Medications

Question 1

What is prozac / lovan?

Dose?

Answer 1

Fluoxetine

20mg-80mg daily

Question 2

What is Zoloft?

Dose?

Answer 2

Sertraline

50-200mg daily

Question 3

What is Cipramil?

Dose?

Answer 3

Citalopram
20mg - 40mg
Don’t go higher due to QTc

Question 4

What is Luvox?

Dose?

Answer 4

Fluvoxamine

50-150mg BD

Question 5

What is aropax / seroxat?

Answer 5

Paroxetine

20-60mg

Question 6

Lexapro

Answer 6

Escitalopram

10-20mg daily

Question 7

Lithium dose and levels (including units)

Answer 7

Start 250mg BD, weekly levels

Aim 0.6-0.8mmol/L

Question 8

Carbemazepine dose and levels (including units)

Answer 8

200mg BD –> 800mg BD

4-12mg/L

Question 9

Lamotrigene - hint slow titration
What do you do if they’re already on valproate / carbamazepine?
What to look out for / tell the patient to stop immediately

Answer 9

50mg daily for 2 weeks
Then 100mg daily for 2 weeks
Then 200mg daily
If on valproate / carbamazepine half the start dose
Look for rash --> stop ?Steven-Johnson's

Question 10

Valproate dose and levels (including units)

Answer 10

Start 300mg BD and increase by 200mg daily every 3 or 4 days.
or 20-30mg/kg load.
Levels 50-100mg/L

Question 11

Seroquel dose

Answer 11

Daily titration 100mg, 200mg, 300mg 400mg. Then escalate as needed to 800mg daily max.

Question 12

Amisulpride dose

Why is it good in hepatic failure?

Answer 12

200mg BD –> 400mg BD max

It’s renally excreted

Question 13

Donepazil dose

Answer 13

5mg at night for 1 month, then increase to 10mg nocte

Question 14

Anti-craving drugs in alcohol dependence include
Naltrexone
Acamprosate
How do they work, what are their doses?

Answer 14

Naltrexone - opioid receptor antagonist = 25mg test dose then 50mg daily
Acamprosate - GABA analogue = 666mg TID

Side effects common to both = nausea, vomiting, headache
Can’t use naltrexone in opiate users e.g. on endone
Can’t use acamprosate in severe hepatic / renal impairment