SSRI/SNRIs
What is the generic of the SSRI Prozac and an available dose?
Fluoxetine (20-80 mg)
Name 2 typical antipsychotics
Haldol (haloperidol); Thorazine (chlorpromazine); Loxitane (loxapine); Moban (molindone); Mellaril (thioridazine); Serentil (mesoridazine); Navane (thiothixene); Trilafon (perphenazine); Prolixin (fluphenazine)
Name 3 atypical antipsychotics.
Abilify (aripiprazole), Rexulti (brexpiprazole), Vraylar (cariprazine), Latuda (lurasidone), Caplyta (lumateperone), Risperdal (risperidone), Invega (paliperidone), Clozaril (clozapine), Zyprexa (olanzapine), Seroquel (quetiapine), Geodon (ziprasidone)
What is the brand name of bupropion?
Wellbutrin
note: normal dosing range is 150-450 mg
What is the starting dose for Zoloft for GAD?
25- 50mg
Zoloft (sertraline)
The SSRI Paxil is not used in pregnant patients, what is the generic name and an in-range dose?
Paroxetine (IM: 20-50 mg; ER: 25-62.5 mg)
What is the different between the 'typical' antipsychotics compared to the 'atypicals'?
Typical antipsychotics are associated with a higher incidence/ severity of their side effects (drug-induced movement disorders.)
Olanzapine and quetiapine are both known to cause high amounts of weight gain, what are their name brands?
Zyprexa (olanzapine); Seroquel (quetiapine)
What is the #1 first-line treatment option for depression or anxiety?
Cognitive Behavioral Therapy
What is the dose for sleep for quetiapine?
50 mg to 150 mg once daily
max dose of 300 mg once daily
A side effect of the SNRI Effexor is "brain zaps". What is the generic name and an in-range dose for this medication?
Venlafaxine (XR: 75-225 mg; IR: 37.5-375 mg)
The typical antipsychotic Haldol has multiple FDA indications, including Tourette's, what is the generic name and an in-range dose?
Haloperidol (0.5-30 mg)
*Typically, do not see anything over 10-15 mg, although the manufacture lists 100mg as the technical max.
Abilify is known to cause akathisia (inner feeling of restlessness), what is the generic name?
aripiprazole
This dopamine and norepinephrine (DNRI) should not be used in patients with an increased risk of seizures, especially in patients with bulimia nervosa and anorexia nervosa.
A patient is discontinuing their Fluoxetine 40mg. How would you be counseling them on d/c this medication? Do they need to taper?
They can stop this medication due to its long 1/2 life, in general, do not need to taper.
What is the max dosing and brand name for the 2 SSRIs that prolong the QTc interval the most: citalopram and escitalopram?
Celexa (citalopram) 40mg and Lexapro (escitalopram) 20mg
What are the generic name and available dosage forms of Prolixin?
Fluphenazine: available as an oral liquid, oral tablet, IR injection, and long-acting injection (LAI).
Risperdal (risperidone) and Invega (paliperidone) are an atypical medications known to cause hyperprolactinemia, what is the name of its LAI?
Risperdal Consta (risperidone) and Invega Sustenna (palideridone)
In a patient with depression, after they have failed two adequate trials of an SNRI/SSRI what is another available option?
TCAs, Esketamine/Ketamine, ECT, TMS
What is the generic name of Buspar XL and an in-range dose?
buspirone (10-60 mg in 2 to 3 divided dosages)
What is sNri has been newly approved for MDD in the United States? *hint: generic starts with an 'L' and the brand name starts with an 'F'?
Levomilnacipran (Fetzima)
Note: dosing range is 20-120 mg.
Thorazine is a typical medication that has many indications, including treatment of incurable hiccups. What is the generic and i- range dose?
Chlorpromazine (25-800 mg)
The atypical antipsychotic Clozaril (clozapine) is known to exponentially increase the incidence of seizures, especially when the drug is used above this dose:
Note: the normal dosing range is 12.5mg to 500mg
300mg
Name 1 mental health medication that can be used for chronic tension headaches.
Elavil (amitriptyline), Remeron (mirtazapine), Effexor (venlaxine)
What is the starting dose for the haloperidol decanoate injection?
10-20 times the previous daily dose of oral antipsychotic