Formulary

Last updated September 6, 2024

Antidepressants

  1. SSRIs: citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Prozac Weekly, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil, Paxil CR), sertraline (Zoloft)
  2. SNRIs: venlafaxine (Effexor), desvenlafaxine (Pristiq) duloxetine (Cymbalta), levomilnacipran (Fetzima), milnacipran (Savella)
  3. DA reuptake inhibitors: bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL, Zyban, Forfivo XL)
  4. 5HT1A partial agonist: vilazodone (Viibryd)
  5. 5HT2 antagonists: nefazodone (Serzone)¹, trazodone (Desyrel)
  6. 5HT2/5HT3/Alpha-2 noradrenergic antagonist (Tetracyclic): mirtazapine (Remeron),
  7. Tricyclics ¹: amitriptyline (Elavil), clomipramine (Anafranil), desipramine (Norpramine), doxepin (Sinequan), Imipramine (Tofranil), Nortriptyline (Pamelor, Aventyl)
  8. MAOIs ²: elegiline (Emsam)
  9. NMDA antagonist: Esketamine (Spravato); Ketamine
  10.  NMDA antagonist, Dopamine/Norepinephrine reuptake inhibitor: dextromethorphan/bupropion (Auvelity)
  11. Serotonin modulator: SSRI, 5HT agonist, antagonist, and transport inhibitor: vortioxetine(Trintellix)

Anticholinergics

Benztropine (Cogentin), diphenhydramine (Benadryl), trihexyphenidyl (Artane)

Antidementia

  1. Acetylcholinesterase Inhibitors: donepezil (Aricept), galantamine (Reminyl), rivastigmine (Exelon)
  2. NMDA antagonist: memantine (Namenda)

Antipsychotics

  1. First generation antipsychotics: chlorpromazine (Thorazine), fluphenazine (Prolixin, Prolixin-D), haloperidol (Haldol, Haldol D), pimozide (Orap)
  2. Second generation antipsychotics: aripiprizole (Abilify), asenapine (Saphris), brexpiprazole (Rexulti), cariprazine (Vraylar), clozapine (Clozaril)², iloperidone (Fanapt), lumateperone (Caplyta), lurasidone (Latuda), olanzapine (Zyprexa, Zydis), olanzapine w/ samidorphan (Lybalvi), paliperidone (Invega), quetiapine (Seroquel), risperidone (Risperdal, Risperdal Consta), Ziprasidone (Geodon)
  3. Long-acting Injectable Antipsychotics: Aripiprazole: Aripiprazole Monohydrate (Abilify Maintena); Aripiprazole Lauroxil (Aristada); Fluphenazine Decanoate; Haloperidol Decanoate; (Paliperidone Palmitate) Invega Sustenna; Invega Trinza; Risperdal Consta;

Anxiolytic/Hypnotic

  1. Benzodiazepines: alprazolam (Xanax), clonazepam (Klonopin), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan) oxazepam (Serax)
  2. Non-benzodiazepines: zolpidem (Ambien), zaleplon (Sonata), eszopiclone (Lunesta),
  3. Orexin (hypocretin) receptor antagonist: suvorexant (Belsomra), daridorexant (Quviviq)
  4. 5HT-1 partial agonist: buspirone (Buspar)
  5. Noradrenergic Agents: atenolol (Tenormin), clonidine (Catapres, Kapvay), propranolol (Inderal)

Mood Stabilizers

  1. Lithium (Eskalith, Eskalith CR, Lithobid)
  2. Anticonvulsants: carbamazepine (Tegretol), gabapentin (Neurontin), lamotrigine (Lamictal), oxcarbazepine (Trileptal), pregabalin (Lyrica), valproate (Depakote) tiagabine (Gabitril), topiramate (Topamax)

Stimulant³

  1. methylphenidate (Adhansia XR, Aptensio XR, Concerta, Cotempla XR-ODT, Jornay PM, Metadate, Metadate CD/ER, Quillivant XR, QuilliChew ER, Relexxii, Ritalin, Ritalin LA,)
  2. dexmethylphenidate (Focalin and Focalin XR)
  3. serdexmethylphenidate/dexmethylphenidate (Azstarys)
  4. amphetamine/dextroamphetamine (Adderall, Adderall XR, Mydayis)
  5. lisdexamfetamine (Vyvanse)
  6. dextroamphetamine (Dexedrine, ProCentra, Zenzedi)
  7. amphetamine (Evekeo, Evekeo ODT, Dyanavel XL, Adzenys ER, Adzenys XR-ODT)

Non-stimulant

  1. selective norepinephrine reuptake inhibitor – viloxazine (Qelbree)
  2. selective presynaptic norepinephrine reuptake inhibitor – atomoxetine (Strattera)
  3. selective alpha2 adrenergic agonist – guanfacine (Tenex, Intuniv)
  4. postsynaptic alpha2 agonist, central acting – clonidine (Kapvay)

Wakefulness Promoters

  1. modafanil/armodafanil (Provigil,Nuvigil)
  2. solriamfetol (Sunosi)

Miscellaneous

amantadine (Symmetrel), bethanechol (Urecholine), cyproheptadine (Periactin), hydroxyzine (Atarax, Vistaril), L-methylfolate (Deplin), ondansetron (Zofran), pramipexole (Mirapex), prochlorperazine (Compazine), ropinerole (Requip), sildenafil (Viagra), tadalafil (Cialis), T3-triiodothyronine (Cytomel), T4-levothyroxine (Levoxyl, Synthroid), terazosin (Hytrin)

OTC/Complementary Alternative

ginkgo biloba extract, inositol, L theanine, melatonin, N-acetylcysteine (NAC), omega 3 fatty acids (DHA/EPA), Silexan (lavender oil)

Opioid Antagonist

Naltrexone (ReVia), Vivitrol

 

Psychotropic Drugs not included in formulary may be ordered at a discretion of the Psychiatric Nurse Practitioner in consultation with collaborating physician if necessary.

¹: second line agent

²: third line agent-ordered only after consultation with supervising psychiatrist

³: Stimulants will only be prescribed for those patients who meet DSM 5 diagnostic criteria for attention deficit hyperactivity disorder and/or for patients who have treatment resistant depressive illness when symptoms have not adequately responded to usual and customary treatment for depression.