Patient:___________________ _______________________________

Date: _______________________________

Exhibit to Petition for Consent to Involuntary Administration of Psychiatric Medicines

Generic Name

Brand Name

Current Uses

Alprazolam

Xanax

Anti-Anxiety

Amitriptyline

Elavil

Anti-Depressant

Amoxapine

Asendin

Anti-Depressant

Amphetamine

Adderall

Stimulant

Aripiprazole

Abilify

Anti-Psychotic

Atenolol

Tenormin

Anti-Anxiety

Bupropion

Wellbutrin

Anti-Depressant, Stimulant

Buspirone

BuSpar

Anti-Anxiety

Carbamazepine

Tegretol

Mood Stabilizer

Chlordiazepoxide

Librium

Anti-Anxiety

Chlorpromazine

Thorazine

Anti-Psychotic

Citalopram

Celexa

Anti-Depressant, -Anxiety

Clomipramine

Anafranil

Anti-Obsessive, -Depressant

Clonazepam

Klonopin

Panic, Anti-Anxiety

Clorazepate

Tranxene

Anti-Anxiety

Clozapine

Clozaril

Anti-Psychotic

Desipramine

Norpramin

Anti-Depressant, Stimulant

Dextroamphetamine

Dexedrine

Stimulant

Diazepam

Valium

Anti-Anxiety

Divalproex Sodium

Depakote

Mood Stabilizer

Doxepin

Sinequan

Anti-Depressant

Fluoxetine

Prozac

Anti-Depressant, -Obsessive, -Anxiety

Fluphenazine

Prolixin

Anti-Psychotic

Fluvoxamine

Luvox

Anti-Obsessive,-Depressant, -Anxiety

Gabapentin

Neurontin

Mood Stabilizer

Haloperidol

Haldol

Anti-Psychotic

Imipramine

Tofranil

Anti-Depressant, Panic

Lamotrigine

Lamictal

Mood Stabilizer

Lithium

Eskalith, Lithobid, Lithonate, Lithotabs

Mood Stabilizer

Lorazepam

Ativan

Anti-Anxiety

Loxapine

Loxitane

Anti-Psychotic

Mesoridazine

Serentil

Anti-Psychotic

Methylphenidate

Ritalin

Stimulant

Mirtazapine

Remeron

Anti-Depressant

Molindone

Moban

Anti-Psychotic

Nefazodone

Serzone

Anti-Depressant

Nortriptyline

Pamelor

Anti-Depressant

Olanzapine

Zyprexa

Anti-Psychotic

Oxazepam

Serax

Anti-Anxiety

Paroxetine

Paxil

Anti-Depressant, -Obsessive,

Pemoline

Cylert

Stimulant

Perphenazine

Trilafon

Anti-Psychotic

Phenelzine

Nardil

Anti-Depressant

Prazepam

Centrax

Anti-Anxiety

Propranolol

Inderal

Beta Blocker

Protriptyline

Vivactil

Anti-Depressant

Quetiapine

Seroquel

Anti-Psychotic

Risperidone

Risperdal

Anti-Psychotic

Sertraline

Zoloft

Anti-Depressant, -Obsessive,-Anxiety

Thioridazine

Mellaril

Anti-Psychotic

Thiothixene

Navane

Anti-Psychotic

Topiramate

Topamax

Mood Stabilizer

Tranylcypromine

Parnate

Anti-Depressant

Trazodone

Desyrel

Anti-Depressant

Trifluoperazine

Stelazine

Anti-Psychotic

Trimipramine

Surmontil

Anti-Depressant

Valproic Acid

Depakene, Depakote

Mood Stabilizer

Venlafaxine

Effexor

Anti-Depressant

Ziprasidone

Geodon

Anti-Psychotic

 

Petitioner signature: _______________________________________

Form published by: R. Shawn Majette, VSB 19372
Thompson and McMullan P.C.
100 Shockoe Slip
Richmond, Virginia 23219
804/698-6233 (V) 804/780-1813 (F)
http://majette.net
[email protected]
Date: July, 2005

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