quick reference to psychotropic medication - …

1 quick reference to psychotropic medication To the best of our knowledge recommended doses and side effects listed below are accurate. However, this is meant as a general reference only, and should not serve as a guideline for prescribing of medications. Please check the manufacturer s product information sheet or the for any changes in dosage schedule or contraindications. ( brand names are registered trademarks.)DevelopeD by John preston, , Abpp Copyright 2007, John Preston, and Distributors AntiDepressAntsimipramine Tofranil 150-300 mg mid mid + + +++ 0desipramine Norpramin 150-300 mg low low +++++ 0 0amitriptyline Elavil 150-300 mg high high ++ ++++ 0nortriptyline Aventyl, Pamelor 75-125 mg mid mid +++ ++ 0protriptyline Vivactil 15-40 mg mid mid ++++ + 0trimipramine Surmontil3 100-300 mg high mid ++ ++ 0doxepin Sinequan.

2 Adapin3 150-300 mg high mid ++ +++ 0clomipramine Anafranil 150-250 mg high high 0 +++++ 0maprotiline Ludiomil 150-225 mg high mid +++++ 0 0amoxapine Asendin 150-400 mg mid low +++ ++ 0trazodone Desyrel 150-400 mg mid none 0 ++++ 0fluoxetine Prozac4, Sarafem 20-80 mg low none 0 +++++ 150-400 mg low none ++ 0 ++sertraline Zoloft 50-200 mg low none 0 +++++ 0paroxetine Paxil 20-50 mg low low + +++++ 75-350 mg low none ++ +++ +fluvoxamine Luvox 50-300 mg low low 0 +++++ 0mirtazapine Remeron 15-45 mg mid mid +++ +++ 0citalopram Celexa 10-60 mg low none 0 +++++ 0escitalopram Lexapro 5-20 mg low none 0 +++++ 0duloxetine Cymbalta 20-80 mg low none ++++ ++++ 0atomoxetine Strattera 60-120 mg low low +++++ 0 0mao inhibitorsphenelzine Nardil 30-90 mg low none +++

3 +++ +++tranylcypromine Parnate 20-60 mg low none +++ +++ +++selegiline Emsam (patch) 6-12 mg low none +++ +++ +++ Usual selective Action on nAMes Daily Dosage neurotransmitters2 generic brand Range Sedation ACH1 NE 5-HT DA1 ACH: Anticholinergic Side Effects2NE: Norepinephrine, 5-HT: Serotonin, DA: Dopamine (0 = no effect, + = minimal effect, +++ = moderate effect, +++++ = high effect)3 Uncertain, but likely effects4 Available in standard formulation and time release (XR, XL or CR). Prozac available in 90mg time released/weekly formulationlithium carbonate Eskalith, Lithonate 600-2400 fluoxetine Symbyax 6/25-12/50mg4 2carbamazepine Tegretol,Equetro 600-1600 4-10+oxcarbazepine Trileptal 1200-2400 (2) nAMes Daily serum1 generic brand Dosage Range LevelbipolAr DisorDer MeDiCAtionsdivalproex Depakote 750-1500 50-100gabapentin Neurontin 300-2400 (2)lamotrigine Lamictal 50-500 (2)topiramate Topamax 50-300 (3)tiagabine Gabitril 4-12 (3)

4 Daily serum1 generic brand Dosage Range Level nAMes1 Lithium levels are expressed in mEq/l, carbamazepine and valproic acid levels express in monitoring may not necessary 3 Not yet established 4 Available in: 6/25, 6/50, 12/25, and 12/50mg formulations psyCho-stiMUlAntsmethylphenidate Ritalin 5-50 mgmethylphenidate Concerta2 18-54 mgmethylphenidate Metadate 5-40 mgmethylphenidate Methylin 10-60 mgmethylphenidate Daytrana (patch) 15-30 mgdexmethylphenidate Focalin 5-40 mgdextroamphetamine Dexedrine 5-40 mgpemoline Cylert mgd- and l-amphetamine Adderall 5-40 mgmodafinil Provigil, Sparlon 100-400 mg1 Note: Adult Doses.

5 2 Sustained release nAMes generic brand Daily Dosage1clomipramine Anafranil 150-250 mgfluoxetine Prozac1 20-80 mgsertraline Zoloft1 50-200 mgparoxetine Paxil1 20-60 mgfluvoxamine Luvox1 50-300 mgcitalopram Celexa1 10-60 mgescitalopram Lexapro1 5-20 mg Anti-obsessionAl1often higher doses are required to control obsessive-compulsive symptoms than the doses generally used to treat depression. nAMesGeneric brand Dose Range1 AntipsyChotiCs nAMes AChGeneric brand Dosage Range1 Sedation Ortho2 EPS3 Effects4 Equivalence5 Anti-Anxietybenzodiazepinesdiazepam Valium 2-10 mg 5 mgchlordiazepoxide Librium 10-50 mg 25 mgprazepam Centrax 5-30 mg 10 mgclorazepate Tranxene mg 10 mgclonazepam Klonopin mg mglorazepam Ativan mg 1 mgalprazolam Xanax, XR mg mgoxazepam Serax 10-30 mg 15 mgother antianxiety agentsbuspirone BuSpar 5-20 mggabapentin Neurontin 200-600 mg hydroxyzine Atarax.

6 Vistaril 10-50 mg propranolol Inderal 10-80 mg atenolol Tenormin 25-100 mg guanfacine Tenex mg clonidine Catapres mg 1 Doses required to achieve efficacy of 5 mg of diazepam nAMes single DoseGeneric brand Dosage Range Equivalence1 CoMMon siDe effeCtsAntiCholinergiC effeCts(block acetylcholine) dry mouth blurred vision constipation memory impairment urinary retention confusional statesextrApyrAMiDAl effeCts(dopamine blockade in basal ganglia) Parkinson-like effects: rigidity, shuffling gait, tremor, flat affect, lethargy Dystonias: spasms in neck and other muscle groups Akathisia: intense, uncomfortable sense of inner restlessness Tardive dyskinesia: often a persistent movement disorder (lip smacking, writhing movements, jerky movements)Note: The above are common side effects.

7 All medications can produce specific or unique side effects. For a more complete description, please see references listed belowSt. John s Wort1, 2 600-1800 mgSAM-e3 400-1600 mgOmega-34 1-9 g1 Treats depression and anxiety2 May cause signifigant drug-drug interactions3 Treats depression4 Treats depression and bipolar disorderName Daily Dose nAMes single DoseGeneric brand Dosage Range hypnotiCsflurazepam Dalmane 15-30 mg temazepam Restoril 15-30 mg triazolam Halcion mg estazolam ProSom mg quazepam Doral mg zolpidem

8 Ambien 5-10 mg zaleplon Sonata 5-10 mgeszopiclone Lunesta 1-3 mgramelteon Rozerem 4-16 mgdiphenhydramine Benadryl 25-100 mg referenCes and reCoMMenDeD bookshandbook of Clinicalpsychopharmacology For therapists(2005) Preston, O Neal and TalagaQuick reference Free DownloadsWebsite: psychopharmacology MadeRidiculously Simple 5th Edition(2007) Preston and Johnsonlow potenCychlorpromazine Thorazine 50-800 mg high high + + ++++ 100 mgthioridazine Mellaril 150-800 mg high high + +++++ 100 mgclozapine Clozaril 300-900 mg high high 0 +++++ 50 mgmesoridazine Serentil 50-500 mg high mid + +++++ 50 mgquetiapine Seroquel 150-400 mg mid mid +/0 + 50 mghigh potenCymolindone Moban 20-225 mg low mid +++ +++ 10 mgperphenazine Trilafon 8-60 mg mid mid ++++ ++ 10 mgloxapine Loxitane 50-250 mg low mid +++ ++ 10 mgtrifluoperazine Stelazine 2-40 mg low mid ++++ ++ 5

9 Mgfluphenazine Prolixin5 3-45 mg low mid +++++ ++ 2 mgthiothixene Navane 10-60 mg low mid ++++ ++ 5 mghaloperidol Haldol5 2-40 mg low low +++++ + 2 mgpimozide Orap 1-10 mg low low +++++ + 1-2 mgrisperidone Risperdal 4-16 mg low mid + + 1-2 mgpaliperidone Invega 3-12 mg low mid + + 1-2mgolanzapine Zyprexa 5-20 mg mid low +/0 + 1-2 mgziprasidone Geodon 60-160 mg low mid +/0 ++ 10 mgaripiprazole Abilify 15-30mg low low +/0 + 2 mg1 Usual daily oral dosage2 Orthostatic Hypotension Dizziness and falls 3 Acute: Parkinson s, dystonias, akathisia.

10 Does not reflect risk for tardive dyskinesia. All neuroleptics may cause tardive dyskinesia, except Side required to achieve efficacy of 100 mg in time-release IM format. over the CoUnter