Medication Archives - Chris Aiken, MD

Rivastigmine

[Exelon] Alzheimers and Parkinsons dementia [2].

Donepezil

[Aricept] First-line for all stages of Alzheimers (and Lew-Body, Parkinsons dementia). Possibly OCD, alcohol use, bipolar depression [3].

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Memantine

Autism, BP Depression, Treatments, Dementia, OCD, Mixed, Trichotillomania / Chris

[Namenda] Trichotillomania [1]. First-line for mod-severe Alzheimers (and Lew-Body, Parkinsons dementia). Possibly OCD, alcohol use, bipolar depression [3], autism [2].

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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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Metformin

Treatments, Weight Gain, Prolactinemia / Chris

First-line for antipsychotic weight gain, works best when started early (also prevents DM, dyslipidemia, prolactinemia)

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Tirzepatide

Treatments, Alcohol, Weight Gain / Nancy Brandon

[$ Mounjaro, Zepbound] Most effective of the GLPs for weight loss (use if BMI >30 or > 27 with complications of obesity).

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Imipramine

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

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

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Clomipramine

Major Depression, Panic, Treatments, OCD / Nancy Brandon

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

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Trimipramine

Major Depression, Treatments / Nancy Brandon

[Sumontil] Third-line tricyclic, mix of serotonin/noripineprhine, more anticholinergic side
effects.