Chlorprothixene
Chlorprothixene (Cloxan, Taractan, Truxal) is a typical antipsychotic drug of the thioxanthene class and was the first of the series to be synthesized. It was introduced in 1959 by Lundbeck.
Chlorprothixene is not approved for use in the United States.
Pharmacology
Chlorprothixene exerts strong antagonism at the following receptors:
5-HT2: antipsychotic effects, anxiolysis, weight gain
D1, D2, D3: antipsychotic effects, sedation, extrapyramidal side effects, prolactin increase, depression, apathy/anhedonia, weight gain
H1: sedation, weight gain
mACh: anticholinergic effects, inhibition of extrapyramidal side effects
α1-adrenergic: hypotension, tachycardia
Chlorprothixene does also act as FIASMA (functional inhibitor of acid sphingomyelinase).
One metabolite of chlorprothixene is N-demethylchlorprothixene.
Indications
Chlorprothixene's principal indications are the treatment of psychotic disorders (e.g. schizophrenia) and of acute mania occurring as part of bipolar disorders.