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Chris Aiken, MD

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Chris Aiken, MD

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Child-Approved

Enlyte

Major Depression, BP Depression, Depression, Treatments, Age-related or non-specific decline, Treatment Resistant Depression, Peripartum Depression, Inflammatory Depression / Nancy Brandon

Multivitamin with methylfolate, omega-3, and more. Large effect in depression [1]

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Micronutrients

Treatments, ADHD / Nancy Brandon

[Empowerplus] Although advertised in bipolar disorder, these branded multivitamins only have evidence in lability in ADHD. Prefer Enlyte for mood.

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Guanfacine

Neurodevelopmental disorders, Treatments, Tics, Migraines, Negative symptoms, ADHD, Schizophrenia / Nancy Brandon

[Intuniv] Approved for ADHD [2], less sedating than clonidine but not as useful in comorbidities. Tics.

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Clonidine

Agitation in Dementia, Hypnotics, Treatments, Autism, Opioid, Nightmares, Mania, Nicotine, PTSD, Tics, Mixed, Migraines, Non-specific Anxiety, Negative symptoms, Borderline, ADHD, Substance Use Disorders, Schizophrenia, Side Effects, Sweating / Nancy Brandon

[Kapvay] Approved for ADHD, but also helps mania, nicotine/opioid, anxiety, irritability, self-harm, autism, negative symptoms schizophrenia, tics

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Sertraline

Major Depression, Generalized Anxiety, Treatments, Depression, Bulimia, Panic, Binge Eating, Social Anxiety, PTSD, OCD, Peripartum Depression, Premenstrual Dysphoria / Nancy Brandon

[Zoloft] Good choice overall, best SSRI for heart disease, no CYP drug interactions below 150mg.

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Fluvoxamine

Depression, Treatments, Social Anxiety, OCD / Nancy Brandon

[Luvox] Only approved in OCD.

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Escitalopram

Major Depression, Generalized Anxiety, First line depression, Depression, Treatments, Panic, Social Anxiety, OCD, Borderline, Hot flashes / Nancy Brandon

[Lexapro] First-line SSRI (no drug interactions, good efficacy in depression/anxiety).

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Ondansetron

Treatments, Alcohol, Bulimia, Nausea, OCD, Eating Disorders, Substance Use Disorders / Nancy Brandon

[Zofran] First-line for OCD (very effective, well tolerated). May help binge drinking, bulimia.

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Diphenhydramine

Hypnotics, Treatments / Nancy Brandon

Although over the counter, the prescription version (hydroxyzine) is safer with fewer anticholinergic risks.

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Lithium

Major Depression, First line BP depression, BP Depression, Bipolar, Treatments, Treatment Resistant Depression, First line mania, Psychotic Depression, Mania, Mixed, Negative symptoms, Schizophrenia / Nancy Brandon

Best long-term outcomes in bipolar (I or II) and recurrent depression. Prevents suicide. Treats mania, bp-depression and augments antidepressants.

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