SONATA (Zaleplon) Sonata, available in 5mg and 10mg capsules, is a sleeping medication from a class of drugs known as nonbenzodiazepine hypnotics. Insomnia is usually due to hyperarousal. Sonata works by enhancing the brain’s natural tranquilizer called GABA. GETTING STARTED Take one 10mg capsule after going to bed if unable […]
WilmzBrewxs
229 posts
Question: I have mitral valve prolapse syndrome(dysautonomia) and very infrequently get panic attacks from a food, smell, etc. For a one shot attack which is better at stopping it quicker, Xanax, Niravam or Klonopin? — R.F. Answer: When you say “mitral valve prolapse syndrome (dysautonomia),” I assume you are referring […]
One of my slogans is “The right medication at the right dose.” When starting someone on a medication, I tell them I’m not looking for them to say, “Doctor I think it is helping some.” What I’m looking for is “This medication is great! It has made my life better […]
Question: How quickly does Cymbalta start working – relative to other antidepressants? — M.F. Answer: Some effects of Cymbalta may start within the 1st 2-3 days (it especially helps with chronic pain and possibly insomnia or anxiety). The antidepressant effects and most of the anti-anxiety effects usually take 2 weeks […]
Does treatment of ADHD with stimulants increase the risk of substance abuse? This question has been extensively researched by Dr. Wilens and Dr. Biederman at Harvard Medical School Department of Psychiatry. There were two significant findings. First – Untreated ADHD doubles the risk of alcohol and/or recreational drug abuse. Second […]
We received an email recently about a patient who was suffering from significant distress and got nothing but the run-around from her doctors. She had undergone extensive testing but was not given any clear feedback or results, and was basically let go with no explanation or significant treatment. Her son […]
During the month since my last blog, there have been several issues that were interesting or irritating to me. But none *inspired* me to write an article. It finally occurred to me to ask for suggestions. What issues are you passionate about that I can address through the blog? Please […]
Question: Are the terms “antipsychotic” and “mood stabilizers” the same? — R.M. Answer: There is no consensus about the definition of mood stabilizer – but at the least, it includes helping either mania or depression without worsening the other. The term antipsychotic at this point means medications that block certain […]
This article will serve as an index to some of the most Frequently Asked Questions my patients and medical professionals ask me about comparison between meds. Which is better? What’s the difference between x and y? Etc. The most recent question is listed first. Question: I have suffered anxiety and […]
Question: How do we cope with our ADHD/angry/grown-child who is living at home? Answer: Unfortunately, I frequently hear “ADHD/angry/grown-child living at home with no job for several months and parents feeling helpless.” Blames you for ______ is also common. Not taking responsibility for one’s problems and life situations may be […]