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Fluphenazine vs. Loxapine

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Fluphenazine (generic name) and Loxapine (generic name) are both typical antipsychotics, but they have some key differences. Fluphenazine is used to treat psychotic disorders and is available in both short-acting and long-acting forms, which can be taken orally or via injection. In contrast, Loxapine is used specifically for schizophrenia and is only available as an oral medication. Fluphenazine works by blocking dopamine activity in the brain, while Loxapine's exact mechanism is unclear but is thought to regulate both dopamine and serotonin levels. Fluphenazine can be taken multiple times a day or as a long-acting injection every 4 to 6 weeks, whereas Loxapine is typically taken once or twice daily. Both medications can cause movement-related side effects, but Loxapine is noted to cause more of these compared to atypical antipsychotics. Additionally, both medications are available as lower-cost generics since their brand names, Prolixin for Fluphenazine and Loxitane for Loxapine, are no longer available.

Fluphenazine

 

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Loxapine

 

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Summary for Fluphenazine

Prescription only

Fluphenazine is a typical antipsychotic and is used to treat conditions that cause psychosis. It's available as short-acting fluphenazine hydrochloride (tablets, liquid, injection) that's typically taken by mouth or injected 3 to 4 times a day. It also comes as long-acting fluphenazine decanoate (injection) that's usually given every 4 to 6 weeks. Side effects of this medication include drowsiness and movement problems. Brand name Prolixin is no longer available.

Indications for Fluphenazine

  • Psychotic disorders

Pros and Cons for Fluphenazine

Pros

  • Available as a lower-cost generic medication
  • Comes as a tablet, liquid, or injection (both short- and long-acting)
  • Dose can be easily adjusted based on individual needs

Cons

Common Side Effects for Fluphenazine

  • Dystonia (uncontrollable muscle contractions): neck spasms, difficulty swallowing and breathing, sticking your tongue out
  • Involuntary movements (especially of the face or mouth)
  • Changes in blood pressure
  • Weight changes
  • Fluid retention (holding onto fluid)
  • Nausea
  • Constipation
  • Loss of appetite
  • Dry mouth
  • Headache
  • Salivation, drooling
  • More sweating
  • Frequent urination

Warnings for Fluphenazine

  • Higher risk of death in older people with dementia-related psychosis
  • Difficulty controlling movements
  • Neuroleptic malignant syndrome
  • Low white blood cell counts
  • High prolactin levels
  • Harm to unborn babies

Summary for Loxapine

Prescription only

Loxapine is a typical antipsychotic used to treat schizophrenia. Loxapine is taken by mouth, typically once or twice daily. It can cause more movement-related side effects compared with atypical antipsychotics, such as aripiprazole (Abilify). It used to be sold under the brand name Loxitane, which is no longer available. Oral loxapine is now only available as generic capsules.

Indications for Loxapine

  • Schizophrenia

Pros and Cons for Loxapine

Pros

  • A good option if other schizophrenia medications haven't worked or have caused bothersome side effects
  • Dose can be adjusted by your provider based on your response
  • Available as a lower-cost generic medication

Cons

  • More likely to cause trouble controlling movements compared to other treatment options
  • Can raise your heart rate and lower your blood pressure
  • Risk of developing abnormal muscle movements that might not go away after you stop taking loxapine

Common Side Effects for Loxapine

  • Drowsiness
  • Extrapyramidal symptoms (movement problems, such as shakiness, stiffness, excess saliva, and loss of facial expression)
  • Restless muscles (akathisia)

Warnings for Loxapine

  • Higher risk of death in older adults
  • Uncontrollable body movements (tardive dyskinesia)
  • Neuroleptic malignant syndrome
  • Falls
  • Low white blood cell count
  • Seizures
  • Vision changes
  • High prolactin levels

Prices with our coupons for Fluphenazine vs. Loxapine

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Fluphenazine60 tablets / 10mg
$35.20$385.97
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Loxapine30 capsules / 10mg
$15.48$36.99
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