Milnacipran
[$ Savella] Approved for fibromylagia in US and depression abroad (parent compound of
levomilnacipran).
Tolerable
Levomilnacipran
Most noradrenergic of the SNRIs, good for fatigue, with side effect profile similar to bupropion. Isomer of milnacipran (used in fibromylagia). Depression [2].
Duloxetine
[Cymbalta] Approved for child anxiety. Risk of urine retention (but treats urine incont). Liver
risk.
Solriamfetol
[$ Sunosi] Approved for narcolepsy but has bupropion-like properties and may treat ADHD.
Varenicline
[Chantix] The most effective therapy for nicotine, generally safe in psychiatric disorders
Thyroid T3
[Cytomel] For treatment-resistant bipolar/unipolar depression, well-tolerated and may actually improve manic or anxious symptoms
Tranylcypromine
[Parnate] Ideal MAOI for tolerability, with low weight/sedation problems. May treat panic.
Selegiline
[$ EMSAM] Skin patch MAOI, good to start with (low dose = no food interactions) but not as potent as older MAOIs.