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
Enantioselective BINOL-Phosphoric Acid Catalyzed Pictet - Spengler Reactions of N -Benzyltryptamine Nishant V. Sewgobind, Martin J. Wanner, Steen Ingemann, FIGURE 1. Tetrahydro- -carbolines obtained via organocatalytic Rene´ de Gelder,† Jan H. van Maarseveen, andasymmetric Pictet-Spengler reactions. SCHEME 1. Pictet - Spengler Reaction Van’t Hoff Institute for Mo