Phenelzine
[Nardil] Ideal MAOI for anxiety, and more effective for social anxiety than SSRIs.
Medication
Selegiline
[$ EMSAM] Skin patch MAOI, good to start with (low dose = no food interactions) but not as potent as older MAOIs.
Semaglutide
[$ Ozempic, Wegovy] Medium effective of the GLPs for weight loss (use if BMI >30 or > 27 with complications of obesity).
Esketamine
[$ Spravato] Strong, rapid medication for TRD [2], but works no better than placebo after a month and risky (used to model schizophrenia and autism). Ketamine IV is more effective but isn’t covered by insurance
Lavender
[Silexan] First-line for generalized anxiety, Prescription and approved outside US. Well-tolerated, safe in bipolar.
Xanomeline-trospium
[$ Cobenfy] First-line antipsychotic for schizophrenia (lacks long-term risks, though GI issues a problem at start). Not effective in other disorders.
Xanomeline-trospium Read More »
Guanfacine
[Intuniv] Approved for ADHD [2], less sedating than clonidine but not as useful in comorbidities. Tics.