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Chris Aiken, MD

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Chris Aiken, MD

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Depression

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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Desvenlafaxine

Major Depression, Treatments, Panic, Depression, Anxiety, Social Anxiety / Nancy Brandon

[Pristiq] Safest SNRI.

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Tranylcypromine

Major Depression, Treatments, Panic, Depression, Anxiety, Social Anxiety, Treatment Resistant Depression / Nancy Brandon

[Parnate] Ideal MAOI for tolerability, with low weight/sedation problems. May treat panic.

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Phenelzine

Major Depression, Depression, Treatments, Anxiety, Social Anxiety, Treatment Resistant Depression, Anxious Depression / Nancy Brandon

[Nardil] Ideal MAOI for anxiety, and more effective for social anxiety than SSRIs.

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Iscarboxazid

Major Depression, Depression, Treatments, Anxiety, Social Anxiety / Nancy Brandon

[Marplan] Third-line among the MAOIs (least studied of the bunch).

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Selegiline

Major Depression, Depression, Treatments, Panic, Anxiety / Nancy Brandon

[$ EMSAM] Skin patch MAOI, good to start with (low dose = no food interactions) but not as potent as older MAOIs.

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Probiotics

Major Depression, Generalized Anxiety, Female, Bipolar, Depression, BP Depression, Age-related or non-specific decline, Treatments, Autism, Anxiety, Deepen Sleep, Treatment Resistant Depression, Anxious Depression, Peripartum Depression, Borderline, Negative symptoms, Sleep, ADHD, Long COVID, Cognition, Inflammatory Depression, Schizophrenia, Sexual Dysfunction / Nancy Brandon

For bipolar/unipolar depression [2], ADHD [3], anxiety [2], cognition [2], autism [2], weight loss [1], dyslipidemia, long COVID [1].

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Citicoline

Major Depression, Treatments, Depression, Age-related or non-specific decline, Methamphetamine, Negative symptoms, Cocaine, BP Cognition, Vascular Depression, Cognition, Substance Use Disorders / Nancy Brandon

For mood disorders with meth/cocaine abuse [1], age-related cognitive decline [1], and post-stroke depression [2]

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Rhodiola rosea

Major Depression, Generalized Anxiety, Depression, Treatments, Anxiety, Anxious Depression, Non-specific Anxiety / Nancy Brandon

Herb that helps with mild depression and stress management.

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Coenzyme q10

Neurodevelopmental disorders, Major Depression, Fibromyalgia, BP Depression, Bipolar, Depression, Age-related or non-specific decline, Treatments, Autism, ADHD / Nancy Brandon

For bipolar and unipolar depression [2], ADHD [3], autism [2], neurodevelopmental disorders [2], and energy in elderly.

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