Classes of Medication Requiring Consent
Medications
SME: Director of Pharmacy
Last Review Date: 12/08/2010
The following tables are classes of medications requiring consent. This not an all inclusive list. Contact the pharmacy if unsure.
Antidepressants
The following medications require consent:
Class
|
Medication
|
Antidepressants
|
 | Amitriptyline (Elavil)
|
| Amoxapine (Ascendin)
|
| Bupropion (Wellbutrin, Wellbutrin SR)
|
| Citalopram (Celexa)
|
| Clomipramine (Anafranil)
|
| Desipramine (Norpramin)
|
| Doxepin (Sinequan)
|
| Escitalopram (Lexipro)
|
| Fluoxetine (Prozac)
|
| Fluvoxamine (Luvox)
|
| Imipramine (Tofranil)
|
| Maprotiline (Ludiomil)
|
| Mirtazapine (Remeron)
|
| Nefazodone (Serzone)
|
| Nortriptyline (Pamelor, Aventyl)
|
| Paroxetine (Paxil)
|
| Protriptyline (Vivactyl)
|
| Sertraline (Zoloft)
|
| Trazodone (Desyrel)
|
| Trimipramine (Surmontil)
|
| Venlafaxine (Effexor)
|
| Venlafaxine XR ( Effexor XR) |
|
Anxiolytics/
sedatives/hypnotics
The following medications require consent:
Class
|
Medication
|
Anxiolytics/sedatives/
hypnotics
|
| Alprazolam (Xanax)- CS
|
| Amobarbital (Amytal)
|
| Buspirone (Buspar)
|
| Chloral hydrate (Noctec)- CS
|
| Chlordiazepoxide (Librium)- CS
|
| Clonazepam (Klonopin)- CS
|
| Clorazepate (Tranxene)- CS
|
| Diazepam (Valium)- CS
|
| Diphenhydramine (Benadryl)
|
| Flurazepam (Dalmane)
|
| Hydroxyzine (Vistaril)
|
| Lorazepam (Ativan)- CS
|
| Oxazepam (Serax)
|
| Pentobarbital (Nembutal)
|
| Phenobarbital (Luminal)
|
| Temazepam (Restoril)- CS
|
| Triazolam (Halcion)
|
|
Zolpidem (Ambien)- CS |
|
Zaleplon (Sonata) |
|
Eszopiclone (Lunesta) |
|
Antipsychotics/
monoxidase inhibitors/
mood stabilizers
The following medications require consent:
Class
|
Medication
|
Antipsychotics
|
| Aripiprazole (Abilify)
|
| Chlorpromazine (Thorazine)
|
| Clozapine (Clozaril)
|
| Fluphenazine (Prolixin)
|
| Fluphenazine decanoate
|
| Haloperidol (Haldol)
|
| Haloperidol Decanoate
|
| Loxapine (Loxitane)
|
| Mesoridazine (Serentil)
|
| Molindone (Moban)
|
| Olanzapine (Zyprexa)
|
| Perphenazine (Trilafon)
|
| Pimozide (Orap)
|
| Quetiapine (Seroquel)
|
| Risperidone (Risperdal)
|
| Thioridazine (Mellaril)
|
| Thiothixene (Navane)
|
| Trifluoperazine (Stelazine)
|
| Ziprasidone (Geodon) |
|
Monoamine Oxidase Inhibitors
|
| Phenelzine (Nardil)
|
|
Tranylcypromine (Parnate)
| |
Selegiline (Elepryl, Zelapar-ODT, EMSAM Transdermal) |
|
|
Mood Stabilizers
|
| Carbamazepine, Extended Release (Tegretol, Tegretol XR)
|
| Carbamazepine, Extended Release (Tegretol, Tegretol XR)
|
| Gabapentin (Neurotin)
|
| Lamotrigene (Lamictal)
|
| Lithium (Eskalith, Lithobid, Eskalith CR)
|
| Nifedipine (Procardia, Adalat)
|
| Propranolol (Inderal)
|
| Oxcarbazepine (Trileptal)- NF
|
|
Topiramate (Topamax) |
|
Valproic acid/ Divaproex Sodium (Depakene, Depakote) |
|
Verapamil (Calan, Isoptin) |
|
Stimulants
The following medications require consent:
Class
|
Medication
|
Stimulants
|
| Dextroamphetamine (Adderall, Adderall XR)
|
| Dextroamphetamine (Dexedrine)
|
| Methylphenidate (Ritalin, Concerta)
|
|
Italic = Non-Formulary Items
Effective Date 12/8/2010
UT-HCPC Pharmacy Department
If you have questions regarding the content of this site please contact the
Policy and Procedure Committee. If you
experience any technical problems please contact the MIS Department.
