Psychotropics

Amphetamine/dextroamphetamine (C-II) use

ADHD

narcolepsy (sleepy during day)

once daily!

Adderall, Adderall XR generic

amphetamine/dextroamphetamine

lisdexamfetamine (C-II) use

ADHD

binge eating disorder

once daily!

Vyvanse generic

lisdexamfetamine

escitalopram use

depression

anxiety

once daily!

Lexapro generic

escitalopram

escitalopram counseling

headache

insomnia/drowsiness

sexual dysfunction

fluoxetine use

depression

OCD

panic disorder

bipolar disorder

bulimia nervosa

once daily!

sarafem (fluoxetine) use

premenstrual dysphoric disorder (PDD)

fluoxetine counseling

sexual dysfunction

anorexia

diarrhea

asthenia (lack of energy)

Prozac or Sarafem generic

fluoxetine

duloxetine use

depression

anxiety

diabetic peripheral neuropathic pain

chronic musculoskeletal pain (ex- fibromyalgia)

once daily!

Cymbalta generic

duloxetine

duloxetine counseling

insomnia or drowsiness

take with food if upset stomach

sertraline use

depression

panic disorder

OCD

PTSD

PDD
social phobia

once daily!

zoloft generic

sertraline

sertraline counseling

headache

insomnia>drowsiness

take with food if upset stomach

sexual dysfunction

generic for Wellbutrin SR, Wellbutrin XL, Zyban

bupropion

SR dosing

1 tab PO daily for 3-7 days

then 1 bid (twice daily)

XL dosing

one 150 mg tab daily for 3-7 days

then 300mg tab daily

Wellbutrin use

depression

seasonal affective disorder (SAD)

Zyban use

smoking cessation

bupropion counseling

insomnia

begin 1 week before patient intends to quit smoking

amitriptyline use

major depressive disorder

migraine prevention (off label)

Elavil generic

amitriptyline

amitriptyline counseling

blurred vision

dry mouth

constipation

urinary retention

fatigue, drowsiness

quetiapine use

bipolar disorder

schizophrenia

depression

Seroquel generic

quetiapine

quetiapine counseling

drowsiness

weight gain

increased bp, tachycardia

increased appetite

dizziness

aripiprazole use

bipolar disorder

schizophrenia

treatment-resistant depression (adjunct)

irritability

Abilify generic

aripiprazole

aripiprazole counseling

drowsiness or insomnia

weight gain

movement disorders

lamotrigine use

seizures

bipolar disorder

Lamictal generic

lamotrigine

lamotrigine dosing

daily, BID

lamotrigine counseling

nausea/vomitting

drowsiness/dizziness

skin rash (Stevens-Johnson Syndrome)- titrate dose to avoid

visual disturbance

divalproex sodium use

seizures

bipolar disorder

migraine prevention

Depakote (DR), Depakote ER generic

divalproex sodium

Depakote DR dosing

TID

Depakote ER dosing

once daily

divalproex sodium counseling

drowsiness/dizziness

tremor

muscle weakness

upset stomach (take w food)

levetiracetam use

seizures

Keppra, Keppra XR generic

levetiracetam

levetiracetam counseling

drowsiness/dizziness

asthenia

headache

Keppra dosing

BID

Keppra XR dosing

once daily

trazadone use

depression

non-FDA: insomnia

Desyrel generic

trazadone

trazadone for depression dosing

BID, TID

trazadone for insomnia

once daily at bedtime

trazadone counseling

drowsiness

take with food to increase absorption

eszopiclone (C-IV) use

insomnia- sleep onset and maintenance

Lunesta generic

eszopiclone

eszopiclone counseling

headache

dysgeusia (altered taste)

limit long term use >4 weeks