Psychotropic Medications



Valium

Description: Valium is utilized for the management of anxiety disorder or for the short term relief of the symptoms of anxiety.

Contraindications: Valium is contraindicated in patients with known hypersensitivity to this drug; acute narrow angle glaucoma and open angle glaucoma unless patients are receiving appropriate therapy.

Dosage: 2mg to 40 mg per day

Side effects: Fatigue; drowsiness and ataxia; mild nasuea; dizziness; blurred vission; headaches; slurred speech; tremors; skin rash


Xanax

Description: Treatment of anxiety, behavioral control and panic disorder

Contraindications: Tablets are contraindicated in patients with known sensitivity to this drug or other benzodiapines. Xanax may be used in patients with open angle glaucoma who are receiving appropriate therapy but is contraindicated in patients with acute narrow angle glaucoma.

Dosage: .25 mg to 4 mg per day

Side Effects: drowsiness/sedation, dry mouth, blurred vision, dizziness/hypertension, daytime sedation.


BuSpar tablets

Description: Treatment for anxiety disorders

Contraindications: Contraindicated in patients hypersensitive to buspirone hydrochloride.

Dosage: 20mg to 60 mg per day

Side Effects: Drowsiness/sedation, dry mouth, blurred vision, dizziness/hypertension, daytime sedation, nervousness, headache, fatigue/tiredness, upset stomach


Vistaril capsules

Descriptions: Used for symptomatic relief of anxiety and tension associated with psycho-neurosis and as an adjunct in organic disease states where anxiety is manifested

Contraindications: Contraindicated in early pregnancy

Dosage:

Side Effects: Dry mouth, drowsiness


Wellbutrin Capsules

Description: Treatment of depression

Contraindications: Patients with seizure disorders, current or prior bulimia or anorexia. The concurrent administration of wellbutirn and a monomania oxidase inhibitor (MOA) is contra indicated. At least 14 days should elapse between discontinuation of MOA.

Dosage: 50-100 mg

Side Effects: agitation and insomnia, , activation of psychosis or mania, altered appetite, suicide, seizures.

Prozac

Description: Treatment of depression and obsessive-compulsive disorder.

Contraindications: There have been reports of serious, sometimes fatal reactions in patients receiving floxetine in combination with a monomania oxidase inhibitor and in patients who have recently discontinued fluoxetine and then started on a MOAI.

Dosage: 20mg to 80mg per day

Side Effects: Dry mouth; sweating; dizziness; incease in appetite; agitiation; dry eyes; blurred vision; sedation lethargy; photosensitivity, rash and allergic events, insomnia, altered appetite and weight, activation of mania, hypomania, seizures, suicide., dizziness, lightheadedness and possible gastrointestinal complaints.


Zoloft

Description: Anti-depressive for treatment of depression.

Contraindications: Concomitant use in patients taking monoamine oxidase inhibitors is contraindicated.

Dosage: 50-200 mg (over 14 days)

Side effects: Mania/hypomania, weight loss, seizures, suicide, weak uricoluric effect



Tofrantil

Description: Prescribed for symptoms of major depression. One to three weeks of treatment may be needed before optimal therapeutic effects are evident.

Contraindications: the concomitant use of monamine oxidase inhibiting compounds in cotraindicated. The potential effects can be serious and potentially fatal. The drug is contraindicated during the acute recovery period after a myocardial infaction. The possibility of cross-sensitivity to other dibenzazepine compounds should be kept in mind.

Side effects: Excessive drowsiness; dizziness; insomnia; dry mouth; hyperactivity or stimulation; tardive dyskinea


Lithium

Description: Treatment for a variety of psychiatric disorders, particularly bipolar affective disorder

Contraindications: Lithium should not be given to patients with significant renal or cardiovascular disease, severe debilitation, dehydration, sodium depletion, and to patients receiving diuretucs ir angiotensium converting enzyme (ACE) inhibitors since the risk of lithium toxicity is very high.

Dosage: 300 mg of lithium carbonate.

Side effects: Tremors; headaches; impaired memory; lethargy; fatigue; nausea; excessive urination; diarrhea

Clozaril

Description: Indicated for management of severely ill with schizophrenia patients who fail to respond adequately to standard anti-psychotic drug treatment

Contraindications: Contraindicated in patients with myeloproferative disorderes, uncontrolled epilepsy or a history of Clozaril induced agranulocytosis or severe granulocytpopenia. Also, it is contraindicated in severe central nervous system depression or comotase states from any cause.

Dosage: 25 mg and 100mg tablets

Side effects: Drowsiness; sedation; dizziness; headache; tremor; salivation; sweating; dry mouth; fainting; rapid heartbeat; constipation; nausea and fever

Haldol Decanoate 50 & 100

Description: Long acting parenteral antipsychotoc drugs intended for use in the management of patients requiring prolonged parenternal antipsychotoc therapy

Contraindications: Haldol is contraindicated in severe toxic central nervous system depression or comatose atates from any cause and individuals who are hypersensitive to this drug or have Parkinson disease.

Side effects: Extrapyramidal synderom, tardive dyskinesia, tardive dytonia, insomnia, restlessness, agitation, drowsiness, depression, lethargy, confusion, vertigo, grand mal seziures, halucinations, possible impaired liver functioning, breat enlargement, menstrual irregularities, nausea, vomiting, constipation, increase depth of respiration, and visoual imbalance. (see PDR for more side effects)



Mellaril

Description: control anxiety, agitation, and confusion. Control convolutions. Treatment of acute and chronic psychosis

Contraindications: With other phenothiazines, Mellaril is contraindicated with severe central nervous depression or comatose states from any cause including advanced central nervous system depression.

Dosage: 20mg to 800 mg per day

Side effects: Initial nausea, vomiting, dizziness, fatigue, and photosensitivity



Stelazine

Description: control anxiety, tension, agitation and confusion; treat psychosis and neurosis; mainly those who are withdrawn, inactive and apathetic

Contraindications: A known hypersensitivity to phenothiazines, comatose and greatly depressed states due to central nervous system depressed states and in case of existing blood dyscrasias bone marrow depression and pre-existing liver damage.

Dosage: 10 mL (2mg/mL)

Side effects: drowsiness; dizziness; mild skin reactions; dry mouth; insomina; amenorrhea; fatigue; extrapyramidal reactions on high doses as well as muscular weakness, anorexia, rash, lactation and blurred vision



Thorazine:

Description: Used to control anxiety; agitation, and confusion; treat psychosis and neurosis

Contraindications: Do not use with known hypersensitivity to phenothiazines. DO not use in comatose states or in the presence of large amounts of central nervous system depressants.

Dosage: 25mg to 2000 mg

Side effects: excessive drowsiness; momentary fainting or dizziness; dry mouth; nasal congestion; photosensitivity; skin rash; extrapyramidal reaction