Trihexyphenidyl

— THERAPEUTIC CATEGORIES —
  • Parkinsonism

Trihexyphenidyl Generic Name & Formulations

General Description

Trihexyphenidyl HCl 2mg, 5mg; scored tabs.

Pharmacological Class

Anticholinergic.

How Supplied

Contact supplier.

Trihexyphenidyl Indications

Indications

Adjunct in Parkinsonism. Drug-induced extrapyramidal symptoms (EPS).

Trihexyphenidyl Dosage and Administration

Adult

Take with food. Give in 3–4 divided doses. Parkinsonism: 1mg on day 1, may increase by 2mg every 3–5 days; usual max 6–15mg/day. Concomitant levodopa: 3–6mg/day and reduce levodopa dose. EPS: 1mg on day 1; range 5–15mg/day.

Children

Not recommended.

Trihexyphenidyl Contraindications

Contraindications

Tardive dyskinesia. Narrow-angle glaucoma.

Trihexyphenidyl Boxed Warnings

Not Applicable

Trihexyphenidyl Warnings/Precautions

Warnings/Precautions

Cardiovascular, renal, or hepatic disorders. Hypertension. Psychosis. GI or GU obstruction. Exposure to extreme heat. Monitor intraocular pressure. Avoid abrupt cessation. Nursing mothers.

Trihexyphenidyl Pharmacokinetics

See Literature

Trihexyphenidyl Interactions

Interactions

Potentiates CNS depression with alcohol, CNS depressants. Antagonizes psychotropics. Additive anticholinergic effects with MAOIs. Paralytic ileus with phenothiazines, tricyclic antidepressants.

Trihexyphenidyl Adverse Reactions

Adverse Reactions

Anticholinergic and antihistaminic effects, confusion, anhidrosis, excitement, nausea, vomiting, angle-closure glaucoma, hallucinations, neuroleptic malignant syndrome, heat stroke, drowsiness.

Trihexyphenidyl Clinical Trials

See Literature

Trihexyphenidyl Note

Notes

Formerly known under the brand name Artane.

Trihexyphenidyl Patient Counseling

See Literature