Updates & Announcements

CYC-I has released the following important updates, announcements and information on current Mental Health topics.

CYC-I -Update- December
Download CYC-I -Updates- December

CYC-I -Update- October
Download CYC-I -Updates- October

CYC-I -Update- September
Download CYC-I -Updates- September

FDA Warning on Citalopram
The FDA has determined that doses of citalopram greater than 40 mg/d should no longer be prescribed due to the risk of QTc prolongation. It also states that citalopram should not be used at all in patients with congenital long QTc syndrome. More information can be found at:

Medicaid Limits Supply of Certain Psych Medications
A recent Medicaid change would limit initial prescriptions of certain medications to be filled for 15 days even if prescribed for 31. The patient will have to go back to the pharmacy to get the remaining days filled. It will still allow subsequent prescriptions to dispense up to 31 days. Their reasoning is to reduce costs for medications with high side effect profiles, high discontinuation rates or frequent dose adjustments.

This change will become effective September 1, 2011. Attached is the Informational letter No 1045 from DHS and the medications this new policy will affect. More information can be found at:


Child Health Specialty Clinics
100 Hawkins Drive    Iowa City, IA 52242
Phone (855) 275-4444    Fax (641) 782-9519
© 2017 Child and Youth Psychiatric Consult Project of Iowa (CYC-I). All Rights Reserved.
Primary Care Providers call the CYC-I Intake line at 855-275-4444
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