Preston quick reference to psychotic medication

QUICK REFERENCE TO PSYCHOTROPIC MEDICATION® DEVELOPED BY JOHN PRESTON, PSY.D., ABPP
To the best of our knowledge recommended doses and side effects listed below are accurate. However, this is meant as a general reference only, and should not serve as a guideline for prescribingof medications. Please check the manufacturer’s product information sheet or the P.D.R. for any changes in dosage schedule or contraindications. (Brand names are registered trademarks.) ANTIDEPRESSANTS
Selective Action On
Daily Dosage
Neurotransmitters2
Sedation
1ACH: Anticholinergic Side Effects2NE: Norepinephrine, 5-HT: Serotonin, DA: Dopamine (0 = no effect, + = minimal effect, +++ = moderate effect, +++++ = high effect)3Uncertain, but likely effects4Available in standard formulation and time release (XR, XL or CR). Prozac available in 90mg time released/weekly formulation BIPOLAR DISORDER MEDICATIONS
Dosage Range
Dosage Range
1Lithium levels are expressed in mEq/l, carbamazepine and valproic acid levels express in mcg/ml.
2Serum monitoring may not necessary 3Not yet established 4Available in: 6/25, 6/50, 12/25, and 12/50mg formulations ANTI-OBSESSIONAL
PSYCHO-STIMULANTS
Brand Dose Range1
Daily Dosage1
1often higher doses are required to control obsessive-compulsive symptoms than the doses generally used to treat depression.
Copyright 2006, John Preston, Psy.D and P.A. Distributors ANTIPSYCHOTICS
Brand Dosage Range1 Sedation Ortho2 EPS3
Effects4
Equivalence5
1Usual daily oral dosage2Orhtostatic Hypotension Dizziness and falls3Acute: Parkinson’s, dystonias, akathisia. Does not reflect risk for tardive dyskinesia. All neuroleptics may cause tardive dyskinesia, except clozapine.
4Anticholinergic Side Effects.
5Dose required to achieve efficacy of 100 mg chlorpromazine.
6Available in time-release IM format.
ANTI-ANXIETY
HYPNOTICS
Single Dose
Single Dose
Brand Dosage Range
Dosage Range
Equivalence1
COMMON SIDE EFFECTS
ANTICHOLINERGIC EFFECTS
(block acetylcholine)
EXTRAPYRAMIDAL EFFECTS
1Doses required to achieve efficacy of 5 mg of diazepam (dopamine blockade in basal ganglia)
• Parkinson-like effects: rigidity, shuffling gait, tremor, flat affect,
OVER THE COUNTER
• Dystonias: spasms in neck and other muscle groups Daily Dose
• Akathisia: intense, uncomfortable sense of inner restlessness • Tardive dyskinesia: often a persistent movement disorder (lip smacking, writhing movements, jerky movements) Note: The above are common side effects. All medications can produce specific or unique side effects. For a more complete 2May cause signifigant drug-drug interactions description, please see references listed below 3Treats depression4Treats depression and bipolar disorder REFERENCES and RECOMMENDED BOOKS
Quick Reference • Free Downloads
Website: www.PsyD-fx.com

Source: http://www.assessmentpsychology.com/preston-medchart.pdf