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. Author manuscript; available in PMC: 2011 Jul 1.
Published in final edited form as: J Gerontol Nurs. 2009 Sep;35(9):28–38. doi: 10.3928/00989134-20090731-01

Table 4. Antipsychotic Medications and Recommended Dosing For Use In Older Adults.

Generic (Brand) Name Initial Dosage Maintenance Dosage Major Adverse Effects
Typical antipsychotic agent
Haloperidol (Haldol®) 0.25 mg to 0.5 mg per day 0.25 mg to 4 mg per day Extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome
Atypical antipsychotic agents
Aripiprazole (Abilify®) 5 mg per day 2.5 mg to 15 mg per day Headache, agitation, anxiety, insomnia, somnolence, akathisia, light headedness, weight gain, nausea, dyspepsia, constipation, vomiting
Clozapine (Clozaril®) 6.25 mg to 12.5 mg per day 6.25 mg to 400 mg per day (slow titration) Agranulocytosis, neuroleptic malignant syndrome, deep venous thrombosis and pulmonary embolism, glucose dysregulation, weight gain, increased serum creatine kinase, increased serum lipids (including triglycerides), seizures, tachycardia, confusion, sedation, dizziness, salivary pooling
Olanzapine (Zyprexa®) 2.5 mg per day 2.5 mg to 15 mg per day Orthostatic hypotension, sedation, weight gain, glycemic dyscontrol, elevation of serum lipids (triglycerides), anticholinergic effects (e.g., constipation), nausea, dizziness (not orthostatic), tremor, insomnia, overactivation, akathisia, neuroleptic malignant syndrome, tardive dyskinesia
Quetiapine (Seroquel®) 25 mg at bedtime 50 mg to 400 mg at bedtime Sedation, orthostatic hypotension, dizziness, agitation, insomnia, headache, neuroleptic malignant syndrome
Risperidone (Risperdal®) 0.25 mg to 0.5 mg at bedtime 0.25 mg to 3 mg at bedtime Hypotension (especially orthostatic), tachycardia, dysrhythmias, electrocardiogram changes, syncope, sedation, headache, dizziness, restlessness, akathisia, anxiety, extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome
Ziprasidone (Geodon®) 20 mg twice per day with food 20 mg to 80 mg twice per day with food Extrapyramidal symptoms, somnolence, headache, dizziness, nausea, akathisia