PMHNP-BC Medications Flashcards
1
Q
Celexa (citalopram) Dosing
A
- 20 - 40 mg/day
- Tablets: 10, 20, 40 mg (scored)
- Solution: 10 mg/5 mL
2
Q
Lexapro (escitalopram) Dosing
A
- 10 - 20 mg/day
- Tablets: 10, 20 mg (scored)
- Solution: 5 mg/5 mL
3
Q
Prozac (fluoxetine) Dosing
A
- 20 - 80 mg/day
- Tablets: 10 (scored/non-scored), 20 mg
- Capsule: 10, 20 40 mg
- Solution: 20 mg/5mL
4
Q
Luvox (fluvoxamine) Dosing
A
- 50 - 300 mg/day
- 50 - 200 mg/day (children)
- Tablets: 25, 50, 100 mg
- ER formulation: 100, 150 mg
5
Q
Paxil (paroxetine) Dosing
A
- 20 - 60 mg/day (IR)
- 12.5 - 75 mg/day (DR)
- Tablets: 10, 20 (scored), 30, 40 mg
- Solution: 10 mg/5 mL
- DR formulation: 12.5, 25, 37.5 mg
6
Q
Zoloft (sertraline) Dosing
A
- 25 - 200 mg/day
- Tablets: 25, 50, 100 mg
- Solution: 20 mg/1 mL
7
Q
Viibryd (vilazodone) Dosing
A
- 20 - 40 mg/day
- Tablets: 10, 20, 40 mg
8
Q
Trintellix/Brintellix (vortioxetine) Dosing
A
- 5 - 20 mg/day
- Tablets (Trintellix): 5, 10, 20 mg
- Tablets (Brintellix): 5, 10, 15, 20 mg
9
Q
Cymbalta (duloxetine) Dosing
A
- 20 - 60 mg/day
- 20 - 30 mg for twice-daily therapy
- Tablets: 20, 30, 60 mg
10
Q
Effexor (venlafaxine) Dosing
A
- 75 - 225 mg/day (2 - 3 doses for IR tablets)
- Tablets: 25, 37.5, 50, 75, 100 mg
- ER Capsules: 37.5, 75, 150 mg
11
Q
Pristiq (desvenlafaxine) Dosing
A
- 25 - 100 mg/day (most therapeutic dose is 50 mg/day)
- ER Tablets: 25, 50, 100 mg
12
Q
Qelbree (viloxazine) Dosing
A
- 200 - 400 mg once daily
- ER Tablets: 100, 150, 200 mg
13
Q
Wellbutrin (bupropion) Dosing
A
- 100 - 450 mg (IR)
- 200 - 400 mg (SR)
- 150 - 450 (ER)
- IR (TID): 75, 100, 150 mg
- SR (BID): 100, 150, 200, 300 mg
- ER (Daily): 150, 300 mg
14
Q
Remeron (mirtazipine) Dosing
A
- 7.5 - 45 mg/nightly
- Tablets: 15, 30, 45 mg scored
- Disintegrating: 15, 30, 45 mg
15
Q
Trazodone (desyrel) Dosing
A
- 150 - 600 mg/day
- Tablets: 50, 100, 150, 300 mg
16
Q
Elavil/Endep (amitriptyline) Dosing
A
- 150 - 300 mg/day
17
Q
Pamelor/Aventyl (nortriptyline) Dosing
A
- 25 - 150 mg/day (most patients up to 75 mg)
18
Q
Ketamine (esketamine) Dosing
A
- IV: 0.1 mg/kg - 1.0 mg/kg
- 0.5 mg/kg over 40 min weekly x 2 - 3 weeks
- Intranasal: 56 - 84 mg given two times/week (2-4 weeks), once/week (5-9 weeks)
- Failed trial: 4-weeks w/ no response
19
Q
Buspar (buspirone) Dosing
A
- 15 - 60 mg/day (divided doses into BID/TID)
- Start at 7.5 BID or 5 mg TID, increase by 5 mg/day q 2-3 days
- Target dose: 20 - 30 mg/day BID/TID
- Scored tablets: 5, 10 mg
- Triple-scored tablets: 15, 30 mg
20
Q
Atarax (hydroxyzine) Dosing
A
- 50 - 100 mg TID/QID
- Tablets: 10, 25, 50, 100 mg
- Solution: 10 mg/5 mL
21
Q
Inderal (propranolol) Dosing
A
- 10 - 40 mg BID/TID 30 min prior to anxiety-provoking situation
22
Q
Gabpentin (neurontin) Dosing
A
- 100 - 3600 mg/day
- Average doses between 1200 - 2400 mg/day
- Hypnotic doses: 600 - 800 mg
- Capsules: 100, 300, 400 mg
- Tablets: 600, 800 mg
- Solution: 250 mg / 5 mL
- ER Capsule (Horizant): 300, 600 mg
23
Q
Minipress (prazosin) Dosing
A
- 1 - 10 mg/day QHS or BID
- Capsule: 1, 2, 5 mg
23
Q
Catapres (clonidine) Dosing
A
- 0.1 - 0.2 mg Q4-6 h PRN
- 0.1 - 0.2 mg QD/BID
- Tablet: 0.1, 0.2, 0.3 mg
- ER: 0.1, 0.2 mg
- Patch: 0.1, 0.2, 0.3 mg/day
24
Topamax (topiramate) Dosing
- 50 - 300 mg/day
- Unscored tablets: 25, 100, 200 mg
- Initial dosing 25 mg/nightly
25
Lithium Dosing
- 300 - 2400 mg/day
- Start 300 - 600 mg QHS
- Increase 300 - 600 mg q 3 days
- Capsules: 150, 300, 600
- Tablets: 300 mg
- ER Tablets: 300, 450 mg (scored)
- Solution: 300 mg/5 mL
26
Tegretol (carbamazepine) Dosing
- 200 - 800 mg BID
- Start at 200 mg BID, increase by 200 mg/day q 3-4 days
- Target: 400 - 600 mg ID
- Chewables: 100, 200
- Tablets: 100, 200, 300, 400 mg (scored)
- ER Tablets: 100, 200, 400 mg
- ER Capsules: 100, 200, 300 mg
- Solution: 100 mg/5 mL
27
Lamictal (lamotrigine) Dosing
- 25 - 200 mg/day
- Start 25 mg QD x 2 weeks, 50 mg QD x 2 weeks, 100 mg QD
- Tablets: 25, 50, 100, 150, 200 mg (scored)
- Chewables: 2, 5, 25 mg
- Disintegrating: 25, 50, 100, 200 mg
- ER Tablets: 25, 50, 100, 200, 250, 300 mg
28
Trileptal (oxcarbazepine) Dosing
- 300 - 2400 mg/day
- Start 300 mg BID, increase by 300 mg daily q 3 days
- Target dose: 600-1200 mg BID
- Tablets: 150, 300, 600 mg (scored)
- Solution: 300 mg/5 mL
- ER tablets: 150, 300, 600 mg
29
Depakote (valproic acid) Dosing
- 250 - 4000 mg/day
- Target: 1000-1500 mg/day
- Start 250-500 mg QHS, increase rapidly to serum level 50-125 mcg/mL
- Capsules: 250 mg
- Solution: 250 mg/5 mL
- DR Tablets: 125, 250, 500 mg
- DR Capsules: 125 mg
- ER Tablets: 250, 500 mg
30
Rexulti (brexpiprazole) Dosing
- 1 - 4 mg/day
- Start 1 mg/day then increase 1 mg q 3-4 days
- Tablets: 0.25, 0.5, 1, 2, 3, 4 mg
31
Abilify (aripiprazole) Dosing
- 2 - 30 mg/day
- Start/target dose 10-15 mg/day (schizophrenia/bipolar)
- Start 2-5 mg/day and increase 5-10 mg/day (depression)
- Tablets: 2, 5, 10, 15, 20, 30 mg
- Disintegrating: 10, 15, 20, 30 mg
- Solution: 1 mg/mL
32
Vraylar (cariprazine) Dosing
- 1.5 - 6 mg/day
- Start 1.5 mg/day, increase 1.5-3 mg/day q 3-4 days
- Capsules: 1.5, 3, 4.5, 6 mg
33
Thorazine (chlorpromazine) Dosing
- 10 - 1000 mg/day
- Target range 200-600 mg/day
- Start 10-25 mg TID, increase 20-50 mg/day q 3-4 days
- Tablets: 10, 25, 50, 100, 20
- Solution: 30 mg/mL, 100 mg/mL
34
Clozaril (clozapine) Dosing
- 12.5 - 900 mg/day (BID/TID)
- Start 12.5 QD/BID, increase by 25-50 mg/day to target 300-450 mg/day at end of 2 weeks
- Tablets: 25, 100 mg (scored)
- Disintegrating: 12.5, 25, 100, 150, 200 mg
- Solution: 50 mg/mL
35
Prolixin (fluphenazine) Dosing
- 1 - 40 mg/day
- Start 1-2.5 mg BID
- Target dose: 2.5-20 mg day (BID)
- Tablets: 1, 2.5, 5, 10 mg
- Solution: 2.5 mg/5 mL
- Concentrate: 5 mg/5 mL
- Injection: 2.5 mg/mL
36
Haldol (haloperidol) Dosing
- 1 - 100 mg/day (rarely use > 20 mg/day)
- Usual dose range: 5-20 mg/day
- Tablets: 0.5, 1, 2, 5, 10, 20 mg (scored)
- Concentrate: 2 mg/mL
- Injection: 5 mg/mL
37
Caplyta (lumateperone) Dosing
- Start, target, max dose of 42 mg QD
- No titration needed
- Capsules: 10.5, 21, 42
38
Latuda (lurasidone) Dosing
- 40 - 160 mg/day
- Start 40 mg QD (with 350 calories of food), w/ no titration required
- Doses > 80 mg/day rarely more effective
- Tablets: 20, 40, 60, 80, 120 mg
39
Zyprexa (olanzapine) Dosing
- 2.5 - 20 mg/day
- Start 5-10 mg QD, increase by 5 mg weekly
- Target dose 10-20 mg QD
- Tablets: 2.5, 5, 7.5, 10, 15, 20
- Disintegrating: 5, 10, 15, 20
40
Invega (paliperidone) Dosing
- 3 - 12 mg/day
- Start at 3 - 6 mg/day and increase by 3 mg q 5 days
- Tablets: 1.5, 3, 6, 9 mg
41
Risperdal (risperidone) Dosing
- 2 - 16 mg/day
- Start at 1 mg/day or BID and increase by 1 mg daily to target of 4 - 8 mg/day
- Tablets: 0.25, 0.5, 1, 2, 3 mg
- Disintegrating: 0.5, 1, 2, 3, 4 mg
- Solution: 1 mg/mL
42
Geodon (ziprasidone) Dosing
- 20 - 160 mg/day
- Start at 20 mg BID w/ meals, increase by 40 mg/day q 2-3 days
- Target dose 60-80 mg BID
- Capsules: 20, 40, 60, 80 mg
43
Abilify Maintena (aripiprazole) Dosing
- Monthly
- 300, 400 mg
- Oral overlap for 14 days
44
Abilify Asimtufii (aripiprazole) Dosing
- Q2 months
- 720, 960 mg
- Oral overlap for 14 days
45
Aristada (aripiprazole lauroxil) Dosing
- Monthly, q6 weeks, q2 months
- 441, 662, 882, 1064 mg
- Oral overlap for 21 days
46
Aristada Initio (aripiprazole lauroxil) Dosing
- Monthly, q6 weeks, q2 months
- 675 mg
- aripiprazole 30 mg PO x 1 dose
47
Invega Sustenna (paliperidone palmitate) Dosing
- Q4 weeks
- 39, 78, 117, 156, 234 mg
- 234 mg IM x 1, 156 mg IM 1 week later
- No oral overlap
48
Invega Trinza (paliperidone palmitate) Dosing
- Q3 months
- 273, 410, 546, 819 mg
- No overlap
49
Invega Hafyera (paliperidone palmitate) Dosing
- Q6 months
- 1,092, 1,560 mg
- No oral overlap
50
Perseris (risperidone) Dosing
- Monthly
- 90 or 120 mg SQ
- No oral overlap
51
Uzedy (risperidone) Dosing
- Monthly or q2 months
- 50, 75, 100, 125, 150, 200, 250 mg
- No oral overlap
52
Risperdal Consta (risperidone) Dosing
- Q2 weeks
- 12.5, 25, 37.5, 50 mg
- With usual oral dose x 21 days
53
Rykindo (risperidone) Dosing
- Q2 weeks
- 12.5, 25, 37.5, 50 mg
- With usual oral dose for 7 days
54
Haldol Decanoate (haloperidol decanoate) Dosing
- Q4 weeks
- 50, 100 mg/mL
- Decrease PO dose by 50% after first injection, then D/C oral after 2nd injection
- No PO overlap if loading dose of 20 mg given x 1
55
Prolixin Decanoate (fluphenazine decanoate) Dosing
- Q2-3 weeks
- 25 mg/mL
- Continue PO dose x 2-3 days, then decrease by 50% increments q 2-3 days
56
Silenor (doxepin) Dosing
- 3 - 6 mg QHS
- Silenor - start/target/max of 6 mg QHS (3 mg in elderly)
- Do not eat within 3 hrs
- Doxepin - start 10 mg
- Tablet: 3, 6 mg
- Capsule: 10, 25, 50, 75, 100, 150
- Solution: 10 mg/mL
57
Unisom (doxylamine) Dosing
- 25 - 50 mg QHS
- Tablet: 25 mg
58
Klonopin (clonazepam) Dosing
- 0.5 - 2 mg BID/TID
- 0.25 - 1 QHS
- Tablet: 0.5, 1, 2 mg
- Disintegrating: 0.125, 0.25, 0.5, 1- 2 mg
59
Ativan (lorazepam) Dosing
- 1 - 5 mg BID (QD for XR)
- 1 - 4 mg QHS
- Tablet: 0.5, 1, 2 mg
- ER capsule: 1, 1.5, 2, 3 mg
- Liquid: 2 mg/mL
- Injection: 2 mg/mL, 4 mg/mL
60
Restoril (temazepam) Dosing
- 15 - 30 mg QHS
- Capsule: 7.5, 15, 22.5, 30 mg
61
Halcion (triazolam) Dosing
- 0.25 - 0.5 mg QHS
- Take immediately before bed
- Tablet: 0.125, 0.25 mg
62
Lunesta (eszopiclone) Dosing
- 1 - 3 mg QHS
- Start 1 mg QHS, take immediately before falling asleep (avoid fatty meal before)
- Tablet: 1, 2, 3 mg
63
Sonata (zaleplon) Dosing
- 10 - 20 mg QHS
- Avoid fatty meal by 2 hrs
- Capsule: 5, 10 mg
64
Ambien (zolpidem) Dosing
- 10 - 12.5 mg QHS
- 5 - 6.25 mg QHS in women
- Tablet: 5, 10 mg
- ER: 6.25, 12.5 mg
- SL: 5, 10 mg
- Oral spray: 5 mg/spray
65
Intermezzo (zolpidem low dose) Dosing
- 1.75 mg QHS (women)/3.5 mg QHS (men)
- SL: 1.75, 3.5
66
Rozerem (ramelteon) Dosing
- 8 mg QHS
- Tablet: 8 mg
67
Belsomra (suvorexant) Dosing
- 10 - 20 mg QHS
- Start at 10 QHS 30 min before bedtime
- Avoid fatty meals/take 1 hour after eating
68