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Quick Reference to Psychotropic Medications®

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Quick Reference to Psychotropic Medications® QUICK REFERENCE TO PSYCHOTROPIC MEDICATIONS ® DEVELOPED BY JOHN PRESTON, PSY.D., ABPP 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 P.D.R. for any changes in dosage schedule or contraindications. (Brand names are registered trademarks.) ANTIDEPRESSANTS Usual Selective Action On NAMES Daily Dosage Neurotransmitters2 Generic Brand Range Sedation ACH 1 NE 5-HT DA imipramine Tofranil 150-300 mg mid mid + + +++ 0 desipramine Norpramin 150-300 mg low low +++++ 0 0 amitriptyline Elavil 150-300 mg high high ++ ++++ 0 nortriptyline Aventyl, Pamelor 75-125 mg mid mid +++ ++ 0 clomipramine Anafranil 150-250 mg high high 0 +++++ 0 trazodone Desyrel, Oleptro 150-400 mg mid none 0 ++++ 0 nefazodone Generic Only 100-300 mg mid none 0 +++ 0 ÁXR[HWLQH 3UR]DF 4, Sarafem 20-80 mg low none 0 +++++ 0 bupropion Wellbutrin 4 150-400 mg low none ++ 0 ++ sertraline Zoloft 50-200 mg low none 0 +++++ + SDUR[HWLQH 3D[LO PJ ORZ ORZ YHQODID[LQH (IIH[RU 4 75-350 mg low none +++ +++ + GHVYHQODID[LQH 3ULVWLT PJ ORZ QRQH ÁXYR[DPLQH /XYR[ PJ ORZ ORZ mirtazapine Remeron 15-45 mg mid mid +++ +++ 0 FLWDORSUDP &HOH[D PJ ORZ QRQH HVFLWDORSUDP /H[DSUR PJ ORZ QRQH GXOR[HWLQH &\PEDOWD PJ ORZ QRQH vilazodone Viibryd 10-40 mg low low 0 +++++ 0 DWRPR[HWLQH 6WUDWWHUD PJ ORZ ORZ YRUWLR[HWLQH %ULQWHOOL[ PJ ORZ QRQH levomilnacipran Fetzima 40-120 mg low none +++ +++ 0 MAO INHIBITORS phenelzine Nardil 30-90 mg low none +++ +++ +++ WUDQ\OF\SURPLQH 3DUQDWH PJ ORZ QRQH VHOHJLOLQH (PVDP SDWFK PJ ORZ QRQH 1ACH: Anticholinergic Side Effects 2NE: Norepinephrine, 5-HT: Serotonin, DA: Dopamine (0 = no effect, + = minimal effect, +++ = moderate effect, +++++ = high effect) 3Uncertain, but likely effects 4$YDLODEOHLQVWDQGDUGIRUPXODWLRQDQGWLPHUHOHDVH ;5;/RU&5 3UR]DFDYDLODEOHLQPJWLPHUHOHDVHGZHHNO\IRUPXODWLRQ BIPOLAR DISORDER MEDICATIONS 1 NAMES Daily Serum1 NAMES Daily Serum *HQHULF %UDQG 'RVDJH5DQJH /HYHO *HQHULF %UDQG 'RVDJH 5DQJH /HYHO OLWKLXPFDUERQDWH (VNDOLWK/LWKRQDWH GLYDOSURH[ 'HSDNRWH RODQ]DSLQH ODPRWULJLQH /DPLFWDO ÁXR[HWLQH 6\PE\D[ PJ 4 2 R[FDUED]HSLQH7ULOHSWDO FDUEDPD]HSLQH 7HJUHWRO(TXHWUR 1/LWKLXPOHYHOVDUHH[SUHVVHGLQP(TOFDUEDPD]HSLQHDQGYDOSURLFDFLGOHYHOVH[SUHVVLQPFJPO 2Serum monitoring may not necessary 3Not yet established 4$YDLODEOHLQDQGPJIRUPXODWLRQV ANTI-OBSESSIONAL PSYCHO-STIMULANTS NAMES NAMES Generic Brand Daily Dosage 1 Generic Brand Dose Range 1 methylphenidate Ritalin 5-50 mg clomipramine Anafranil 150-300 mg methylphenidate Concerta 2 18-54 mg ÁXR[HWLQH3UR]DF 1 20-80 mg methylphenidate Metadate 5-40 mg 1 sertraline Zoloft 50-200 mg PHWK\OSKHQLGDWH 0HWK\OLQ PJ 1 methylphenidate Daytrana (patch) 15-30 mg SDUR[HWLQH3D[LO PJ 2 ÁXYR[DPLQH/XYR[ 1 50-300 mg PHWK\OSKHQLGDWH 4XLOOLYDQW;5 OLTXLG PJ FLWDORSUDP&HOH[D 1 10-40 mg GH[PHWK\OSKHQLGDWH )RFDOLQ PJ HVFLWDORSUDP/H[DSUR 1 5-30 mg GH[WURDPSKHWDPLQH 'H[HGULQH PJ 1 OLVGH[DPSKHWDPLQH 9\YDQVH PJ vilazodone Viibryd 10-40 mg d- and l-amphetamine Adderall 5-40 mg PRGDÀQLO Provigil, Sparlon 100-400 mg armodafanil Nuvigil 150-250 mg 1RIWHQKLJKHUGRVHVDUHUHTXLUHGWRFRQWUROREVHVVLYHFRPSXOVLYH symptoms than the doses generally used to treat depression. 1Note: Adult Doses. 2Sustained release © Copyright 2014, John Preston, Psy.D and P.A. Distributors ANTIPSYCHOTICS NAMES ACH Generic Brand Dosage Range 1 Sedation Ortho 2 EPS 3 Effects 4 (TXLYDOHQFH 5 LOW POTENCY chlorpromazine Thorazine 50-800 mg high high + + ++++ 100 mg thioridazine Mellaril 150-800 mg high high + +++++ 100 mg clozapine Clozaril 300-900 mg high high 0 +++++ 50 mg TXHWLDSLQH 6HURTXHO PJ PLG PLG PJ HIGH POTENCY SHUSKHQD]LQH 7ULODIRQ PJ PLG PLG PJ OR[DSLQH /R[LWDQH PJ ORZ PLG PJ WULÁXRSHUD]LQH 6WHOD]LQH PJ ORZ PLG PJ ÁXSKHQD]LQH 3UROL[LQ 5 3-45 mg low mid +++++ ++ 2 mg WKLRWKL[HQH 1DYDQH PJ ORZ PLG PJ haloperidol Haldol 5 2-40 mg low low +++++ + 2 mg pimozide Orap 1-10 mg low low +++++ + 1-2 mg ULVSHULGRQH 5LVSHUGDO PJ ORZ PLG PJ paliperidone Invega 3-12 mg low mid + + 1-2 mg RODQ]DSLQH =\SUH[D PJ PLG ORZ PJ ]LSUDVLGRQH *HRGRQ PJ ORZ PLG PJ iloperidone Fanapt 12-24 mg mid mid + ++ 1-2 mg asenapine Saphris 10-20 mg low low + + 1-2 mg OXUDVLGRQH /DWXGD PJ PLG PLG PJ aripiprazole Abilify 15-30mg low low + + 2 mg 1Usual daily oral dosage 2Orthostatic Hypotension Dizziness and falls 3$FXWH3DUNLQVRQ·VG\VWRQLDVDNDWKLVLD'RHVQRWUHÁHFWULVNIRUWDUGLYHG\VNLQHVLD$OOQHXUROHSWLFVPD\FDXVHWDUGLYHG\VNLQHVLDH[FHSWFOR]DSLQH 4Anticholinergic Side Effects. 5'RVHUHTXLUHGWRDFKLHYHHIÀFDF\RIPJFKORUSURPD]LQH Available in time-release IM format. ANTI-ANXIETY HYPNOTICS NAMES Single Dose NAMES Single Dose 1 Generic Brand Dosage Range *HQHULF %UDQG 'RVDJH5DQJH (TXLYDOHQFH BENZODIAZEPINES temazepam Restoril 15-30 mg diazepam Valium 2-10 mg 5 mg triazolam Halcion 0.25-0.5 mg FKORUGLD]HSR[LGH /LEULXP PJ PJ zolpidem Ambien 5-10 mg FORUD]HSDWH 7UDQ[HQH PJ PJ zolpidem Intermezzo 1.75 mg clonazepam Klonopin 0.5-2.0 mg 0.25 mg zaleplon Sonata 5-10 mg lorazepam Ativan 0.5-2.0 mg 1 mg HV]RSLFORQH /XQHVWDPJ DOSUD]RODP ;DQD[;5 PJ PJ UDPHOWHRQ 5R]HUHPPJ OTHER ANTIANXIETY AGENTS diphenhydramine Benadryl 25-100 mg buspirone BuSpar 5-20 mg GR[HSLQ 6LOHQRUPJ JDEDSHQWLQ 1HXURQWLQ PJ K\GUR[\]LQH $WDUD[9LVWDULO PJ OVER THE COUNTER propranolol Inderal 10-80 mg Name Daily Dose atenolol Tenormin 25-100 mg St. John’s Wort 1, 2 PJ 3 JXDQIDFLQH 7HQH[,QWXQLYPJ SAM-e PJ Omega-3 4-EPA 1-2 g clonidine Catapres, Kapvay 0.1-0.3 mg 8 2 Folic acid 500 mcg prazosin Minipress 5-20 mg N-acetylcysteine 5 1200-2400 mg SUHJDEDOLQ /\ULFD PJ Chamomile 200-1500 mg 5-HTP 7 PJ 17UHDWVGHSUHVVLRQDQGDQ[LHW\ 5 For trichotillomania 2 0D\FDXVHVLJQLÀFDQWGUXJGUXJLQWHUDFWLRQV 7UHDWVDQ[LHW\HTXLYDOHQW 3 1'RVHVUHTXLUHGWRDFKLHYHHIÀFDF\RIPJRIGLD]HSDP Treats depression one cup of chamomile tea 2 4Treats depression and bipolar disorder 7 )RUWUHDWPHQWRIQLJKWPDUHVDQGGD\WLPHDQ[LHW\ Treats depression 8Note: available as Deplin 1-methylfolate (presctiption) 7.5-15 mg REFERENCES and RECOMMENDED BOOKS Quick Reference • Free Downloads :HEVLWHZZZ3V\'I[FRP Handbook of Clinical Clinical Psychopharmacology Made <hglnf^kl@nb]^mhIlr\abZmkb\=kn`l Child and Adolescent Psychopharmacology For Therapists Ridiculously Simple 8th Edition (2009) Preston, O’Neal, Talaga Psychopharmacology (2013) Preston, O’Neal and Talaga (2014) Preston and Johnson Made Simple (2010) Preston, O’Neal, Talaga.
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