Common Psychiatric Medications [PDF]

Citation preview

Common Psychiatric Medications & Nonprescription Drugs Sedative-Hypnotic & Antianxiety Medications Generic name/Brand name ®



Opioids & Pain Medications



Avg. daily dose (mg)



Benzodiazepines (BzRAs)



alprazolam/Xanax chlordiazepoxide/Librium clonazepam/Klonopin diazepam/Valium flurazepam/Dalmane lorazepam/Ativan triazolam/Halcion temazepam/Restoril



z-compounds



0.25–8 5–250 1–6 2–40 15–60 0.5–1 0.25–0.5 15–30



escatalopram/Lunesta zaleplon/Sonata zolpidem/Ambien/Ambien/ CR/Edluar(sublingual)



1–3 5–20



5–10



Atypical Hypnotics



ramelteon/Rozerem



8



Other Medications for Anxiety



atenolol/Tenormin buspirone/Buspar clonidine/Catapres escitalopram/Lexapro hydroxyzine/Atarax/Vistaril propranolol/Inderal



25–100 15–60 0.1–3 10 50–400 80–640



Many SSRI antidepressants are now used as a first-line treatment for anxiety.



buprenorphine/Buprenex/Subutex 16 buprenorphine + 4–24 naloxone/Suboxone codeine 45–240 fentanyl/Actiq (transmucosal)/ Duragesic/Sublimaze (transdermal) varies hydrocodone/Vicodin/Lortab 7.5–30 hydromorphone/Dilaudid 1 & up meperidine/Demerol 50–150 10–80 methadone/Dolophine morphine sulfate+naltrexone HCl/ Embeda (ER) 20/.08–100/4.0 20–320 oxycodone/OxyContin 10+ oxymorphone HCl/Opana (ER) pregabalin/Lyrica 150–300 propoxyphene/Darvon 195–390 25–50 sumatriptan/Imitrex (for migraines) 85/500 sumatriptan + naproxen/Treximet



Dopamine System Stabilizers (DSSs)



aripiprazole/Abilify



All doses are oral unless indicated.



10–30



THIS IS NOT A COMPLETE LIST.



See www.rxlist.com for the most up-to-date information on prescription drugs. This table is from the 2nd. edition of



Drugs & Clients



™



What Every Psychotherapist Needs to Know by Padma Catell, PhD ISBN 978-0929150-789



w w w. d r u g s a n d c l i e n t s . c o m



© 2010 Solarium Press All Rights Reserved $7.95 ISBN 978-0929150-772



Anticonvulsants for Mania



carbamazepine/Tegretol topiramate/Topamax valproate/Depakene/Depakote



5–10 memantine/Namenda 16–24 rivastigmine/Exelon



Selective Serotonin Reuptake Inhibitors (SSRIs)



amoxapine/Ascendin 200–300 asenapine/Saphris (sublingual) 10–20 clozapine/Clozaril 300–900 olanzapine/Zyprexa/ Zydiss (soluble on tongue) 5–20 paliperidone/Invega (ER) 6 quetiapine/Seroquel 25–400 risperidone/Risperdal/Consta (i.m.) 4–16 ziprasidone/Geodon 40–160



Many atypical antipsychotic drugs are approved for use in bipolar disorder, particularly to treat manic episodes.



Nootropic Medications



donepezil/Aricept galantamine/Reminyl



First Generation Antipsychotics (FGAs)



Second Generation Antipsychotics (SGAs)



olanzapine+fluoxetine/Symbyax 6/25–12/50 Protein kinase C inhibitors (under study for mania) risperidone/Risperdal 4–16 sumatriptan (under study for bipolar disorder)



600–1600 25–400 750



1–4 40–80 guanfacine/Intuniv (ER) — lisdexamfetamine dimesylate/Vyvanse (ER) (prodrug) 20–70 — 5–20 methamphetamine/Methedrine/Desoxyn 5–25 5–50 5–40 methylphenidate/Ritalin/Concerta 10–30 Daytrana (transdermal) 100–200 2.5–40 modafinil/Provigil nicotine —



Antidepressant Medications



50–1500 3–45 2–40 8–60



(add-on for dresspive symptons )



10–20 600–2400 100–400 2grams



ADHD Medications/CNS Stimulants



atomoxetine/Strattera caffeine cocaine dexmethylphenidate/Focalin (ER) dextroamphetamine/ Dexedrine dextroamphetamine + amphetamine/Adderall



Antipsychotic Medications chlorpromazine/Thorazine fluphenazine/Prolixin haloperidol/Haldol perphenazine/Trilafon



Bipolar Disorder Medications



asenapine/Saphris (sublingual) lithium/Eskalith/Lithobid lamotrigine/Lamictal N-acetyl cysteine



citalopram/Celexa desvenlafaxine/Pristiq (ER) escitalopram/Lexapro fluoxetine/Prozac/Sarafem fluvoxamine/Luvox (also ER)



desipramine/Norpramin doxepin/Sinequan/Adapin imipramine/Tofranil nortriptyline/Aventyl/Pamelor



20 3–12



100–300 100–300 25–300 50–150



10–60 Monoamine Oxidase Inhibitors 50 (MAOIs) 10 30–90 10–80 phenelzine/Nardil 20–60 50–300 tranylcypromine/Parnate (for OCD & Social AD) selegiline/Emsam (transdermal) 5–20 paroxetine/Paxil/Pexeva 10–60 Atypical Antidepressants sertraline/Zoloft 25–200 aprepitant/Emend (not yet available) venlafaxine/Effexor (also ER) 75–375 aripiprazole/Abilify (adjunctive treatment) (an SNRI at higher doses) bupropion/Aplenzin (ER) 522 Tricyclic & Heterocyclic bupropion/Wellbutrin/Zyban 200–450 Antidepressants (TCAs & HCAs) duloxetine/Cymbalta 60 15–45 amitriptyline/Elavil 50–300 mirtazapine/Remeron 200–400 clomipramine/Anafranil 25–250 trazodone/Desyrel acetylcysteine ampakines (may improve cognition) antiamyloid treatments (gene therapy or vaccines) antioxidants COX-2 inhibitors (anti-inflammatory agents) ginkgo (increases blood flow to CNS) hormone replacement therapy (estrogens or



Other Treatments for Dementia



androgens)



huperzine/HupA (ACh esterase inhibitor) L-methylfolate neurotropic agents (human nerve growth factor)



acamprosate/Campral benztropine/Cogentin disulfiram/Antabuse naloxone/Narcan (i.v.) naltrexone/Trexan/Revia nizatidine/Axid



1998 150–250 125–500 .04–2 25–150 75–300



nicotine (stimulates ACh) NSAIDs (nonsteroidal anti-inflammatory drugs) Omega-3 fish oils phosphotidylserine/PtdSer (natural fat-soluble nutrient)



selegiline/Eldepryl (MAO inhibitor) statin drugs (lower cholesterol) vitamin B3 (niacin) vitamin C (antioxidant) vitamin E (antioxidant)



ondansetron/Zofran 4–300 sildenafil/Viagra 25–100 varenicline/Chantix (anti smoking) 0.5 –1.0 sodium oxybate/Xyrem 4.5–9 (grams) (for narcolepsy)



Miscellaneous Medications