CONVENTIONAL ANTIPSYCHOTICS Generic Brand CONVENTIONAL ANTIPSYCHOTICS Chlorpromazine Thorazine Fluphenazine Prolixin Haloperidol Haldol Thioridazine Mellaril   NON CONVENTIONAL ANTIPSYCHOTICS Aripiprazole Abilify Clozapine Clozaril Olanzapine Zyprexa Quetiapine Seroquel Resperidone Risperdal Ziprasidone Geodon

· Dystonia severe muscle spasm · Akathisia inner motor restlessness Extrapyramidal Symptoms ·      Dystonia severe muscle spasm ·      Akathisia inner motor restlessness ·      Pseudoparkinsonism     Decreased motor activity     Slowed speech     Decreased arm swing Pill-rolling tremor Cog-wheel rigidity

Tardive Dyskinesia: Orofacial movements Forward and lateral movements of tongue Movement in extremities and truncal areas

Client receiving Mellaril 300 mg daily for > 5 yrs Interdisciplinary team met annualldecided against dose reduction Mellaril 300 mg daily maintenance dose based on: ·    Zero episodes of psychotic symptoms ·    Maintained successful residential placement in community ·    Hold down a job

Regulation 483.440(f)(3): The facility must designate and use a specially constituted committee…. To (i) review, approve, and monitor individual programs designed to manage Inappropriate behavior and other programs that, in the opinion of the committee, involve risks to client protection and rights; (ii) Insure that these programs are conducted only with the written informed Consent of the client, parents (if the client is a minor) or legal guardian;

Generic Brand MOOD STABILIZERS STIMULANTS Other Carbamazepine Tegretol Divalproate Depakote Gabapentin Neurontin Oxcarbamazepine Trileptal Topiramate Topamax STIMULANTS Amphetamine and Dextroamphetamine Adderall Dexmethylphenidate Focalin Dexedrine Methylphenidate Ritalin Other Atomoxetine Strattera