Side effect What is it? What should I do if it happens to me?
You feel restless, unable to feel comfortable
unless you are moving.
Tell your doctor about this. It may be possible to change your drug or dose, or
give you something to reduce these feelings.
Dry mouth, not much saliva or spit. Sugar-free boiled sweets, chewing gum or eating citrus fruits usually helps. If
not, your doctor can give you a mouth spray. A change in medicine or dose
may be possible.
Blurred vision Things look fuzzy and you can’t focus properly. See your doctor if you are
worried. You won’t need glasses.
Feeling "bunged up" inside. You can't pass a
motion or stool.
Eat more fibre e.g. bran, fruit and vegetables. Do more walking. Make sure you
drink plenty of fluid. A mild laxative might help.
Difficulty in passing urine Contact your doctor now.
Feeling sleepy or sluggish. It can last for a few
hours after taking your dose.
Don't drive or use machinery. Ask your doctor if you can take your
antipsychotic at a different time.
Feeling shaky or having a tremor. Your neck
may twist back. Your eyes and tongue may
move on their own.
It is not usually dangerous. If it is bad or worries you, tell your doctor. He or she
can give you something for it.
Prolactin is a natural chemical we all have.
High levels can affect periods in women or
cause impotence in men. It may also cause
breast tenderness and milk secretion, in men
as well as women.
This sometimes wears off in a few weeks, but discuss this with your doctor
anyway. It may be that a change in dose or different drug will help.
Eating more and putting on weight. Avoid fatty foods like chocolate, crisps and fizzy drinks. A diet full of vegetables
and fibre will usually help, as will physical activities such as walking. If it
becomes a problem, ask to see a dietician.
A low blood pressure. You may feel faint when
you stand up.
Try not to stand up too quickly. If you feel dizzy, don’t drive. This dizziness is
A fast heart beat. It is not usually dangerous but mention it to your doctor.
Finding it hard to have an orgasm. No desire
for sex. Men can become impotent.
Discuss this with your doctor when you next meet.
Going blotchy in the sun. Can be common with chlorpromazine in particular. Avoid direct sunlight or sun-
lamps. Use a high factor sun block cream.
Blotches seen anywhere. Stop taking the antipsychotic - see your doctor now.
Neuroleptic Malignant Syndrome includes a
high body temperature, muscle stiffness and
being unable to move.
It usually occurs within a few weeks of a dose change. Contact your doctor
immediately. Keep cool, with fans or cool water.
Low numbers of white cells in the blood. You
may get more infections.
Always tell your doctor if you have a sore throat, fever, or just feel ill. You may
need a blood test.
What about alcohol?
It is officially recommended that people taking antipsychotics should not drink alcohol. This is because both antipsychotics and alcohol
can cause drowsiness. If the two are taken at the same time, severe drowsiness can result. This can lead to falls or accidents. As well
as this, drinking alcohol often makes schizophrenia or psychosis worse. Excessive drinking is especially likely to do this. Once people
are used to taking medication, they can sometimes drink alcohol in small amounts without any harm. Avoid alcohol altogether for the
first one or two months. After this, if you want a drink, try a glass of your normal drink and see how you feel. If this doesn’t make you
feel drowsy, then it is probably OK to drink small amounts. It pays to be very cautious because alcohol affects people in different ways,
especially when they are taking medication.
Don't stop taking your medication because you fancy a drink. Discuss any concerns you may have with your doctor, pharmacist or
nurse. If you do drink alcohol, drink only small amounts. Never drink any alcohol and drive
Remember, leaflets like this can only describe some of the effects of medication. You may also find other books
or leaflets useful. If you have access to the internet you may find a lot of information there as well, but be
careful, as internet based information is not always accurate.
2001 United Kingdom Psychiatric Pharmacy Group www.ukppg.org.uk
This leaflet is to help you understand about your medicine. It is not an official manufacturer's Patient Information Leaflet. For more
information call the UKPPG National Telephone Helpline, 11am to 5pm, Monday to Friday
on 020 7919 2999 or visit www.nmhct.nhs.uk/pharmacy
This leaflet has been supplied by: