Psychotropic Medication List Recommended dosages are intended to serve only as a guide for children. Recommended doses are literature based. Clinicians should consult package insert of medications for a full review. This is not a comprehensive list. Not all medications prescribed for psychiatric diagnoses in children and adolescents are included. Medication Name Age group Recommended dosing Schedule FDA & literature based indications Warnings, precautions, additional info Antidepressants Fluoxetine (Prozac) 6+ 10 60mg Daily MDD, OCD Black box warning Insomnia, sedation, headache, GI effects, activation, black box warning suicidal thoughts labs: CBC, thyroid (baseline and as ) Escitalopram (Lexapro) 6+ 5 20mg Daily MDD (ages 12+) Insomnia, sedation, headache, GI effects, Citalopram (Celexa) 6+ 10 40mg Daily None Insomnia, sedation, headache, GI effects, labs: CBC, thyroid and EKG (baseline and as ) Sertraline (Zoloft) 6+ 25 200mg Daily OCD (ages 6+) Insomnia, sedation, headache, GI effects, Fluvoxamine (Luvox) 6+ 25 300mg Daily OCD (ages 8+) Insomnia, sedation, headache, GI effects, Paroxetine (Paxil) 6+ 2.5 60mg Daily Anxiety, depression Insomnia, sedation, headache, GI effects, Buproprion (Wellbutrin SR/XL) 6+ 75mg 100 400mg (SR/XL teens) daily & MDD (ages 12+) Headache, agitation, weight loss, restless insomnia, sweating, tremor, hypertension
Duloxetine (Cymbalta) Venlafaxine (Effexor, Effexor XR) Desvenlafaxine (Pristique) Mirtazapine (Remeron) Trazodone (Desyrel) Chlomipramine (Anafranil) Amitriptyline (Elavil) Imipramine (Tofranil) Nortriptyline (Pamelor) Anxiolytics Clonazepam (Klonopin) Propranolol (Inderal) Buspirone (BuSpar) 7+ 30 120mg Daily & 7+ 37.5 375mg IR: 2 3x day GAD anxiety Nausea, insomnia, sexual dysfunction, sweating, hypertension, discontinuation syndrome. CBC, lytes, thyroid (baseline and as ) Nausea, insomnia, sexual dysfunction, sweating, hypertension, discontinuation syndrome. CBC, lytes, thyroid (baseline and as ) XR: daily 12+ 50 100mg Daily Anxiety, depression Activation, discontinuation issues, severe skin rashs CBC, lytes, thyroid 3+ 7.5 45mg Daily Anxiety, depression, Weight gain (hangry), hypotension, seizures, sleep neutropenia 5+ 25 200mg daily Sleep, reports of use in QT prolongation, priapism, serotonin syndrome, ADHD with low discontinuation, cognitive impairment dosing 10+ 25 200mg Daily Depression, anxiety, OCD 12+ 10 100mg 6+ 1.5mg/kg/day 100mg 6 + 10mg 100mg 6+ 0.0005mg/kg 0.08mg/kg 6+ 0.5mg/kg 60mg 2.5 60mg Migraines, depression, anxiety Nocturnal enuresis (ages 6+) Depression Panic, agitation Social anxiety, panic attacks Anxiety, agitation, panic Rebound agitation, memory impairment, irritability, aggression, emotional blunting, depression Arrhythmias, tremor, HTN, headache, fatigue, Stevens Johnson Rash Drowsy, dizzy, nausea, headache, depression, agitation, TD and EPS
Mood Stabilizers Topiramate (Topamax) Divalproex (Depakote) Lamotrigine (Lamictal) Stimulants Amphetamine salts (Adderall IR) Amphetamine salts (Adderall XR) Dextroamphetamine (Dexedrine) Lisdexamfetamine (Vyvanse) Caps/chews Amphetamine (Adzenys ODT) Amphetamine (Evekeo) Amphetamine (Dynavel XR) Dexmethylphenidate (Focalin IR) Dexmethylphenidate (Focalin XR) (Ritalin) 6+ 25 400mg 6+ 250mg 2000mg 6+ 2mg 500mg 3+ 2.5 40mg 6+ 5 60mg 6+ 2.5 40mg 6+ 10 70mg 6+ 3.1 25.7mg 6+ 5 30mg 6+ 2.5 20mg 6+ 3 5y: 2 20mg 5+ 30mg 6+ 5 50mg 3+ 3 5y: 2 20mg <50kg 60mg >50kg 100mg Seizures, aggression, bipolar Seizures, bipolar, aggression, agitation bipolar Hypotension, rash, raynaud s, wt loss, bradycardia, itching ER and sprinkles Headache, GI issues, somnolence, dizziness, tremor, liver function and platelets checked routinely Labs: CBC/BMP, liver & hepatic panel (baseline, 3mo, 6mo and as ) Stevens Johnson rash, GI issues, vertigo, headache, rhinitis other flu like symptoms ADHD ADHD ADHD ADHD ADHD Twice daily ADHD, parasomnia
(Ritalin SR & LA) (Metadate CD & ER) (Methylin) (Concerta) (Daytrana) patch (Quillivant XR & Quillichew) Non Stimulants Atomoxetine (Strattera) 6+ 10 60mg 6+ 10 60mg 6+ 5 20mg 6+ 18 108mg 6+ 10 30mg 6+ 10 60mg 6+ 0.5 1.4mg/kg child 40 100mg adol ADHD On AM ADHD Off PM Daily ADHD (6+) Increase blood pressure and heart rate, changes in mood, caution with liver concerns Clonidine 6+ 0.05mg 0.4mg ADHD (6+) Hypotension, sedation, somnolence (Kapvay) Guanfacine (Tenex) 6+ 1 4mg ADHD Hypotension, sedation, somnolence Guanfacine XR (Intuniv) 6+ 1 4mg Daily ADHD (6+) Hypotension, sedation, somnolence Antipsychotics Aripiprazole (Abilify) Asenapine (Saphris) 6+ 2 30mg Daily Schizophrenia 13+ Acute mania 10+ Irritability w/autism 6+ 10+ 2.5 10mg Bipolar mania and mixed QT prolongation, GI issues, weight gain, should not be swallowed whole, black cherry flavor, avoid eating/drinking for 10 min
Clozapine (Clozaril) Lurasidone (Latuda) Olanzapine (Zyprexa) Quetiapine (Seroquel) Risperidone (Risperdal) 6+ 6.25mg 600mg Bipolar, schizophrenia, aggression Neutrophils, lab monitoring schedule, national registry required 13+ 20 80mg daily Schizophrenia, bipolar 6+ 2.5 20mg Daily Schizophrenia, bipolar I, mania/mixed 10+ 25 800mg 6+ 0.5 6mg Bipolar I 10+ Schizophrenia 13+ Irritability/autism Bipolar mania Schizophrenia Ziprasidone (Geodon) 10+ 20 160mg Schizophrenia, bipolar, aggression, irritability/autism
Paliperidone (Invega) Chlorpromazine (Thorazine) Haloperidol (Haldol) Pimozide (Orap) 12+ 3 12mg 3+ 2 800mg Up to 6x day 3+ 1 15mg 12+ 1 10mg Schizophrenia Short term for hyperactivity assoc with conduct disorders, psychotic disorders, acute agitation Schizophrenia 3+ Tourette s, disruptive behaviors 3+ Tourette s get EKG first, sedation, NMS risk Sedation, constipation, dry mouth, prolactinemia,