Question: Now that Pristiq has been out for awhile, what has been the clinical response with your patients compared with the Effexor XR formulation? Rumors...
Medication: Best Meds
Best Medications Revisited
In December 2006 I participated in a survey of psychiatrists by a pharmaceutical company. They asked me if I could have only five medications to...
My brother is 16 and he has ADHD. What is the right starting dose for medication?
It is usually better to start low and increase until no additional benefits or side-effects. Weight can be used to determine maximum dose, 2mg/kg for methylphenidate...
How can I prevent recurrence of depression and what do I do if the depression does come back?
Depression runs in my family and I've been on the same medicine for a while with no episodes of depression. About two weeks ago I...
My 15 year old daughter has been put on Risperdal to "glue" her thoughts. She is severely depressed and worries constantly. Her doctor added Lexapro to the Risperdal. How do we know if the Lexapro is working or just helping the side-effects of Risperdal?
I don't use Risperdal because of the increased risk of neurological side-effects, and increased prolactin interfering with hormones, including estrogen. Lexapro is good for anxiety,...
Vyvanse: New Treatment for ADHD
Vyvanse, the new ADHD medicine, has a unique prodrug delivery system developed to prevent abuse. In addition to marked reduced abuse and misuse, studies have shown...
Say Goodbye To The Pill Ladies
I am now completely against birth control pills. I’m also against hormone replacement with oral estradiol. Estradiol (in every birth control pill) taken by mouth...
Does Xanax work for sleep?
I am not crazy about long term use of Xanax (or any other benzodiazepine) for treatment of chronic insomnia because they don't produce all the...
How can I live like a normal person when I have ADHD?
Most of my ADHD patients do well and many if not most like being ADHD. There are some who haven't found the "right medication(s)", but...
Vitamins & Supplements: Are they really worth it?
We have heard it since we were kids, but do we really need to take our vitamins? The answer is yes. Most Americans don’t...