The antipsychotics olanzapine (Zyprexa, 2.5 mg) and risperidone (Risperdal, 0.5 mg) are useful but have side effects including sedation, hyperprolactinemia, type 2 diabetes, and extrapyramidal symptoms. Dr. O'Toole prefers starting with a low dose (25 mg) of Seroquel (quetiapine) at bedtime.
Indications for Hospitalization
▸ Weight less than 75% of the minimum weight for health.
▸ Heart rate less than 45 beats per minute (bpm).
▸ QTc interval greater than 0.444 ms.
▸ Temperature less than 97.3° F (36.3° C).
▸ Decrease in systolic blood pressure from lying to standing of 10 mm Hg or more.
▸ Increase in heart rate from lying to standing after 2.4 minutes of 35 bpm or more.
▸ Potassium level less than 3.0 mEq/L.
Source: Dr. O'Toole