Adolescent; Adult; Aged; Akathisia, Drug-Induced; Antiemetics; Dopamine Antagonists;

2004
Diphenhydramine in the treatment of akathisia induced by prochlorperazine.
    The Journal of emergency medicine, 2004, Volume: 26, Issue:3

    Topics: Adolescent; Adult; Akathisia, Drug-Induced; Antiparkinson Agents; Cohort Studies; Diphenhydramine; D

2004
Prochlorperazine induces akathisia in emergency patients.
    Annals of emergency medicine, 1999, Volume: 34, Issue:4 Pt 1

    Topics: Adolescent; Adult; Aged; Akathisia, Drug-Induced; Antiemetics; Emergency Treatment; Female; Humans;

1999
Diphenhydramine for the prevention of akathisia induced by prochlorperazine: a randomized, controlled trial.
    Annals of emergency medicine, 2001, Volume: 37, Issue:2

    Topics: Adolescent; Adult; Akathisia, Drug-Induced; Antiemetics; Conscious Sedation; Diphenhydramine; Double

2001
Slow infusion for the prevention of akathisia induced by prochlorperazine: a randomized controlled trial.
    The Journal of emergency medicine, 2001, Volume: 20, Issue:2

    Topics: Adolescent; Adult; Aged; Akathisia, Drug-Induced; Antiemetics; Double-Blind Method; Female; Humans;

2001
Intravenous administration of prochlorperazine by 15-minute infusion versus 2-minute bolus does not affect the incidence of akathisia: a prospective, randomized, controlled trial.
    Annals of emergency medicine, 2001, Volume: 38, Issue:5

    Topics: Adolescent; Adult; Aged; Akathisia, Drug-Induced; Dose-Response Relationship, Drug; Double-Blind Met

2001

Other Studies

13 other studies available for prochlorperazine and Acathisia, Drug-Induced

ArticleYear
Akathisia can be reduced by lowering the dose of D2 receptor antagonists.
    Annals of emergency medicine, 2003, Volume: 41, Issue:2

    Topics: Akathisia, Drug-Induced; Dopamine Antagonists; Droperidol; Humans; Prochlorperazine

2003
Diphenhydramine in the treatment of akathesia induced by prochlorperazine.
    The Journal of emergency medicine, 2005, Volume: 28, Issue:3

    Topics: Akathisia, Drug-Induced; Antiparkinson Agents; Antipsychotic Agents; Diphenhydramine; Emergency Serv

2005
Development of a simplified instrument for the diagnosis and grading of akathisia in a cohort of patients receiving prochlorperazine.
    The Journal of emergency medicine, 2006, Volume: 31, Issue:2

    Topics: Adolescent; Adult; Aged; Akathisia, Drug-Induced; Antiemetics; Dopamine Antagonists; Female; Headach

2006
Unexpectedly high prevalence of akathisia in cancer patients.
    Palliative & supportive care, 2007, Volume: 5, Issue:4

    Topics: Akathisia, Drug-Induced; Antiemetics; Female; Humans; Male; Middle Aged; Neoplasms; Palliative Care;

2007
A case of respiratory akathisia in a cancer patient: a case report.
    Palliative & supportive care, 2008, Volume: 6, Issue:1

    Topics: Aged; Akathisia, Drug-Induced; Antiemetics; Biperiden; Carcinoma, Squamous Cell; Dyspnea; Esophageal

2008
Antiemetic-induced akathisia in cancer patients receiving chemotherapy.
    The American journal of psychiatry, 1994, Volume: 151, Issue:5

    Topics: Akathisia, Drug-Induced; Antineoplastic Agents; Drug Therapy, Combination; Female; Humans; Male; Met

1994
Akathisia associated with prochlorperazine as an antiemetic: a case report.
    Annals of oncology : official journal of the European Society for Medical Oncology, 1996, Volume: 7, Issue:1

    Topics: Adult; Akathisia, Drug-Induced; Antiemetics; Female; Humans; Prochlorperazine

1996
Frequency of adverse reactions to prochlorperazine in the ED.
    The American journal of emergency medicine, 2000, Volume: 18, Issue:5

    Topics: Adolescent; Adult; Aged; Akathisia, Drug-Induced; Antiemetics; Dose-Response Relationship, Drug; Dru

2000
Frequency of adverse reactions to prochlorperazine in the ED: a response.
    The American journal of emergency medicine, 2001, Volume: 19, Issue:2

    Topics: Akathisia, Drug-Induced; Dopamine Antagonists; Emergency Service, Hospital; Humans; Prochlorperazine

2001
Akathisia: problematic but preventable.
    Annals of emergency medicine, 2002, Volume: 39, Issue:5

    Topics: Adult; Akathisia, Drug-Induced; Antiemetics; Confidence Intervals; Diphenhydramine; Dopamine Antagon

2002
Extrapyramidal side effects of antiemetics presenting as psychiatric illness.
    General hospital psychiatry, 1992, Volume: 14, Issue:3

    Topics: Acquired Immunodeficiency Syndrome; Adult; Aged; Akathisia, Drug-Induced; Antiemetics; Anxiety Disor

1992
Extrapyramidal reactions to metoclopramide and prochlorperazine.
    The Quarterly journal of medicine, 1989, Volume: 71, Issue:264

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Akathisia, Drug-Induced; Basal Ganglia Diseases; Child;

1989
Akathisia from prochlorperazine.
    JAMA, 1985, Feb-01, Volume: 253, Issue:5

    Topics: Adult; Akathisia, Drug-Induced; Humans; Male; Prochlorperazine

1985