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Compazine overdose

Compazine is a drug used to treat severe nausea and vomiting. Compazine overdose occurs when someone takes more than the normal or recommended amount of this medicine. This can be by accident or on purpose.

This is for information only and not for use in the treatment or management of an actual overdose. DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

Poisonous Ingredient

Prochlorperazine is the poisonous ingredient in Compazine.

Where Found

Compazine is found in these products:

  • Buccastem
  • Compazine
  • Spansule
  • Stemetil

Symptoms

Below are symptoms of a Compazine overdose in different parts of the body.

BLADDER AND KIDNEYS

  • Unable to completely empty the bladder

EYES, EARS, NOSE, MOUTH, AND THROAT

  • Blurred vision
  • Drooling
  • Dry mouth
  • Nasal congestion
  • Small pupils
  • Yellow eyes

STOMACH AND INTESTINES

HEART AND BLOOD

MUSCLES AND JOINTS

  • Muscle spasms
  • Stiff muscles in neck, face, or back

NERVOUS SYSTEM

  • Coma (decreased level of consciousness and lack of responsiveness)
  • Convulsions (seizures)
  • Disorientation
  • Drowsiness
  • Fever
  • Motor tics that the person cannot control
  • Low body temperature
  • Restlessness linked with repeated foot shuffling, rocking, or pacing
  • Tremor
  • Uncoordinated movement, slow movement, or shuffling (with long-term use or overuse)
  • Weakness

REPRODUCTIVE SYSTEM

  • Changes in menstrual patterns

SKIN

  • Rash
  • Yellow skin

Some of these symptoms may occur even when the medicine is taken properly.

Before Calling Emergency

Have this information ready:

  • Person's age, weight, and condition
  • The name of the product (ingredients and strengths, if known)
  • When it was swallowed
  • The amount swallowed
  • If the medicine was prescribed for the person

Poison Control

Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

What to Expect at the Emergency Room

Take the container with you to the hospital, if possible.

The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated.

The person may receive:

  • Activated charcoal
  • Blood and urine tests
  • Breathing support, including a tube through the mouth into the lungs and breathing machine (ventilator)
  • Chest x-ray
  • EKG (electrocardiogram, or heart tracing)
  • Fluids through a vein (by IV)
  • Laxative
  • Medicine to treat symptoms
  • Tube through the nose into the stomach to empty the stomach (gastric lavage)

Outlook (Prognosis)

Compazine is fairly safe. Most likely an overdose will only cause drowsiness and some side effects such as uncontrolled movements of the lips, eyes, head, and neck for a short time. These movements may become ongoing if they are not treated quickly and correctly.

Rarely, a Compazine overdose can cause more serious symptoms, including heart rhythm disturbances. Full recovery is likely in all but the most serious cases.

References

Dershwitz M. Antipsychotics. In: Vincent J-L, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Textbook of Critical Care. 6th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 182.

Levine M, Burns MJ. Antipsychotic agents. In: Shannon MW, Borron SW, Burns MJ, eds. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose. 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 38.

Wittler MA, Lavonas EJ. Antipsychotics. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Mosby; 2014:chap 161.

Update Date 10/13/2015