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Chris Aiken, MD

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Chris Aiken, MD

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Generic

Paroxetine

Major Depression, Generalized Anxiety, Depression, Treatments, Panic, Social Anxiety, PTSD, OCD, Hot flashes / Nancy Brandon

[Paxil] Poor choice as SSRI (higher sexual/weight SE, anticholinergic, pregnancy and WD risks).

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Fluvoxamine

Depression, Treatments, Social Anxiety, OCD / Nancy Brandon

[Luvox] Only approved in OCD.

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Escitalopram

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

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

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Citalopram

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

[Celexa] Use is limited by FDA-warning of QTc prolongation n higher doses.

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Vardenafil

Treatments, Male, SSRI-Induced, Sexual Dysfunction / Nancy Brandon

[Levitra] For sexual dysfunction on SSRI/SSNI in women and men, but tadalifil is better.

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Tadalafil

Treatments, Male, SSRI-Induced, Sexual Dysfunction / Nancy Brandon

[Cialis] Best of the PDE class for sexual dysfunction on SSRI/SNRI [longer half-life allows spontaneity]

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Sildenafil

Male, Treatments, SSRI-Induced, Sexual Dysfunction / Nancy Brandon

[Viagra] Treats male sexual dysfunction and female (for women on antidepressants).

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Zestra

Female, Treatments, Sexual Dysfunction / Nancy Brandon

Natural vaginal cream for sexual dysfunction in women (multiple herbs in product), OTC.

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Arginmax

Female, Treatments, Sexual Dysfunction / Nancy Brandon

Natural option for sexual dysfunction in women (multiple herbs in product), OTC.

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Naloxone

Treatments, Opioid, Substance Use Disorders / Nancy Brandon

Opioid blocker, good to prescribe (for OTC) to family if patient at risk of OD (even if you aren’t prescribing the opioid).

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