Antipsychotics & Depression Flashcards
(28 cards)
Citalopram
Starting Dose: 20mg
Depression: 20-40mg
OCD: 40-60mg
Escitalopram
Starting: 10mg
Depression & Anxiety:10-20mg
OCD: 20mg
Fluoxetine
Starting: 20mg
Depression: 20-40mg
Anxiety: 80mg
OCD: 40-60
Paroxetine
Starting: 20mg
Depression: 20-40mg
Anxiety: 20-50mg
OCD: 40-60mg
Sertraline
Starting: 50mg
Depression: 50-150mg
Anxiety: 25-200mg
OCD: 200mg
Mirtazapine
Starting: 15mg QHS
Target: 15-45mg
Duloxetine
Starting: 30-60mg
Target: 60 mg
Venlafaxine
Starting: 37.5-75mg
Depression: 75-150mg
Anxiety: 37.5-225
Bupropion XL and IR
Starting: 150mg (divided doses for IR)
Target: 150-300 mg
Max: 450mg
Bupropion SR
Starting: 200mg
Target: 150-300 mg
Max: 300-400mg
Haloperidol
Starting: 1-15mg/day
Target: 2-20mg
Max: 100mg
Risperidone
Starting: 1-2mg/day
Target: 2-8mg/day
Max: 16 mg
Paliperidone
Starting: 6mg/day
Target: 6-12mg/day
Max: 12mg
Olanzapine
Starting: 5-10mg/day
Target: 10-20mg/day
Max: 20 mg (oral)
Aripiprazole
Starting: 10mg/day
Target: 10-30mg/day
Brexpiprazole
Starting: 1 mg/day
Target: 2-4mg/day
Lithium
Starting: 300mg BID
Typical dosing: 900-2400mg/day
Target serum levels: 0.8-1.2 mEq/L (acute), 0.6-1.2 (maintenance)
Valproate
15-20mg/kg/day- in divided doses (rounded to nearest 250)
Max: 60mg/kg/day
Switching from IR or DR to ER- increase dose by 20%
Not recommended in panic disorder
Propranolol
buspirone
tiagabine
trazodone
carbamazepine
Not recommended in acute mania
lamotrigine
lumateperone
lurasidone
Not recommended in acute depression in bipolar
haloperidol
paliperidone
risperidone
ziprasidone
EPS
High:
some “done medications”
High potency FGAs
D2 partial agonists- akathisia
Low:
-most “pine” medications
Anticholinergic
pines (except asenapine)
-clozapine highest
low potency FGAs
Hypotension
Clozapine> risperidone
low potency FGAs
older pines
