Pushing antipsychotics beyond maximum doses
I constantly see psychiatrists going above the maximum recommended dose of antipsychotics (not even mentioning max effective dose). Zyprexa 30-40mg, geodon 320mg, high doses of risperdal. It is a personal pet peeve of mine and I especially hate it when they are on multiple antipsychotics along with the excess doses. I always adhere to the max FDA dose even in severe patients in the hospital, do you guys agree? (Source: Student Doctor Network)
Source: Student Doctor Network - April 1, 2018 Category: Universities & Medical Training Authors: sweetlenovo88 Source Type: forums

What PRN medication would you prescribe for agitation in outpatient setting?
The patient is a young adult with unspecified mental handicap who comes with mom. He has been on the following regimen for years: clonidine 0.3mg per day depakote DR 1000mg per day geodon 200mg per day valium 20mg per day (Most of the above medications are split into two dosings a day.) He has been on the regimen for years and is tolerating medications. Mother does not want to change the treatment. The above combination was from much trial and error and patient used to be much worse.... What PRN medication would you prescribe for agitation in outpatient setting? (Source: Student Doctor Network)
Source: Student Doctor Network - September 29, 2017 Category: Universities & Medical Training Authors: AD04 Source Type: forums

Let me just show you this....
This is not made up. This is a real medication regimen of patient I have been referred. Comments? Buproprion XL 300 mg in am buspar 15 mg twice daily zoloft 200 mg daily remeron 30 mg nightly geodon 20 mg twice daily Adderall XR 30 mg in am Adderall 10 mg at noon Lamictal 200mg- 2.5 tabs daily minipress 10 mg nightly elavil 100 mg nightly restoril 15 mg nightly imitrex 50 mg as needed (Source: Student Doctor Network)
Source: Student Doctor Network - July 19, 2016 Category: Universities & Medical Training Authors: erg923 Source Type: forums