Psychotropics

Common medications: Lorazepam, Haldol
(Haloperidol), Seroquel (Quetiapine)

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How these medications will help

  • They decrease anxiety and improve quality of life
  • They decrease agitation which can interfere with ability to be cared for safely
  • They can improve sleep duration and quality
  • If agitation is severe, injury can occur and it is safer to give these medications

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How to take

  • Take it by mouth
  • All medications should be taken with at least 1-2 ounces of fluid
  • Can be given as needed or on daily basis. Discuss with the Hospice team

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When will it work

  • It can start working in about 30 MINUTES
  • There is a liquid form of Lorazepam which can work quicker
  • There are also preparations which can be given under the skin (SQ) if unable to take by mouth

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Lorazepam:

  • This is the most common medication to use for anxiety

  • Usual dose is 0.5mg to 2mg every 2-4 hours. Usual maximum dose 10mg per day

  • It can be taken with pain medications, including Opioids

Haldol:

  • This is a common medication for agitation, extreme restlessness

  • Usual dose is 0.5 mg to 1 mg every 4-6 hours

  • For extreme agitation, the Hospice Team may give more and by different route other than by
    mouth

  • Can also be safely taken with pain medications

Seroquel (Quetiapine):

  • An effective medication for anxiety and agitation

  • Often given at nighttime, usual dose is 25-50mg

  • Safe to take with pain medications

Common side effects

Excess sedation

Forgetfulness, inability to remember recent events during time medication was working

Lethargy, excess fatigue

When to call the Hospice

Inability to wake up

Increasing agitation, restlessness

Muscle spasms, uncontrolled movements

Breathing that becomes unusually slow or weak

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