Southern Consortium for Children Athens, Hocking, Vinton 317 Board ADAMHS Board of Adams-Lawrence-Scioto Counties Gallia-Jackson-Meigs Board of ADAMHS Washington County MHAR Board CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY MANUAL Issued: November 2005 Compiled by: Peg Meis, M.Ed., LPCC, Director of Crisis Services Reviewed by: Edward Lynam, M.D. & Linda Adams, R.N., MSN Designed by: Jenny Metts Preface To the User: This manual has been put together for informational purposes only. It is not meant to be used for clinical practice. Each physician will have their own methodology in treating children and adolescents, as many of these drugs have not been fully tested for use with patients under the age of 18. It is strongly advised that when questions arise regarding medication for a specific youth that those questions be referred to the treating physician. • Please be aware and attuned to the possible side effects of any medication, especially at the onset of starting any new medication. • In particular, suicidal ideation with antidepressants, stimulants, and Strattera. • Watch for adverse effects of all stimulants, such as hallucinations and psychosis. It is our hope that this manual will be helpful in the field for therapists, case managers, counselors, court personnel, and child-serving agencies. We encourage you to reproduce this manual as needed and to distribute it to all staff who may benefit from its use. This manual can also be downloaded online by going to www.scchildren.com. Southern Consortium for Children Post Office Box 956 Athens, Ohio 45701 740-593-8293 Phone / 740-592-4170 Fax Contact: Peg Meis [email protected] www.scchildren.com Table of Contents ADHD Treatment Adderal.............................................................................................................. 1 Adderall XR....................................................................................................... 3 Catapres............................................................................................................ 4 Concerta............................................................................................................ 6 Cylert................................................................................................................. 8 Dexedrine.......................................................................................................... 10 Dexedrine Spanules.......................................................................................... 10 Focalin............................................................................................................... 12 Focalin XR......................................................................................................... 12 Inderal ............................................................................................................... 14 Metadate ER ..................................................................................................... 6 Ritalin ................................................................................................................ 16 Strattera ............................................................................................................ 18 Anticonvulsants Keppra............................................................................................................... 20 Klonopin ............................................................................................................ 22 Lamictal............................................................................................................. 24 Neurontin........................................................................................................... 26 Topamax ........................................................................................................... 28 Trileptal ............................................................................................................. 31 Zonegran........................................................................................................... 34 Antidepressant Anafranil............................................................................................................ 36 Ativan ................................................................................................................ 40 Buspar............................................................................................................... 43 Celexa............................................................................................................... 44 Cymbalta........................................................................................................... 46 Effexor............................................................................................................... 49 Effexor XR......................................................................................................... 49 Desyrel.............................................................................................................. 51 Lexapro ............................................................................................................. 53 Luvox................................................................................................................. 54 Norpramin ......................................................................................................... 56 Paxil .................................................................................................................. 58 Paxil CR............................................................................................................ 58 Prozac............................................................................................................... 59 Prozac Weekly .................................................................................................. 59 Remeron ........................................................................................................... 61 Remeron Soltabs .............................................................................................. 61 Sarafem............................................................................................................. 59 Serzone............................................................................................................. 63 Sinequan........................................................................................................... 65 Tofranil .............................................................................................................. 67 Tofranil-PM........................................................................................................ 67 Wellbutrin .......................................................................................................... 69 Wellbutrin SR .................................................................................................... 69 Wellbutrin XL..................................................................................................... 69 Zoloft ................................................................................................................. 71 Table of Contents (Continued) Antiparkinson Cogentin .....................................................................................................73 Antipsychotic Abilify ..........................................................................................................75 Clozaril........................................................................................................77 Geodon .......................................................................................................79 Haldol..........................................................................................................80 Mellaril ........................................................................................................82 Orap............................................................................................................84 Risperdal.....................................................................................................86 Seroquel .....................................................................................................88 Thorazine....................................................................................................90 Trilafon........................................................................................................93 Zyprexa.......................................................................................................95 Bipolar Treatment Cibalith-S ....................................................................................................102 Depakene ...................................................................................................97 Depakote ....................................................................................................100 Depakote ER ..............................................................................................100 Depakote Sprinkles.....................................................................................100 Eskalith .......................................................................................................102 Eskalith CR .................................................................................................102 Lithium ........................................................................................................102