Brief Answer:
You must notify your prescriber and alert them to these issues

Detailed Answer:
Good afternoon. My name is Dr. Saghafi and I am an adult neurologist from the XXXXXXX Ohio, USA region of the world. I would advise that you contact the provider who prescribed that medication for you and recount to them the same issues that you are listing here since they are the ones who ultimately have to make any changes regarding either the dosing or perhaps changing the drug altogether.

As far as what you're describing as being a known side effect I cannot say since you've not included any other information about medical conditions you may have such as diabetes, hypertension, thyroid disease, Irritable Bowel, etc. Therefore, I can't easily say that the problem of your tongue and cheeks is a side effect as opposed to a drug to drug reaction with something else you may be taking.

The peeling of the tongue and cheeks (inner surface I'm gathering) would be technically referred to as a reaction or process of desquamation. If you've had any vomiting at all over the past week then, the regurgitation of stomach acids and bile salts themselves could easily cause this kind of reaction as well as opposed to the medication.

I'm afraid I'm not quite sure what the sensation is that you're trying to describe of "internal bleeding by my diaphragm" though the location is clear....the feeling is vague to me. Nevertheless, again, I think it much more likely than any odd sensations you are feeling in that region of the abdomen or lower thorax would be as a result of whatever the GI problem is causing you to vomit so frequently. The retching action itself could be invoking both abdominal as well as intercostal muscles to a point of exhaustion and this could result in a burning or sharp sensation right underneath the ribcage. So again, my suspicion is that whatever you're feeling is more likely the illness rather than the medication.

Nevertheless, if you have other feelings about this medication and simply wish not to take it any further then, your provider will need to be alerted. In the mean time perhaps, some ginger ale may work as a good substitute to quiet the stomach down until you can be prescribed something in substation for the prochlorpromazine.

I hope this answer satisfactorily addresses your question. If so, may I ask your favor of a HIGH STAR RATING with written feedback?

Also, if there are no other questions or comments, I'd appreciate it greatly if you would CLOSE THE QUERY on your end so this question can be transacted and archived for further reference by colleagues as necessary.

Please direct more comments and questions to me in the future at:

bit.ly/drdariushsaghafi and I would be honored to answer you and continue this discussion.

All the best.


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