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Psychiatry Medications

Psychiatry Medications   Anti-anxiety Medications Antidepressant Medications Hypnotics - Sleeping Medications   Antipsychotics Medications

Anti-anxiety Medications: Benzodiazepines Class: Xanax/Alprazolam 0.25-0.5-1 mg tid  T1/2 = 6-27 hrs Librium/Chlordiazepoxide 5-10-25 tab qid PO, IM or IV  T1/2 = 24-48 hrs Valium/Diazepam 2-5-10 mg qid  T1/2 = 20-80 hrs Serax/Oxazepam 10-15-30 mg cap qid  T1/2 = 6-11 hrs Ativan/Lorazepam 0.5-1-2-3 mg tid   T1/2 = 12 hrs Klonopin/Clonazepam 0.5-1-2 mg tid   T1/2 = 18-50 hrs Tranxene/Clorazepate  3.75-7.5-15 mg qid Centrax/Prazepam 5-10-20 mg tab tid Other Anti-anxiety Class: Buspar/Buspirone 5-10-20 mg tid Atarax/Vistaril/Hydroxyzine 10-25-50-100 mg qid prn Meprobamate/Miltown/Equanil 200-400-600 mg qid RopMazicon/Flumazenil 0.2 mg over 15 sec IV, may repeat q 1 min x4 (max 1 mg) Versed/Midazolam:  IV 1 mg slowly over 2-3 min IV, up to 5 mg.  (IM dose: 0.07-0.08 mg/kg IM, 5 mg in average adult) Propofol (Diprivan): 1 mg/kg IV over 20-30 seconds for deep sedation; 2-2.5 mg/kg IV for intubation adjuct.  - For anesthesia (<55 yo): 40 mg IV q 10 seconds until induction onset (typical: 2-2.5 mg/kg) . Lower doses in elderly.  - For ICU ventilator sedation: infusion 5-50 mcg/kg/min.

Antidepressant Medications:   SSRI Class: Celexa/Citalopram 2-40mg/dayb Lexapro/Escitalopram 10 mg daily Prozac/Fluoxetine 10-80 mg/day Paxil/Paroxetine 10-60 mg/day Zoloft/Sertraline 50-200 mg/day Luvox/Fluvoxamine 50-300 mg/day Pristiq/Desvenlafaxine (approvable letter from the U.S. Food and Drug Administration (FDA) for Pristiq™ (desvenlafaxine succinate), a serotonin-norepinephrine reuptake inhibitor (SNRI) studied as a treatment for adult patients with major depressive disorder (MDD). The letter was received January 22, 2007.  The regulatory approval of its new drug, Pristiq, a nonhormonal treatment for hot flashes and other menopause symptoms, is delayed until at least July 2007 ) Tricyclics Class: Elavil/Amitriptyline 50-300 mg/d Norpramin/Desipramine 100-300 mg/d Sinequan/Doxepin 50-300 mg/d Pamelor/Nortriptyline 50-200 mg/d Tofranil/Imipramine 75-300 mg/d Surmontil/Trimipramine 50-300 mg/d Vivactil/Protriptyline 15-60 mg/dS Anafranil/Clomipramine 25-250 mg/d ? Remeron/ Mirtazapine once/day tab MAOI Class: Nardil/Phenelzine 15-90 mg/d Pamate/Tranylcypromine 20-50 mg/d Mood Stabilizers: Lithium 600-1800 mg/day; T1/2 = 24 hrs St. John's Wort (Hypericum extract) 350 mg tid (BMJ Dec.11,1999;319:1534 - Michael Philipp) Other Class: Asendin/Amoxapine 50-600 mg/d Desyrel/Trazodone 150-600 mg/d Effexor/Venlafaxine 75-375 mg/d Ludiomil/Maprotiline 75-225 mg/d Serzone/Nefazodone 200-600 mg/d - discontinued! 5/20/2004 - 5/20/2004 (Reuters) - Bristol-Myers Squibb said on Wednesday it would no longer make or sell its antidepressant Serzone, which has been linked to life-threatening liver problems. Wellbutrin/Bupropion 150-300 mg/d Remeron/Mirtazapine SolTab15-45 mg/d orally disintegrating tablets                See Dr. A. Schalk's Note on Depression Rx

Hypnotics - Sleeping Medications Benzodiazepines Class: Restoril/Temazepam 15-30 mg/d  T1/2 = 3.5 - 18 hrs Other Class: Ambien/Zolpidem 5-10 mg/d  T1/2 = 2.6 hrs Dalmane/Flurazepam 15-30 mg/d   T1/2 = 2.3 hrs Halcion/Triazolam 0.125 - 0.5 mg/d   T1/2 = 1.5-5.5 hrs Doral/Quazepam 7.5 - 15 mg/d   T1/2 = 39 hrs ProSom/Estazolam 1-2 mg/d   T1/2 = 10-24 hrs Barbiturates Class: Seconal/Secobarbital 100-200 mg/d Nembutal/Pentobarbital 100-200 mg/d Amytal/Amobarbital 100-200 mg/d Antihistamines Class: Benadryl/Diphenhydramine 25-100 mg/d Unisom/Doxylamine 25-100 mg/d Other Class: Sonata/ Zaleplon 5-10 mg cap hs Chloral hydrate/Noctec 500-2000 mg/d  T1/2 = 8-11 hrs Ambien/Zolpidem 5-10 mg/d  T1/2 = 2.6 hrs Noludar/Methyprylon 200-400 mg/d Placidyl/Ethchlorvynol 500-1000 mg/d

Antipsychotics Medications Aliphatic: Thorazine/Chlorpromazine 50-2000 mg/d Piperidine Class: Mellaril/Thioridazine 50-800 mg/d Serentil/Mesoridazine 100-400 mg/d Piperazine Class: Stelazine/Trifluoperazine 5-80 mg/d Trilafon/Perphenazine 8-64 mg/d Prolixin/Fluphenazine 2-40 mg/d PO or 12.5-75 mg IM q2wks Butyrophenone Class: Haldol/Haloperidol 2-100 mg/d PO or IM Thioxanthene Class: Navane/Thiothixene 5-60 mg/d Benzisoxazole Class: Zyprexa/Olanzapine 10-20 mg/d Risperdal/Risperidone 4-6 mg/d Dibenzodiazepine Class: Clozaril/Clozapine 75-900 mg/d Dibenzoxapine Class: Loxitane/Loxapine 20-250 mg/d Dihydroindolone Class: Moban/Molindone 50-225 mg/d Dibenzothiazepine Class: Seroquel/Quetiapine 300-750 mg/d Ref: 1998 Black Book of Psychotropic Dosing & Monitoring by Alan F. Schatzberg, etc.  (Provided by Wyeth-Ayerst Lab)

Antidepressant Medications:                  See Dr. A. Schalk's Note on Depression Rx  

2008