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Maximum Dose of Psychotropics Drug
Maximum Dose of Psychotropics Drug
(Typical antipsychotics)
Chloprom Matcine, 400 25- 2,000 2-4 30
azine Chlopro -600 200 mg
25 mg metabolism
mazine mg
GPO, mg, 50
Chlorpin mg, CYP2D6
100
mg, drug
2
200 mg interaction,
(IM) QTc
50 prolongation
mg/2ml (additive
),
alpha1
hypotension,
sedation
3
mg, 16 CYP3A4
mg
drug
interaction
Pimozide Pizide 8-16 1-2 20 mg 6-8 55
mg mg
1 metabolism
mg, 4 CYP3A4
mg
drug
interaction,
QTc
prolongation(
QTc prolong),
alpha1
5
hypotension
(Atypical antipsychotics)
Clozapine Clopaze, 150- 25-50 600 2.5 12
Cloril 600 mg mg
25 mg metabolism
mg, CYP1A2
100 mg
drug
interaction,
QTc
8
prolongation
(additive
),
agranulocyto
sis
monitor CBC
Olanzapin Zyprexa 5 10-30 5-10 40 mg 5-8 30
e zydis, mg, 10 mg mg -38 metabolism
Olapin
mg (oral), CYP1A2
0.25-
(IM) 0.75
10 mg drug
(IM) interaction,
QTc
prolongation
9
(additive
),
alpha1
hypotension
Quetiapin Seroquel 300- 50 mg 1,200 1.5 6-12
e , 750 mg metabolism
neutapin 25 mg
(oral) CYP3A4
e mg,
100 6
mg, (XL tab)
drug
200
interaction,
mg, 50
mg XR,
300 mg alpha1
XR,
400 mg
XR hypotension.
10
indication
Risperido Risperda 2-6 1-2 8 mg 1.5 20
ne l 0.5 mg mg metabolism
quicklets mg(quic
, Neuris,
klets), 1
Risperid mg, 2 CYP2D6
one GPO mg drug
interaction,
oral
solution
1mg/ml QTc
in 30 ml prolongation
(additive
11
),
alpha1
hypotension
Paliperido Invega 6-12 6 mg 12 mg 24 23
ne mg
3mg, 6
mg, 9
mg
Ziprasido Zeldox 120- 40-80 240 6-8 7
ne 40 mg, 160 mg mg
mg
60 mg,
80 mg
,
12
metabolism
CYP3A4
drug
interaction,
QTc
prolongation(
QT prolong)
Aripiprazo Abilify 10- 10 -15 30 mg 3-5 75
le 30mg mg metabolism
5,
10 mg, CYP2D6
15 mg CYP3A4
1
mg/ml
13
interactio
n,
indication
(Long acting injectable antipsychotics)
Fluphenaz Fendec 12.5 100 1 7-14
ine -100 mg q 2
Decanoat 25 mg wk 2-4
e mg/ml,
25
mg/ml
in 2 ml
Flupenthi Fluanxol 10 100 3-7 17
xol -50 mg q 2
Decanoat 20 mg wk 2-4
e mg/2ml
14
150 mg
1
(Mood stabilizers)
Lithium Limed, 900- 600 1,800 1-3 24
carbonate Licarb 1,200 -900 mg
Therapeutic
mg mg
300 mg index
maintenance
0.6-1.2
mEq/L
Valproic Depakin 1,200 20 60 2 9-16
acid e, 200 mg mg- mg/kg mg/kg/
Depakin 1,800 /day day () 50-
Chr 125 mg/dl
16
SJS TEN
(antidepressants)
Amitriptyli Amitript 50- 50 mg 300 1-5 9-46
ne yline 150 mg metabolism
GPO, mg
Triptyline 10mg, CYP2D6,
25 mg, CYP2C19
50 mg
CYP2C9
drug
interaction
Nortriptyli Norline, 75- 25 mg 150 3-12 16-
ne Ortrip 10 mg, 100 mg 88 metabolism
25 mg mg CYP2D6
drug
interaction
Imipramin Minapine 75- 75 mg 200 1.5-3 6-34
e , 150 mg metabolism
18
Sermonil mg
10mg, CYP2D6
25 mg,
50 mg CYP3A4
drug
interaction
Clomipra Anafranil 75- 25 mg 250 2-6 20-
mine , Inaryl 150 mg 24
25 mg
mg, 50
mg
Doxepin Sinequa 25- 25 mg 300 1-4 8-36 indication
n 150 mg
mg
25
mg
Mirtazapi Remeron 15-30 15 mg 45 mg 2 20-
ne mg 40
15 GFR<40
mg, 30 ml/min
19
mg
Trazodone Desirel, 150- 100 600 1-2 6-11 indication
Trazodel 300 mg mg
50 mg
mg,
100 mg
Fluoxetine Fulox, 20-40 20 mg 80 mg 4-8 4-8
Oxetine mg
20 mg, metabolism
20 mg CYP2D6
drug
interaction
CYP2D6,CYP
2C9, CYP3A4
inhibitors
20
Sertraline Zoloft, 50
50 mg 200 6-8 27
Serlift, 50 mg, -200 mg metabolism
Serta, 100 mg mg
Sertralin
e GPO CYP2D6
drug
interaction
CYP2D6
inhibitors
inhibitors
Paroxetin Seroxat 20-40 20 mg 50 mg 5-7 24-
e mg 31
20 metabolism
mg CYP2D6
CYP2D6
inhibitors
Escitalopr Lexapro 10-20 10 mg 20 mg 5 27-
am mg 32
10 metabolism
mg, 20 CYP2C19
mg
drug
interaction
22
interaction
Milnacipra Ixel 100- 12.5 300 2-4 6-8
n 200 mg mg
mg
12.5
mg
Bupropion Wellbutri 150 150 300 3 10-
n XL, -300 mg mg 21 seizure
Quomem mg (Europ threshold
150 e)
mg,
450
300 mg mg
,
(USA)
metabolism
CYP2D6
drug
interaction
Tianeptin Stablon 37.5 37.5 1 2.5
e 12.5 mg mg
24
mg (12.5 (12.5
mg mg
tid) tid) 2
Benzodiazepines
Diazepam Diazepa 5-15 2-10 30 mg 1.5 20- Active
m GPO mg mg 50 metabolite
2 half-life
0.5
mg,5
100
mg, 10
mg (IM)
10
mg/2ml
Lorazepa Loramed 1-10 2-6 10 mg 2 12.9
m , mg mg
Lorazep, 0.
Lorazin, 5 mg, 1
Ora mg,
2mg
Clonazep Rivotril, 3-6 1-1.5 4 mg , 1-3 19-
am Prenalpri mg mg 20 mg 50
l
(
26
Chlordiaz Benpine, 15- 300 2 6.6-
epoxide Cozep 100 mg 25
mg indication
10, 25
mg,
5
mg
Midazola Dormicu 7.5- 7.5 20 mg 15-30 2.5
m m 15 mg
15 mg
mg indication
Alprazola Xanax, 0.5-4 0.25- 4 mg 1-2 11.2 XR
m Xanax mg 0.5 (anxiet
XR, mg y)
Anpress 0.25 ,10 mg
mg, 0.5 (panic)
28
mg, 1
mg
Bromazep Lexotan 6-18 6 mg 60 mg 1-2 20-
am mg 30
1.5 mg,
3 mg
1. Lacy CF, Armstrong LL, Goldman MP, Leonard L.. Drug Information Handbook 17 th ed.
Ohio: American Pharmacists Association ; 2009
2. MICROMEDEX [Database on the internet]. Colorado: Thomson Reuters (Healthcare); c
2012-2013. DRUGDEX Evaluations. Available from:
http://www.micromedexsolutions.com/ Subscription required to view.
3. Stahl SM. Essential Psychopharmacology: The Prescriber's Guide. 3rd edition. New York:
Cambridge University Press, 2009.