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NeuroPsych

  1. Banana bag:
    - thiamine
    - folic acid
    • thiamine: 100 mg
    • folic acid: 1 mg
  2. Wernicke's

    Thiamine
    100-200 mg IV x 3 days

    then oral for 1-4 wks
  3. Chronic Alcoholism

    Disulfiram
    • start: 250 -500 mg qHS x 5-7 D
    • then: 250 mg qHS

    take with food
  4. Chronic Alcoholism

    Naltrexane (ReVia)
    • initially: 25 mg
    • repeat: in 1 hr if not withdrawal

    then: 50 mg/d
  5. Chronic Alcoholism

    Naltrexone (Vivatrol)
    380 mg IM monthly

    (gluteal)
  6. chronic alcoholism

    acamprosate
    • CrCl >50: 666 mg TID
    • CrCl 30-50: 333 mg TID
  7. Chronic Alcoholism

    Topiramate
    • start: 25 mg/d
    • increase: by 50 mg/d weekly
    • max: 200 mg/d
  8. opioid w/d

    methadone
    • start: 20-30 mg (titrate to 40 mg on day 1 if needed)
    • then: 40-120 mg

    then: systematically reduce dose by 5-10 mg/d over 7-21 days
  9. opioid w/d

    buprenorphine
    2-16 mg/d

    • max: 32 mg
    • (but no need to exceed 16 mg)

    adjust: in hepatic dz
  10. opiate w/d

    clonidine
    0.1 mg TID x 3 d
  11. opioid w/d

    naltrexone (ReVia)
    50 mg QD

    • or 100 mg MW & 150 mg F
    • (TIW regimen)
  12. ADD

    methylphenidate
    • start: 5 mg BID or TID
    • max: 60 mg or 2 mg/kg
  13. ADD

    dexmethylphenidate
    (Focalin)
    • start: 2.5 mg BID
    • Max: 20 mg/day
  14. ADD

    dextroamphetamine
    • 3-5 yo: 2.5 mg/d
    • >6: 5mg/d
  15. ADD

    Lisdexamfetamine
    30 mg/d
Author
cmaness
ID
17862
Card Set
NeuroPsych
Description
final
Updated

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