Guidelines for starting Mood Stabilizers
(Updated 4/2004)

These guidelines may help you with explaining to your patients just how to begin and what to watch for.  I hope they will help you with your Procedures/Alternatives/Risks discussion, but of course they do not replace the PAR, which remains your responsibility.  (Updated April 20, 2001)

These guidelines reflect my current approach with these medications, and will be modified periodically to reflect my experience.  Write me if you've some suggestions based on yours:

These 1-page documents will open in Word on your computer (write if you need a different format).  You can print or save from there.  

Lithium (Lithobid)

Depakote (valproate)

Trileptal (oxcarbazepine)

Lamotrigine (Lamictal)

Zyprexa (olanzapine)
(Emergent dosing is easy: "2.5 mg -- 1/2 to 1, up to tid prn agitation")
(Warning is not -- PAR handout included)

Topiramate (Topomax)
 (not a mood stabilizer, but...)