CategoryDrugs and dosagesConsiderations
Selective of serotonin and reuptake inhibitorsSertraline (Zoloft), 25 to 200 mg per daySelective serotonin reuptake inhibitors lower the rate alcohol consumption in patients with depression may help the recovering patient maintain sobriety.
Fluoxetine (Prozac), 10 to 80 mg per day
Paroxetine (Paxil), 10 to 60 mg per day
Citalopram (Celexa), 20 to 60 mg per day
Fluvoxamine (Luvox), 50 to 300 mg per day
Tricyclic depressed antidepressantsDesipramine (Norpramin), 100 to 300 mg per dayDesipramine may help facilitate abstinence in patients addicted to cocaine.
Nortriptyline (Pamelor), 30 to 150 mg per day
Protriptyline (Vivactil), 15 to 60 mg per day
Other antidepressantsVenlafaxine (Effexor), 75 to 375 mg per dayMost of these antidepressants have not been studied extensively in recovering patients.
Bupropion (Wellbutrin), 200 to 400 mg per day
Mirtazapine (Remeron), 15 to 45 mg per day
Trazodone (Desyrel), 150 to 400 mg per day
AnxiolyticsBuspirone (BuSpar), 15 to 60 mg per dayAll benzodiazepines should be avoided in recovering patients. If use is unavoidable, clonazepam (Klonopin) has a lower risk of abuse because of its long half-life.
Benzodiazepines
AntipsychoticsRisperidone (Risperdal), 2 to 16 mg per dayThese medications have not been studied extensively in recovering patients; because they are active in the central nervous system, they should be monitored closely.
Olanzapine (Zyprexa), 5 to 20 mg per day
Quetiapine fumarate (Seroquel), 50 to 800 mg per day
AnticonvulsantsDivalproex sodium (Depakote), 500 to 1,000 mg per dayDivalproex and carbamazepine should not be used in patients with liver disease.
Gabapentin (Neurontin), 900 to 3,600 mg per day
Carbamazepine (Tegretol), 1,000 to 1,600 mg per day