Overview of Psychiatric Medications in Children and Adolescents - II
 
 

 continued...

 

Class: MAOIs (monoamine oxidase inhibitors)

Benefits: Used to treat treatment-resistant depression and anxiety.
Side Effects: Dizziness, sedation gastrointestinal symptoms, low blood pressure, changes in appetite and weight.

MEDICATION NAME

NOTES

Brand Name

Generic Name

Nardil

phenelzine

These medications are rarely used in children and adolescents. Tyramine, an amino acid in some foods can interact with these medications to trigger severe high blood pressure. People taking them must follow a restricted diet (Emsam at lower doses does not require the diet).

Parnate

tranylcypromine

Emsam patch

selegiline

 

Class: Antipsychotics (sometimes called Neuroleptics)

Benefits: Treats psychosis, schizophrenia, bipolar disorder and aggression. Orap and Haldol are used to treat Tourette Disorder. Has been used to treat behavioral symptoms of Autism.
Side Effects: Dizziness, sedation, dry mouth, constipation, blurred vision, increased appetite, restlessness, muscle stiffness. Prolonged use may result in a movement disorder called tardive dyskinesia.

MEDICATION NAME

NOTES

Brand Name

Generic Name

Haldol

haloperidol

With the introduction of newer antipsychotics these medications are used much less frequently.

This is only a partial list of the medications in this class.

Orap

pimozide

Prolixin

fluphenazine

Mellaril

thioridazine

Thorazine

chlorpromazine

Stelazine

trifluoperazine

Moban

molindone

Loxitane

loxapine

 

Class: Second generation (atypical) antipsychotics

Benefits: Treats psychotic conditions such as schizophrenia can be useful in helping stabilize mood in bipolar disorder and in impulsive/aggressive behavior.
Side Effects: Weight gain, sedation, dizziness, insulin resistance, muscle stiffness.

MEDICATION NAME

NOTES

Brand Name

Generic Name

Risperdal

risperidone

Has been studied in the treatment of aggression and irritability in Autism and recently received FDA-approval for children and teens (age 6 and up) with autism and behavioral problems

Zyprexa

olanzapine

Seroquel

quetiapine

Geodon

ziprasidone

Abilify

aripiprazole

Clozaril

clozapine

May be the most effective medication in treatment resistant psychotic conditions. Must get weekly blood tests to monitor for a rare side effect that can depress the formation of blood cells.

 

Class: Anxiolytic (benzodiazepines)

Benefits: Reduces panic, anxiety symptoms. Generally used for short- term treatment.
Side Effects: Sedation, dizziness.

MEDICATION NAME

NOTES

Brand Name

Generic Name

Xanax
Xanax XR

alprazolam

Can cause paradoxical hyper-excitability especially in young children.
Is occasionally used for the treatment of mania. Often works immediately.

Klonopin

clonazepam

Ativan

lorazepam

 

Class: Anxiolytics

Benefits: Used for the treatment of general anxiety symptoms—not helpful for separation anxiety or social phobia
Side Effects: Dizziness, nausea, sedation.

MEDICATION NAME

NOTES

Brand Name

Generic Name

Buspar

buspirone

Often takes several weeks to work.

 

Class: Hypnotics (sleep)

Benefits: Enhances sleep onset and quality of sleep.
Side Effects: Dizziness, can cause paradoxical hyperexcitability especially in young children.

MEDICATION NAME

NOTES

Brand Name

Generic Name

Ambien
Ambien CR

zolpidem

These medications are generally not used as a first line treatment of insomnia. Understanding and dealing with the underlying issues that are disrupting sleep is always the first step.

Lunesta

eszopiclone

Sonata

zaleplon

Rozerem

ramelteon

 

Class: Mood Stabilizers

Benefits: Treats the symptoms of bipolar disorder.
Side Effects: Excessive thirst, frequent urination gastrointestinal symptoms, acne, weight gain.

MEDICATION NAME

NOTES

Brand Name

Generic Name

Lithium
Lithobid
Eskalith

lithium

Requires frequent monitoring of lithium blood level, thyroid and kidney functioning. Excessive doses are dangerous. The most established and well studied medication for bipolar disorder.

 

Class: Anti-Convulsants (anti-seizure)

Benefits: This group of medications has been used in the treatment of bipolar disorder and aggressive behavior.
Side Effects: Sedation, tremor, gastrointestinal distress, weight gain.

MEDICATION NAME

NOTES

Brand Name

Generic Name

Depakote

divalproex
valproate

Well studied in the treatment of bipolar disorder. Has been used as a treatment of migraines. Requires occasional lab tests. May cause polycystic ovary disease.

Tegretol
Carbatrol

carbamazepine

Well studied in the treatment of bipolar disorder. Requires occasional lab tests.

Trileptal

oxcarbazepine

A newer version of carbamazepine.

Lamictal

lamotrigine

Appears to be very helpful in treating the depressive phase of bipolar disorder but is not clearly helpful in the manic phase. Very rarely, can trigger a life-threatening rash.

The utility of the following medications in bipolar disorder is still under investigation.

Topamax


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