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Informed Consent for Medications
F-24277 Series

Psychotropic MEDICATION 
GENERIC NAME INDEX

For brand name listing, click on the underlined words in this sentence.

Background and Instructions
All pdf forms are approximately 17K 
About Using PDF Forms

Medication Generic Name
(Word)

Medication Brand Name (Word)

PDF
Version

Medication Category

Last Revise Date

Blank Form

 

Blank Form

Blank Form

12/17/2010

Blank Spanish

 

Blank Spanish

Blank Form in Spanish

12/17/2010

alprazolam

Xanax

alprazolam

Antianxiety Agent (benzodiazepine)

12/17/2010

amantadine

Symmetrel

amantadine

Antidyskinetic

12/17/2010

amitriptyline

Elavil

amitriptyline

Antidepressant (tricyclic)

12/17/2010

amoxapine

Ascendin

amoxapine

Antidepressant (tricyclic)

12/17/2010

amphetamine (mixed salts of a single entity amphetamine) Adderall amphetamine (mixed salts of a single entity amphetamine) Central Nervous System Stimulant 12/17/2010
aripiprazole Abilify aripiprazole Antipsychotic / Antidepressant / Bipolar

12/17/2010

asenapine Saphris asenapine Antipsychotic / Antimanic 12/17/2010

atenolol

Tenormin

atenolol

Beta-Adrenergic Blocker

12/17/2010

atomoxetine Strattera atomoxetine Central Nervous System Agent 12/17/2010
benztropine Cogentin benztropine Antidyskinetic 8/15/2012
buprenorphine and naloxone sublingual tablet & film Suboxone / Suboxone Film Strips buprenorphine and naloxone sublingual tablet & film Maintenance treatment of opioid dependence 4/20/2012

bupropion

Wellbutrin, Zyban

bupropion

Antidepressant

12/17/2010

buspirone

BuSpar

buspirone

Antianxiety Agent

12/17/2010

carbamazepine

Tegretol

carbamazepine

Anticonvulsant / Mood Stabilizing Agent

12/17/2010

chloral hydrate

chloral hydrate

Sedative, Hypnotic

12/17/2010

chlordiazepoxide

Librium

chlordiazepoxide

Antianxiety Agent (benzodiazepine)

12/17/2010

chlorpromazine

Thorazine

chlorpromazine

Antipsychotic Agent (phenothiazine)

12/17/2010

citalopram

Celexa

citalopram

Antidepressant (SSRI)

4/4/2012

clomipramine

Anafranil

clomipramine

Antidepressant (tricyclic)

12/17/2010

clonazepam

Klonopin

clonazepam

Anticonvulsant - Benzodiazepine

04/04/2014

clonidine

Catapres

clonidine

Alpha Adrenergic Agonist / Antihypertensive

12/17/2010

clorazepate

Tranxene

clorazepate

Antianxiety Agent (benzodiazepine)

12/17/2010

clozapine

Clozaril, FazaClo

clozapine

Atypical Antipsychotic Agent

12/17/2010

desipramine

Norpramin

desipramine

Antidepressant (tricyclic)

12/17/2010

desvenlafaxine Pristiq dexvenlafaxine Antidepressant 12/17/2010
dexmethylphenidate Focalin, Focalin XR dexmethylphenidate Central Nervous System Stimulant 12/17/2010

dextroamphetamine

Dexedrine

dextroamphetamine

Central Nervous System Stimulant

12/17/2010

diazepam

Valium

diazepam

Antianxiety Agent (benzodiazepine)

12/17/2010

diphenhydramine

Benadryl

diphenhydramine

Antihistamine (sedative, antianxiety)

12/17/2010

donepezil Aricept donepezil Alzheimer's Treatment

12/17/2010

doxepin

Sinequan

doxepin

Antidepressant (tricyclic)

12/17/2010

duloxetine Cymbalta duloxetine Antidepressant 12/17/2010
escitalopram Lexapro escitalopram Antidepressant (SSRI) 12/17/2010
eszopiclone Lunesta eszopiclone Sedative / Hypnotic 12/17/2010

fluoxetine

Prozac

fluoxetine

Antidepressant (SSRI)

12/17/2010

fluphenazine

Prolixin

fluphenazine

Antipsychotic Agent (phenothiazine)

12/17/2010

flurazepam

Dalmane

flurazepam

Sedative, Hypnotic

12/17/2010

fluvoxamine

Luvox, Luvox CR

fluvoxamine

Antidepressant

12/17/2010

gabapentin

Neurontin

gabapentin

Anticonvulsant

12/17/2010

guanfacine   guanfacine Attention Deficit/ Hyperactivity Disorder/ ADHD 12/17/2010

haloperidol

Haldol

haloperidol

Antipsychotic Agent (phenothiazine)

12/17/2010

hydroxyzine

Vistaril

hydroxyzine

Antihistamine (sedative, antianxiety)

12/17/2010

hydroxyzine hydrochloride

Atarax

hydroxyzine hydrochloride

Antihistamine (sedative, antianxiety)

12/17/2010

iloperidone Fanapt iloperidone Antipsychotic Agent, Atypical 12/17/2010

imipramine

Tofranil

imipramine

Antidepressant (tricyclic)

12/17/2010

lamotrigine Lamictal lamotrigine Anticonvulsant - Phenyltriazine

12/17/2010

lisdexamfetamine Vyvanse lisdexamfetamine Central Nervous System Stimulant 12/17/2010

lithium

Eskalith, Eskalith-CR, Lithobid

lithium

Mood Stabilizing Agent

12/17/2010

lorazepam

Ativan

lorazepam

Antianxiety Agent (benzodiazepine)

12/17/2010

loxapine

Loxitane

loxapine

Antipsychotic Agent (dibenzoxazepine)

12/17/2010

lurasidone Latuda lurasidone Antipsychotic Agent 8/15/2012

maprotiline

Ludiomil

maprotiline

Antidepressant

12/17/2010

medroxyprogesterone acetate Depo-Provera medroxyprogest-
erone acetate
Progestin (for non-contraceptive use) (systemic) 12/17/2010
memantine Namenda memantine Alzheimer's Treatment 12/17/2010

methylphenidate

Ritalin, Concerta, Metadate CD, Methylin

methylphenidate

Central Nervous System Stimulant

12/17/2010

methylphenidate transdermal Daytrana methylphenidate transdermal Central Nervous System Stimulant 12/17/2010

mirtazapine

Remeron, Remeron SolTab

mirtazapine

Antidepressant

12/17/2010

mixed salts of a single entity amphetamine Adderall Adderall XR mixed salts of a single entity amphetamine Central Nervous System Stimulant

12/17/2010

molindone

Moban

molindone

Antipsychotic Agent - dihydroincolone

12/17/2010

nadolol

Corgard

nadolol

Beta-Adrenergic Blocker

12/17/2010

naltrexone

ReVia

naltrexone

Opioid antagonist

12/17/2010

nefazodone

Serzone

nefazodone

Antidepressant

12/17/2010

nortriptyline

Aventyl, Pamelor

nortriptyline

Antidepressant (tricyclic)

12/17/2010

olanzapine Zyprexa, Relprevv olanzapine Antipsychotit / Bipolar Agent 12/17/2010

olanzapine

Zyprexa, Zyprexa Zydis, Zyprexa for Injection

olanzapine

Antipsychotic / Bipolar Agent

9/20/2012

olanzapine + fluoxetine Symbyax olanzapine + fluoxetine Antipsychotic / Antidepressant 12/17/2010

oxazepam

Serax

oxazepam

Antianxiety Agent (benzodiazepine)

12/17/2010

oxcarbazepine Trileptal oxcarbazepine Anticonvulsant 12/17/2010
paliperidone Invega paliperidone Antipsychotic Agent (benzisoxazole) 12/17/2010
paliperidone Invega Sustenna paliperidone Antipsychotic Agent (benzisoxazole) 8/15/2012

paroxetine

Paxil, Paxil CR, Pexeva

paroxetine

Antidepressant (SSRI)

12/17/2010

pemoline

Cylert

pemoline

Central Nervous System Stimulant

12/17/2010

perphenazine

Trilafon

perphenazine

Antipsychotic Agent (phenothiazine)

12/17/2010

phenelzine

Nardil

phenelzine

MAO Inhibitor

12/17/2010

phenobarbital

phenobarbital

Barbiturate and Barbiturate-Like Anticonvulsants

12/17/2010

pimozide

Orap

pimozide

Antipsychotic Agent

12/17/2010

pindolol

Visken

pindolol

Beta-Adrenergic Blocker

12/17/2010

prazosin

Minipress prazosin

Alpha Adrenergic Blocker(hypertension, Non-FDA approved use-Dream Disorder-PTSD)

09/01/2014

prochlorperazine

  prochlorperazine

Antipsychotic Agent (Phenothiazine) Antiemetic

6/1/2011

propranolol

Inderal

propranolol

Beta-Adrenergic Blocker

12/17/2010

protriptyline

Vivactil

protriptyline

Antidepressant (tricyclic)

12/17/2010

quetiapine

Seroquel

quetiapine

Antipsychotic Agent

12/17/2010

ramalteon Rozerem ramalteon Sedative-hypnotic 12/17/2010

risperidone

Risperdal, Risperdal Consta

risperidone

Antipsychotic Agent - Benzisoxazole

12/17/2010

rivastigimine Exelon rivastigimine Alzheimer's Treatment

12/17/2010

sertraline

Zoloft

sertraline

Antidepressant (SSRI)

12/17/2010

temazepam

Restoril

temazepam

Sedative, Hypnotic

12/17/2010

thioridazine

thioridazine

Antipsychotic Agent (phenothiazine)

12/17/2010

thiothixene

Navane

thiothixene

Antipsychotic Agent - thioxanthene

12/17/2010

tiagabine Gabitril tiagabine Anticonvulsant 12/17/2010
topiramate Topamax topiramate Anticonvulsant / Migraine Headache Prevention 12/17/2010

tranylcypromine

Parnate

tranylcypromine

MAO Inhibitor

12/17/2010

trazodone

Desyrel

trazodone

Antidepressant

12/17/2010

triazolam

Halcion

triazolam

Sedative, Hypnotic

12/17/2010

trifluoperazine

Stelazine

trifluoperazine

Antipsychotic Agent (phenothiazine)

12/17/2010

tryhexiphenidyl Artane tryhexiphenidyl Antidyskinetic 12/17/2010
valizodone Viibryd valizodone Antidepressant 05/01/2013

valproic acid

Depakene, Depakote

valproic acid

Anticonvulsant / Mood Stabilizing Agent

12/17/2010

venlafaxine hydrochloride

Effexor, Effexor XR

venlafaxine hydrochloride

Antidepressant

12/17/2010

zaleplon Sonata zaleplon Sedative / Hypnotic 12/17/2010

ziprasidone

Geodon

ziprasidone

Antipsychotic Agent

12/17/2010

zolpidem

Ambien, Ambien CR

zolpidem

Sedative, Hypnotic

8/15/2012

Last Revised:  September 05, 2014