Medication Consent Form & Drug Information

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Drug information sheets are available in English and other language translations.

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English  

Medication Consent Form

Medication Information Sheets:

Antidepressant/Antianxiety medications:

• Amitriptyline (Elavil)

• Bupropion (Wellbutrin)

• Citalopram (Celexa)

• Desipramine (Norpramin)

• Doxepin (Sinequan)

• Duloxetine (Cymbalta)

• Escitalopram (Lexapro)

• Fluoxetine (Prozac)

• Fluvoxamine (Luvox)

• Mirtazapine (Remeron)

• Nortriptyline (Pamelor)

• Paroxetine (Paxil)

• Sertraline (Zoloft)

• Venlafaxine (Effexor)

Antipsychotic medications:

• Aripiprazole (Abilify)

• Chlorpromazine (Thorazine)

• Clozapine (Clozaril)

• Fluphenazine (Prolixin)

• Haloperidol (Haldol)

• Olanzapine (Zyprexa)

• Perphenazine (Trilafon)

• Quetiapine (Seroquel)

• Risperidone (Risperdal)

• Thioridazine (Mellaril)

• Thiothixene (Navane)

• Ziprasidone (Geodon)

Mood stabilizers:

• Divalproex sodium (Depakote)

• Lithium (Lithobid)

• Carbamazepine (Tegretol)

• Oxcarbazepine (Trileptal)

• Lamotrigine (Lamictal)

Sedative hypnotics/Antianxiety/Anti-EPSE medication:

• Alprazolam (Xanax)

• Benztropine (Cogentin)

• Buspirone (Buspar)

• Clonazepam (Klonopin)

• Diphenhydramine (Benadryl)

• Flurazepam (Dalmane)

• Lorazepam (Ativan)

• Temazepam (Restoril)

• Trazodone (Desyrel)

• Zolpidem (Ambien)

Psychostimulants:

• Dextroamphetamine (Dexedrine)

• Methylphenidate, Dexmethylphenidate (Ritalin, Focalin XR)

Other ADHD medications:

• Clonidine (Kapvay, Catapres)

• Guanfacine (Tenex, Intuniv)

Other medications:

• Metformin (Glucophage)

 

Questions To Ask About  Your Psychiatric Medications

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Other Language Translations  

Medication Consent Form (Chinese Traditional (Cantonese) / Chinese Simplified (Mandarin) / Farsi / Korean / Spanish / Tagalog / Vietnamese)

Medication Information Sheets:

• Antidepressants (Cambodian / Chinese / Farsi / Japanese / Spanish / Vietnamese)

• Antipsychotics (Cambodian / Chinese / Farsi / Japanese / Spanish / Vietnamese)

• Clozapine (Cambodian / Chinese / Farsi / Japanese / Spanish / Vietnamese)

• Mood Stabilizers (Cambodian / Chinese / Farsi / Japanese / Spanish / Vietnamese)

• Anti-anxiety/Hypnotic Agents (Cambodian / Chinese / Farsi / Japanese / Spanish / Vietnamese)

• Psychostimulants (Spanish)

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