Peds Mood Stabilizers
Peds Mood Stabilizers
Peds Mood Stabilizers
Drug Uses
(Less Common & based on blood levels) (Generally weight based)
Max Dose
Side Effects
Monitoring
Dosing Issues
Dosed twice daily XR dosed once daily Don't have to taper off but may see increased mood symptoms Don't double up if miss dose Can be dosed multiple times daily Don't have to taper off but may see increased mood symptoms Don't double up if miss dose Don't take with ibuprofen If doses are missed >3 days, it should be restarted at original dose, then increased Usually dosed twice daily Can make birth control pills not work well
250 - 2,000 MG
2,000 MG
polycystic ovary Valproic acid thrombocytopenia blood levels weight gain liver tests possible birth defects, blood counts if pregnant; elevate liver pregnancy tests enzymes
150 - 1,200 MG
1,800 MG
Related to blood levels being too high: tremor diarrhea nausea increased urination
Lamictal (lamotrigine)
FDA-Approved Uses: Seizures Off-Label Uses: Bipolar FDA-Approved Uses: Seizures (ages 4-16 years) Off-Label Uses: Bipolar Mood lability Aggression
severe, possibly life-threatening, rash--stop taking if rash occurs & call doctor
None
Trileptal
150 - 1,800 MG
2,100 MG
This information is intended as a guide, not as a comprehensive drug information reference. Not all pediatric psychiatric medications are included. Sound clinical judgment and individualized patient care is required and may dictate need for higher doses in specific cases. 1. Texas DFPS & UT at Austin College of Pharmacy; December 2010; Psychotropic Medication Utilization Parameters for Foster Children; Retrieved from http://www.dfps.state.tx.us/documents/Child_Protection/pdf/TxFosterCareParameters-December2010.pdf 2. Essential Psychopharmacology: The Prescriber's Guide, by Stephen M. Stahl, New York, NY, Cambridge University Press, 2005 3. Minoxidil. Drug Facts and Comparisons. Facts & Comparisons [database online]. St. Louis, MO: Wolters Kluwer Health, Inc; March 2005. Accessed August 2012