QUICK REFERENCE TO PSYCHIATRIC MEDICATIONS® DEVELOPED BY JOHN PRESTON, PSY.D., ABPP AND BRET A. MOORE, 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 prescribing
of 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 Usual Selective Action On
NAMES Daily Dosage Neurotransmitters2
Generic Brand Range Sedation ACH1 NE 5-HT DA

desipramine Norpramin 150-300 mg low low +++++ 0 0

amitriptyline Elavil 150-300 mg high high ++ ++++ 0
nortriptyline Aventyl, Pamelor 75-125 mg mid mid +++ ++ 0
trazodone Oleptro 150-400 mg mid none 0 ++++ 0
nefazodone Generic Only 100-300 mg mid none 0 +++ 0
fluoxetine Prozac4, Sarafem 20-80 mg low none 0 +++++ 0
bupropion Wellbutrin4 150-400 mg low none ++ 0 ++
sertraline Zoloft 50-200 mg low none 0 +++++ +
paroxetine Paxil 20-50 mg low low + +++++ 0
venlafaxine Effexor4 75-350 mg low none +++ +++ +
desvenlafaxine Pristiq 50-400 mg low none +++ +++ +
fluvoxamine Luvox 50-300 mg low low 0 +++++ 0
mirtazapine Remeron 15-45 mg mid mid +++ +++ 0
citalopram Celexa 10-40 mg low none 0 +++++ 0
escitalopram Lexapro 5-20 mg low none 0 +++++ 0
duloxetine Cymbalta 20-80 mg low none +++ +++ 0
vilazodone Viibryd 10-40 mg low low 0 +++++ 0
atomoxetine Strattera 60-120 mg low low +++++ 0 0
vortioxetine Trintellix 10-20 mg mid none 0 +++++ +
levomilnacipran Fetzima 40-120 mg low none +++ ++ 0
MAO INHIBITORS
phenelzine Nardil 30-90 mg low none +++ +++ +++
tranylcypromine Parnate 20-60 mg low none +++ +++ +++
selegiline Emsam (patch) 6-12 mg low none +++ +++ +++
ATYPICAL ANTIDEPRESSANTS
brexanolone Zulresso see footnote 5 … … see footnote 5 … …
esketamine Spravato see footnote 6 … … see footnote 6 … …
1
ACH: Anticholinergic Side Effects
2
NE: Norepinephrine, 5-HT: Serotonin, DA: Dopamine (0 = no effect, + = minimal effect, +++ = moderate effect, +++++ = high effect)
3
Uncertain, but likely effects
4
Available in standard formulation and time release (XR, XL or CR). Prozac available in 90mg time released/weekly formulation
5
This medication is used to treat postpartum depression. It is administered IV over a period of 60 hours.
6
This medication is used to treat severe, acute suicidal impulses and treatment resistant depression. It is administered via nasal spray and doses vary considerably.

BIPOLAR DISORDER MEDICATIONS NAMES

NAMES Daily Serum1 Daily Serum1
Generic Brand Dosage Range Level Generic Brand Dosage Range Level

lithium carbonate Eskalith, Lithonate 600-2400 0.6-1.5 divalproex Depakote 750-1500 50-100
olanzapine/ lamotrigine Lamictal 50-500 (2)
fluoxetine Symbyax 6/25-12/50mg4 (2) oxcarbazepine Trileptal 1200-2400 (2)
Note: Many antipsychotic medications are used to treat various aspects
carbamazepine Tegretol,Equetro 600-1600 4-10+ of bipolar disorder (see page two for a list)
1
Lithium levels are expressed in mEq/l, carbamazepine and valproic acid levels express in mcg/ml.
2
Serum monitoring may not necessary 3Not yet established 4Available in: 6/25, 6/50, 12/25, and 12/50mg formulations

PSYCHO-STIMULANTS PSYCHO-STIMULANTS

NAMES
NAMES
Generic Brand Daily Dosage1 Generic Brand Daily Dosage1
methylphenidate3 Ritalin 5-50 mg lisdexamphetamine Vyvanse 30-70 mg
methylphenidate3 Concerta2 18-54 mg d- and l-amphetamine Adderall 5-40 mg
methylphenidate3 Metadate 5-40 mg modafinil Provigil, Sparlon 100-400 mg
methylphenidate3 Methylin 10-60 mg armodafanil Nuvigil 150-250 mg
methylphenidate3 Daytrana (patch) 15-30 mg amphetamine salts Mydayis 12.5-50 mg
methylphenidate3 Quillivant XR (liquid)2 10-60 mg amphetamine sulfate Adzenys 3.1-18.8 mg
dexmethylphenidate Focalin 5-40 mg amphetamine salts Evekeo 5-40 mg
dextroamphetamine Dexedrine 5-40 mg

1
Note: Adult Doses. 2Sustained release 3Note: Many generic brands have emerged recently. Included here are the most common.
© Copyright 2019, John Preston, Psy.D and P.A. Distributors
 ANTIPSYCHOTICS
NAMES
Weight4 Metabolic
Generic Brand Dosage Range1 Sedation Ortho2 EPS3 Gain Equivalence5
Side Effects

LOW POTENCY
chlorpromazine Thorazine 50-800 mg high high + + +++++ +++++ 100 mg
clozapine Clozaril 300-900 mg high high 0 +++++ +++++ 50 mg
quetiapine Seroquel 150-600 mg
mid mid +/0 +++ ++++ 50 mg
HIGH POTENCY
perphenazine Trilafon 8-60 mg
mid mid +++++
0/+ 0/+ 10 mg
haloperidol Haldol 2-40 mg low low +++++ 0/+ ++ 2 mg
pimozide Orap 1-10 mg low low +++++ +/0 ++ 1-2 mg
risperidone Risperdal 4-6 mg
low mid + ++ 0/+ 1-2 mg
paliperidone Invega 3-12 mg low mid + ++ 0/+ 1-2 mg
olanzapine Zyprexa 5-20 mg
mid low +/0 +++++ +++++ 1-2 mg
ziprasidone Geodon 60-160 mg
low mid +/0 0/+ 0/+ 10 mg
iloperidone Fanapt 12-24 mg mid mid + ++ 0/+ 1-2 mg
asenapine Saphris 10-20 mg low low + ++ 0/+ 1-2 mg
lurasidone Latuda 40-80 mg
mid mid + 0/+ 0/+ 10 mg
aripiprazole Abilify 15-30 mg low low ++ 0/+ 0/+ 2 mg
brexpiprazole Rexulti 1-4 mg
low low +
0/+ 0/+ 1 mg
cariprazine Vraylar 1.5-6 mg +/0 1
low low +/0 0/+ mg

1
Usual daily oral dosage.
2
Orthostatic Hypotension. Dizziness and falls.
3
Acute: Parkinson’s, dystonias, akathisia. Does not reflect risk for tardive dyskinesia. All neuroleptics may cause tardive dyskinesia, except clozapine.
4
Monitor BMI.
5
Must monitor for blood lipids, fasting glucose, baseline at 12 weeks, and then atleast annually.
6
Dose required to achieve efficacy of 100 mg chlorpromazine.
7
In recent times a number of second generation antipsychotics have been developed in injectable form for acute treatment and longer term prophylaxis. These are not mentioned
in this quick reference.
8
Note: Many antipsychotic medications are approved for the treatment of various phases of bipolar disorder.

ANTI-ANXIETY HYPNOTICS
NAMES Single Dose NAMES Single Dose
Generic Brand Dosage Range Equivalence1 Generic Brand Dosage Range

BENZODIAZEPINES temazepam Restoril 15-30 mg

diazepam Valium 2-10 mg 5 mg triazolam Halcion 0.25-0.5 mg
zolpidem Ambien 5-10 mg
chlordiazepoxide Librium 10-50 mg 25 mg zolpidem Intermezzo 1.75 mg
clonazepam Klonopin 0.5-2.0 mg 0.25 mg zaleplon Sonata 5-10 mg
lorazepam Ativan 0.5-2.0 mg 1 mg eszopiclone Lunesta 1-3 mg
alprazolam Xanax 0.25-2.0 mg 0.5 mg ramelteon Rozerem 4-16 mg
OTHER ANTIANXIETY AGENTS diphenhydramine Benadryl 25-100 mg
buspirone BuSpar 5-20 mg doxepin Silenor 3-6 mg
gabapentin Neurontin 200-600 mg suvorexant Belsomra 15-40 mg
hydroxyzine Atarax, Vistaril 10-50 mg
propranolol Inderal 10-80 mg
OVER THE COUNTER
Name Daily Dose
atenolol Tenormin 25-100 mg St. John’s Wort1, 2 600-1800 mg
guanfacine Tenex, Intuniv 0.5-3 mg SAM-e3 400-1600 mg
clonidine Catapres, Kapvay 0.1-0.3 mg Omega-34-EPA 1-2 g
pregabalin Lyrica 25-450 mg Folic Acid7 400-800 mcg
prazosin2 Minipress 5-20 mg L-methylfolate7, 8 7.5-15 mg
N-acetylcysteine5 1200-2400 mg
ANTI OBSESSIONALS Chamomile6 200-1500 mg
Clomipramine Anafranil 150-300 mg 5-HTP7 300-600 mg
All SSRIs Magnesium L-Threonate 8 500-2000 mg
1
Treats depression and anxiety 5
For trichotillomania
1
Doses required to achieve efficacy of 5 mg of diazepam 2
May cause significant drug-drug interactions 6Treats anxiety
2
For treatment of nightmares and day time anxiety 3
Treats depression 7
Treats depression
4
Treats depression and bipolar disorder 8
Treats sleep
9
Note: also available as Deplin 1-methylfolate (prescription) 7.5-15 mg

REFERENCES and RECOMMENDED BOOKS

Quick Reference & Bipolar Medications • Free Books • Free Downloads
Website: www.PsyD-fx.com
Handbook of Clinical Clinical Psychopharmacology Made Bipolar Medications Child and Adolescent
Psychopharmacology For Therapists Ridiculously Simple 8th Edition A Concise Guide Psychopharmacology Made Simple
(2017) Preston, O’Neal and Talaga (2020) Preston, Moore and Johnson (2019) Preston: Free Download (2015) Preston, O’Neal, Talaga