Psychiatric Medications Guide

Psychopharmacology

Anti-depressants Brand Generic Min / Max Range per 24 hrs Sedating Weight Gain Alcoholic Use
Daily Limit*1
Sexual Impairment
SSRI Celexa citalopram hydrobromide 20 to 60 mg low low 1 to 2 yes
SSRI Lexpro escitalopram oxalate 10 to 20 mg low low 0 to 1 yes
SSRI Luvox fluvoxamine maleate 50 to 300 mg moderate low 1 to 2 yes
SSRI Paxil paroxetine 20 to 60 mg moderate high 1 to 2 yes
SSRI Prozac fluoxetine 20 to 80 mg low moderate 1 to 2 yes
SSRI Zoloft sertraline 50 to 200 mg low low 1 to 2 yes
SNRI Cymbalta duloxetine hydrocholoride 40 to 60 mg moderate low 0 to 1 yes
SNRI Effexor venlafaxine 75 to 225 mg low low no alcohol yes
SNRI Remeron mirtazapine 15 to 45 mg moderate moderate 1 to 2 yes
NDRI Wellbutrin bupropion 200 to 450 mg low none no alcohol no
misc Desyrel trazodone 150 to 400 mg high moderate no alcohol yes
misc Serzone nefazodone 100 to 500 mg moderate low 1 to 2 no
tricyclic Asendin amoxapine 150 to 400 mg moderate low 1 to 2 no
tricyclic Elavil amitriptyline 50 to 150 mg high moderate 0 to 1 no
tricyclic Ludiomil maprotiline 50 to 225 mg high low 0 to 1 no
tricyclic Norpramin desipramine 50 to 300 mg low low 1 to 2 no
tricyclic Pamelor nortriptyline 50 to 150 mg moderate low 1 to 2 no
tricyclic Sinequan doxepin 75 to 300 mg high high 0 to 1 no
tricyclic Surmontil trimipramine 75 to 200 mg high moderate 0 to 1 no
tricyclic Tofranil imipramine 50 to 200 mg moderate low 1 to 2 no
tricyclic Vivacil protriptyline 15 to 60 mg low high 1 to 2 no
anti-depressant / psychotic Etrafon amitriptyline & perphenazine 3 to 8 tabs /day high low 0 to 1 no
MAO inhibitor Nardil phenelzine 30 to 90 mg moderate moderate no alcohol yes
MAO inhibitor Parnate tranylcypromine 20 to 60 mg moderate moderate no alcohol yes
natural medicine SAMe S-adenosylmethionine 200 to1600 mg none none 1 to 2 no
herbal medicine St. John's Wort hypericum perforatum 900mg @ 0.3% hypericin none none 1 to 2 no

Anti-OCD Brand Generic Min / Max Range per 24 hrs Sedating Weight Gain Alcoholic Use
Daily Limit*1
Sexual Impairment
tricyclic Anafranil clomipramine 25 to 250 mg high low 0 to 1 yes
SSRI Luvox fluvoxamine 50 to 300 mg moderate low 1 to 2 yes
SSRI Paxil paroxetine 10 to 50 mg moderate high 1 to 2 yes
SSRI Prozac fluoxetine 20 to 80 mg low high 1 to 2 yes
SSRI Zoloft sertraline 50 to 200 mg low low 1 to 2 yes

Anti-anxiety Brand Generic Min / Max Range per 24 hrs Sedating Weight Gain Alcoholic Use
Daily Limit*1
Sexual Impairment
Benzodiazepines*2 Ativan lorazepam 0.5 to 2 mg moderate none no alcohol no
Benzodiazepines*2 Centrax prazepam 10 to 60 mg moderate none no alcohol no
Benzodiazepines*2 Klonapin clonazepam 0.5 to 2.0 mg moderate none no alcohol no
Benzodiazepines*2 Librium chlordiazepoxide 10 to 50 mg moderate none no alcohol no
Benzodiazepines*2 Serax oxazepam 10 to 30 mg moderate none no alcohol no
Benzodiazepines*2 Tranxene clorazepate 3.75 to 15 mg moderate none no alcohol no
Benzodiazepines*2 Valium diazepam 2 to 10 mg moderate none no alcohol no
Benzodiazepines*2 Xanax alprazolam 0.25 to 2 mg moderate none no alcohol no
Non-benzo Atarax,Vistaril hydroxyzine 50 to 100 mg moderate low 1 to 2 no
Non-benzo Benadryl diphenhydramine 25 to 100 mg moderate none 1 to 2 no
Non-benzo BuSpar buspirone 5 to 20 mg low none 1 to 2 no
Non-benzo Catapres clonidine 0.1 to 3 mg low low 1 to 2 no
Non-benzo Inderal propranolol 10 to 80 mg low none 1 to 2 no
Non-benzo Tenormin atenolol 25 to 100 mg low none 1 to 2 no
herbal medicine Kava-Kava piper methysticum 150 to 200 mg moderate none 0 to 1 no

Social Anxiety Brand Generic Min / Max Range per 24 hrs Sedating Weight Gain Alcoholic Use
Daily Limit*1
Sexual Impairment
SSRI Paxil paroxetine 20 to 50 mg moderate high 1 to 2 yes
SSRI Zoloft sertraline 50 to 200 mg low low 1 to 2 yes
SNRI Effexor venlafaxine 75 to 225 mg low low 1 to 2 yes

PTSD Brand Generic Min / Max Range per 24 hrs Sedating Weight Gain Alcoholic Use
Daily Limit*1
Sexual Impairment
  Zoloft sertraline 50 to 200 mg low low 1 to 2 yes
off label use Paxil paroxetine 20 to 50 mg moderate high 1 to 2 yes

Insomnia Brand Generic Min / Max Range per 24 hrs Sedating Weight Gain Alcoholic Use
Daily Limit*1
Sexual Impairment
  Ambien zolpidem 5 to 10 mg high none no alcohol no
  Dalmane flurazepam 15 to 30 mg high none no alcohol no
  Desyrel trazodone 150 to 400 mg high moderate no alcohol no
  Doral quazepam 7.5 to 30 mg high none no alcohol no
  ProSom estazolam 1 to 2 mg high none no alcohol no
  Restoril temazepam 15 to 30 mg high none no alcohol no
  Lunesta eszopiclone 1 to 3 mg high low no alcohol no

Anti-psychotics Brand Generic Min / Max Range per 24 hrs Sedating Weight Gain Alcoholic Use
Daily Limit*1
Sexual Impairment
Atypical Abilify aripiprazole 10 to 30 mg low low 0 to 1 no
Atypical Clozaril clozapine 300 to 900 mg high high 0 to 1 yes
Atypical Geodon ziprasidone 20 to 80 mg low low 0 to 1 no
Atypical Risperdal risperidone 0.5 to 6 mg moderate moderate 0 to 1 yes
Atypical Seroquel quetiapine fumarate 25 to 800 mg moderate low 0 to 1 yes
Atypical Zyprexa olanzapine 10 to 20 mg high high 0 to 1 yes
Atypical injectable Risperdal Consta risperidone 25 to 50 mg IM moderate moderate 0 to 1 yes
Atypical dissolvable FazaClo clozapine 12.5 to 900 mg high high 0 to 1 yes
Low potency Mellaril thioridazine 150 to 800 mg high moderate 0 to 1 yes
Low potency Serentil mesoridazine 50 to 500 mg moderate moderate 0 to 1 yes
Low potency Thorazine chlorpromazine 50 to 1500 mg high moderate 0 to 1 no
Intermediate potency Loxitane loxapine 50 to 250 mg moderate low 0 to 1 no
Intermediate potency Moban molindone 20 to 225 mg moderate none 0 to 1 yes
Intermediate potency Trilafon perphenazine 8 to 60 mg low low 0 to 1 yes
High potency Haldol haloperidol 2 to 40 mg low low 0 to 1 yes
High potency Navane thiothixene 10 to 60 mg low low 0 to 1 yes
High potency Orap pimozide 1 to 10 mg low low 0 to 1 yes
High potency Prolixin fluphenazine 1 to 5 mg low low 0 to 1 no
High potency Stelazine trifluoperazine 10 to 40 mg low low 0 to 1 yes

Mood Stabilizers Brand Generic Min / Max Range per 24 hrs Sedating Weight Gain Alcoholic Use
Daily Limit*1
Sexual Impairment
  Eskalith, Lithonate lithium carbonate 600 to 2400 mg low moderate no alcohol no
off label use Depakote, Depakene diralproex sodium valproic acid 750 to 1500 mg moderate high no alcohol no
off label use Keppra levetiracetam 1000 to 3000 mg high low no alcohol no
off label use Lamictal lamotrigine 50 to 200 mg moderate none no alcohol no
off label use Neurontin gabapentin 900 to 1800 mg low low no alcohol no
off label use Tegretol carbamazepine 600 to 1600 mg low none no alcohol no
off label use Topamax topiramate 25 to 400 mg low none no alcohol no
off label use Trileptal oxcarbazepine 600 to 1200mg low none no alcohol no
anti-depressnat / psychotic Etrafon amitriptyline & perphenazine 3 to 8 tabs/day high low 0 to 1 no
anti-depressnat / psychotic Symbyax olanzapine + fluoxetine HCL 6/25, 6/50, 12/25, 12/50 mg moderate moderate 0 to 1 yes

ADHD Brand Generic Min / Max Range per 24 hrs Sedating Weight Gain Alcoholic Use
Daily Limit*1
Sexual Impairment
  Adderall amphetamine / dextroamphetamine 2.5 to 40 mg none none 1 to 2 no
  Concerta methylphenidate long acting 18 to 72 mg none none 1 to 2 no
  Cylert pemoline 37.5 to 112.5 mg none none 1 to 2 no
  Dexedrine dextroamphetamine 5 to 40 mg none none 1 to 2 no
  Metadate CD methylphenidate long acting 20 to 60 mg none none 1 to 2 no
  Ritalin methylphenidate 10 to 60 mg none none 1 to 2 no
6 years and up Straterra atomoxetince HCL 0.5 mg/kg to 100mg/day low none no alcohol yes

Substance Abuse Brand Generic Min / Max Range per 24 hrs Sedating Weight Gain Alcoholic Use
Daily Limit*1
Sexual Impairment
alcohol craving Campral acamprosate calcium 1998 mg/day low none no alcohol yes
alcohol craving Revia naltrexone HCL 50mg up to 12 wks low none no alcohol no
alcohol aversion Antabuse disulfiram 500 mg taper down to 250 mg moderate none no alcohol no
opiod dependence Suboxone buprenorphine + naloxone 2mg/0.5mg or 8mg/2mg low none no alcohol no
opiod dependence Dolophine HCL methodone HCL 10 to 120mg moderate none no alcohol no
opiod dependence Subutex buprenorphine 4 to 24mg low none no alcohol no

Erectile Dysfunction Brand Generic Min / Max Range per 24 hrs Sedating Weight Gain Alcoholic Use
Daily Limit*1
Sexual Impairment
  Cialis tadalafil 5 to 20 mg none none 1 to 2 no
  Levitra vardenafil HCL 5 to 20 mg none none 1 to 2 no
  Viagra sildenafil citrate 25 to 100 mg none none 1 to 2 no


*1 Alcohol Use Caution
Alcoholic beverages should not be consumed by underage individuals. People who consume alcohol should not drive or operate motorized equipment. The effects of alcohol are age, sex, and weight dependent. In general, it is safer not to drink alcohol while taking psychiatric medication.

*2 Benzodiazepines are habit forming medications. Addiction prone individuals should only use them if there are no viable alternatives and then only for a short period of time (days to a few weeks).


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