Meds

Thorazine

Indications/Use: Acute and chronic psychosis

Usual Dosage: 200mg per day, up to 1g per day

Side effects: Sedation, blurred vision, photo sensitivity

Interactions/Contraindications: Hyper sensitivity, pregnancy or lactation

Patient teaching/Labs: May cause drowsiness

Mellaril

Indication/Use: Antipsychotic

Usual Dosage: 50 - 100mg 2x daily, up to 800mg daily

Side effects: Neuroleptic Malignant Syndrome, sedation, blurred vision

Interactions/Contraindications: Other phenothiazines, diuretics increase risk of dehydration

Patient teaching/Labs: May cause drowsiness

Haldol

Indications/Use: Antipsychotic

Usual Dosage: 0.5 - 5mg 2-3 x daily, up to 100mg daily

Side effects: Seizures, extra pyramidal reactions, blurred vision

Interactions/Contraindications: CNS depression with alcohol and other depressants

Patient teaching/Labs: May cause drowsiness, avoid alcohol

Artane

Indications/Use: Antiparkison agent

Usual Dosage: 6 - 10mg daily divided in 3 doses

Side effects: Dizziness, nervousness, blurred vision, nausea

Interactions/Contraindications: Epilepsy, resp. disease, pregnancy or lactation

Patient teaching/Labs: Avoid alcohol

Ativan

Indications/Use: Antianxiety, sedative/hypnotic

Usual Dosage: 1 - 3mg daily 2-3 x daily

Side effects: Apnea, cardiac arrest, drowsiness

Interactions/Contraindications: CNS suppressant, alcohol, analgesics

Patient teaching/Labs: May cause drowsiness, avoid alcohol

Cogentin

Indications/Use: Antiparkinson

Usual Dosage: 1 - 2mg/daily divided in 2 doses

Side effects: Blurred vision, dry eyes, constipation

Interactions/Contraindications: Antihistamines, phenothiazines, TCA antidepressants

Patient teaching/Labs: May cause drowsiness, avoid antacids

Risperdal

Indications/Use: Antipsychotic (schizophrenia)

Usual Dosage: 1mg/2 x daily, after 3rd day increase to 3mg/2 x daily

Side effects: Neuroleptic Malignant Syndrome, aggressive behavior

Interactions/Contraindications: Hypersensitivity, liver dysfunction, pregnancy

Patient teaching/Labs: May cause drowsiness, avoid alcohol

Restoril

Indications/Use: Sedative/Hypnotic (insomnia)

Usual Dosage: 15 - 30mg @ bedtime

Side effects: Hangover, lethargy, blurred vision

Interactions/Contraindications: CNS depression with alcohol, antidepressant

Patient teaching/Labs: Avoid nicotine, caffeine, and alcohol

Ambien

Indications/Use: Sedative/Hypnotic (insomnia)

Usual Dosage: 10mg @ bedtime

Side effects: Amnesia, "drugged" feeling

Interactions/Contraindications: increase CNS depression with antidepressants and sedative/hypnotics

Patient teaching/Labs: Avoid alcohol, go to sleep after taking

Prolixin

Indications/Use: Antipsychotic

Usual Dosage: 12.5 - 25mg may be repeated every 1-4 weeks

Side effects: Extra pyramidal reactions, photo sensitivity

Interactions/Contraindications: Increase CNS depression with alcohol, antihistamines

Patient teaching/Labs: May cause drowsiness, use sun cream when in sun

Depakote

Indications/Use: Anticonvulsant (seizures)

Usual Dosage: 5 - 15mg/kg/day

Side effects: Hepatotoxicity, indigestion, toxicity

Interactions/Contraindications: Increase risk for bleeding with antiplatelet agent, CNS depression

Patient teaching/Labs: Avoid taking aspirin, contact doctor if anorexia or abdominal pain occurs

Dilantin

Indications/Use: Anticonvulsant

Usual Dosage: 300 - 400mg/daily

Side effects: Ataxia, nystagmus, hypotension

Interactions/Contraindications: Hyper sensitivity, alcohol intolerance

Patient teaching/Labs: May cause drowsiness, avoid alcohol

Clozaril

Indications/Use: Antipsychotic (schizophrenia)

Usual Dosage: 300 - 450mg/daily

Side effects: Seizures, myocarditis, leukopenia

Interactions/Contraindications: Malnourished PTS or PTS with cardio, hepatic, or renal disease

Patient teaching/Labs: Avoid alcohol

Lithium

Indications/Use: Antimanic (mania)

Usual Dosage: 300mg/3 x daily

Side effects: Seizures,