What are your common psych prn meds?

[lovinghands]

Recently there was a thread about a shortage of liquid thorazine and it made stop and wonder what are the commmon psych prn meds you administer in your facility? I work in a midwest state hospital on an adult psych unit, rarely do you we give thorazine unless all else fails (only one doc prescribes it). For p.o. meds we generally usually ativan or seroquel, occasionally haldol. IMs are generally zyprexa, geodon, plus ativan or haldol & ativan. Just curious what you use and the type of population you work with...

[spiderblue]

Recently there was a thread about a shortage of liquid thorazine and it made stop and wonder what are the commmon psych prn meds you administer in your facility? I work in a midwest state hospital on an adult psych unit, rarely do you we give thorazine unless all else fails (only one doc prescribes it). For p.o. meds we generally usually ativan or seroquel, occasionally haldol. IMs are generally zyprexa, geodon, plus ativan or haldol & ativan. Just curious what you use and the type of population you work with...

I haven't seen thorazine used in years....we commonly use neurontin, seroquel, or even zydis/zyprexa as a first line prn, if we have to resort to the big guns we use a combo of haldol 5/benadryl 50/ativan 2..given Im in two injections (the benadryl is given seprately)

[PHTLS]

Ativan (mostly PRN for restlessness)

Seroquel (Routine)

Trazodone (QHS)

Sometimes Klonopin

Depakote (routine)

Haldol? rarely.

Lot's of pain meds (morphine, MS contin, Oxycodone, Vicodin, etc ) and Methadone. This keeps them from going psychotic on the nurses.

[may may]

:rotfl: The type of population I work with is adolescent psych. We also do not have thorazine liquid anymore. We usually use haldol,risperidal or benadryl. When these fail to work we use geodon IM. It works very well. Zydis solu-tab is not to bad either

[psycrickrn]

Recently there was a thread about a shortage of liquid thorazine and it made stop and wonder what are the commmon psych prn meds you administer in your facility? I work in a midwest state hospital on an adult psych unit, rarely do you we give thorazine unless all else fails (only one doc prescribes it). For p.o. meds we generally usually ativan or seroquel, occasionally haldol. IMs are generally zyprexa, geodon, plus ativan or haldol & ativan. Just curious what you use and the type of population you work with...

My experience is that the use of PRN emergency medication is best used early in the escalation process. Liquid risperdal or risperdal m-tab work fairly quickly. I've heard that thorazine conc is not going to be manufactured anymore. Zyprexa zydis/tablet also works well. Have not seen much benefit with IM geodon. Don't like ativan due to the risk of paradoxical reactions and haldol carries a high risk of EPS.

[iliang]

in our unit its mostly 5 and 2 which is haldol 5mg or ativan 2 mg PO/IM lately a lot of doctors orders prn zyprexa..I heard the makers of thorazine does'nt make liquid PO thorazine anymore..we have patients who got used in the usual neuroleptics that would not clear up with the new generation drugs [zprexa (luv the zydis, forget cheeking but the IM is indeed takes time to be prepared), geodon (im not a fan of geodon its just like pumping up the dosage and seldom see improvements) and abilify (seen patient get violent on the first few days of abilify and insomnia is a common complain).. etc..] that even more side effects expected they still have to bear and give the old ones..