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Informed Consent for Medications
F-24277 Series

Psychotropic MEDICATION 
BRAND NAME INDEX

For generic listing, click on the underlined words in this sentence.

Background and Instructions
All forms are pdf forms approximately 17K 
About Using PDF Forms

Medication Brand Name

Medication Generic Name

Medication Category

Last Revise Date

Blank Form

Blank Form

Blank Form

phenobarbital

Barbiturate and Barbiturate-Like Anticonvulsants

5/12/08

chloral hydrate

Sedative, Hypnotic

5/20/08

thioridazine

Antipsychotic Agent (phenothiazine)

5/4/08

Abilify, Abilify Discmelt aripiprazole Antipsychotic / Antidepressant / Bipolar

5/4/08

Adderall Adderall XR mixed salts of a single entity amphetamine Central Nervous System Stimulant

5/19/08

Ambien, Ambien CR

zolpidem

Sedative, Hypnotic

5/20/08

Anafranil

clomipramine

Antidepressant (tricyclic)

4/28/08

Aricept donepezil Alzheimer's Treatment

4/28/08

Artane tryhexiphenidyl Antidyskinetic 5/4/08

Ascendin

amoxapine

Antidepressant (tricyclic)

4/28/08

Atarax

hydroxyzine hydrochloride

Antihistamine (sedative, antianxiety)

5/7/08

Ativan

lorazepam

Antianxiety Agent (benzodiazepine)

4/24/08

Aventyl, Pamelor

nortriptyline

Antidepressant (tricyclic)

4/28/08

Benadryl

diphenhydramine

Antihistamine (sedative, antianxiety)

5/7/08

BuSpar

buspirone

Antianxiety Agent

4/24/08

Catapres

clonidine

Alpha Adrenergic Agonist / Antihypertensive

4/24/08

Celexa

citalopram

Antidepressant (SSRI)

4/28/08

Clozaril

clozapine

Atypical Antipsychotic Agent

5/4/08

Cogentin benztropine Antidyskinetic 5/4/08

Concerta, Metadate CD, Metadate ER, Methylin, Methylin ER, Ritalin, Ritalin LA, Ritalin-SR

methylphenidate

Central Nervous System Stimulant

5/19/08

Corgard

nadolol

Beta-Adrenergic Blocker

5/12/08

Cylert

pemoline

Central Nervous System Stimulant

5/12/08

Cymbalta duloxetine Antidepressant 4/28/08

Dalmane

flurazepam

Sedative, Hypnotic

5/20/08

Daytrana methylphenidate transdermal Central Nervous System Stimulant 5/19/08

Depakene, Depakote

valproic acid

Anticonvulsant / Mood Stabilizing Agent

5/4/08

Depo-Provera medroxyprogesterone acetate Progestin (for non-contraceptive use) (systemic)

4/28/08

Desyrel

trazodone

Antidepressant

4/28/08

Dexedrine

dextroamphetamine

Central Nervous System Stimulant

5/19/08

Effexor, Effexor XR

venlafaxine

Antidepressant

4/28/08

Elavil

amitriptyline

Antidepressant (tricyclic)

4/28/08

Eskalith, Eskalith-CR, Lithobid

lithium

Mood – Stabilizing Agent

5/20/08

Exelon rivastigimine Alzheimer Treatment

4/28/08

Focalin, Focalin XR dexmethylphenidate Central Nervous System Stimulant 4/1/2009
Gabitril tiagabine Anticonvulsant 5/4/08

Geodon

ziprasidone

Antipsychotic Agent

5/4/08

Halcion

triazolam

Sedative, Hypnotic

5/20/08

Haldol

haloperidol

Antipsychotic Agent (phenothiazine)

5/4/08

Inderal

propranolol

Beta-Adrenergic Blocker

5/12/08

Invega paliperidone Antipsychotic Agent (benzisoxazole) 4/1/2009

Klonopin

clonazepam

Anticonvulsant - Benzodiazepine

4/24/08

Lamictal lamotrigine Anticonvulsant - Phenyltriazine

5/4/08

Lexapro escitalopram Antidepressant (SSRI)

4/28/08

Librium

chlordiazepoxide

Antianxiety Agent (benzodiazepine)

4/24/08

Loxitane

loxapine

Antipsychotic Agent - dibenzoxazepine

5/4/08

Ludiomil

maprotiline

Antidepressant

4/28/08

Lunesta eszopiclone Sedative / Hypnotic 4/24/08

Luvox, Luvox CR

fluvoxamine

Antidepressant

4/28/08

Metadate CD, Metadate ER, Methylin, Methylin ER, Concerta, Ritalin, Ritalin LA, Ritalin-SR

methylphenidate

Central Nervous System Stimulant

5/19/08

Moban

molindone

Antipsychotic Agent - dihydroindolone

5/4/08

Namenda memantine Alzheimer's Treatment 4/24/08

Nardil

phenelzine

MAO Inhibitor

5/19/08

Navane

thiothixene

Antipsychotic Agent - thioxanthene

5/12/08

Neurontin

gabapentin

Anticonvulsant

5/12/08

Norpramin

desipramine

Antidepressant (tricyclic)

4/28/08

Orap

pimozide

Antipsychotic Agent

5/12/08

Parnate

tranylcypromine

MAO Inhibitor

5/19/08

Paxil

paroxetine

Antidepressant (SSRI)

4/28/08

Prolixin

fluphenazine

Antipsychotic Agent (phenothiazine)

5/4/08

Prozac

fluoxetine

Antidepressant (SSRI)

4/28/08

Remeron, Remeron SolTab

mirtazapine

Antidepressant

4/28/08

Restoril

temazepam

Sedative, Hypnotic

5/20/08

ReVia

naltrexone

Opioid antagonist

5/12/08

Risperdal, Risperdal Consta

risperidone

Antipsychotic Agent - Benzisoxazole

5/12/08

Ritalin, Ritalin LA, Ritalin-SR, Concerta, Metadate CD, Metadate ER, Methylin, Methylin ER

methylphenidate

Central Nervous System Stimulant

5/19/08

Rozerem ramalteon Sedative-hypnotic 8/1/06

Serax

oxazepam

Antianxiety Agent (benzodiazepine)

4/24/08

Seroquel, Seroquel XR

quetiapine

Antipsychotic Agent

4/24/08

Serzone

nefazodone

Antidepressant

4/28/08

Sinequan

doxepin

Antidepressant (tricyclic)

4/28/08

Sonata zaleplon Sedative / Hypnotic 5/20/08

Stelazine

trifluoperazine

Antipsychotic Agent (phenothiazine)

5/12/08

Strattera atomoxetine Central Nervous System Agent 5/4/08
Symbyax olanzapine + fluoxetine Antipsychotic / Antidepressant 5/7/08

Symmetrel

amantadine

Antidyskinetic

5/7/08

Tegretol

carbamazepine

Anticonvulsant / Mood Stabilizing Agent

5/4/08

Tenormin

atenolol

Beta-Adrenergic Blocker

5/12/08

Thorazine

chlorpromazine

Antipsychotic Agent (phenothiazine)

5/4/08

Tofranil

imipramine

Antidepressant (tricyclic)

4/28/08

Topamax topiramate Anticonvulsant, Migraine Headache Prevention 5/12/08

Tranxene

chlorazepate

Antianxiety Agent (benzodiazepine)

4/24/08

Trilafon

perphenazine

Antipsychotic Agent (phenothiazine)

5/7/08

Trileptal oxcarbazepine Anticonvulsant

5/12/08

Valium

diazepam

Antianxiety Agent (benzodiazepine)

4/24/08

Visken

pindolol

Beta-Adrenergic Blocker

5/12/08

Vistaril

hydroxyzine

Antihistamine (sedative, antianxiety)

5/7/08

Vivactil

protriptyline

Antidepressant (tricyclic)

4/28/08

Wellbutrin, Zyban

bupropion

Antidepressant

4/28/08

Xanax

alprazolam

Antianxiety Agent (benzodiazepine)

4/24/08

Zoloft

sertraline

Antidepressant (SSRI)

4/24/08

Zyban, Wellbutrin

bupropion

Antidepressant

4/28/08

Zyprexa, Zyprexa Zydis, Zyprexa for Injection

olanzapine

Antipsychotic / Bipolar Agent

4/24/08

Last Revised:  April 07, 2009