Questions For Your Doctor

You and your family can help your doctor find the right medications for you. The doctor needs to know your medical history, other medications being taken, and life plans such as hoping to have a baby. After taking the medication for a short time, you should tell the doctor about favorable results as well as side effects. The Food and Drug Administration (FDA) and professional organizations recommend that the patient or a family member ask the following questions when a medication is prescribed:

• What is the name of the psychiatric medication, and what is it supposed to do?
• How and when do I take it, and when do I stop taking it?
• What foods, drinks, or other medications should I avoid while taking the prescribed medication?
• Should it be taken with food or on an empty stomach?
• Is it safe to drink alcohol while on this medication?
• What are the side effects, and what should I do if they occur?
• Is a Patient Package Insert for the medication available?

Antipsychotic Medications

Overview of antipsychotic medications used for psychotic illness like Schizophrenia. Atypical antipsychotics listed and side effects of antipsychotic medications

This part of the site describes psychiatric medications by their generic (chemical) names and in italics by their trade names (brand names used by pharmaceutical companies). They are divided into four large categories -- antipsychotic, antimanic, antidepressant, and antianxiety medications. Psychiatric medications that specifically affect children, the elderly, and women during the reproductive years are discussed in a separate section of the site.

Lists towards the end of these "medication pages" give the generic name and the trade name of the most commonly prescribed psychotherapeutic medications and note the section of the site that contains information about each type. A separate chart shows the trade and generic names of psychiatric medications commonly prescribed for children and adolescents.

Treatment evaluation studies have established the effectiveness of the medications described here, but much remains to be learned about them. The National Institute of Mental Health, other Federal agencies, and private research groups are sponsoring studies of these medications. Scientists are hoping to improve their understanding of how and why these medications work, how to control or eliminate unwanted side effects, and how to make the medications more effective.

Antipsychotic Medications

A person who is psychotic is out of touch with reality. People with psychosis may hear "voices" or have strange and illogical ideas (for example, thinking that others can hear their thoughts, or are trying to harm them, or that they are the President of the United States or some other famous person). They may get excited or angry for no apparent reason, or spend a lot of time by themselves, or in bed, sleeping during the day and staying awake at night. The person may neglect appearance, not bathing or changing clothes, and may be hard to talk to--barely talking or saying things that make no sense. They often are initially unaware that their condition is an illness.

These kinds of behaviors are symptoms of a psychotic illness such as schizophrenia. Antipsychotic medications act against these symptoms. These medications cannot "cure" the illness, but they can take away many of the symptoms or make them milder. In some cases, they can shorten the course of an episode of the illness as well.

There are a number of antipsychotic (neuroleptic) medications available. These medications affect neurotransmitters that allow communication between nerve cells. One such neurotransmitter, dopamine, is thought to be relevant to schizophrenia symptoms. All these medications have been shown to be effective for schizophrenia. The main differences are in the potency--that is, the dosage (amount) prescribed to produce therapeutic effects-and the side effects. Some people might think that the higher the dose of medication prescribed, the more serious the illness; but this is not always true.