Psych meds

Created by mgrewal86 

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depression, anxiety, schizo, bipolar

olanzapine + fluoxetine

Symbyax: for resistant depression

fluoxetine

Prozac, Sarafem, Prozac weekly: 10-60 mg/d, 90 mg weekly (avail as 20 mg/5ml); req. 5 week washout w/MAOI; QAM

Paroxetine

Paxil: IR=10-60 mg/d; CR=12.5-75 mg/d (10 mg IR=12.5 mg CR); preg cat D

fluvoxamine

Luvox, Luvox CR: 100-300 mg/d (IR form for OCD only, CR for OCD & SAD)

sertraline

Zoloft: 50-200 mg/d

citalopram

Celexa: 20-60 mg/d

escitalopram

Lexapro: 10-20 mg/d (avail as 1mg/1ml)

vilazodone

Viibryd: start at 10 mg x 7d, then 20 mg x 7d, then 40 mg (ALL WITH FOOD)

venlafaxine

Effexor: 37.5, 75, 150 mg XR caps; 150-375 mg/d

duloxetine

Cymbalta: 20, 30, 60 mg; 60-120 mg/d

desvenlafaxine ER

Pristiq: 50 or 100 mg/d; ghost shell in stool;

amitriptyline

Limbitrol, Elavil (tertiary amine): neuro pain/migraine=10-50 mg QHS; depression=100-150 mg BID

doxepin

Sinequan (Zonalon cream for pruritis)-tertiary amine: depression=100-300 mg/d

nortriptyline

Pamelor (secondary amine): depression=25 mg TID-QID

isocarboxazid

Marplan (MAOI)

phenelzine

Nardil (MAOI)

tranylcypromine

Parnate (MAOI)

selegiline transdermal

Emsam (MAOI-B selective): 6, 9, 12 mg/d patch (change patch daily)

bupropion

Wellbutrin (Zyban for smoking): DA & NE reuptake inhib- 300-450 mg/d; IR=TID, SR=BID, XL=QD; SE=dry mouth, insomina, tremors/seizures, no sexual dysfn

mirtazapine

Remeron, Remeron Soltab: NE & 5HT reuptake inhib-15-45 mg QHS; SE=sedation, inc appetite, weight gain

trazodone

Desyrel: inhibits 5-HT reuptake & is an alpha1 blocker & histamine blocker; 100-150 mg BID (usually used for sleep 50-100 mg QHS)

nefazodone

Serzone: similar to trazodone but less sedating & inc risk of hepatoxicity

haloperidol

Haldol: PO=0.5-2mg BID-TID (max 100 mg/d); IV=5-10 mg; deconoate (monthly) IM=10-20 x oral dose

clozapine

Clozaril, FazaClo ODT: 300-900 mg/d divided (start at 25 mg & titrate off cuz abrupt d/c causes seizures); most effective but use only if failed 2 APs; REMS;causes agranulocytosis & seizures (to start WBC at least 3500 and ANC at least 2000; monitor weekly x 6 mo, then q2wks x 6 mo, then monthly)

olanzapine

Zyprexa, Zydis ODT: 10-20 mg QHS; Relprevv inj for acute agitation is REMS cuz can cause coma

risperidone

Risperdal, Risperdal M-tabs ODT; 4-16 mg/d divided; Consta 25-50 mg q 2 wks; also approved for autism;

quetiapine

Seroquel, Seroquel XR: 400-800 mg/d divided BID or XR is QHS (w/out food cuz food dec. abs)

ziprasidone

Geodon: 40-160 mg/d divided BID; acute injection IM 10-20 mg

aripiprazole

Abilify, Abilify Discmelt ODT: 10-15 mg QAM; causes no/less wt gain

paliperidone

Invega (active metabolite of risperidone): 3-12 mg QD (3 mg if CrCl<50)

lithium

Eskalith, Lithobid: start 900 mg/d divided then 900-1200 mg/d divided (serum levels=0.8-1.2 mEq/L); take w/food to dec N/V

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