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Emergency Psychiatry Medications
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Dextroamphetamine
Indications: ADHD, narcolepsy; Dosing: 5 mg PO once or twice daily, can be increased gradually
Flumazenil
Indications: Benzodiazepine overdose; Dosing: Initial dose 0.2 mg IV, subsequent doses 0.3-0.5 mg IV if needed
Haloperidol
Indications: Acute psychosis, agitation; Dosing: 5-10 mg IM/IV
Midazolam
Indications: Seizures, preprocedure sedation; Dosing: 2-5 mg IM/IV
Risperidone
Indications: Schizophrenia, Bipolar I disorder; Dosing: 1-2 mg PO/IM
Lorazepam
Indications: Acute anxiety, agitation, seizure; Dosing: 2-4 mg IM/IV
Naloxone
Indications: Opioid overdose; Dosing: 0.04-2 mg IV/IM/IN, may repeat every 2-3 minutes as needed
Lithium
Indications: Acute mania; Dosing: 600-900 mg PO three times a day
Olanzapine
Indications: Bipolar mania, psychosis; Dosing: 10 mg IM
Diazepam
Indications: Acute anxiety, seizures, alcohol withdrawal; Dosing: 5-10 mg IV
Valproate
Indications: Mania, seizures; Dosing: 10-20 mg/kg IV loading dose then 1000-2500 mg daily divided doses
Methylphenidate
Indications: ADHD, narcolepsy; Dosing: 5-20 mg PO one to three times daily
Quetiapine
Indications: Bipolar disorder, schizophrenia; Dosing: 25-50 mg PO/IM
Ziprasidone
Indications: Agitation associated with schizophrenia, bipolar mania; Dosing: 10-20 mg IM
Aripiprazole
Indications: Schizophrenia, acute manic and mixed episodes associated with Bipolar I; Dosing: 9.75 mg IM
Carbamazepine
Indications: Acute mania, trigeminal neuralgia; Dosing: Initial 200 mg PO twice a day, may increase to 400 mg PO three times a day
Clonidine
Indications: ADHD (as an adjunct), hypertensive crisis; Dosing: 0.1-0.2 mg PO/IV
Chlorpromazine
Indications: Severe behavioral disturbances, acute psychosis; Dosing: 25-50 mg IM/IV
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