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Chris Aiken, MD

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Chris Aiken, MD

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Elderly-Preferred

Melatonin

Hypnotics in Sleep Apnea, Hypnotics, Weight Gain, Treatments, Hypnotic for Elderly, Deepen Sleep, Dementia, Migraines, Sleep, Side Effects / Chris

Hypnotic with particular benefits in elderly and children with developmental disorders [1], and antipsychotic weight loss [1].

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l-Theanine

Hypnotics, Major Depression, Treatments, Hypnotic for Elderly, Depression, Age-related or non-specific decline, Deepen Sleep, Anxiety, OCD, Augmentation, Non-specific Anxiety, Anxious Depression, Negative symptoms, Cognition, Schizophrenia / Nancy Brandon

Extract of green tea. Depression [3], sleep [2], schizophrenia (neg/anx) [2], OCD [3], cognition [3].

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Acetyl-l-carnitine

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

[ALC] Depression, especially recurrent/TRD, history of child-trauma, or with medical illness or elderly [2]. Alcohol (mood/memory/cravings) [2]

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Curcumin

Major Depression, Depression, Treatments, Age-related or non-specific decline, Dementia, Long COVID, Inflammatory Depression / Nancy Brandon

[Tumeric] Antioxidant improves depression [3], cognition, but possible liver risks.

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Chamomile

Hypnotics, Female, Generalized Anxiety, Hypnotic for Elderly, Treatments, Deepen Sleep, Anxiety, Sleep / Nancy Brandon

Improves sleep quality [3] and postmenopausal sexual function [3], but barely effective in anxiety [4].

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Lavender

Hypnotics, Major Depression, Generalized Anxiety, Treatments, Hypnotic for Elderly, Depression, Anxiety, Non-specific Anxiety, Anxious Depression / Nancy Brandon

[Silexan] First-line for generalized anxiety, Prescription and approved outside US. Well-tolerated, safe in bipolar.

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Vitamin B-complex

Major Depression, Depression, Treatments, Negative symptoms, Schizophrenia / Nancy Brandon

For depression [3] and negative symptoms of schizophrenia

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Vortioxetine

Major Depression, First line depression, Depression, Age-related or non-specific decline, Treatments, Negative symptoms / Nancy Brandon

[$ Trintellix] Improves cognition. First-line for depression (lacks weight gain, sexual, fatigue SEs; lack of WS). Well studied in elderly.

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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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Mirtazapine

Major Depression, Treatments, Hypnotic for Elderly, Deepen Sleep, OCD, Anxious Depression, Methamphetamine, Sleep / Nancy Brandon

[Remeron] Ideal for elderly and depression with GI problems, insomnia, anxiety.

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