Molindone

Molindone Brand Name– Moban

What is Molindone

Molindone is an oral dihydroindolone (non-phenothiazine) antipsychotic agent used for the symptomatic management of schizophrenia.

Relative to other conventional antipsychotics, molindone has high extrapyramidal effects, low sedative effects, and low anticholinergic effects.

Molindone (Moban) was approved by the FDA in 1974.

Indications

  • behavioral or psychological symptoms of dementia
  • schizophrenia

For the treatment of schizophrenia

Side Effects

  1. agranulocytosis
  2. akathisia
  3. akinesia
  4. amenorrhea
  5. aplastic anemia
  6. blurred vision
  7. constipation
  8. depression
  9. drowsiness
  10. dysphagia
  11. dystonic reaction
  12. elevated hepatic enzymes
  13. eosinophilia
  14. euphoria
  15. fever
  16. galactorrhea
  17. gynecomastia
  18. hemolytic anemia
  19. hyperprolactinemia
  20. hypersalivation
  21. hyperthermia
  22. hyponatremia
  23. hypotension
  24. hypothermia
  25. leukocytosis
  26. leukopenia
  27. libido increase
  28. nausea
  29. neuroleptic malignant syndrome
  30. neutropenia
  31. orthostatic hypotension
  32. pancytopenia
  33. polydipsia
  34. priapism
  35. pseudoparkinsonism
  36. purpura
  37. rash
  38. seizures
  39. SIADH
  40. sinus tachycardia
  41. stroke
  42. syncope
  43. tardive dyskinesia
  44. thrombocytopenia
  45. tremor
  46. urinary retention
  47. water intoxication
  48. weight gain
  49. weight loss
  50. xerostomia

Monitoring Parameters

  • AIMS assessment

Contraindications

  • abrupt discontinuation
  • agranulocytosis
  • ambient temperature increase
  • brain tumor
  • breast cancer
  • breast-feeding
  • cardiac disease
  • cerebrovascular disease
  • chemotherapy
  • children
  • CNS depression
  • coadministration with other CNS depressants
  • coma
  • dehydration
  • dementia
  • driving or operating machinery
  • dysphagia
  • ethanol ingestion
  • geriatric
  • GI obstruction
  • hematological disease
  • hyperprolactinemia
  • hyperthermia
  • hypotension
  • hypothermia
  • hypovolemia
  • ileus
  • infants
  • infertility
  • leukopenia
  • neonates
  • neurological disease
  • neutropenia
  • orthostatic hypotension
  • Parkinson’s disease
  • pregnancy
  • pregnancy testing
  • Reye’s syndrome
  • seizure disorder
  • seizures
  • strenuous exercise
  • stroke
  • suicidal ideation
  • sulfite hypersensitivity
  • tardive dyskinesia

Interactions

  • Acetaminophen; Dichloralphenazone; Isometheptene
  • Acetaminophen; Pentazocine
  • Acetaminophen; Tramadol
  • Acetazolamide
  • Aldesleukin, IL-2
  • Alprazolam
  • Amantadine
  • Amifampridine
  • Amitriptyline
  • Amitriptyline; Chlordiazepoxide
  • Amoxapine
  • Amphetamine
  • Amphetamine; Dextroamphetamine
  • Amphetamine; Dextroamphetamine Salts
  • Anticholinergics
  • Aripiprazole
  • Asenapine
  • Aspirin, ASA; Caffeine; Orphenadrine
  • Aspirin, ASA; Carisoprodol
  • Aspirin, ASA; Carisoprodol; Codeine
  • Atropine
  • Atropine; Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate
  • Atropine; Difenoxin
  • Atropine; Diphenoxylate
  • Atropine; Edrophonium
  • Atropine; Hyoscyamine; Phenobarbital; Scopolamine
  • Baclofen
  • Belladonna Alkaloids; Ergotamine; Phenobarbital
  • Belladonna; Opium
  • Benzhydrocodone; Acetaminophen
  • Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate
  • Benzphetamine
  • Benztropine
  • Bismuth Subcitrate Potassium; Metronidazole; Tetracycline
  • Bismuth Subsalicylate; Metronidazole; Tetracycline
  • Brexpiprazole
  • Bromocriptine
  • Brompheniramine; Carbetapentane; Phenylephrine
  • Buprenorphine
  • Buprenorphine; Naloxone
  • Bupropion
  • Bupropion; Naltrexone
  • Buspirone
  • Butorphanol
  • Cabergoline
  • Cannabidiol
  • Capsaicin; Metaxalone
  • Carbamazepine
  • Carbetapentane; Chlorpheniramine
  • Carbetapentane; Chlorpheniramine; Phenylephrine
  • Carbetapentane; Diphenhydramine; Phenylephrine
  • Carbetapentane; Guaifenesin
  • Carbetapentane; Guaifenesin; Phenylephrine
  • Carbetapentane; Phenylephrine
  • Carbetapentane; Phenylephrine; Pyrilamine
  • Carbetapentane; Pseudoephedrine
  • Carbetapentane; Pyrilamine
  • Carbidopa
  • Carbidopa; Levodopa
  • Carbidopa; Levodopa; Entacapone
  • Cariprazine
  • Carisoprodol
  • Cenobamate
  • Cetirizine
  • Cetirizine; Pseudoephedrine
  • Cetrorelix
  • Chlordiazepoxide; Clidinium
  • Chlorpromazine
  • Chlorzoxazone
  • Clobazam
  • Clomipramine
  • Clonazepam
  • Clorazepate
  • Clozapine
  • Codeine; Phenylephrine; Promethazine
  • Codeine; Promethazine
  • COMT inhibitors
  • Cyclobenzaprine
  • Dantrolene
  • Degarelix
  • Demeclocycline
  • Desipramine
  • Deutetrabenazine
  • Dexmethylphenidate
  • Dextroamphetamine
  • Dextromethorphan; Promethazine
  • Diazepam
  • Dicyclomine
  • dopamine agonists
  • Doxepin
  • Doxycycline
  • Dronabinol
  • Droperidol
  • Entacapone
  • Esketamine
  • Eszopiclone
  • Ethanol
  • Ethosuximide
  • Ethotoin
  • Felbamate
  • Fenfluramine
  • Flavoxate
  • Fluoxetine; Olanzapine
  • Fluphenazine
  • food
  • Fosphenytoin
  • Gabapentin
  • Ganirelix
  • Glycopyrrolate
  • Glycopyrrolate; Formoterol
  • Goserelin
  • Haloperidol
  • Histrelin
  • Homatropine; Hydrocodone
  • Hyoscyamine
  • Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate; Sodium Biphosphate
  • Iloperidone
  • Imipramine
  • Indacaterol; Glycopyrrolate
  • Iohexol
  • Iopamidol
  • Iopromide
  • Ioversol
  • Isosulfan Blue
  • Lacosamide
  • Lamotrigine
  • Lasmiditan
  • Leuprolide
  • Leuprolide; Norethindrone
  • Levetiracetam
  • Levocetirizine
  • Levodopa
  • Lithium
  • Lofexidine
  • Lorazepam
  • Loxapine
  • Lumateperone
  • Lurasidone
  • Maprotiline
  • Mepenzolate
  • Meperidine; Promethazine
  • Mephobarbital
  • Meprobamate
  • Mesoridazine
  • Metaxalone
  • Methamphetamine
  • Methenamine; Sodium Acid Phosphate; Methylene Blue; Hyoscyamine
  • Methocarbamol
  • Methscopolamine
  • Methsuximide
  • Methylphenidate
  • Metoclopramide
  • Metyrapone
  • Metyrosine
  • Minocycline
  • Mirtazapine
  • Nabilone
  • Nafarelin
  • Nalbuphine
  • Non-Ionic Contrast Media
  • Nortriptyline
  • Olanzapine
  • Omadacycline
  • Opiate Agonists
  • Orphenadrine
  • Oxcarbazepine
  • Oxybutynin
  • Paliperidone
  • Pemoline
  • Pentazocine
  • Pentazocine; Naloxone
  • Pentobarbital
  • Perampanel
  • Perphenazine
  • Perphenazine; Amitriptyline
  • Phenobarbital
  • Phentermine; Topiramate
  • Phenylephrine; Promethazine
  • Phenytoin
  • Pimozide
  • Pregabalin
  • Primidone
  • Prochlorperazine
  • Promethazine
  • Propantheline
  • Protriptyline
  • Quazepam
  • Quetiapine
  • Rasagiline
  • Risperidone
  • Rotigotine
  • Rufinamide
  • Safinamide
  • Sarecycline
  • Scopolamine
  • Sedating H1-blockers
  • Skeletal Muscle Relaxants
  • Sodium picosulfate; Magnesium oxide; Anhydrous citric acid
  • Tapentadol
  • Tetrabenazine
  • Tetracycline
  • Tetracyclines
  • Thalidomide
  • Thioridazine
  • Thiothixene
  • Tiagabine
  • Tizanidine
  • Tolcapone
  • Topiramate
  • Tramadol
  • Trazodone
  • Tricyclic antidepressants
  • Trifluoperazine
  • Trihexyphenidyl
  • Trimipramine
  • Triptorelin
  • Valproic Acid, Divalproex Sodium
  • Vigabatrin
  • Zaleplon
  • Ziconotide
  • Ziprasidone
  • Zolpidem
  • Zonisamide
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