Buy Artane
Artane

0.62
Used primarily to treat tremors and muscle stiffness in Parkinson's disease or as a side effect of antipsychotic medications.


Ingredient
Category
Availability
In Stock
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Alternative/Local Brand
Trihexyphenidyl
Active Ingredient(s)
Trihexyphenidyl
Primary Category
Parkinson's Treatment
Therapeutic Class
Antiparkinson Drugs, Anticholinergics
Pharmacological Class
Muscarinic Antagonist
Indications
Parkinson's disease, Involuntary movements caused by other drugs
Contraindications
Glaucoma, Bowel obstruction, Prostate enlargement
Minor Side Effects
Dry mouth, Blurred vision, Dizziness
Moderate Side Effects
Constipation, Nausea, Urinary retention
Serious Side Effects
Confusion, Hallucinations, Rapid heartbeat, High eye pressure
Dosage Forms
Tablet, Oral solution
Administration Route
Oral
Mechanism of Action
Trihexyphenidyl works by blocking a chemical called acetylcholine in the brain. This helps to balance chemicals and reduce muscle stiffness, tremors, and spasms.
Prescription Status
Rx
Manufacturer
Auden Mckenzie
Patient Summary
Used primarily to treat tremors and muscle stiffness in Parkinson's disease or as a side effect of antipsychotic medications.
Onset Time
1 hour
Duration
6-12 hours
Storage Instructions
Store at room temperature.
Drug Interactions
Antihistamines, Tricyclic antidepressants, Metoclopramide
Age Restrictions
Use with caution in elderly
Pregnancy Use
Use only if necessary.
Alternative Drugs
Procyclidine, Orphenadrine, Benztropine

What is Artane?

Artane is a brand-name medication whose active ingredient is trihexyphenidyl. It belongs to the neurology therapeutic class and is formulated as a 2 mg pill. In Hong Kong, Artane is a prescription-only product regulated by the Department of Health. The medication is commonly prescribed to manage symptoms of Parkinson’s disease and drug-induced extrapyramidal reactions.

How Artane Works in the Body

Trihexyphenidyl is an anticholinergic agent. It blocks muscarinic acetylcholine receptors in the central nervous system, reducing the activity of acetylcholine that can amplify tremor and rigidity. By dampening this cholinergic tone, the drug helps restore a more balanced dopamine-acetylcholine relationship, which in turn lessens motor symptoms such as tremor, stiffness, and involuntary movements.

  • Onset of action: Clinical effects are often observed within a few days of starting therapy.
  • Peak effect: Typically reached after 1-2 weeks of regular dosing.
  • Duration: The antiholinergic effect lasts approximately 6-8 hours, guiding the dosing frequency.

Treating Neurologic Conditions with Artane

Artane is approved in Hong Kong for the following indications:

  • Parkinson’s disease: Used to control tremor and rigidity, especially when these symptoms are not fully controlled by dopaminergic therapy.
  • Drug-induced extrapyramidal symptoms (EPS): Helpful for managing acute dystonia, akathisia, or parkinsonism caused by antipsychotics or anti-emetics.

These uses are supported by the regulatory evaluation of trihexyphenidyl’s efficacy in improving motor control for patients with the above conditions.

Evidence-Based Off-Label Uses

  • Dystonia in children and adolescents: Some clinical reports describe trihexyphenidyl for primary or secondary dystonia. This use is not approved by the Hong Kong Department of Health and should occur only under specialist supervision.
  • Spasticity management: Limited case series suggest benefit, but robust trial data are lacking.

Off-label use requires medical supervision and individualized risk assessment.

Who Should (and Should Not) Use Artane?

Absolute Contraindications

  • Known hypersensitivity to trihexyphenidyl or any pill excipients.
  • Narrow-angle glaucoma, severe urinary retention, or gastrointestinal obstruction.

Relative Contraindications

  • Prostatic hypertrophy: May worsen urinary symptoms.
  • Severe cardiac disease: Anticholinergic effects can increase heart rate and cause arrhythmias.
  • Elderly patients: Higher risk of confusion, falls, and severe anticholinergic toxicity.

Special Populations

  • Pregnancy & lactation: Trihexyphenidyl is classified as Category C in many jurisdictions; use only if potential benefit outweighs risk.
  • Renal or hepatic impairment: Dose adjustments may be necessary; monitor closely.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Dry mouth
  • Blurred vision
  • Constipation
  • Urinary hesitancy
  • Dizziness or light-headedness

These effects are usually mild and may diminish as the body adapts. Staying hydrated and using moisturizing eye drops can alleviate discomfort.

Serious Adverse Events

  • Severe confusion, hallucinations, or delirium, especially in older adults
  • Marked tachycardia or palpitations
  • Acute urinary retention requiring catheterisation
  • Heat intolerance leading to hyperthermia

If any of these occur, seek medical attention promptly.

Drug Interactions

  • Major: Concurrent use of other anticholinergic drugs (e.g., diphenhydramine, atropine) can amplify anticholinergic toxicity.
  • Moderate: CNS depressants (e.g., benzodiazepines), antihistamines, and tricyclic antidepressants may increase sedation or anticholinergic load.
  • CYP considerations: Trihexyphenidyl is metabolised partially by CYP2D6; inhibitors (e.g., fluoxetine) may raise plasma levels.

Food and Lifestyle Interactions

  • Alcohol can worsen dizziness and central nervous system depression; limit intake.
  • Caution when driving or operating machinery until you know how the medication affects you.
  • Excessive heat exposure (saunas, hot climates) may precipitate hyperthermia; stay cool.

How to Take Artane

  • Standard dosing: The usual starting regimen is 2 mg once daily, taken in the evening to reduce daytime sedation. Dose may be titrated up to a maximum recommended amount based on clinical response, but the available tablet strength is 2 mg.
  • Administration: Swallow the pill whole with a full glass of water. It may be taken with or without food.
  • Missed dose: If you remember the dose within 6 hours, take it; otherwise skip and resume the next scheduled dose. Do not double-dose.
  • Overdose: Symptoms can include severe confusion, agitation, flushing, and rapid heart rate. Call emergency services (999 in Hong Kong) and present the medication container.
  • Discontinuation: Abrupt cessation is generally safe, but if used at higher doses for extended periods, a gradual taper may lessen rebound tremor.

Dosing must always be individualized by a healthcare provider.

Monitoring and Follow-Up

  • Clinical review: Assess motor symptom control and anticholinergic side effects every 1-3 months after initiation or dose changes.
  • Eye pressure: Periodic ophthalmologic evaluation is advisable for patients with a history of glaucoma.
  • Urinary function: Monitor for signs of retention, especially in men with prostatic enlargement.

Storage and Handling

  • Keep Artane tablets at room temperature (20-25 °C), away from moisture and direct sunlight.
  • Store out of reach of children.
  • Do not use the medication past its expiration date; discard according to local pharmacy guidelines.

Medication-Specific Glossary

Anticholinergic
A drug that blocks the action of the neurotransmitter acetylcholine at muscarinic receptors, reducing parasympathetic activity.
Extrapyramidal symptoms (EPS)
Movement disorders such as tremor, rigidity, dystonia, or akathisia that arise from dopaminergic blockade, often seen with antipsychotic therapy.
Muscarinic receptor
A subtype of acetylcholine receptor located in the central and peripheral nervous systems; antagonism at these sites produces the therapeutic effects of trihexyphenidyl in Parkinsonian tremor.

Medical Disclaimer

This article provides educational information about Artane and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Artane FAQ

Can Artane be taken with other Parkinson’s medications?

Trihexyphenidyl is often prescribed alongside dopaminergic agents such as levodopa or dopamine agonists. The combination can improve tremor control, but clinicians should monitor for additive anticholinergic side effects, especially in older patients.

What should I do if I experience severe dry mouth while on Artane?

Sip water regularly, chew sugar-free gum, or use saliva substitutes. If the symptom interferes with eating or speaking, discuss dose adjustment with your prescriber.

Is it safe to use Artane while driving?

Trihexyphenidyl can cause dizziness or visual blur, particularly when therapy is initiated. Until you know how the medication affects you, avoid operating vehicles or heavy machinery.

How does the 2 mg pill appearance differ from generic versions?

Brand-name Artane tablets are typically round, white, and marked with “2 mg” on one side. Generic trihexyphenidyl pills may vary in shape, color, or imprint depending on the manufacturer.

Will Artane show up on drug-testing for employment?

Trihexyphenidyl is not a controlled substance and is not screened for in standard workplace drug tests. However, some specialized panels may detect it if specifically requested.

Can I take Artane during pregnancy?

Use only if the potential benefit justifies the potential risk to the fetus. Discuss pregnancy plans with your healthcare provider to weigh therapeutic needs against safety concerns.

Keep the medication in a cool, dry place away from direct sunlight. If temperature exceeds 30 °C, consider storing the bottle in a sealed container with a desiccant packet.

Are there any dietary restrictions while on Artane?

No specific foods must be avoided, but alcohol can intensify drowsiness and should be limited. Maintain a balanced diet to support overall health.

How long does it usually take to notice improvement in Parkinsonian tremor?

Patients often report a reduction in tremor within a few days, with maximal benefit observed after 1-2 weeks of consistent dosing.

What are the signs of an Artane overdose I should watch for?

Key indicators include severe confusion, extreme flushing, rapid heartbeat, and uncontrollable muscle spasms. Seek emergency medical care immediately if these occur.

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