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Illustration of Stemetil 5 Tablet

Stemetil 5 Tablet

Prescription requiredSchedule HNeurology

Salt composition
Prochlorperazine 5 mg
Form
Tablet
Storage
Store below 30°C, away from light and moisture, out of children's reach

Schedule H drug — Warning: To be sold by retail on the prescription of a Registered Medical Practitioner only.

About Stemetil 5 Tablet

Stemetil 5 Tablet contains Prochlorperazine 5 mg. This medicine is used to relieve nausea and vomiting, and dizziness or spinning (vertigo) from inner ear problems such as Ménière's disease. At higher doses it is also used for some mental health conditions. It can cause drowsiness and, less often, abnormal movements.

Uses of Stemetil 5 Tablet

  • Nausea and vomiting
  • Vertigo and dizziness from inner ear problems (such as Ménière's disease or labyrinthitis)
  • Schizophrenia and other psychoses (higher doses, as decided by a doctor)

Benefits

In nausea and vertigo

It settles the stomach and reduces the spinning feeling, helping you keep food down and move about more comfortably.

Side effects

Most side effects are mild and settle as your body gets used to the medicine. Talk to your doctor if any of them bother you or do not go away.

Common

  • Drowsiness
  • Dry mouth
  • Dizziness on standing
  • Blurred vision
  • Constipation

Get medical help if you notice

  • Sudden spasms of the neck, jaw, tongue or eyes, or restlessness — get medical help
  • High fever with stiff muscles, sweating or confusion — seek emergency care (a rare but serious reaction)
  • Fever, sore throat or mouth ulcers (possible low white blood cells) — contact your doctor
  • Yellowing of the skin or eyes — contact your doctor
  • In elderly people with dementia, medicines of this type have been linked to a higher risk of stroke and death
  • Allergic reaction: rash, itching, swelling of the face, lips or throat, or difficulty breathing — seek emergency care

How to use

Take it exactly as your doctor prescribed. Swallow the tablet with water; it can be taken with or without food. Use it only for as long as your doctor advises.

How it works

It blocks dopamine in the part of the brain that triggers nausea and vomiting. This calms nausea and the feeling of spinning.

Safety advice

Alcohol Unsafe

Avoid alcohol. It increases drowsiness.

Pregnancy Consult your doctor

Use only if your doctor advises it.

Breastfeeding Consult your doctor

It may pass into breast milk. Ask your doctor before using it while breastfeeding.

Driving Caution

It can cause drowsiness and blurred vision. Do not drive until you know how it affects you.

Kidney Caution

Use with caution in kidney disease.

Liver Caution

Use with caution in liver disease; tell your doctor.

If you miss a dose

If you miss a dose, take it when you remember. If it is nearly time for the next dose, skip the missed one. Do not take two doses together.

Quick tips

  • Get up slowly to avoid dizziness.
  • Do not give it to children unless a doctor prescribes it.
  • Avoid strong sunlight, as your skin may burn more easily.
  • Tell your doctor if you have Parkinson's disease, epilepsy, glaucoma or difficulty passing urine.

Substitutes

Same salts in the same strength from other makers. Only switch brands on your doctor's or pharmacist's advice; our pharmacist checks every order against the prescription.

Fact box

Chemical class
Phenothiazine (piperazine type)
Therapeutic class
Neurology / gastrointestinal
Action class
Dopamine D2 antagonist (antiemetic, antipsychotic)
Habit forming
No
Prescription
Required

Interactions with other medicines

Tell your doctor and pharmacist about every medicine, vitamin and herbal product you take.

MedicineWhat can happen
Alcohol, sedatives, sleeping pills, opioid painkillersIncreased drowsiness
Levodopa and other Parkinson's medicinesEach may reduce the effect of the other
Medicines that affect heart rhythmHigher risk of heart rhythm problems
Blood pressure medicinesBlood pressure may drop too low

This page is general information to help you understand your medicine. It is not a substitute for advice from your doctor or pharmacist. Do not start, stop or change a medicine on your own.

Written by the Asthra Health Care team from the approved prescribing information (Prochlorperazine maleate prescribing information (CDSCO-approved labelling); NICE BNF: prochlorperazine). Pharmacist review pending.

Questions

Frequently asked

How fast does it work?

It usually starts to help within an hour.

Can I use it for travel sickness?

Ask your doctor or pharmacist; other medicines are usually preferred for motion sickness.

Is it a psychiatric medicine?

It belongs to the same family as some antipsychotics, but low doses are commonly used just for nausea and vertigo.

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