chlorpromazine uses

Question

I've been on chlorpromazine for almost a year now, and honestly, I'm starting to question whether it’s really the right medication for me. My doctor prescribed it because I was struggling with severe mood swings, occasional anxiety, and trouble sleeping. At first, it seemed like it was helping—I felt calmer, and my racing thoughts weren’t as bad. But over time, I noticed I was feeling really sluggish, like my body was moving in slow motion. Even getting out of bed in the morning feels like a huge task.

I started looking into chlorpromazine uses, and I was surprised to see that it’s mostly used for schizophrenia and severe agitation. I don’t have schizophrenia, just mood instability, and I wonder if it’s too strong for me. I feel emotionally numb most of the time, like my natural energy is completely gone. I also have some weird side effects—my hands shake sometimes, I get really dry mouth, and my digestion is not great either.

When I talked to my doctor about this, he said these side effects are normal and that my body would adjust. But it’s been almost a year, and I still don’t feel like myself. It’s like I’m constantly tired, I have no motivation, and I feel detached from everything around me. I used to enjoy going out with friends, reading, and working out, but now I just feel exhausted all the time.

I’ve also noticed that since starting chlorpromazine, I’ve been dealing with random stomach issues. I read that one of the chlorpromazine uses is to help with nausea, but my digestion has actually been worse. I feel bloated a lot, and sometimes I get sharp stomach pains, especially after eating. Could this be connected?

I’m starting to think about stopping this medication, but I don’t want to just quit suddenly. I’ve heard that withdrawal can be rough, and I don’t want to make things worse. That’s why I’m looking into Ayurveda—are there natural alternatives for mood swings and anxiety? Is there an Ayurvedic way to reduce my dependence on this medication and balance my body again?

Also, if chlorpromazine uses include affecting the nervous system, could there be a way to naturally support my nervous system so that I don’t feel this drained all the time? Are there Ayurvedic herbs or treatments that help restore energy and mental clarity after taking something like this for a long time?

If anyone has gone through something similar or has any recommendations for balancing mental health through Ayurveda, I’d really appreciate it.

Dr Sujal Patil · Answer

Chlorpromazine is a first-generation antipsychotic primarily used for schizophrenia, bipolar disorder, severe agitation, and nausea management, but it can sometimes be prescribed for mood swings, anxiety, and sleep issues. However, it has strong sedative effects, which can cause sluggishness, emotional numbness, low motivation, and physical fatigue over time. The shaking hands, dry mouth, digestive issues, and exhaustion you are experiencing are common side effects, as chlorpromazine affects the dopamine and autonomic nervous system, which regulates movement, saliva production, and digestion.

From an Ayurvedic perspective, long-term use of such medications can disrupt Vata and Pitta doshas, leading to mental fog, dryness, poor digestion, and nervous system imbalances. Ayurveda offers gentle ways to restore balance and support mental health naturally, including herbs like Brahmi (for mental clarity), Ashwagandha (for stress resilience), and Shankhpushpi (for emotional stability). You can also try medicated ghee like Brahmi Ghrita, which nourishes the brain and nervous system. To restore digestion, herbs like Triphala, Licorice, and Ginger can help relieve bloating and discomfort caused by medication side effects.

If you are considering reducing or stopping chlorpromazine, do not quit suddenly, as withdrawal symptoms can be severe. Instead, work with your doctor to taper off gradually while incorporating Ayurvedic practices to support your nervous system. Abhyanga (self-massage with warm sesame or Brahmi oil), Shirodhara (forehead oil therapy), meditation, and gentle Pranayama (breathing exercises) can help restore mental clarity, energy, and emotional balance. A nourishing, easy-to-digest diet with warm foods, healthy fats (ghee, almonds), and calming herbal teas (Chamomile, Tulsi) will further help regulate mood and energy naturally. With a holistic approach, Ayurveda can support you in gradually restoring balance without total reliance on medications.

Dr. Ayush Varma · Answer

I appreciate you sharing your experience, and I understand how challenging this has been for you. It sounds like you've been facing significant difficulties, both from the medication and the underlying issues it was prescribed for. Given your symptoms of mood instability, anxiety, emotional numbness, and digestive discomfort, let’s explore how you can integrate Ayurvedic principles to support your healing journey.

First, consider your Prakriti and the likely dosha imbalances. Based on your symptoms, you may have an imbalance in Vata and/or Pitta doshas. Vata imbalances often contribute to anxiety and mood swings, while Pitta imbalances can lead to irritability, digestive issues, and emotional disturbances.

Dietary Recommendations:
1. Warm, Nourishing Foods: Focus on warm, cooked meals that are easy to digest. Include kitchari (a mix of rice and lentils) seasoned with digestive spices like cumin and turmeric. This will help support your digestion and energy levels.
2. Avoid Stimulants: Reduce or eliminate caffeine, processed foods, and sugar, as these can aggravate your nervous system and digestion.
3. Hydration: Drink warm water or herbal teas (like ginger or fennel) to help with digestion and hydration.

Herbal Support:
1. Ashwagandha (Withania somnifera): Known for its adaptogenic properties, it can help stabilize mood, reduce anxiety, and improve energy levels. Consider taking 1 tsp of ashwagandha powder in warm milk or water, preferably before bedtime.
2. Brahmi (Bacopa monnieri): This herb supports mental clarity and cognitive function. You can consume it in powder form (1 tsp) with honey or warm water in the morning.
3. Triphala: This herbal formulation can help with digestion. Start with one capsule daily before bedtime, gradually increasing if well-tolerated.

Lifestyle Modifications:
1. Gentle Yoga and Meditation: Incorporate daily practices to help calms your mind and regulate your energy levels. Yin yoga and pranayama (breathwork) can be particularly effective for grounding.
2. Sleep Hygiene: Establish a consistent sleep routine. Aim for a calming pre-sleep ritual, and practice relaxation techniques such as reading or meditation before bed.
3. Detoxification: Engage in gentle detox practices like warm oil massages (Abhyanga) to help stimulate digestion and circulation.

Consultation with a Practitioner:
Before making any changes to your medication regimen, it's crucial to discuss them with your healthcare provider. You might also consider consulting with an Ayurvedic practitioner for personalized guidance tailored to your specific constitution and needs.

Reducing Medication Safely:
If you decide to reduce your medication, do it gradually and under medical supervision. This will help manage withdrawal symptoms and support your transition toward Ayurveda-based care.

Take small, actionable steps, listen to your body, and prioritize self-care. It’s commendable that you're seeking out options, and with patience and care, you can work towards restoring balance and vitality in your life.

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