providing mental health &
substance abuse  services for
the people of Alameda County ...  

 
Click here to go to homepage!
 

Medicare Part D
Med. & Pharmacy User Guide
Guidelines for Practices
Medication Consent
MIA Medication Program
Antipsychotic Monitoring
Drug Information Updates
Continuing Med. Education
Newsletter

Print This Page


Click here to send us your feedback.

Last Updated:  08/21/2007

Copyright © 2005
Alameda County Behavioral Health Care Services

 


BHCS Medication and Pharmacy User Guide  Printer Friendly Version

[ Table of Contents ] [ Directory ] [ Prescription ] [ Medication Formulary System ] [ Abnormal Involuntary Movement Scale ] [ Positive and Negative Syndrome Scale ] [ Psychoactive Medication Dosing Ranges ] [ Drug Distribution Policy and Procedures ]

 
Psychoactive Medication Daily Dosing

(Approved by the BHCS Psychiatric Practices Committee, June 26, 2002)


Childhood & Adolescent

ANTIPSYCHOTIC AGENTS
[1st Generation]

CHILDHOOD DOSE
AGE 4-12 YEARS

ADOLESCENT DOSE
AGE 12-19 YEARS

chlorpromazine (Thorazine)

10 - 100 mg

10 - 200 mg

fluphenazine (Prolixin)

1 - 10 mg

1 - 20 mg

haloperidol (Haldol)

0.5 - 10 mg

0.5 - 20 mg

perphenazine (Trilafon)

2 – 16 mg

2 – 64 mg

*thioridazine (Mellaril)

10 – 100 mg

10 – 200 mg

thiothixene (Navane)

1 – 20 mg

1 – 40 mg

trifluoperazine (Stelazine)

1 – 10 mg

2 – 20 mg

ANTIPSYCHOTIC AGENTS
[2nd Generation]

CHILDHOOD DOSE

ADOLESCENT DOSE

clozapine (Clozaril)

not used

200 – 450 mg (>16 years)

olanzapine (Zyprexa)

1.25 – 15 mg

1.25 – 20 mg

quetiapine (Seroquel)

25 – 600 mg

25 – 800 mg

risperidone (Risperdal)

0.5 – 4 mg

0.5 – 6 mg

ziprasidone (Geodon)

10 – 120 mg

10 – 160 mg

aripiprazole (Abilify)

5 – 15 mg

5 – 15 mg

MOOD STABILIZERS

CHILDHOOD DOSE

ADOLESCENT DOSE

carbamazepine (Tegretol)

200 – 800 mg

200 – 1200 mg

gabapentin (Neurontin)

300 – 1800 mg

600 – 3600 mg

lithium carbonate

300 – 900 mg

300 – 1200 mg

#oxcarbazepine (Trileptal)

150 – 1200 mg

300 – 1800 mg

valproic acid/divalproex  (Depakene/Depakote)

125 – 750 mg

125 – 1250 mg

ANTIDEPRESSANTS [Tricyclic agents]

CHILDHOOD DOSE

ADOLESCENT DOSE

clomipramine (Anafranil)

25 – 100 mg

25 – 200 mg

desipramine (Norpramin)

not used

25 – 100 mg

imipramine (Tofranil)

10 – 75 mg

10 – 100 mg

nortriptyline (Aventyl, Pamelor)

not used

30 – 50 mg

bupropion (Wellbutrin)

37.5 – 225 mg

75 – 300 mg

citalopram (Celexa)

10 – 40 mg

10 – 60 mg

ANTIDEPRESSANTS [Selective agents]

CHILDHOOD DOSE

ADOLESCENT DOSE

fluoxetine (Prozac)

10 – 20 mg

10 – 60 mg

fluvoxamine (Luvox)

25 – 200 mg

25 – 300 mg

mirtazapine (Remeron)

15 – 30 mg

15 – 45 mg

nefazodone (Serzone)

100 – 300 mg

100 – 600 mg

paroxetine (Paxil)

0 – 20 mg

10 – 50 mg

sertraline (Zoloft)

25 – 50 mg

25 – 100 mg

trazodone (Desyrel)

25 – 50 mg

25 – 400 mg

venlafaxine (Effexor)

12.5 – 37.5 mg

25 – 75 mg

STIMULANTS

CHILDHOOD DOSE

ADOLESCENT DOSE

dextroamphetamine (Dexedrine)

2.5 – 40 mg

5 – 40 mg

#*dextromethylphenidate (Focalin)

2.5 – 30 mg

2.5 – 30 mg

methylphenidate (Ritalin)

2.5 – 60 mg

5 – 60 mg

#mixed amphetamine salts (Adderall)

2.5 – 30 mg

5 – 30 mg

#*pemoline (Cylert)

18.75 mg

37.5 – 112.5 mg

ANTIANXIETY/HYPNOTICS

CHILDHOOD DOSE

ADOLESCENT DOSE

buspirone (BuSpar)

5 – 20 mg

10 – 45 mg

clonazepam (Klonopin)

0.25 – 4 mg

0.25 – 6 mg

diazepam (Valium)

1 – 10 mg

2 – 15 mg

hydroxyzine (Atarax, Vistaril)

25 – 50 mg

25 – 100 mg

lorazepam (Ativan)

0.25 – 4mg

0.25 – 6 mg

temazepam (Restoril)

15 mg

15 – 30 mg

ANTIPARKINSONIAN AGENTS

CHILDHOOD DOSE

ADOLESCENT DOSE

benztropine (Cogentin)

0.5 – 4 mg

0.5 – 6 mg

diphenhydramine (Benadryl)

15 – 50 mg

15 – 100 mg

trihexyphenidyl (Artane)

1 – 10 mg

1 – 15 mg

MISCELLANEOUS AGENTS

CHILDHOOD DOSE

ADOLESCENT DOSE

#clonidine (Catapres)

0.05 – 0.3 mg

0.05 – 0.4 mg

guanfacine (Tenex)

0.5 – 4 mg

0.5 – 4 mg

*restricted usage, not to be used as first-line agent

#not on BHCS formulary

top


Adult Daily Dosing

 

ANTIPSYCHOTICS

BRAND

DAILY DOSING RANGE ADULT

aripiprazole*

Abilify

5 - 15 mg

chlorpromazine

horazine

10 - 1000 mg

clozapine

Clozaril

300 - 900 mg

fluphenazine

Prolixin

1 - 40 mg

fluphenazine decanoate

Prolixin Dec.

12.5 - 100 mg q 2-4 wks

haloperidol

Haldol

1 - 40 mg

haloperidol decanoate

Haldol Dec.

25 - 200 mg q 4 wks

loxapine

Loxitane

0 - 250 mg

molindone

Moban

15 - 225 mg

olanzapine

Zyprexa

5 - 20 mg

perphenazine

Trilafon

12 - 64 mg

quetiapine**

Seroquel

50 - 800 mg

risperidone

Risperdal

0.5 - 8 mg

thioridazine

Mellaril

40 - 800 mg

thiothixene

Navane

6 - 60 mg

trifluoperazine

Stelazine

2 - 40 mg

ziprasidone***

Geodon

80 - 160 mg

ANTIDEPRESSANTS

BRAND

ADULT

amitriptyline

Elavil

50 - 300 mg

bupropion

Wellbutrin

150 - 450 mg

citalopram

Celexa

20 - 60 mg

clomipramine

Anafranil

25 - 250 mg

desipramine

Norpramin

25 - 300 mg

doxepin

Sinequan

25 - 300 mg

fluoxetine

Prozac

10 - 80 mg

fluvoxamine

Luvox

50 - 300 mg

imipramine

Tofranil

30 - 300 mg

mirtazapine

Remeron

15 - 45 mg

nefazodone

Serzone

200 - 600 mg

nortriptyline

Pamelor

30 - 150 mg

paroxetine

Paxil

10 - 50 mg

phenelzine

Nardil

45 - 90 mg

protriptyline

Vivactyl

15 - 60 mg

sertraline

Zoloft

50 - 200 mg

trazodone

Desyrel

50 - 600 mg

venlafaxine

Effexor

75 - 375 mg

MOOD STABILIZERS

BRAND

ADULT

cabamazepine

Tegretol

400 - 1600 mg

gabapentin

Neurontin

300 - 3600 mg

lamotrigine

Lamictal

0 - 500 mg

lithium

Eskalith

600 - 1800 mg

valproic acid

Depakote

500 - 3000 mg

ANTIPARKINSONIANS

BRAND

ADULT

benztropine

Cogentin

1 - 8 mg

diphenhydramine

Benadryl

25 - 200 mg

trihexyphenidyl

Artane

2 - 15 mg

amantadine

Symmetrel

100 - 400 mg

HYPNOTICS/ANTIANXIETY

 BRAND

 ADULT

alprazolam

Xanax

0.75 - 10 mg

chlordiazepoxide

Librium

10 - 300 mg

clonazepam

Klonopin

1.5 - 15 mg

diazepam

Valium

4 - 40 mg

flurazepam

Dalmane

15 - 30 mg

lorazepam

Ativan

1 - 10 mg

temazepam

Restoril

7.5 - 30 mg

triazolam

Halcion

0.125 - 0.5 mg

buspirone

Buspar

15 - 60 mg

chloral hydrate

Noctec

250 - 1000 mg

zaleplon

Sonata

5 - 20 mg

zolpidem

Ambien

5 - 10 mg

PSYCHOSTIMULANTS

BRAND

ADULT

dextroamphetamine

Dexedrine

5 - 60 mg

methylphenidate

Ritalin

5 - 60 mg

methylphenidate (extended-release)

Concerta

18 - 54 mg

pemoline

Cylert

37.5 - 75 mg

MISC. AGENTS

BRAND

ADULT

clonidine

Catapres

0.1 - 0.8 mg

disulfiram

Antabuse

250 - 500 mg

hydroxyzine

Atarax

50 - 400 mg

propranolol

Inderal

20 - 240 mg

*      quetiapine (Seroquel) doses should be at least 400 mg within 3 months of initiation.

**    aripiprazole (Abilify) initiated at doses of 5-15 mg and should be maintained at that dose for at least 4 weeks.

***  ziprasidone (Geodon) should be titrated to 120 – 160 mg within the first two months of treatment.

top