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Chris Aiken, MD

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Chris Aiken, MD

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Anxiety

cyproheptadine

Alcohol, Anorexia, Eating Disorders, Hypnotic for Elderly, Hypnotics, Nightmares, PTSD, Sexual Dysfunction, SSRI-Induced, Substance Use Disorders, Treatments / Chris

Similar to mirtazapine, for anorexia [2], alcohol (with prazosin) [2], sleep [4], nightmares [4], sexual dysfunction [3].

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Lemon Balm

Treatments, Deepen Sleep, Non-specific Anxiety / Chris

Improves sleep quality [2] and mild depression, anxiety, stress symptoms [2-3]

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Benzodiazepines

Hypnotics, Generalized Anxiety, Panic, Treatments, Social Anxiety, Non-specific Anxiety / Chris

Lorazepam is best overall. Oxazepam safest. Clonazepam, alprazolam approved in panic. Alprazolam short-term helps depression. Akathisia, alcohol WD.

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Lightbox

Fibromyalgia, First line depression, BP Depression, Male, Treatments, Depression, Bulimia, Treatment Resistant Depression, Deepen Sleep, PTSD, Negative symptoms, Peripartum Depression, Vascular Depression / Chris

Very effective and well tolerated for depression regardless of season (also for bipolar, PTSD, bulimia, shift work)

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Propranolol

Lithium SE, Treatments, Panic, Social Anxiety, Non-specific Anxiety, Tremor, Migraines, Akathisia / Chris

Augments SSRIs in panic, use for tremor, akathisia, and irritability.

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CBD

Generalized Anxiety, Treatments, Social Anxiety, Cannabis, Non-specific Anxiety / Chris

[Cannabidiol] This “healthier”strain of cannabis is #1 for cannabis use disorder, but questionable in anxiety and insomnia. Watch for drug interactions.

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Imipramine

Major Depression, Generalized Anxiety, Panic, Depression, Treatments, Anxiety, Treatment Resistant Depression, Binge Eating, Anxious Depression, Eating Disorders / Nancy Brandon

[Tofranil] Ideal tricyclic for anxiety disorders, but sedating and anticholinergic effects.

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Clomipramine

Major Depression, Treatments, Panic, OCD / Nancy Brandon

[Anafranil] Highly serotonergic, very effective for OCD (tricyclic).

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Venlafaxine

Major Depression, Generalized Anxiety, Depression, Treatments, Panic, Social Anxiety, Anxiety, PTSD, Chronic Pain, Migraines, Hot flashes / Nancy Brandon

[Effexor] Not ideal among the SNRIs (hypertension, WD risks, weight gain), but very effective for some and treats hot flashes in low doses.

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Duloxetine

Major Depression, Generalized Anxiety, Fibromyalgia, Depression, Treatments, Panic, Anxiety, Binge Eating, Chronic Pain, Migraines / Nancy Brandon

[Cymbalta] Approved for child anxiety. Risk of urine retention (but treats urine incont). Liver
risk.

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